Enfortumab Vedotin + Pembrolizumab Induction to Spare the Bladder in MIBC

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorThe Netherlands Cancer Institute

About this trial

This is a Phase 2 clinical intervention trial to assess efficacy of induction EVP to spare the bladder in stage T2-4aN0-1 urothelial bladder cancer (UBC), using a response-adapted approach

Eligibility criteria

Qualifiers

Participants who are at least 18 years of age on the day of signing informed consent.

The participant (or legally acceptable representative if applicable) provides written informed consent for the trial.

Patients with histologically confirmed cT2-4aN0-1M0 urothelial bladder cancer, seeking an alternative to radical cystectomy and/or patients who are medically unfit for surgery.

no pure (>90%) squamous

Disqualifiers

Previous pelvic irradiation

Upper tract urothelial cancer

Extensive carcinoma in situ (CIS) of the bladder

Bilateral hydronephrosis

Trial design

Treatments tested in this trial

  • Enfortumab Vedotin
  • Pembrolizumab
  • Radiation
  • Chemoradiation
  • Cystectomy

Treatment groups

56 Participants
are divided into 4 treatment groups

Sponsors and collaborators

The Netherlands Cancer Institute

Lead sponsor

Merck Sharp & Dohme LLC

Collaborator

Astellas Pharma Inc

Collaborator