Urothelial CarcinomaPhase 3NCT05911295
Disitamab Vedotin With Pembrolizumab vs Chemotherapy in Previously Untreated Urothelial Cancer Expressing HER2
A Phase 3 study testing disitamab vedotin, pembrolizumab and gemcitabine in people with Urothelial Carcinoma, run by Seagen, a wholly owned subsidiary of Pfizer at 268 sites in 24 countries.
Trial summary
This study will enroll participants with urothelial cancer (UC). UC can include cancer of the bladder, kidney, or the tubes that carry pee through the body (ureter, urethra). This study will try to find out if the drugs disitamab vedotin with pembrolizumab works better than platinum-containing chemotherapy to treat… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Urothelial Carcinoma
- What is being tested?
- disitamab vedotin, pembrolizumab and gemcitabine
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 412 participants
- Where
- 268 sitesin 24 countries
- Study dates
- 22 Sep 2023to 30 Apr 2029
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histopathological confirmation of locally advanced unresectable or metastatic urothelial carcinoma (LA/mUC), including UC originating from the renal pelvis, ureters, bladder, or urethra.
- Measurable disease by investigator assessment per RECIST v1.1.
- Participant must not have received prior systemic therapy for LA/mUC. Exception will be made for neoadjuvant or adjuvant therapy, if disease recurrence/progression occurred more than 12 months after the last dose of therapy.
- Eligible to receive cisplatin- or carboplatin-containing chemotherapy.
- Able to provide archived formalin-fixed paraffin-embedded tumor tissue blocks from a muscle-invasive or metastatic UC lesion or biopsy of metastatic UC prior to treatment initiation. If archival tissue is not available a newly obtained baseline biopsy of an accessible tumor lesion is required within 28 days of cycle 1 day 1.
- HER2 expression of 1+ or greater on immunohistochemistry (IHC).
- Eastern Cooperative Oncology Group (ECOG) performance score of 0, 1, or 2 within 7 days prior to randomization.
Who cannot join
- Known hypersensitivity to disitamab vedotin, cisplatin, carboplatin, gemcitabine, or pembrolizumab or any of their components.
- History of severe/life threatening immune-related adverse event (irAE) with PD-(L)1 inhibitors are excluded.
- Central nervous system (CNS) and/or leptomeningeal metastasis. Participants with treated CNS metastases are permitted if all of the following are met.
- CNS metastases have been clinically stable for at least 4 weeks and baseline scans show no evidence of new or worsening CNS metastasis.
- Participant is on a stable dose of ≤ 10 mg/day of prednisone or equivalent for at least 2 weeks.
- History of or active autoimmune disease that has required systemic treatment in the past 2 years.
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- Prior treatment with an agent directed to another stimulatory or co-inhibitory T cell receptor (including but not limited to CD137 agonists, CAR-T cell therapy, CTLA-4 inhibitors, or OX-40 agonists).
- Prior solid organ or bone marrow transplantation.
- Pleural effusion or ascites with symptoms or requiring symptomatic treatment.
- Estimated life expectancy <12 week
- Prior treatment with an MMAE agent or anti-HER2 therapy
Trial locations and contacts
268 sites in 24 countries.
268 sites in 24 countries
United States89 sites
UCLA Hematology/Oncology - Alhambra
Alhambra, California, 91801
Foothill Cardioology
Arcadia, California, 91007
Beverly Hills Multi-Specialties Practice
Beverly Hills, California, 90211
HealthPartners Institute
Bloomington, Minnesota, 55425
Providence Saint Joseph Medical Center
Burbank, California, 91505
UCLA Burbank Cardiology
Burbank, California, 91505
UCLA Hematology/Oncology - Burbank
Burbank, California, 91505
Minnesota Oncology Hematology, PA
Burnsville, Minnesota, 55337
UCLA Calabasas Specialty Care
Calabasas, California, 91302
Allina Health Cancer Institute
Coon Rapids, Minnesota, 55433
Minnesota Oncology Hematology, PA
Coon Rapids, Minnesota, 55433
M Health Fairview Cancer Clinic-Edina
Edina, Minnesota, 55435
Minnesota Oncology Hematology Pa
Edina, Minnesota, 55435
UCLA Encino Specialty Care (Radiology)
Encino, California, 91436
UCLA Hematology/Oncology - Encino
Encino, California, 91436
AHN Saint Vincent Hospital
Erie, Pennsylvania, 16544
Helios Clinical Research
Fort Worth, Texas, 76104
Helios Clinical Research
Fountain Valley, California, 92708
Minnesota Oncology Hematology, PA
Fridley, Minnesota, 55432
Banner Gateway Medical Center
Gilbert, Arizona, 85234
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
Helios Clinical Research
Glendale, California, 91204
Foothill Cardiology Glendora
Glendora, California, 91741
AHN Jefferson Hospital
Jefferson Hills, Pennsylvania, 15025
Helios Clinical Research
Long Beach, California, 90805
UCLA Downtown Los Angeles Primary & Specialty Care
Los Angeles, California, 90017
UCLA Cardiovascular Center
Los Angeles, California, 90095
UCLA Department of Medicine-Hematology/Oncology
Los Angeles, California, 90095
UCLA Hematology & Oncology Clinic
Los Angeles, California, 90095
UCLA Hematology / Oncology
Los Angeles, California, 90095
UCLA Westwood Specialty Care
Los Angeles, California, 90095
M Health Fairview St. John's Hospital
Maplewood, Minnesota, 55109
Minnesota Oncology Hematology, PA
Maplewood, Minnesota, 55109
Allina Health Cancer Institute-United(VPCI)
Minneapolis, Minnesota, 55404
Minnesota Oncology Hematology, PA
Minneapolis, Minnesota, 55404
Hennepin Country Medical Center
Minneapolis, Minnesota, 55415
AHN Forbes Hospital
Monroeville, Pennsylvania, 15146
UCLA Montecito Primary & Specialty Care
Montecito, California, 93108
Pacific Cancer Care
Monterey, California, 93940
Allegheny Valley Hospital
Natrona Heights, Pennsylvania, 15065
Newport Diagnostics
Newport Beach, California, 92660
Foothill Cardiology Pasadena
Pasadena, California, 91105
Southern California Heart Specialists
Pasadena, California, 91105
AHN Cancer Institute - Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212
AHN Cancer Institute Pharmacy
Pittsburgh, Pennsylvania, 15212
AHN West Penn Hospital
Pittsburgh, Pennsylvania, 15224
UCLA Porter Ranch Primary & Specialty Care
Porter Ranch, California, 91326
North Memorial Health Cancer Center
Robbinsdale, Minnesota, 55422
Metro Minnesota Community Oncology Research Consortium(MMCORC)
Saint Louis Park, Minnesota, 55426
Park Nicollet Frauenshuh Cancer Center
Saint Louis Park, Minnesota, 55426
Regions Hospital
Saint Paul, Minnesota, 55101
Allina Health Cancer Institute-United(VPCI)
Saint Paul, Minnesota, 55102
UCSF Center at China Basin Imaging
San Francisco, California, 94107
Helen Diller Family Comprehensive Cancer Center - Imaging Post
San Francisco, California, 94115
UCSF Cancer Center MZ Phlebotomy
San Francisco, California, 94115
UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94115
UCSF Mount Zion Phlebotomy
San Francisco, California, 94115
UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94143
UCSF Parnassus Phlebotomy
San Francisco, California, 94143
UCSF Parnassus-5 Lab
San Francisco, California, 94143
Cardiovascular Care and Prevention Center at Mission Bay
San Francisco, California, 94158
UCSF Investigational Drugs Pharmacy
San Francisco, California, 94158
UCSF Mission Bay Gateway-2 Lab
San Francisco, California, 94158
UCSF Mission Bay PCMB-5 Lab
San Francisco, California, 94158
UCSF Mission Bay Pediatric Clinical Research Center
San Francisco, California, 94158
UCSF Mission Bay Radiology and Nuclear Medicine
San Francisco, California, 94158
University of California San Francisco
San Francisco, California, 94158
University of California, San Francisco | HDFCCC - Hematopoietic malignancies
San Francisco, California, 94158
The Regents of the University of California
San Francisco, California, 94160
Diagnostic Medical Group of Southern California, , San Gabriel, CA
San Gabriel, California, 91776
Southern California Heart Centers
San Gabriel, California, 91776
UCLA Hematology/Oncology - San Luis Obispo
San Luis Obispo, California, 93401
Sierra Vista Regional Medical Center
San Luis Obispo, California, 93405
Helios Clinical Research
Santa Ana, California, 92705
UCLA Hematology/Oncology - Santa Barbara
Santa Barbara, California, 93105
UCLA Santa Monica Cardiology
Santa Monica, California, 90404
Harborview Medical Center
Seattle, Washington, 98104
Fred Hutchinson Cancer Center.
Seattle, Washington, 98109
University of Washington Medical Center
Seattle, Washington, 98195
UCLA Simi Valley Alamo Specialty Care
Simi Valley, California, 93065
Twin Cities Community Hospital
Templeton, California, 93455
UCLA Thousand Oaks Primary & Specialty Care
Thousand Oaks, California, 91360
UCLA Hematology/Oncology - Torrance
Torrance, California, 90505
UCLA Torrance Lomita Specialty Care
Torrance, California, 90505
UCLA Santa Clarita Primary & Specialty Care
Valencia, California, 91355
UCLA Ventura Cardiology
Ventura, California, 93003
UCLA Hematology/Oncology - Westlake
Westlake Village, California, 91361
Helios Clinical Research
Whittier, California, 90602
Minnesota Oncology Hematology, PA
Woodbury, Minnesota, 55125
Spain32 sites
HUB-Hospital Universitario Badajoz
Badajoz, 06080
Infanta Cristina Hospital
Badajoz, 06080
Institut Catala d' Oncologia de Badalona - Hospital Universitari Germans Trias i Pujos
Badalona, Barcelona, 08916
Institut Catala d'Oncologia Badalona (ICO Badalona) - Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, 08916
Hospital de Cruzes
Barakaldo, Bizkaia, 48903
Hospital del Mar
Barcelona, 08003
Imagen en Ensayos Clinicos S.L.
Barcelona, 08023
ASCIRES CETIR Viladomat
Barcelona, 08029
Hospital Universitari Vall D Hebron
Barcelona, 08035
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital de la Santa Creu i Sant Pau- Pharmacy
Barcelona, 08041
Hospital de La Santa Creu i Sant Pau
Barcelona, 08041
Unitat d'Assajos Clinics Servei de Farmacia
L'Hospitaler de Llobregat, 08908
Institut Catala d'Oncologia - Hospital Duran i Reynals (ICO L'Hospitalet)
L'Hospitalet de Llobregat, Barcelona, 08908
Complejo Hospitalario Universitario Insular Materno-Infantil
Las Palmas de Gran Canaria, 35016
Hospital Universitario Nuestra Señora del Rosario
Madrid, 28006
Hospital General Universitario Gregorio Maranon
Madrid, 28009
Clinica Fuensanta
Madrid, 28027
MD Anderson Cancer Center Madrid
Madrid, 28033
Hospital Universitario Ramon y Cajal
Madrid, 28034
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario La Paz: Servicio de Farmacia
Madrid, 28046
Hospital Universitario La Paz
Madrid, 28046
Hospital Universitario HM Sanchinarro
Madrid, 28050
Hospital Universitario Puerta de Hierro - Majadahonda
Majadahonda, Madrid, 28222
Complejo Hospitalario Universitario de Ourense (CHOU)
Ourense, 32005
Hospital Universitario Central de Asturias
Oviedo, 33011
Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008
Hospital Universitario Virgen Del Rocio
Seville, 41013
Consorcio Hospital General Universitario de Valencia (CHGUV)
Valencia, 46014
Hospital Universitario Miguel Servet
Zaragoza, 50009
Australia17 sites
Mater Misericordiae - Mater Hospital Brisbane
Brisbane, Queensland, 4101
South Eastern Sydney Local Health District
Caringbah, 2229
ICON Cancer Centre Chermside
Chermside, Queensland, 4032
Concord Cancer Centre Concord Repatriation General Hospital
Concord, New South Wales, 2139
Saint Vincents Hospital Sydney - Human Research Ethics Committee
Darlinghurst, New South Wales, 2010
St Vincent's Clinic
Darlinghurst, New South Wales, 2010
Lyell McEwin Hospital
Elizabeth Vale, 5112
Peninsula & South Eastern Hematology and Oncology Group (PASO)
Frankston, Victoria, 3199
Peninsula And South East Oncology
Frankston, 3199
Icon Cancer Centre Chermside
Herston, Queensland, 4029
Macquarie University Hospital
Macquarie University, New South Wales, 2109
Cabrini Hospital
Malvern, Victoria, 3144
Macquarie University
North Ryde, New South Wales, 2109
Mid North Coast Local Health District
NSW, NSW 2450
Port Macquarie Base Hospital
Port Macquarie, 2444
Prince of Wales Hospital
Randwick, New South Wales, 2031
Mater Research
South Bribane, Queensland, 4101
Italy17 sites
Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari
Bari, Other, 70124
ASST Cremona Farmacia Ospedaliera
Cremona, 26100
AUSL della Romagna - Ospedale degli infermi
Faenza, RA, 48018
Azienda Ospedaliero Universitaria Careggi-SODc Oncologia Clinica (Padiglione16)
Florence, Tuscany, 50134
Ospedale Policlinico San Martino
Genoa, Liguria, 16132
Azienda Sanitaria Locale Napoli 2 Nord
Giugliano in Campania, Naples, 80014
IRCCS San Raffaele Hospital ,Genitourinary medical Oncology
Lombardy, Milan, 20132
AUSL Romagna - Presidio Ospedale "Umberto I" di Lugo
Lugo, Ravenna, 48022
Azienda Ospedaliera Universitaria Pisana Ospedale Santa Chiara
Pisa, 56126
P.O. "S. Maria Delle Grazie" - Pozzuoli - ASL Napoli Nord 2
Pozzuoli (NA), Other, 80078
Unita Operative di Oncologia,Ospedale S.Maria delle Croci
Ravenna, 48121
Fondazione Policlinico Agostino Gemelli IRCCS
Rome, ROMA, 00168
IRCCS Istituto Clinico Humanitas
Rozzano, Milano, 20089
SC ONCOLOGYA Medica e Traslazionale Azienda Ospedaliera S.Maria di terni
Terni, 05100
Azienda Ospedaliera Cardinale Giovanni Panico
Tricase, Apulia, 73039
Azienda Ospedaliera Universitaria Integrata di Verona
Verona, 37124
Centro Ricerche Cliniche Di Verona Srl
Verona, 37134
Argentina16 sites
Centro de Oncologia e Investigacion de Buenos Aires (COIBA)
Berazategui, B1884BBF
Centro Medico Austral
Buenos Aire, C1019ABS
Centro de Investigaciones Medicas y Desarrollo LC
Buenos Aires, Buenos Aires F.D., 1113
Instituto Médico Especializado Alexander Fleming
Buenos Aires, C1426ANZ
Centro Oncologico Korben
Buenos Aires
Investigaciones Clinicas Moleculares (ICM)
CABA, 1425
Labmedicina
CABA, C1430EFA
CEMAIC - Centro Medico Privado
Córdoba, X5008AAC
Centro de Investigacion Pergamino SA
Pergamino, Buenos Aires, 2700
Sanatorio Parque
Rosario, Santa Fe Province, S2000DSV
Comité Provincial de Bioética-Rosario
Rosario, 2000
Grupo de Investigación en Oncología Clínica del Santario Parque
Rosario, 2000
Consultorio Dr. Miguel Angel Escudero
Salta, 4400
Oncologia Salta
Salta, 4400
Fundación Dr. Ruben Kowalyszyn
Viedma, Río Negro Province, 8500
Clinica Viedma
Viedma, Río Negro Province, R8500ACE
Brazil14 sites
Hospital de Cancer de Barretos - Fundacao Pio XII
Barretos, 14784-400
Associacao Mario Penna - Hospital Luxemburgo - NEPI Nucleo de Ensino Pesquisa e Inovacao
Belo Horizonte, Minas Gerais, 30380472
Erasto Gaertner Hospital
Curitiba, Paraná, 81520-060
Suporte Nutricional e Quimioterapia - PRONUTRIR
Fortaleza, Ceará, 60810-180
Fundacao Doutor Amaral Carvalho
Jaú, São Paulo, 17210080
Hospital Sao Vicente de Paulo
Passo Fundo, Rio Grande do Sul, 99010-080
Hospital Sao Vicente de Paulo
Passo Fundo, Rio Grande do Sul, 99010-090
Hospital Mae de Deus
Porto Alegre, Rio Grande do Sul, 90110-270
Pontificia Universidade Catolica do Rio Grande do Sul (PUCRS)
Porto Alegre, Rio Grande do Sul, 90610000
Hospital Nossa Senhora da Conceicao / Grupo Hospitalar Conceicao
Porto Alegre, Rio Grande do Sul, 91350-200
Instituto Nacional De Cancer - INCA
Rio de Janeiro, 20230-130
Instituto Nacional De Cancer - INCA
Rio de Janeiro, 20231-050
Centro de Oncologia da Bahia
Salvador, 41820021
Hospital Alemao Oswaldo Cruz
São Paulo, 01327-001
Japan12 sites
National Hospital Organization Kyushu Cancer Center
Fukuoka, Fukuoka, 811-1395
Kagawa University Hospital
Kita-gun, Kagawa-ken, 761-0793
Kobe University Hospital
Kobe, Hyōgo, 650-0017
National Hospital Organization Kumamoto Medical Center
Kumamoto, 860-0008
Gunma Prefectural Cancer Center
Ota-Shi, Gunma, 373-8550
Tokushima University Hospital
Tokushima, Tokushima, 770-8503
University of Tsukuba Hospital
Tsukuba, Ibaraki, 305-8576
Yamaguchi University Hospital
Ube, Yamaguchi, 755-8505
Wakayama Medical University Hospital
Wakayama, Wakayama, 641-8510
Yamagata University Hospital
Yamagata, 990-9585
Yokohama City University Medical Center
Yokohama, Kanagawa, 232-0024
Kanagawa Cancer Center
Yokohama, Kanagawa, 241-8515
Taiwan12 sites
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaoshiung, Kaohsiung, 807
China Medical University Hospital
Taichung, Taiwan (r.o.c.), 40447
China Medical University Hospital - Pharmacy
Taichung, 40447
Taichung Veterans General Hospital Clinical Trials Pharmacy
Taichung, 40705
Taichung Veterans General Hospital
Taichung, 40705
Clinical Trial Pharmacy, Department of Pharmacy, National Cheng Kung University Hospital
Tainan, 704017
National Cheng-Kung University Hospital
Tainan, 704
Chi Mei Hospital liouying
Tainan, 73657
National Taiwan University Hospital, Investigational Drug Service
Taipei, 100
National Taiwan University Hospital
Taipei, 100
Linkou Chang Gung Memorial Hospital - Clinical Trial Pharmacy
Taoyuan City, 333
Linkou Chang Gung Memorial Hospital
Taoyuan City, 333
South Korea11 sites
Inje University Haeundae Paik Hospital
Busan, 48108
National Cancer Center
Goyang-si, Gyeonggi-do, 10408
Chonnam National University Hwasun Hospital
Hwasun-gun, Jeollanam-do, 58128
Wonkwang University Hospital
Iksan-si, Jeonlabuk-do, 54538
Gachon University Gil Medical Center
Incheon, 21565
CHA Bundang Medical Center, CHA University
Seongnam-si, Gyeonggi-do, 13496
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Korea University Anam Hospital
Seoul, 02841
Severance Hospital Yonsei University Health System
Seoul, 03722
Asan Medical Center - Oncology
Seoul, 05505
The Catholic University of Korea, St. Vincent's Hospital
Suwon, Gyeonggi-do, 16247
Israel8 sites
Soroka Medical Center
Beersheba, 8410101
Rambam Health Care Campus
Hafia, 3109601
Shaare Zedek Medical Center
Jerusalem, Other, 9103102
Hadassah University Hospital at Ein Kerem
Jerusalem, 9112001
Meir Medical Center
Kefar Sava, 4428164
Rabin Medical Center
Petah Tikva, 4941492
Sheba Medical Center.
Ramat Gan, Other, 52621
Tel Aviv Sourasky Medical Center
Tel Aviv, 6423906
Netherlands7 sites
Antoni van Leeuwenhoek Apotheek,I-2
Amsterdam, 1066 CX
Antoni van Leeuwenhoek, expeditie Apotheek, Afdeling Studiemedicatie
Amsterdam, 1066 CX
Netherlands Cancer Institute/Antoni van Leeuwenhoek
Amsterdam, 1066 CX
Rijnstate Hospital
Arnhem, 6815 AD
Amphia Ziekenhuis
Breda, 4818 CK
RadboudUMC medical Oncology
Nijmegen, 6525GA
Stichting HagaZiekenhuis
The Hague, 2545 AA
Canada5 sites
Arthur J.E. Child Comprehensive Cancer Centre
Calgary, Alberta, T2N 5G2
University of Alberta / Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2
Lakeridge Health - The R.S. McLaughlin Durham Regional Cancer Centre (MDRCC)
Oshawa, Ontario, L1G 2B9
University Health Network
Toronto, Ontario, M5G 2C4
Princess Margaret Cancer Centre - University Health Network
Toronto, Ontario, M5G 2M9
France5 sites
Institut Bergonié Centre de Lutte Contre le Cancer (CLCC)
Bordeaux, 33076
Hospices Civils de Lyon - Hopitale Lyon Sud
Pierre-Bénite, Rhône, 69310
Unite de Coordination de la Biologie des Essais Cliniques
Strasbourg, 67091
Institut de Cancerologie Strasbourg Europe
Strasbourg, 67200
Institut Gustave Roussy
Villejuif, 94805
Portugal4 sites
Hospital de Braga
Braga, 4710-243
Centro Clinico Champalimaud
Lisbon, 1400, 038
Champalimaud Clinical Center
Lisbon, 1400-038
Hospital de Santa Maria
Lisbon, 1649-035
Belgium3 sites
Algemeen Ziekenhuis Maria Middelares
Ghent, 9000
AZ St. Lucas
Ghent, 9000
University Hospital Ghent
Ghent, 9000
Chile3 sites
Centro de Oncologia de Precision
Los Condes, Region Metropolitana Santiago, 7560908
Fundacion Arturo Lopez Perez
Providencia, Santiago Metropolitan, 7500921
Centro de Investigacion Clinica Bradford Hill
Santiago, Santiago Metropolitan, 8420383
Czechia2 sites
Fakultni nemocnice Hradec Kralove
Hradec Králové, Hradec Králové, 500 05
Fakultni Nemocnice Olomouc (Fnol) - Onkologicka Klinika
Olomouc, 779 00
Hungary2 sites
Országos Onkológiai Intézet
Budapest, 1122
Bacs-Kiskun Varmegyei Oktatokorhaz
Kecskemét, 6000
Peru2 sites
Hospital Militar Central Coronel Luis Arias Schreiber
Lima, 15076
Hospital Maria Auxiliadora
Lima, 15828
Sweden2 sites
Ryhov Hospital
Jönköping, 551 85
Karolinska University Hospital
Stockholm, 171 76
United Kingdom2 sites
Barts Health NHS Trust , The Royal London Hospital
London, E1 1FR
Barts Health NHS Trust Saint Bartholomews Hospital
London, EC1A /7BE
About this study
Official title: An Open-label, Randomized, Controlled Phase 3 Study of Disitamab Vedotin in Combination With Pembrolizumab Versus Chemotherapy in Subjects With Previously Untreated Locally Advanced or Metastatic Urothelial Carcinoma That Expresses HER2 (IHC 1+ and Greater)
This study will enroll participants with urothelial cancer (UC). UC can include cancer of the bladder, kidney, or the tubes that carry pee through the body (ureter, urethra). This study will try to find out if the drugs disitamab vedotin with pembrolizumab works better than platinum-containing chemotherapy to treat patients with UC. This study will also test what side effects happen when participants take these drugs together. A side effect is anything a drug does to the body besides treating the disease.
Participants in this study will have cancer that has spread through the body (metastatic) or spread near where it started (locally advanced).
In this study, there are 2 different groups. Participants will be assigned to a group randomly. Participants in the disitamab vedotin arm will get the study drug disitamab vedotin once every two weeks and pembrolizumab once every 6 weeks. Participants in the standard of care arm will get gemcitabine once a week for 2 weeks with either cisplatin or carboplatin once every 3 weeks.
- Conditions
- Urothelial Carcinoma
- Being tested
- disitamab vedotin, pembrolizumab, gemcitabine, cisplatin, carboplatin
- Keywords
- Urothelial Cancer, LA/mUC, Bladder Cancer, HER2 Overexpression, HER2 Amplification, HER2, Seattle Genetics
- Medical subject headings
- Carcinoma, Transitional Cell, Urinary Bladder Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
disitamab vedotinDrug
Also called RC48, RC48-ADC
Given into the vein (IV; intravenous) every 2 weeks
pembrolizumabDrug
Also called KEYTRUDA®
400mg given by IV every 6 weeks
gemcitabineDrug
Also called Gemzar
1000 mg/m^2 given by IV on days 1 and 8 of every 3-week cycle
cisplatinDrug
70 mg^2 given by IV on day 1 of every 3-week cycle
carboplatinDrug
Area under the plasma concentration-time curve (AUC) 4.5 or 5 given by IV on day 1 of every 3-week cycle
| Study group | Role | What they receive |
|---|---|---|
| Disitamab vedotin arm | Experimental | disitamab vedotin + pembrolizumab Receives: Drug: disitamab vedotin; Drug: pembrolizumab |
| Standard of care arm | Active comparator | gemcitabine + cisplatin OR carboplatin Receives: Drug: gemcitabine; Drug: cisplatin; Drug: carboplatin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) by blinded independent central review (BICR)
The time from randomization to first documentation of disease progression per RECIST v1.1 by BICR, or to death due to any cause.
Measured: Approximately 3 years
Overall survival (OS)
The time from date of randomization to date of death due to any cause.
Measured: Approximately 5 years
Secondary outcomes (15)
Objective response rate (ORR) per RECIST v1.1 by BICR
The proportion of participants with confirmed complete response (CR) or partial response (PR) according to RECIST v1.1.
Measured: Approximately 3 years
ORR per RECIST v1.1 by investigator assessment
The proportion of participants with confirmed CR or PR according to RECIST v1.1.
Measured: Approximately 3 years
Duration of Response (DOR) per RECIST v1.1 by BICR
The time from first documented response of CR or PR (that is subsequently confirmed) to the first documented disease progression per RECIST v1.1, or to death due to any cause.
Measured: Approximately 3 years
DOR per RECIST v1.1 by investigator assessment
The time from first documented response of CR or PR (that is subsequently confirmed) to the first documented disease progression per RECIST v1.1, or to death due to any cause.
Measured: Approximately 3 years
Control Rate (DCR) per RECIST v1.1 by BICR
The proportion of participants with confirmed CR, PR, or stable disease according to RECIST v1.1.
Measured: Approximately 3 years
DCR per RECIST v1.1 by investigator assessment
The proportion of participants with confirmed CR, PR, or stable disease according to RECIST v1.1.
Measured: Approximately 3 years
PFS per RECIST v1.1 by investigator assessment
The time from randomization to first documentation of disease progression per RECIST v1.1, or to death due to any cause.
Measured: Approximately 3 years
Number of participants with adverse events (AEs)
Any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Measured: Through 30 days after the last study treatment; approximately 2 years
Number of participants with laboratory abnormalities
Measured: Through 30 days after the last study treatment; approximately 2 years
Treatment discontinuation rate due to AEs
Measured: Approximately 2 years
Number of electrocardiogram (ECG) abnormalities
Measured: Through 30 days after the last study treatment; approximately 2 years
Change from baseline of left ventricular ejection fraction (LVEF)
Measured: Through 2 years after last study treatment; approximately 4 years
Change from baseline to Week 16 in European Organization for Research and Treatment of Cancer core Quality of Life questionnaire (EORTC QLQ-C30) Global Health Status (GHS)/QoL Score
The EORTC QLQ-C30 is used to evaluate health-related quality of life, functioning, disease symptoms, and treatment-related side effects. Scores range from 0-100. For GHS/QoL and functional scales, higher scores represent higher QoL or functioning. For symptom scales, higher scores represent more symptoms/worse status.
Measured: Approximately 2 years
Time to Deterioration in EORTC QLQ-C30 GHS/QoL Score
The time from the date of randomization to the date of first deterioration (change from baseline ≥10) in GHS/QoL score with no subsequent recovery. The EORTC QLQ-C30 is used to evaluate health-related quality of life, functioning, disease symptoms, and treatment-related side effects. Scores range from 0-100. For GHS/QoL and functional scales, higher scores represent higher QoL or functioning. For symptom scales, higher scores represent more symptoms/worse status.
Measured: Approximately 2 years
Time to pain progression
The time from the date of randomization to whichever of the following occurs earlier:
- an increase in Numeric Rating Scale (NRS) for pain intensity of 2 points or more from baseline at 2 consecutive visits,
- an increase in number of opioid or analgesic use from baseline,
- or initiation of opioid or analgesic use. NRS for pain intensity asks participants to best describe their pain at its worst in the last 24 hours from 0 to 10. On the NRS, 0 means no pain and 10 means pain as bad as you can imagine.
Measured: Approximately 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jun 2023
- Study start22 Sep 2023
- Primary completion29 Jan 2027 (estimated)
- Study completion30 Apr 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Urothelial CarcinomaStudies of the same condition, open and under way.
- More trials run by Seagen, a wholly owned subsidiary of PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 412 participants (actual)
Sponsor and investigators
- Lead sponsor
- Seagen, a wholly owned subsidiary of Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- RemeGen Co., Ltd., Merck Sharp & Dohme LLC
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05911295
- Sponsor's protocol ID
- SGNDV-001
- Other IDs
- C5731001, 2022-501105-12-00
- Status last verified
- Jul 2026
- First submitted
- 9 Jun 2023
- Last updated
- 22 Jul 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Study at a glance
From the registry record, last updated by the sponsor on 22 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label, Randomized, Controlled Phase 3 Study of Disitamab Vedotin in Combination With Pembrolizumab Versus Chemotherapy in Subjects With Previously Untreated Locally Advanced or Metastatic Urothelial Carcinoma That Expresses HER2 (IHC 1+ and Greater)
- ClinicalTrials.gov ID
- NCT05911295
- Acronym / sponsor ID
- SGNDV-001
- Conditions
- Urothelial Carcinoma
- Keywords
- Urothelial Cancer, LA/mUC, Bladder Cancer, HER2 Overexpression, HER2 Amplification, HER2, Seattle Genetics
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 412 participants (actual)
- Lead sponsor
- Seagen, a wholly owned subsidiary of PfizerIndustry (pharma, biotech, devices)
- Collaborators
- RemeGen Co., Ltd., Merck Sharp & Dohme LLC
- Study start
- 22 Sep 2023 (actual)
- Primary completion
- 29 Jan 2027 (estimated)
- Study completion
- 30 Apr 2029 (estimated)
- First posted
- 22 Jun 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will enroll participants with urothelial cancer (UC). UC can include cancer of the bladder, kidney, or the tubes that carry pee through the body (ureter, urethra). This study will try to find out if the drugs disitamab vedotin with pembrolizumab works better than platinum-containing chemotherapy to treat patients with UC. This study will also test what side effects happen when participants take these drugs together. A side effect is anything a drug does to the body besides treating the disease.
Participants in this study will have cancer that has spread through the body (metastatic) or spread near where it started (locally advanced).
In this study, there are 2 different groups. Participants will be assigned to a group randomly. Participants in the disitamab vedotin arm will get the study drug disitamab vedotin once every two weeks and pembrolizumab once every 6 weeks. Participants in the standard of care arm will get gemcitabine once a week for 2 weeks with either cisplatin or carboplatin once every 3 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Disitamab vedotin arm | Experimental | Drug: disitamab vedotin, Drug: pembrolizumabdisitamab vedotin + pembrolizumab |
| Standard of care arm | Active comparator | Drug: gemcitabine, Drug: cisplatin, Drug: carboplatingemcitabine + cisplatin OR carboplatin |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Histopathological confirmation of locally advanced unresectable or metastatic urothelial carcinoma (LA/mUC), including UC originating from the renal pelvis, ureters, bladder, or urethra.
- Measurable disease by investigator assessment per RECIST v1.1.
- Participant must not have received prior systemic therapy for LA/mUC. Exception will be made for neoadjuvant or adjuvant therapy, if disease recurrence/progression occurred more than 12 months after the last dose of therapy.
- Eligible to receive cisplatin- or carboplatin-containing chemotherapy.
- Able to provide archived formalin-fixed paraffin-embedded tumor tissue blocks from a muscle-invasive or metastatic UC lesion or biopsy of metastatic UC prior to treatment initiation. If archival tissue is not available a newly obtained baseline biopsy of an accessible tumor lesion is required within 28 days of cycle 1 day 1.
Key exclusion criteria (11 listed)
- Known hypersensitivity to disitamab vedotin, cisplatin, carboplatin, gemcitabine, or pembrolizumab or any of their components.
- History of severe/life threatening immune-related adverse event (irAE) with PD-(L)1 inhibitors are excluded.
- Central nervous system (CNS) and/or leptomeningeal metastasis. Participants with treated CNS metastases are permitted if all of the following are met.
- History of or active autoimmune disease that has required systemic treatment in the past 2 years.
- Prior treatment with an agent directed to another stimulatory or co-inhibitory T cell receptor (including but not limited to CD137 agonists, CAR-T cell therapy, CTLA-4 inhibitors, or OX-40 agonists).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| disitamab vedotinAlso: RC48, RC48-ADCGiven into the vein (IV; intravenous) every 2 weeks | Drug | Disitamab vedotin arm |
| pembrolizumabAlso: KEYTRUDA®400mg given by IV every 6 weeks | Drug | Disitamab vedotin arm |
| gemcitabineAlso: Gemzar1000 mg/m^2 given by IV on days 1 and 8 of every 3-week cycle | Drug | Standard of care arm |
| cisplatin70 mg^2 given by IV on day 1 of every 3-week cycle | Drug | Standard of care arm |
| carboplatinArea under the plasma concentration-time curve (AUC) 4.5 or 5 given by IV on day 1 of every 3-week cycle | Drug | Standard of care arm |
Primary outcome
Progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) by blinded independent central review (BICR)
Time frame: Approximately 3 years
The time from randomization to first documentation of disease progression per RECIST v1.1 by BICR, or to death due to any cause.
Overall survival (OS)
Time frame: Approximately 5 years
The time from date of randomization to date of death due to any cause.
15 secondary outcomes
Objective response rate (ORR) per RECIST v1.1 by BICR
Time frame: Approximately 3 years
ORR per RECIST v1.1 by investigator assessment
Time frame: Approximately 3 years
Duration of Response (DOR) per RECIST v1.1 by BICR
Time frame: Approximately 3 years
DOR per RECIST v1.1 by investigator assessment
Time frame: Approximately 3 years
Control Rate (DCR) per RECIST v1.1 by BICR
Time frame: Approximately 3 years
DCR per RECIST v1.1 by investigator assessment
Time frame: Approximately 3 years
PFS per RECIST v1.1 by investigator assessment
Time frame: Approximately 3 years
Number of participants with adverse events (AEs)
Time frame: Through 30 days after the last study treatment; approximately 2 years
Number of participants with laboratory abnormalities
Time frame: Through 30 days after the last study treatment; approximately 2 years
Treatment discontinuation rate due to AEs
Time frame: Approximately 2 years
Number of electrocardiogram (ECG) abnormalities
Time frame: Through 30 days after the last study treatment; approximately 2 years
Change from baseline of left ventricular ejection fraction (LVEF)
Time frame: Through 2 years after last study treatment; approximately 4 years
Change from baseline to Week 16 in European Organization for Research and Treatment of Cancer core Quality of Life questionnaire (EORTC QLQ-C30) Global Health Status (GHS)/QoL Score
Time frame: Approximately 2 years
Time to Deterioration in EORTC QLQ-C30 GHS/QoL Score
Time frame: Approximately 2 years
Time to pain progression
Time frame: Approximately 2 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Jul 2026.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
268 sites in 24 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing disitamab vedotin, pembrolizumab and gemcitabine in people with Urothelial Carcinoma, run by Seagen, a wholly owned subsidiary of Pfizer at 268 sites in 24 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 22 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 268 sites in United States, Spain, Australia, Italy, Argentina and 19 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) by blinded independent central review (BICR) (time frame: Approximately 3 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Jul 2026.