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Urinary Bladder NeoplasmsPhase 2/3HOPE-07-MIBCNCT07608224

HOPE-07-MIBC: Disitamab Vedotin Plus Immunotherapy vs Chemoimmunotherapy in Resectable HER2-Expressing MIBC

A Phase 2/3 study testing Disitamab Vedotin (RC48), Gemcitabine + Cisplatin(GC)+Toripalimab and Toripalimab (JS001 ) in people with Urinary Bladder Neoplasms, run by West China Hospital.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

This is a multicenter, randomized controlled clinical trial (HOPE-07) designed to evaluate the efficacy and safety of perioperative treatment with disitamab vedotin (RC48) combined with toripalimab compared with toripalimab combined with chemotherapy in patients with resectable HER2-expressing (HER2 1+, 2+, or 3+)… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Urinary Bladder Neoplasms
What is being tested?
Disitamab Vedotin (RC48), Gemcitabine + Cisplatin(GC)+Toripalimab and Toripalimab (JS001 )
Could I receive a placebo?
No, everyone receives an active treatment
How many people
240 participants
Where
No sites listed yet
Study dates
20 Jun 2026to 31 Dec 2030
Phase
Phase 2/3
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

  • Willing and able to provide written informed consent and comply with study requirements and scheduled assessments.
  • Male or female patients aged ≥18 years at the time of signing informed consent.
  • Histologically or radiologically confirmed muscle-invasive bladder cancer (MIBC) staged as cT2-T4aN0/1M0 according to AJCC 8th edition, with residual disease after transurethral resection of bladder tumor (TURBT) as assessed by the investigator. All patients must have histological evidence of muscularis propria invasion. For mixed histology tumors, urothelial carcinoma must be the predominant component (≥50%).
  • HER2 expression ≥1+ confirmed by immunohistochemistry (IHC) testing of pretreatment tumor tissue in a local laboratory.
  • Deemed suitable for radical cystectomy as assessed by the investigator.
  • No prior systemic chemotherapy or immunotherapy for muscle-invasive bladder cancer.
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  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
  • Adequate organ function as defined by the following laboratory criteria obtained within 14 days prior to enrollment (unless otherwise specified):
  • Absolute neutrophil count (ANC) ≥1.5 × 10⁹/L Platelet count ≥100 × 10⁹/L Hemoglobin ≥90 g/L International normalized ratio (INR) or activated partial thromboplastin time (aPTT) ≤1.5 × upper limit of normal (ULN) Total bilirubin ≤1.5 × ULN AST, ALT, and alkaline phosphatase ≤2.5 × ULN Creatinine clearance (CrCl) >40 mL/min Left ventricular ejection fraction (LVEF) ≥50% For borderline renal function: CrCl ≥40 to <60 mL/min (defined subgroup); adequate renal function: CrCl ≥60 mL/min
  • Women of childbearing potential must agree to use highly effective contraception during the study and for at least 180 days after the last dose of disitamab vedotin or toripalimab (whichever occurs later). A negative urine or serum pregnancy test is required within 7 days prior to enrollment.
  • Non-sterilized male patients must agree to use highly effective contraception during the study and for at least 180 days after the last dose of disitamab vedotin or toripalimab (whichever occurs later).
  • Life expectancy of more than 12 months.
  • Willing and able to comply with study procedures and follow-up visits.

Who cannot join

  • Prior treatment with therapies targeting PD-1, PD-L1, PD-L2, CTLA-4, HER2, or any other immune checkpoint or T-cell co-stimulatory pathways.
  • Receipt of any systemic anticancer therapy or systemic immunomodulatory agents (e.g., interferon, interleukin-2, tumor necrosis factor) within 28 days prior to enrollment.
  • Prior radiotherapy for bladder cancer.
  • Prior systemic antitumor therapy for bladder cancer (e.g., chemotherapy), except for intravesical chemotherapy or immunotherapy completed at least 2 weeks prior to initiation of study treatment.
  • Major surgery or significant traumatic injury within 28 days prior to enrollment. Placement of vascular access devices and transurethral resection of bladder tumor (TURBT) are not considered major surgery.
  • Severe infections requiring systemic antibacterial, antifungal, or antiviral therapy within 14 days prior to enrollment (hepatitis B virus infection is addressed in exclusion criterion 12).
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  • Receipt of live vaccines within 28 days prior to enrollment (inactivated influenza vaccines are allowed; intranasal vaccines are considered live vaccines and are not allowed).
  • Use of traditional Chinese medicine or proprietary Chinese medicine with anti-cancer intent within 14 days prior to enrollment.
  • Active autoimmune disease requiring systemic treatment that may interfere with study therapy as judged by the investigator.
  • Requirement for long-term systemic corticosteroids or other immunosuppressive therapy that may interfere with study treatment.
  • Any uncontrolled comorbid conditions that may affect study participation, including but not limited to significant electrolyte abnormalities, hypoalbuminemia, interstitial lung disease, non-infectious pneumonitis, uncontrolled tuberculosis, neurological disorders, psychiatric disorders, or uncontrolled systemic diseases. This includes uncontrolled cardiovascular disease such as active cardiac disease within 6 months prior to enrollment, including severe or unstable angina, myocardial infarction, symptomatic congestive heart failure, or clinically significant arrhythmias requiring treatment.
  • Chronic hepatitis B infection with HBV DNA ≥500 IU/mL (2500 copies/mL) without adequate antiviral therapy. Patients with inactive HBsAg carrier status or well-controlled HBV infection (HBV DNA <500 IU/mL under antiviral therapy) may be eligible. HBV DNA testing is required only in HBsAg-positive patients.
  • Active hepatitis C infection. Patients who are HCV antibody negative, or HCV antibody positive with negative HCV RNA, are eligible. HCV RNA testing is required for HCV antibody-positive patients.
  • History of immunodeficiency, including HIV infection, other acquired or congenital immunodeficiency disorders, or prior allogeneic stem cell transplantation or solid organ transplantation.
  • Known hypersensitivity to any study drug, its excipients, or other monoclonal antibodies.
  • Pregnant or breastfeeding women.
  • Concurrent participation in another interventional clinical trial.
  • Presence of another active malignancy, except for adequately treated non-melanoma skin cancer or other malignancies considered cured.
  • Any condition that, in the investigator's judgment, makes the patient unsuitable for participation in the study

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

Official title: A Prospective, Randomized Controlled Study of Perioperative Disitamab Vedotin Plus Immunotherapy Versus Chemotherapy Plus Immunotherapy in Patients With Resectable HER2-Expressing Muscle-Invasive Bladder Cancer (HOPE-07-MIBC Study)

This is a multicenter, randomized controlled clinical trial (HOPE-07) designed to evaluate the efficacy and safety of perioperative treatment with disitamab vedotin (RC48) combined with toripalimab compared with toripalimab combined with chemotherapy in patients with resectable HER2-expressing (HER2 1+, 2+, or 3+) muscle-invasive bladder cancer (MIBC, cT2-4aN0/1M0).A total of 240 patients will be enrolled and randomized in a 1:1 ratio to receive either RC48 plus toripalimab or chemotherapy plus toripalimab, with 120 patients in each arm.

The primary objective is to compare 2-year event-free survival (2-year EFS) between the two treatment groups.

Read more

Secondary endpoints include pathological complete response (pCR), event-free survival (EFS), disease-free survival (DFS), 1-year event-free survival (1-year EFS), metastasis-free survival (MFS), overall survival (OS), R0 resection rate, and safety outcomes including adverse events (AEs), serious adverse events (SAEs), vital signs, physical examination, ECOG performance status, laboratory tests, and electrocardiography, assessed according to CTCAE v5.0.

Exploratory objectives include assessment of quality of life using EQ-5D-5L and EORTC QLQ-C30, evaluation of associations between biomarkers (HER2 expression, PD-L1 expression, circulating tumor DNA) and treatment efficacy, and multi-omics analyses using tumor tissue, ctDNA, and urinary tumor DNA to identify potential predictive biomarkers.

Being tested
Disitamab Vedotin (RC48), Gemcitabine + Cisplatin(GC)+Toripalimab, Toripalimab (JS001 )
Medical subject headings
Urinary Bladder Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Disitamab Vedotin (RC48)Drug

    Disitamab vedotin (RC48) will be administered in combination with toripalimab in the experimental arm. Treatment consists of 6 cycles in the neoadjuvant setting prior to radical cystectomy, followed by 6 cycles in the adjuvant setting after surgery. Toripalimab maintenance therapy will continue for up to 1 year in patients without disease progression or unacceptable toxicity.

  • Gemcitabine + Cisplatin(GC)+ToripalimabDrug

    Gemcitabine and cisplatin (GC) chemotherapy will be administered in combination with toripalimab in the control arm. Treatment consists of 4 cycles in the neoadjuvant setting prior to radical cystectomy.

  • Toripalimab (JS001 )Drug

    Toripalimab will be administered in combination with disitamab vedotin in the experimental arm during both neoadjuvant and adjuvant phases, and will be continued as maintenance therapy for up to 1 year after surgery in patients without disease progression or unacceptable toxicity.

  • Toripalimab (JS001 )Drug

    Toripalimab will be administered in combination with GC chemotherapy in the neoadjuvant setting for 4 cycles prior to radical cystectomy and will be continued as maintenance therapy for up to 1 year after surgery in patients without disease progression or unacceptable toxicity.

Study groups in NCT07608224
Study groupRoleWhat they receive
Disitamab Vedotin + Anti-PD-1 TherapyExperimentalPatients in the experimental arm will receive perioperative treatment with disitamab vedotin (RC48) in combination with toripalimab. The treatment includes a neoadjuvant phase of 6 cycles of RC48 plus toripalimab, followed by radical cystectomy. After surgery, patients will receive 6 cycles of adjuvant therapy with RC48 plus toripalimab. Toripalimab maintenance therapy will be continued for up to 1 year in patients without disease progression or unacceptable toxicity.
Receives: Drug: Disitamab Vedotin (RC48); Drug: Toripalimab (JS001 )
Gemcitabine and Cisplatin plus ToripalimabActive comparatorPatients in the control arm will receive perioperative treatment with gemcitabine and cisplatin (GC) chemotherapy in combination with toripalimab. The treatment includes a neoadjuvant phase of 4 cycles of GC chemotherapy plus toripalimab, followed by radical cystectomy. After surgery, patients will receive toripalimab maintenance therapy for up to 1 year in patients without disease progression or unacceptable toxicity.
Receives: Drug: Gemcitabine + Cisplatin(GC)+Toripalimab; Drug: Toripalimab (JS001 )

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 2-year Event-Free Survival

    Event-free survival is defined as the time from randomization to disease progression, recurrence, metastasis, or death from any cause, whichever occurs firsth

    Measured: From randomization to 2 years after treatment initiation

Secondary outcomes (7)
  1. Pathological Complete Response (pCR)

    Pathological complete response is defined as the absence of residual viable tumor cells in the surgical specimen (ypT0N0) at radical cystectomy.

    Measured: At the time of radical cystectomy

  2. Disease-Free Survival (DFS)

    Disease-free survival is defined as the time from radical cystectomy to tumor recurrence or death from any cause, whichever occurs first.

    Measured: Up to 5 years after radical cystectomy

  3. Event-Free Survival (EFS)

    Event-free survival is defined as the time from randomization to disease progression, recurrence, metastasis, or death from any cause, whichever occurs first.

    Measured: Up to 5 years after randomization

  4. Metastasis-Free Survival (MFS)

    Metastasis-free survival is defined as the time from randomization to distant metastasis or death from any cause.

    Measured: Up to 5 years after randomization

  5. Overall Survival (OS)

    From the date of randomization until death from any cause, assessed up to 5 years

    Measured: Up to 5 years after randomization

  6. R0 Resection Rate

    R0 resection rate is defined as the proportion of patients achieving microscopically margin-negative resection at radical cystectomy.

    Measured: At the time of radical cystectomy

  7. Incidence of Adverse Events

    Safety will be assessed by incidence and severity of adverse events and serious adverse events, graded according to CTCAE version 5.0. Assessments include vital signs, physical examination, ECOG performance status, laboratory tests, and electrocardiography.

    Measured: From first dose until 30 days after last dose (or up to 1 year follow-up)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 May 2026
  2. Study start20 Jun 2026 (estimated)
  3. Primary completion30 Jun 2030 (estimated)
  4. Study completion31 Dec 2030 (estimated)

Resources

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
240 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07608224
Sponsor's protocol ID
WCH-ZP-MIBC-RCT-01
Acronym
HOPE-07-MIBC
Status last verified
May 2026
First submitted
18 May 2026
Last updated
27 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Disitamab Vedotin (RC48), Gemcitabine + Cisplatin(GC)+Toripalimab and Toripalimab (JS001 ) in people with Urinary Bladder Neoplasms, run by West China Hospital.

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 13 inclusion and 19 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: opening soon, as of the sponsor's last update on 27 May 2026. Status can change between updates, so confirm with the study contact before making plans.

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 combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Contact Peng Zhang (186 0284 9307, zpeng2001@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

2-year Event-Free Survival (time frame: From randomization to 2 years after treatment initiation). 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 27 May 2026.

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