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Bladder CancerPhase 3TroFuse-055NCT07829783

A Clinical Trial of Sacituzumab Tirumotecan (Sac-TMT, MK-2870) and Pembrolizumab (MK-3475A) in Participants With Bladder Cancer (MK-2870-055)

A Phase 3 study testing Sac-TMT, Pembrolizumab and Berahyaluronidase alfa and Cisplatin in people with Bladder Cancer, run by Merck Sharp & Dohme LLC at 10 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Researchers are looking for new ways to treat muscle-invasive bladder cancer (MIBC). MIBC is a type of bladder cancer that has spread into the muscle layer of the bladder but has not spread to other distant parts of the body. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Bladder Cancer
What is being tested?
Sac-TMT, Pembrolizumab and Berahyaluronidase alfa and Cisplatin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
400 participants
Where
10 sitesin 2 countries
Study dates
23 Oct 2026to 25 Sep 2036
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

  • The main inclusion criteria include but are not limited to the following:
  • Has a diagnosis of muscle-invasive bladder cancer (MIBC) (cT2-T4aN0-N1)
  • Has clinically nonmetastatic bladder cancer (N0-N1M0)
  • Is either ineligible for radical cystectomy or has opted for bladder preservation and is planned to receive chemoradiotherapy (CRT)
  • Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2

Who cannot join

  • The main exclusion criteria include but are not limited to the following:
  • Has known presence of diffuse carcinoma in situ (CIS) throughout the bladder
  • Has history of documented severe dry eye syndrome, severe Meibomian gland disease and/or blepharitis, or severe corneal disease that prevents/delays corneal healing
  • Has active inflammatory bowel disease requiring immunosuppressive medication or previous history of inflammatory bowel disease
  • Has uncontrolled, significant cardiovascular disease or cerebrovascular disease
  • Has received prior pelvic/local radiation therapy for any reason or any systemic antineoplastic treatment for MIBC
Show all 9Show fewer
  • Has not recovered to Grade ≤1 or baseline from AE associated with anticancer therapy before randomization
  • Has a known additional malignancy that is progressing or has required active treatment within the past 2 years
  • Has a history of (noninfectious) pneumonitis/interstitial lung disease (ILD) that required steroids, has current pneumonitis/interstitial lung disease, or has suspected ILD or pneumonitis that cannot be ruled out by standard diagnostic assessments

Trial locations and contacts

10 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

Toll Free Number contact

1-888-577-8839

Trialsites@merck.com

10 sites in 2 countries

Ukraine9 sites, 9 recruiting
  • MNPE ClinCenter of Oncology,Hematology,Transplantology and Palliative Care of CherkasyRegCouncil ( Site 3004)

    Cherkasy, Cherkasy Oblast, 18009

    Study Coordinator, +380472370123

    Recruiting
  • Communal non-profit enterprise "Regional clinical hospital of Ivano-Frankivsk Regional Council" ( Site 3000)

    Ivano-Frankivsk, Ivano-Frankivsk Oblast, 76008

    Study Coordinator, +380955171872

    Recruiting
  • Limited Liability Company Ukrainian Center of Tomotherapy ( Site 3008)

    Kropyvnytskyi, Kirovohrad Oblast, 25011

    Study Coordinator, +380950590214

    Recruiting
  • Municipal non-profit enterprise "Kyiv City Clinical Oncology Center" of executive body of Kyiv City ( Site 3006)

    Kyiv, 03115

    Study Coordinator, +380443650431

    Recruiting
  • Shalimov Institute of Surgery and Transplantation ( Site 3009)

    Kyiv, 03680

    Study Coordinator, +380939720596

    Recruiting
  • Municipal Enterprise "Volyn Regional Medical Oncology Centre" of the Volyn Regional Council ( Site 3007)

    Lutsk, Volyn Oblast, 43018

    Study Coordinator, +380503782998

    Recruiting
  • University Hospital of the State Nonprofit Company "Danylo Halytsky Lviv National Medical University ( Site 3002)

    Lviv, Lviv Oblast, 79010

    Study Coordinator, +380677280861

    Recruiting
  • MNPE Lviv Oncology Regional Treatment and Diagnostic Center of Lviv Regional Council ( Site 3005)

    Lviv, Lviv Oblast, 79031

    Study Coordinator, +380322953788

    Recruiting
  • ME RIVNE REGIONAL ANTITUMOR CENTER ( Site 3010)

    Rivne, Rivne Oblast, 33010

    Study Coordinator, +380503802915

    Recruiting

Other trials in Ukraine

Taiwan1 site, 1 recruiting
  • Chang Gung Memorial Hospital at Kaohsiung ( Site 2702)

    Kaohsiung City, 83301

    Study Coordinator, +88677317123

    Recruiting

Other trials in Taiwan

About this study

Official title: A Phase 3 Study Evaluating Sacituzumab Tirumotecan Plus Subcutaneous Pembrolizumab and Berahyaluronidase Alfa (MK-3475A) as Induction Therapy, Followed by Local Therapy With Chemoradiation and MK-3475A Consolidation Versus Local Therapy With Chemoradiation in Participants With MIBC Who Elect Bladder Preservation

Researchers are looking for new ways to treat muscle-invasive bladder cancer (MIBC). MIBC is a type of bladder cancer that has spread into the muscle layer of the bladder but has not spread to other distant parts of the body.

The usual treatment for MIBC is surgery to remove the bladder but some people choose to have other treatments, such as chemoradiotherapy (CRT), instead of surgery so they can keep their bladder.

Researchers want to know if giving 2 trial treatments with CRT can treat MIBC. One trial treatment is called sacituzumab tirumotecan (sac-TMT) and the other trial treatment is called subcutaneous (SC) pembrolizumab (or pembrolizumab and berahyaluronidase alfa). The main goal of this trial is to learn if participants who receive sac-TMT, SC pembrolizumab, and CRT live longer without their cancer growing, spreading, or coming back compared to those who receive CRT alone.

Conditions
Bladder Cancer
Being tested
Sac-TMT, Pembrolizumab and Berahyaluronidase alfa, Cisplatin, 5-FU, MMC
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.

  • Sac-TMTBiological

    Also called MK-2870, SKB264, Sacituzumab tirumotecan

    IV infusion

  • Pembrolizumab and Berahyaluronidase alfaBiological

    Also called MK-3475A

    Pembrolizumab coformulated with berahyaluronidase alfa administered as a SC injection

  • CisplatinDrug

    IV infusion administered at 35 mg/m^2 weekly for up to 6 doses during RT

  • 5-FUDrug

    IV infusion administered at 500 mg/m^2 on Days 1 to 5 and Days 22 to 26 during RT

  • MMCDrug

    IV infusion administered at 12 mg/m^2 on Day 1 during RT

  • CapecitabineDrug

    Oral dose administered at 825 mg/m^2 twice daily during RT

  • GemcitabineDrug

    IV infusion administered at 27 mg/m^2 twice weekly for up to 12 doses during RT

  • Conventional RadiotherapyRadiation

    External beam radiation administered per global clinical guidelines (64 Gy at 2 Gy/fraction over approximately 6.5 weeks)

  • Hypofractionated radiotherapyRadiation

    External beam radiation administered per global clinical guidelines (55 Gy at 2.75 Gy/fraction over approximately 4 weeks)

  • Rescue MedicationsDrug

    Participants receive rescue medications at the investigator's discretion, per approved product label. Rescue medications include pegfilgrastim (or equivalent), H1 receptor antagonist, H2 receptor antagonist, acetaminophen (or equivalent), dexamethasone (or equivalent), steroid mouthwash (dexamethasone or equivalent).

Study groups in NCT07829783
Study groupRoleWhat they receive
Sac-TMT + Pembrolizumab and Berahyaluronidase alfa + ChemoradiotherapyExperimentalParticipants will receive sac-TMT 4 mg/kg by intravenous (IV) infusion every 2 weeks (q2w) for up to 6 doses plus pembrolizumab and berahyaluronidase alfa 790 mg SC every 6 weeks (q6w) for up to 2 doses. CRT (radiotherapy [RT] and concurrent chemotherapy) will then be administered to all participants as standard of care per treatment regimens chosen by the investigator. RT will include conventional radiation or hypofractionated radiation to the bladder for up to approximately 6.5 weeks. Concurrent chemotherapy will be administered with RT and will include cisplatin, or 5-fluorouracil (5-FU) + mitomycin C, or capecitabine + mitomycin C, or gemcitabine. Pembrolizumab and berahyaluronidase alfa 790 mg SC will be administered q6w for up to additional 7 cycles as consolidation therapy. Each cycle is 42 days (up to approximately 42 weeks).
Receives: Biological: Sac-TMT; Biological: Pembrolizumab and Berahyaluronidase alfa; Drug: Cisplatin; Drug: 5-FU; Drug: MMC; Drug: Capecitabine; Drug: Gemcitabine; Radiation: Conventional Radiotherapy; Radiation: Hypofractionated radiotherapy; Drug: Rescue Medications
ChemoradiotherapyExperimentalCRT (radiotherapy [RT] and concurrent chemotherapy) will then be administered to all participants as standard of care per treatment regimens chosen by the investigator. RT will include conventional radiation or hypofractionated radiation to the bladder for up to approximately 6.5 weeks. Concurrent chemotherapy will be administered with RT and will include cisplatin, or 5-fluorouracil (5-FU) + mitomycin C, or capecitabine + mitomycin C, or gemcitabine.
Receives: Drug: Cisplatin; Drug: 5-FU; Drug: MMC; Drug: Capecitabine; Drug: Gemcitabine; Radiation: Conventional Radiotherapy; Radiation: Hypofractionated radiotherapy

What is being measured

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

  1. Event-Free Survival (EFS)

    EFS is defined as the time from randomization to the first occurrence of any of the following events, as assessed by blinded independent central review (BICR): residual/recurrent MIBC, or locoregional disease, or distant metastases as assessed by imaging and/or biopsy results, or death from any cause. The EFS for all participants will be presented.

    Measured: Up to approximately 60 months

Secondary outcomes (8)
  1. Overall Survival (OS)

    OS is defined as the time from randomization to death due to any cause. The OS for all participants will be presented.

    Measured: Up to approximately 90 months

  2. Distant Metastasis-Free Survival (DMFS)

    DMFS is defined as the time from randomization to the first occurrence of any of the following events, as assessed by BICR: distant metastatic disease as assessed by imaging and/or biopsy results, or death due to any cause. DMFS for all participants will be presented.

    Measured: Up to approximately 90 months

  3. Bladder Intact (BI)-EFS

    BI-EFS is defined as the time from randomization to the first occurrence of any of the following events: residual/recurrent MIBC, or locoregional disease, or distant metastases as assessed by imaging and/or biopsy results, or radical cystectomy, or death from any cause. The BI-EFS for all participants will be presented.

    Measured: Up to approximately 90 months

  4. Time to Occurrence of Non-Muscle-Invasive Bladder Cancer (NMIBC)

    Time to occurrence of NMIBC, defined as the time from randomization to the first occurrence of NMIBC (<T2 disease in bladder) after CRT as assessed by biopsy results, will be presented for all participants.

    Measured: Up to approximately 90 months

  5. Disease-Specific Survival

    DSS is defined as the time from randomization to death due to bladder cancer. The DSS for all participants will be presented.

    Measured: Up to approximately 90 months

  6. Rate of Radical Cystectomy

    Rate of radical cystectomy is defined as the percentage of participants who undergo radical cystectomy at any time after randomization, for any reason. Rate of radical cystectomy for all participants will be presented.

    Measured: Up to approximately 90 months

  7. Number of Participants Who Experience One or More Adverse Events (AEs)

    An AE is 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. The number of participants who experience an AE will be reported.

    Measured: Up to approximately 90 months

  8. Number of Participants Who Discontinue Study Intervention Due to an AE

    An AE is 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. The number of participants who discontinue study intervention due to an AE will be reported.

    Measured: Up to approximately 90 months

Timeline

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

  1. First posted21 Sep 2026
  2. Study start23 Oct 2026
  3. Primary completion17 Nov 2031 (estimated)
  4. Study completion25 Sep 2036 (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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07829783
Sponsor's protocol ID
2870-055
Other IDs
2026-526407-30-00, U1111-1338-4320, MK-2870-055, TroFuse-055
Acronym
TroFuse-055
Status last verified
Nov 2026
First submitted
15 Sep 2026
Last updated
6 Nov 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Sac-TMT, Pembrolizumab and Berahyaluronidase alfa and Cisplatin in people with Bladder Cancer, run by Merck Sharp & Dohme LLC at 10 sites in 2 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 5 inclusion and 9 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: looking for participants now, as of the sponsor's last update on 6 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Ukraine, Taiwan. 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?

Contact Toll Free Number (1-888-577-8839, Trialsites@merck.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Event-Free Survival (EFS) (time frame: Up to approximately 60 months). 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 6 Nov 2026.

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