Phase 3 Study Comparing 9MW2821 with Toripalimab to Standard Chemotherapy for First Treatment of Advanced or Metastatic Urothelial Cancer
Led by Mabwell (Shanghai) Bioscience Co., Ltd. · Updated on 2024-09-19
460
Participants Needed
1
Research Sites
65 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating the effectiveness, safety, and immune response of a combination treatment of 9MW2821 and Toripalimab compared to standard chemotherapy for adults with locally advanced or metastatic urothelial cancer who have not had prior systemic treatment. This phase 3 randomized, controlled, open-label study involves multiple centers and aims to provide new options for this serious condition.
Participants will be randomly assigned to receive either the experimental combination of 9MW2821 at 1.25 mgkg and Toripalimab at 240 mg, both given by intravenous infusion, or standard chemotherapy consisting of Gemcitabine with either Cisplatin or Carboplatin, also given by intravenous infusion. The study includes two treatment groups and is designed to compare these approaches as first-line therapy.
During the study, participants will undergo regular assessments including imaging to measure tumor response using criteria up to 50 months, overall survival tracking, and evaluations of side effects and immune responses. Researchers will monitor progression-free survival and other outcomes, along with safety and tolerability. Follow-up visits and evaluations will be conducted throughout the study period to gather comprehensive data on the treatments impact and participant health.
CONDITIONS
Brief Title
9MW2821 in Combination With Toripalimab vs Standard Chemotherapy in Locally Advanced or Metastatic Urothelial Cancer
Research Team
D
Dingwei Ye, Professor
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match. Sign up to get personalized trial recommendations delivered to your inbox.
Signed informed consent approved by the ethics committee
Male or female aged 18 to 80 years
ECOG performance status of 0 or 1
Histologically confirmed locally advanced or metastatic urothelial cancer
No prior systemic treatment for locally advanced or metastatic urothelial cancer
At least one measurable lesion per RECIST V1.1
Adequate tumor tissue available for testing
Suitable for cisplatin or carboplatin-based chemotherapy as assessed by investigator
Life expectancy greater than 12 weeks
Adequate organ function
Use of proper contraception methods
Willing to follow study procedures
You will not qualify if you...
History of another cancer within the past 3 years
Autoimmune disease requiring systemic treatment within the past 2 years
Significant cardiac, cerebrovascular disease, or thrombosis within the past 6 months
Major surgery within 28 days, live vaccines within 28 days, radiotherapy or intravesical therapy within 21 days, or use of potent CYP3A4 inducers/inhibitors within 14 days
Large amounts of pleural fluid or ascites, uncontrolled bone pain or spinal compression within 14 days
Active infection requiring systemic treatment within 7 days
Previous treatment with PD-1, PD-L1, PD-L2, or CTLA-4 inhibitors
Previous treatment with antibody-drug conjugates targeting Nectin-4 or linked to MMAE
History of organ or stem cell transplantation
Grade 2 or higher toxicity from prior treatment (except alopecia and pigmentation)
Risk factors for severe dry eye, active keratitis, or corneal ulcer
Peripheral neuropathy grade 2 or higher
Serious uncontrolled chronic diseases
Uncontrolled brain metastases or carcinomatous meningitis
Active hepatitis B, C, or HIV infection
Known allergy to study drug ingredients
History of drug abuse or mental illness
Other conditions that would make participation unsuitable
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Up to 50 months
Participants receive either 9MW2821 plus Toripalimab or standard chemotherapy with Gemcitabine plus Cisplatin or Carboplatin as first-line treatment for locally advanced or metastatic urothelial cancer.
Regular visits for treatment administration and assessments as per protocol
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
Similar Trials
Phase II Study Comparing 9MW2821 with and without Toripalimab for First-Line Treatment of Locally Advanced or Metastatic Urothelial Carcinoma
Phase II Study of 9MW2821 and Toripalimab Infusions for Perioperative Treatment of Urothelial Cancer
Phase 3 Study Comparing 9MW2821 with Toripalimab to Standard Chemotherapy for First Treatment of Advanced or Metastatic Urothelial Cancer
Home-Based Exercise Program to Improve Physical Function Before Surgery in Bladder and Upper Tract Urothelial Cancer Patients
Study on Using Pre-treatment Tumor Biopsies to Predict Response to PD-1PD-L1 Immunotherapy in Various Cancers
Phase 2 Study of ABSK061 and ABSK043 to Treat Metastatic or Unresectable Solid Tumors with FGFR23 Alterations, With or Without Chemotherapy
Phase 2 Study of Zanidatamab for Previously Treated HER2-Expressing Solid Tumors
Evaluating Safety and Effectiveness in Advanced Cancer
Phase 3 Study of UGN-104 Treatment for Adults With Low-grade Upper Tract Urothelial Cancer
Phase III Study Comparing BL-B01D1 Infusion to Chemotherapy in Adults With Recurrent or Metastatic Urothelial Carcinoma After PD-1PD-L1 and Platinum Treatment
Phase 1 Study of AVA6000, an Intravenous FAP-Activated Doxorubicin, to Assess Safety and Early Effectiveness in Patients With Locally Advanced or Metastatic Solid Tumors