Actively Recruiting

Phase 2
Age: 18Years - 80Years
All Genders
NCT06823427

9MW2821 + Toripalimab vs 9MW2821 for 1st Line Locally Advanced or Metastatic Urothelial Carcinoma

Led by Mabwell (Shanghai) Bioscience Co., Ltd. · Updated on 2025-03-21

60

Participants Needed

2

Research Sites

123 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study will compare the efficacy of 9MW2821+toripalimab versus 9MW2821 monotherapy in locally advanced or metastatic urothelial carcinoma patients who have not received any systemic treatment in the metastatic or advanced setting.

CONDITIONS

Official Title

9MW2821 + Toripalimab vs 9MW2821 for 1st Line Locally Advanced or Metastatic Urothelial Carcinoma

Who Can Participate

Age: 18Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Voluntarily agree to participate
  • Age between 18 and 80 years
  • ECOG performance status of 0 or 1
  • Histologically confirmed inoperable locally advanced or metastatic urothelial carcinoma (including bladder, renal pelvis, or ureter)
  • Mixed histology allowed if urothelial carcinoma differentiation is over 50%
  • No prior systemic treatment for locally advanced or metastatic urothelial carcinoma
  • At least one measurable target lesion per RECIST v1.1 criteria
  • Target lesion outside radiation field or showing progression if previously irradiated
  • Life expectancy greater than 12 weeks
  • Adequate blood and organ function
  • Agree to use contraception until 180 days after last study drug dose
  • Able to understand and comply with study visits, treatments, and assessments
Not Eligible

You will not qualify if you...

  • Other cancers within 3 years before randomization
  • Active autoimmune disease needing systemic treatment within 2 years prior
  • Use of high-dose corticosteroids or immunosuppressive drugs recently
  • Severe cardiovascular or cerebrovascular events within 6 months before randomization
  • Major surgery within 28 days before randomization
  • Live vaccine within 28 days before or during the study
  • Radiotherapy or bladder infusion therapy within 21 days before randomization
  • Use of strong CYP3A4 inhibitors within 14 days before randomization
  • Lung effusion or ascites needing treatment within 14 days before randomization
  • Severe uncontrolled bone pain or spinal cord compression within 14 days
  • Active infection requiring systemic antibiotics within 7 days before randomization
  • Prior treatment with anti-PD-1, anti-PD-L1/PD-L2, anti-CTLA-4, or Nectin-4 targeted therapies
  • Previous hematological stem cell or solid organ transplant
  • Unresolved toxicities from prior cancer treatments above grade 1 except hair loss or skin pigmentation
  • Severe dry eyes, active keratitis, corneal ulcers, or other corneal risks deemed unsuitable
  • Preexisting neuropathy grade 2 or higher
  • Other uncontrolled serious illnesses
  • Brain metastasis or meningeal carcinomatosis
  • Positive for hepatitis B, hepatitis C, or HIV infections
  • Known allergy to study drugs or components
  • Drug abuse or psychiatric conditions affecting study compliance
  • Any other condition judged unsuitable by the investigator

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

Hunan Tumor Hospital

Changsha, Hunan, China, 410013

Actively Recruiting

2

Nanjing Drum Tower Hospital

Nanjing, Jiangsu, China, 210000

Actively Recruiting

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Research Team

J

Jia Wang

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

FACTORIAL

Primary Purpose

TREATMENT

Number of Arms

2

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9MW2821 + Toripalimab vs 9MW2821 for 1st Line Locally Advanced or Metastatic Urothelial Carcinoma | DecenTrialz