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Researchers are evaluating the safety of enfortumab vedotin in Indian adults with advanced or metastatic urothelial cancer, a type of cancer affecting the bladder lining and related urinary tract areas. This phase 4, open-label study focuses on patients whose disease has progressed despite prior treatments, including checkpoint inhibitors and platinum-based chemotherapy. The goal is to confirm the safety of enfortumab vedotin specifically in this patient population. Participants will receive enfortumab vedotin through intravenous infusion. Treatment is administered in cycles of 28 days, with three separate infusions given in each cycle. The study is single-arm, so all participants receive the investigational treatment without a comparator group. This approach allows close monitoring of safety and adverse events during the treatment period. During and after treatment, participants will visit the study clinic multiple times for health assessments. Researchers will monitor adverse events, laboratory test results, vital signs, electrocardiograms, and performance status scores over several months. These evaluations help determine the treatment's safety profile and its impact on patients' health throughout the study period.