Actively Recruiting

Phase 1
Phase 2
Age: 18Years +
All Genders
NCT04724018

Sacituzumab Govitecan Plus EV in Metastatic UC

Led by Dana-Farber Cancer Institute · Updated on 2025-11-04

106

Participants Needed

1

Research Sites

362 weeks

Total Duration

On this page

Sponsors

D

Dana-Farber Cancer Institute

Lead Sponsor

G

Gilead Sciences

Collaborating Sponsor

AI-Summary

What this Trial Is About

Phase I of this research study will assess what doses of Sacituzumab Govitecan and Enfortumab Vedotin can be safely combined in the treatment of metastatic urothelial carcinoma (mUC). In Phase II of the study, patients in one of the two cohorts will receive Sacituzumab Govitecan, Enfortumab Vedotin, and Pembrolizumab to assess the efficacy of this drug combination. The names of the study drugs in these investigational combinations are: * Enfortumab Vedotin * Sacituzumab Govitecan * Pembrolizumab

CONDITIONS

Official Title

Sacituzumab Govitecan Plus EV in Metastatic UC

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Histologically confirmed predominant urothelial carcinoma of bladder, renal pelvis, ureter, or urethra
  • ECOG performance status 0-1
  • Adequate organ and marrow function as defined by specific blood counts and liver/kidney tests
  • Measurable disease by CT or MRI per RECIST 1.1 criteria
  • For Cohort A: Received prior platinum-based chemotherapy and checkpoint inhibitor therapy
  • For Cohort B: No prior therapy for metastatic urothelial carcinoma; prior immunotherapy allowed if more than 6 months since last dose
  • Women of childbearing potential must have negative pregnancy test and agree to use contraception
  • Men must agree to use adequate contraception
  • Ability to understand and sign informed consent
Not Eligible

You will not qualify if you...

  • Pregnant or lactating women
  • Prior anticancer biologic agents or chemotherapy within 4 weeks (Cohort A) or 26 weeks (Cohort B) before treatment start
  • Unresolved toxicities from prior therapy above Grade 1
  • Prior treatment with topoisomerase 1 inhibitors, Sacituzumab Govitecan, or Enfortumab Vedotin
  • Active second malignancy except certain treated cancers
  • Active central nervous system metastases or carcinomatous meningitis
  • Active serious cardiac disease, including recent myocardial infarction or severe heart failure
  • Active inflammatory bowel disease or recent gastrointestinal perforation
  • Active serious infection requiring antibiotics
  • Concurrent medical or psychiatric conditions interfering with study
  • Use of high-dose steroids or immunosuppressive medications
  • History of certain lung diseases or active pneumonitis
  • Receiving other investigational agents
  • Known allergies to study drugs or excipients
  • Uncontrolled illness, diabetes, bone pain, or spinal cord compression
  • History of autoimmune disease requiring systemic treatment in past 2 years (with some exceptions)

AI-Screening

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Trial Site Locations

Total: 1 location

1

Dana Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Actively Recruiting

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Research Team

B

Bradley A McGregor, MD

CONTACT

M

Merdith Flynn

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

3

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