Enfortumab Vedotin Plus Pembrolizumab for Muscle-Invasive Bladder Cancer

This study is looking at a new way to treat muscle-invasive bladder cancer (MIBC). It combines two drugs, enfortumab vedotin and pembrolizumab, with the goal of avoiding bladder removal surgery for some patients. You would receive three cycles of these drugs, followed by tests to see how well the treatment worked. If your cancer is gone, you would continue with maintenance treatment for up to 14 cycles. If there's still cancer, you would have surgery to remove your bladder. The study aims to enroll 47 participants and is measuring how many patients achieve a complete response (cancer is no longer detectable) after 9 weeks. To join, you must be at least 18 years old and meet certain health criteria.

Study design
This is an interventional study planning to enroll 47 participants. It involves a specific treatment plan with two drugs.
What's involved
You would receive three cycles of treatment, followed by restaging tests. If successful, you would continue with maintenance treatment for up to 14 cycles.
Compensation
Not stated in the trial record.
Follow-up
The primary outcome is measured at 9 weeks, but treatment can continue for up to 14 cycles.

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NCT06809140

Enfortumab Vedotin Plus Pembrolizumab With Selective Bladder Sparing for Treatment of Muscle-invasive Bladder Cancer

Recruiting
PHASE2Ages 18+InterventionalTreatment
Matthew Galsky
~75 participants
Updated 2026-08-05 on ClinicalTrials.gov
What's tested:Enfortumab vedotinPembrolizumab

At a glance

Recruiting sites
5 of 5 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Complete response rate with enfortumab vedotin plus pembrolizumab for MIBC
Measured over 9 weeks
+1 more outcome measured
Muscle Invasive Bladder Urothelial Carcinoma

NCT06809140

Where you'd take part

This study runs at 5 sites. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • City of Hope

    Duarte, Californiastudy coordinator listed

    Recruiting

  • Columbia University Irving Medical Center

    New York, New Yorkstudy coordinator listed

    Recruiting

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvaniastudy coordinator listed

    Recruiting

  • Icahn School of Medicine at Mount Sinai

    New York, New Yorkstudy coordinator listed

    Recruiting

  • Indiana University Melvin and Bren Simon Comprehensive Cancer Center

    Indianapolis, Indianastudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Matthew Galsky, MD · PRINCIPAL_INVESTIGATOR · Sponsor-Investigator

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Eligibility criteria

Inclusion

Absolute neutrophil count (ANC): ≥ 1.5 x 10\^9/L
Hemoglobin (Hgb): ≥ 9 g/dL
Platelets: ≥ 100 x 10\^9/L
Creatinine clearance: ≥ 30 mL/min
Bilirubin: ≤ 1.5 ×ULN OR direct bilirubin ≤ ULN for participants with total bilirubin levels \> 1.5 × ULN
Aspartate aminotransferase (AST): ≤ 2.5 × ULN
Alanine aminotransferase (ALT): ≤ 2.5 × ULN
International normalized ratio (INR) or Prothrombin time (PT) or Partial thromboplastin time (PTT): ≤ 1.5 ×ULN unless participant is receiving anticoagulant therapy as long as PT or aPTT is within therapeutic range for intended use of anticoagulants
  • Complete response rate with enfortumab vedotin plus pembrolizumab for MIBC9 weeks

    Clinical complete response rate will be defined as cT0 or cTa (low grade) disease at the time of restaging after 3 cycles of induction enfortumab vedotin plus pembrolizumab

  • Bladder-intact event-free survival (BIEFS) in patients achieving a clinical complete response2 years

    Estimate the 2-year bladder-intact event-free survival (BIEFS) in patients achieving a clinical complete response