RECRUITING

Study BT8009-230 in Participants With Locally Advanced or Metastatic Urothelial Cancer (Duravelo-2)

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This is a global, multicenter, randomized, open-label study, with an adaptive design. The main objective of the study is to measure the efficacy and safety of BT8009 (zelenectide pevedotin) as monotherapy and in combination with pembrolizumab in participants with locally advanced or metastatic urothelial cancer (UC). The study includes a dose selection phase followed by an adaptive design continuation. The study is comprised of 2 cohorts. Cohort 1 will include participants who have not received any prior systemic therapy for locally advanced or metastatic UC and are eligible to receive platinum-based chemotherapy, whereas Cohort 2 will include participants who have received ≥ 1 prior systemic therapy for locally advanced or metastatic UC.

Official Title

A Randomized Open-Label Phase 2/3 Study of BT8009 as Monotherapy or in Combination in Participants With Locally Advanced or Metastatic Urothelial Cancer (Duravelo-2)

Quick Facts

Study Start:2024-01-24
Study Completion:2030-12
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06225596

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Life expectancy ≥ 12 weeks.
  2. * Measurable disease as defined by RECIST v1.1.
  3. * Histologically or cytologically confirmed locally advanced (unresectable) or metastatic UC of the renal pelvis, ureter, bladder, or urethra.
  4. * Archival or fresh tumor tissue comprising muscle-invasive UC or locally advanced or metastatic UC should be available for submission to central laboratory.
  5. * Negative pregnancy test for women of childbearing potential (WOCBP) (negative serum test at Screening and negative urine or serum test within 72 hours prior to the first dose).
  6. * Cohort 1: Previously Untreated: Eligible to receive platinum-based chemotherapy (either cisplatin- or carboplatin-based chemotherapy based on Investigator decision.
  7. * Cohort 1: Participants must not have received prior systemic therapy for locally advanced or metastatic UC with the following exceptions:
  8. 1. Prior local intravesical chemotherapy, local surgery when full resection is not achieved, local immunotherapy, and radiotherapy are permitted if completed at least 4 weeks prior to the initiation of study treatment and all acute toxicities have resolved.
  9. 2. Prior neoadjuvant/adjuvant chemotherapy or monomethyl auristatin E (MMAE)-based therapy with recurrence \>12 months from completion of therapy.
  10. 3. Prior neoadjuvant/adjuvant immune checkpoint inhibitor therapy with recurrence \>12 months from completion of therapy.
  11. * Cohort 2: Previously Treated: Participants must have received ≥ 1 prior systemic treatment for locally advanced or metastatic UC. This includes neoadjuvant/adjuvant platinum-based chemotherapy if recurrence occurred within 12 months of completing therapy.
  12. * Cohort 2: Progression or recurrence of UC during or following receipt of most recent therapy.
  1. * Active keratitis or corneal ulcerations.
  2. * Requirement, while on study, for treatment with strong inhibitors or strong inducers of human cytochrome P450 3A (CYP3A) or inhibitors of P-glycoprotein (P-gp) including herbal- or food-based inhibitors.
  3. * Any condition requiring current treatment with high dose corticosteroids (\> 10 mg daily prednisone or equivalent).
  4. * Known hypersensitivity or allergy to any of the ingredients of any of the study interventions, or to MMAE.
  5. * Has not adequately recovered from recent major surgery (excluding placement of vascular access).
  6. * Receipt of live or attenuated vaccine within 30 days of first dose.
  7. * Cohort 1: Previously Untreated: Prior treatment with a checkpoint inhibitor (CPI) for any other malignancy within the last 12 months.
  8. * Cohort 2: Previously Treated: Received more than 1 prior platinum-based chemotherapy regimen for locally advanced or metastatic UC. This includes neoadjuvant/adjuvant platinum-based chemotherapy if recurrence occurred within 12 months of completing therapy.
  9. * Cohort 2: Prior treatment with enfortumab vedotin or any other MMAE-based therapy

Contacts and Locations

Study Contact

BicycleTx Limited
CONTACT
617-945-8155
clinicalstudies@bicycletx.com

Study Locations (Sites)

University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
United States
Virginia K. Crosson Cancer Center at St. Jude Medical Center
Fullerton, California, 92835
United States
University of California - Irvine Medical Center
Orange, California, 92868
United States
University of California, San Francisco (UCSF)
San Francisco, California, 94158
United States
Cancer Specialists of North Florida
Jacksonville, Florida, 32266
United States
Mount Sinai Medical Center of Florida, Inc.
Miami Beach, Florida, 33140
United States
University of Miami - Sylvester Comprehensive Cancer Center
Miami, Florida, 33136
United States
AP Medical Research
Miami, Florida, 33165
United States
Southern Illinois University (SIU) - Simmons Cancer Institute
Springfield, Illinois, 62702
United States
Mission Cancer + Blood
Des Moines, Iowa, 50309
United States
University of Kansas Cancer Center
Westwood, Kansas, 66205
United States
UofL Health Brown Cancer Center
Louisville, Kentucky, 40202
United States
Mary Bird Perkins Cancer Center
Baton Rouge, Louisiana, 70809
United States
Princess Margaret Hospital
Grand Rapids, Michigan, 49503
United States
Nebraska Cancer Specialists
Omaha, Nebraska, 68130
United States
XCancer Omaha/Urology Cancer Center
Omaha, Nebraska, 68130
United States
Astera Cancer Care
East Brunswick, New Jersey, 08816
United States
Summit Health (New Jersey Urology)
Voorhees, New Jersey, 08043
United States
Montefiore Medical Center
Bronx, New York, 10461
United States
Columbia University Irving Medical Center
New York, New York, 10032
United States
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
United States
Medical University of South Carolina (MUSC) - Hollings Cancer Center
Charleston, South Carolina, 29425
United States
Carolina Urologic Research Center
Myrtle Beach, South Carolina, 29572
United States
SCRI Oncology Partners
Nashville, Tennessee, 37203
United States
The Center for Cancer and Blood Disorders
Fort Worth, Texas, 76104
United States
MD Anderson Cancer Center
Houston, Texas, 77030
United States

Collaborators and Investigators

Sponsor: BicycleTx Limited

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-01-24
Study Completion Date2030-12

Study Record Updates

Study Start Date2024-01-24
Study Completion Date2030-12

Terms related to this study

Keywords Provided by Researchers

  • Metastatic Urothelial Cancer
  • BT8009
  • Bladder cancer
  • Pembrolizumab
  • Chemotherapy
  • Avelumab
  • Zelenectide pevedotin

Additional Relevant MeSH Terms

  • Metastatic Urothelial Cancer