E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients with locally advanced or metastatic urothelial cancer. |
Pacientes con cáncer urotelial localmente avanzado o metastásico |
|
E.1.1.1 | Medical condition in easily understood language |
Locally advanced or metastatic urothelial cancer |
Cáncer urotelial localmente avanzado o metastásico |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10046714 |
E.1.2 | Term | Urothelial carcinoma bladder |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10046723 |
E.1.2 | Term | Urothelial carcinoma ureter |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10046728 |
E.1.2 | Term | Urothelial carcinoma urethra |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10064467 |
E.1.2 | Term | Urothelial carcinoma |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10077056 |
E.1.2 | Term | Urothelial carcinoma recurrent |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10077840 |
E.1.2 | Term | Urothelial cancer of renal pelvis |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10046715 |
E.1.2 | Term | Urothelial carcinoma bladder recurrent |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10046721 |
E.1.2 | Term | Urothelial carcinoma bladder stage III |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10046722 |
E.1.2 | Term | Urothelial carcinoma bladder stage IV |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10046725 |
E.1.2 | Term | Urothelial carcinoma ureter metastatic |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10046726 |
E.1.2 | Term | Urothelial carcinoma ureter recurrent |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10046730 |
E.1.2 | Term | Urothelial carcinoma urethra metastatic |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10046731 |
E.1.2 | Term | Urothelial carcinoma urethra recurrent |
E.1.2 | System Organ Class | 100000004864 |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To determine the antitumor activity of single-agent enfortumab vedotin as measured by confirmed ORR in patients with locally advanced or metastatic urothelial cancer who have previously received systemic therapy with a CPI |
Determinar la actividad antitumoral de la monoterapia con enfortumab vedotin, determinada por la tasa de respuestas objetivas (ORR, objective response rate) en pacientes con cáncer urotelial localmente avanzado o metastásico que han recibido previamente inhibidores de los puntos de control. |
|
E.2.2 | Secondary objectives of the trial |
● To assess DOR ● To assess disease control rate (DCR) ● To assess PFS ● To assess OS ● To assess the safety and tolerability of enfortumab vedotin ● To assess the pharmacokinetics (PK) of enfortumab vedotin ● To assess the incidence of antitherapeutic antibodies (ATA) |
- Determinar la duración de la respuesta (DOR, duration of response) - Determinar la tasa de control de la enfermedad (DCR, Disease control rate) - Determinar la supervivencia sin progresión (PFS, Progression free survival) - Determinar la supervivencia global (OS, overall survival) - Determinar la seguridad y la tolerabilidad de enfortumab vedotin - Determinar la farmacocinética (PK, pharmacokinetics) de enfortumab vedotin - Determinar la incidencia de anticuerpos antitratamiento (ATA, antitherapeutic antibodies) adicionales |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Histologically or cytologically documented transitional cell carcinoma of the urothelium (squamous differentiation or mixed cell types allowed). - Metastatic disease or locally advanced disease that is not resectable. - Must have received prior treatment with a CPI in the locally advanced or metastatic urothelial cancer setting. A CPI is defined as a programmed cell death protein 1 (PD-1) or programmed death-ligand 1 (PD-L1) inhibitor. - Must either have prior treatment with platinum-containing chemotherapy or be ineligible for treatment with cisplatin at time of enrollment. - Must have had progression or recurrence of urothelial cancer during or following receipt of most recent therapy. - Tumor tissue samples must be available for submission to the sponsor prior to study treatment. - Must have measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) (Version 1.1). - An Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1. |
- Carcinoma de células transicionales del urotelio demostrado histológica o citológicamente (se admiten la diferenciación escamosa o los tipos celulares mixtos). - Enfermedad metastásica o localmente avanzada no resecable. - El paciente deberá haber recibido tratamiento previo con un CPI por cáncer urotelial localmente avanzado o metastásico. Se define como CPI un inhibidor de la proteína de la muerte celular programada 1 (PD-1) o de su ligando 1 (PD-L1). - El paciente deberá haber recibido tratamiento previo con una quimioterapia que incluía un derivado del platino o no ser elegible para tratamiento con cisplatino en el momento de su reclutamiento para el estudio. - El paciente deberá haber mostrado progresión o recidiva de su cáncer urotelial durante o después de su tratamiento más reciente. - Disponibilidad de muestras de tejido tumoral para su envío al promotor antes del tratamiento del estudio. - Enfermedad medible según los Response Evaluation Criteria in Solid Tumors (RECIST) (Versión 1.1). - Estado funcional del Eastern Cooperative Oncology Group (ECOG) de 0 o 1 |
|
E.4 | Principal exclusion criteria |
• Ongoing sensory or motor neuropathy Grade ≥2. • Active central nervous system (CNS) metastases. • Immunotherapy related myocarditis, colitis, uveitis, or pneumonitis. • Prior treatment with enfortumab vedotin or other monomethyl auristatin E (MMAE)-based antibody-drug conjugates (ADCs). |
- Neuropatía sensitiva o motora actual de Grado >=2. - Metástasis activas en sistema nervioso central. - Colitis, uveítis o neumonitis por inmunoterapia. - Tratamiento previo con enfortumab vedotina u otro conjugado de anticuerpo basado en la monometil auristatina E (MMAE, monomethyl auristatin E)-fármaco (ADC, antibody-drug conjugate). |
|
E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint of this study is the confirmed Objective Response Rate (ORR) per IRF. The ORR is defined as the proportion of patients with confirmed CR or PR according to RECIST Version 1.1 . Patients who do not have at least 2 (initial response and confirmation scan) post-baseline response assessments as described in Section 7.2 of the protocol will be counted as non-responders. |
El criterio principal de valoración en este estudio es la tasa de respuesta objetiva (Objective Response Rate, ORR) confirmada por el centro de revisión independiente (IRF), que se define como el porcentaje de pacientes con respuesta completa o respuesta parcial confirmadas según RECIST Versión 1.1. Los pacientes sin como mínimo 2 evaluaciones posbasales de respuesta (respuesta inicial y estudio radiológico de confirmación) en la forma descrita en la Sección 7.2 del protocolo se calificarán como no respondedores. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
According to protocol. |
De acuerdo al protocolo |
|
E.5.2 | Secondary end point(s) |
The key secondary endpoints are: - Duration of Response (DOR); - Disease Control Rate at Week 16 (DCR16); - Progression-free Survival (PFS); - Overall Survival (OS); -ORR per investigator. |
Los criterios secundarios clave de valoración son: - Duración de la respuesta (Duration of Response, DOR); - Tasa de control de la enfermedad en la Semana 16 (Disease Control Rate at Week 16, DCR16); - Supervivencia sin progresión (Progression-free Survival, PFS); - Supervivencia global (Overall Survival, (OS); - ORR según el investigador. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
According to protocol. |
De acuerdo al protocolo |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 7 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
France |
Germany |
Italy |
Japan |
Korea, Republic of |
Netherlands |
Spain |
United States |
|
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
The study will be closed 5 years after enrollment of the last patient, or when no patients remain in long-term follow-up, whichever occurs first. |
El estudio se cerrará 5 años después del reclutamiento del último paciente o una vez que ya no haya ningún paciente en seguimiento a largo plazo, eligiéndose la primera de estas situaciones que tenga lugar. |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 5 |
E.8.9.1 | In the Member State concerned months | 7 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 5 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |