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Trial Title: 9MW2821 in Combination With Toripalimab vs Standard Chemotherapy in Locally Advanced or Metastatic Urothelial Cancer

NCT ID: NCT06592326

Condition: Urothelial Carcinoma

Conditions: Official terms:
Carcinoma, Transitional Cell
Cisplatin
Carboplatin
Gemcitabine

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: 9MW2821
Description: 9MW2821, 1.25mg/kg, intravenous (IV) infusion
Arm group label: 9MW2821+Toripalimab

Intervention type: Drug
Intervention name: Toripalimab
Description: Toripalimab, 240mg, intravenous (IV) infusion
Arm group label: 9MW2821+Toripalimab

Other name: Toripalimab injection

Intervention type: Drug
Intervention name: Gemcitabine
Description: Gemcitabine: 1000mg/m2, intravenous (IV) infusion
Arm group label: Gemcitabine+Cisplatin/Carboplatin

Other name: Gemcitabine Hydrochloride for Injection

Intervention type: Drug
Intervention name: Cisplatin/Carboplatin
Description: Cisplatin: 70mg/m2 or Carboplatin: AUC=4.5/5, intravenous (IV) infusion.
Arm group label: Gemcitabine+Cisplatin/Carboplatin

Other name: Cisplatin for injection/Carboplatin Injection

Summary: This is a randomized, controlled, open-label, multicenter phase 3 clinical study to evaluate the efficacy, safety and immunogenicity of 9MW2821 combined with Toripalimab versus standard chemotherapy in first-line locally advanced or metastatic urothelial cancer.

Detailed description: The study is planning to enroll approximately 460 participants with unresectable locally advanced or metastatic urothelial cancer who have not previously received systematic treatment.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Sign the informed consent form approved by IEC. - Male or female subjects aged 18 to 80 years. - ECOG status: 0 or 1. - Histologically confirmed local advanced or metastatic urothelial cancer - Previously untreated with local advanced or metastatic urothelial cancer - At least one measurable lesion, according to RECIST V1.1. - Adequate tumor tissues submitted for test - Suitable for cisplatin/carboplatin-based chemotherapy assessed by investigator - Life expectancy for more than 12 weeks. - Adequate organ functions. - Proper contraception methods. - Willingness to follow the study procedures. Exclusion Criteria: - History of another malignancy within 3 years. - History of autoimmune disease requiring systemic treatment within 2 years. - History of clinically significant cardiac/cerebrovascular diseases or thrombosis within 6 months. - Major surgery treated within 28 days; Any live vaccines got within 28 days; Radiotherapy or Intravesical therapy treated within 21 days; Traditional Chinese medicine or any potent CYP3A4 inducers/inhibitors taken within 14 days. - Lots of pleural fluid and ascites, uncontrolled bone pain or spinal compression existed within 14 days; Systemic treatment with active infection within 7 days. - Previously treated with PD-1, PD-L1, PD-L2, CTLA-4 inhibitors; Previously treated with ADCs which target Nectin-4 or are conjugated with payload MMAE; Organ transplantation or allogeneic hematopoietic stem cell transplantation in the past. - Clinical significantly toxicity Grade ≥ 2 (except alopecia and pigmentation) related to previous treatment. - Any situations adding the risk of severe dry eye, active keratitis or corneal ulcer, etc. - Peripheral neuropathy Grade ≥ 2. - Any other serious chronic or uncontrolled disease. - Uncontrolled central nervous system metastases or carcinomatous meningitis. - Active HBV/HCV/HIV infection, etc. - Known allergic sensitivity to any of the ingredients of the study drug. - History of drug abuse or mental illness. - Other conditions unsuitable into the study.

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: Fudan University Shanghai Cancer Center

Address:
City: Shanghai
Zip: 200032
Country: China

Status: Recruiting

Contact:
Last name: Dingwei Ye, Professor

Phone: 13701663571
Email: fuscc2012@163.com

Start date: August 22, 2024

Completion date: December 2028

Lead sponsor:
Agency: Mabwell (Shanghai) Bioscience Co., Ltd.
Agency class: Industry

Source: Mabwell (Shanghai) Bioscience Co., Ltd.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06592326

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