UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060270
Receipt number R000068941
Scientific Title An Open-Label, Single-Arm Phase II Study of Enfortumab Vedotin Plus Pembrolizumab in Patients with Unresectable Urothelial Carcinoma
Date of disclosure of the study information 2026/01/06
Last modified on 2026/01/06 15:00:17

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Basic information

Public title

An Open-Label, Single-Arm Phase II Study of Enfortumab Vedotin Plus Pembrolizumab in Patients with Unresectable Urothelial Carcinoma

Acronym

BiCURE trial

Scientific Title

An Open-Label, Single-Arm Phase II Study of Enfortumab Vedotin Plus Pembrolizumab in Patients with Unresectable Urothelial Carcinoma

Scientific Title:Acronym

BiCURE trial

Region

Japan


Condition

Condition

Urothelial Carcinoma

Classification by specialty

Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy of enfortumab vedotin in combination with pembrolizumab in patients with unresectable urothelial carcinoma, with the objective response rate (ORR) as the primary efficacy endpoint.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

ORR

Key secondary outcomes

Overall survival
Progression-free survival
Time to performance status progression
Disease control rate
Safety
Incidence of adverse events
Duration of enfortumab vedotin treatment
Duration of pembrolizumab treatment
Discontinuation rate due to adverse events
Relative dose intensity


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

One treatment cycle consists of 42 days. Enfortumab vedotin is administered at a dose of 1.25 mg/kg on Days 1, 15, and 29, and pembrolizumab is administered at a fixed dose of 200 mg per body on Days 1 and 22.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

100 years-old >

Gender

Male and Female

Key inclusion criteria

Histologically confirmed locally advanced or metastatic urothelial carcinoma that is unresectable.
Eastern Cooperative Oncology Group performance status of 0 to 2.
Written informed consent to participate in this clinical study obtained voluntarily from the patient after sufficient explanation.
Patients who agree to use adequate contraception: male patients from the initiation of study treatment until 1 month after the last dose, and female patients of childbearing potential from the initiation of study treatment until 4 months after the last dose.

Key exclusion criteria

Patients who have received any prior systemic therapy for unresectable locally advanced or metastatic urothelial carcinoma.
Patients with a history of hypersensitivity to enfortumab vedotin or to anti PD1 or anti PDL1 antibodies.
Patients who have participated in another clinical study or clinical trial within 3 months prior to the initiation of study treatment.
Patients with severe bone marrow suppression.
Patients with active infection or suspected infection.
Patients with severe hepatic impairment classified as Child Pugh class C.
Patients with diabetes mellitus with poor glycemic control within 3 months prior to enrollment.
Patients with end-stage renal disease receiving dialysis, or with an estimated glomerular filtration rate under 15 mL min
Pregnant or breastfeeding women.
Patients deemed inappropriate for participation in the study by the principal investigator or sub-investigators.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Ryunosuke
Middle name
Last name Nakagawa

Organization

Kanazawa University

Division name

Urology

Zip code

920-8641

Address

Takaramachi 13-1, Kanazawa, Ishikawa

TEL

0762652393

Email

r_a_rhero0226southern@yahoo.co.jp


Public contact

Name of contact person

1st name Ryunosuke
Middle name
Last name Nakagawa

Organization

Kanazawa University

Division name

Urology

Zip code

920-8641

Address

Takaramachi 13-1, Kanazawa, Ishikawa

TEL

0762652393

Homepage URL

https://kanazawa-univ-urology.jp

Email

r_a_rhero0226southern@yahoo.co.jp


Sponsor or person

Institute

Kanazawa University

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research and Development for the Advancement of Clinical Medicine

Address

Takaramachi 13-1, Kanazawa, Ishikawa

Tel

076-265-2049

Email

r_a_rhero0226southern@yahoo.co.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 01 Month 06 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2025 Year 10 Month 07 Day

Date of IRB

2025 Year 10 Month 07 Day

Anticipated trial start date

2025 Year 10 Month 07 Day

Last follow-up date

2033 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 01 Month 06 Day

Last modified on

2026 Year 01 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068941