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Enrolling by invitation Observational

Real-World Outcomes of First-Line Treatment of Metastatic or Locally Advanced Upper Tract Urothelial Carcinoma With Enfortumab Vedotin Plus Pembrolizumab : A French Multicenter Retrospective Observational Study

NCT07633353 · tracked via the Priya Life Science France tracker
Phase
Observational
Started
2026-07-01
Last updated
2026-06-08

Condition(s) studied

Advanced Upper Tract Urothelial Carcinoma

Investigational drug(s) / intervention(s)

enfortumab vedotin plus pembrolizumab in first line setting for advanced upper tract urothelial carcinoma →

enfortumab vedotin plus pembrolizumab in first line setting for advanced upper tract urothelial carcinoma: enfortumab vedotin plus pembrolizumab for advanced upper tract urothelial carcinoma, from september 2024 (time of the French ATU) to december 2025 (time of inclusion minus 6 months follow up)

Study summary

The combination of Enfortumab Vedotin and Pembrolizumab has substantially improved outcomes for patients with advanced urothelial carcinoma and has emerged as a new standard of care in the first-line setting. However, data specifically regarding its use in patients with Upper Tract Urothelial Carcinoma (UTUC) remain limited.

This multicenter retrospective observational study aims to evaluate the real-world efficacy and safety of Enfortumab Vedotin plus Pembrolizumab as first-line treatment in patients with metastatic or locally advanced Upper Tract Urothelial Carcinoma (UTUC). The primary outcome will include objective response rate (ORR). Secondary outcomes will include progression-free survival (PFS), overall survival (OS), time to treatment response (TTR) and treatment-related toxicity.

In addition, the study will explore potential associations between clinical outcomes and selected molecular and immunohistochemical biomarkers, including Nectin-4 expression, microsatellite instability (MSI) status, and programmed death-ligand 1 (PD-L1) expression. These exploratory analyses may help identify predictive factors of response and contribute to a better understanding of treatment outcomes in this specific patient population.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * advanced upper tract urothelial carcinoma treated with enfortumab vedotin and pembrolizumab * at least one infusion of the treatment Exclusion Criteria: * patient previously treated with immune checkpoint inhibitor * patient previously treated with systemic treatment for advance UTUC

Primary outcome measure(s)

  • objective response rate — number of patients presenting with treatment response from the beginning of the treatment to at least 6 months follow up

Trial sites (1)

FacilityCityRegionStatus
Centre Hospitalier Universitaire Nîmes France
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07633353 on ClinicalTrials.gov ↗ ← All trials in France