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Trial · NCT04995419

A Study to Evaluate Enfortumab Vedotin (ASG-22CE) in Chinese Participants With Locally Advanced or Metastatic Urothelial Cancer Who Previously Received Platinum-containing Chemotherapy and Programmed Cell Death Protein-1 ( PD 1) / (Programmed Death Ligand-1 (PD-L1) Inhibitor Therapy

NCT04995419, Phase 2, Completed, Astellas Pharma China, Inc.; results first posted 2023-09-13

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate Enfortumab Vedotin (ASG-22CE) in Chinese Participants With Locally Advanced or Metastatic Urothelial Cancer Who Previously Received Platinum-containing Chemotherapy and Programmed Cell Death Protein-1 ( PD 1) / (Programmed Death Ligand-1 (PD-L1) Inhibitor Therapy. Trials, record NCT04995419. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04995419

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Evaluate Enfortumab Vedotin (ASG-22CE) in Chinese Participants With Locally Advanced or Metastatic Urothelial Cancer Who Previously Received Platinum-containing Chemotherapy and Programmed Cell Death Protein-1 ( PD 1) / (Programmed Death Ligand-1 (PD-L1) Inhibitor Therapy
NCT number
NCT04995419
Status
Completed
Phases
Phase 2
Enrollment
40 participants, actual
Lead sponsor
Astellas Pharma China, Inc.
Conditions
Metastatic Urothelial Cancer
Interventions
Enfortumab vedotin
First posted
2021-08-09
Last updated
2026-10-02
Results first posted
2023-09-13

Source ClinicalTrials.gov

Registered outcomes33

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryObjective Response Rate (ORR) as Per Response Evaluation Criteria in Solid Tumors V1.1 (RECIST V1.1)From first dose up to progressive disease or death (maximum duration: 9.33 months)
ORR was defined as the percentage of participants with best overall response (BOR) as complete response (CR) or partial response (PR) based on the RECIST v1.1. CR was defined as disappearance of all target and nontarget lesions. Any pathological lymph nodes (whether target or nontarget) must have reduction in short axis to \< 10 mm from baseline measurement. PR was defined as at least a 30% decrease in the sum of diameters (longest for nonnodal lesions, short axis for nodal lesions) of target lesions taking as reference to the baseline sum of diameters.
PrimaryPharmacokinetics (PK) of Antibody-Drug Conjugate (ADC), Total Antibody (TAb), in Serum: Maximum Concentration (Cmax) at Cycle 1 Day 1Cycle 1 Day 1: pre-dose, end of infusion (EOI), 2 hour, 4 hour post-dose (each cycle = 28 days)Cmax was derived from the PK blood samples collected.
PrimaryPK of Monomethyl Auristatin E (MMAE) in Serum: Maximum Concentration (Cmax) at Cycle 1 Day 1Cycle 1 Day 1: pre-dose, end of infusion (EOI), 2 hour, 4 hour post-dose (each cycle = 28 days)Cmax was derived from the PK blood samples collected.
PrimaryPK of ADC, TAb in Serum: Maximum Concentration (Cmax) at Cycle 1 Day 15Cycle 1 Day 15: pre-dose, EOI, 2 hour, 4 hour post-dose (each cycle = 28 days)Cmax was derived from the PK blood samples collected.
PrimaryPK of MMAE in Serum: Maximum Concentration (Cmax) at Cycle 1 Day 15Cycle 1 Day 15: pre-dose, EOI, 2 hour, 4 hour post-dose (each cycle = 28 days)Cmax was derived from the PK blood samples collected.
PrimaryPK of ADC , TAb in Serum: Trough Concentration (Ctrough) at Cycle 1 Day 1Cycle 1 Day 1: pre-doseAs per planned analysis, if more than 50% of PK concentrations were below the limit of quantification (i.e 0) at a given time point, standard deviation was not reported.
PrimaryPK of MMAE in Serum: Trough Concentration (Ctrough) at Cycle 1 Day 1Cycle 1 Day 1: pre-doseAs per planned analysis, if more than 50% of PK concentrations were below the limit of quantification (i.e 0) at a given time point, standard deviation was not reported.
PrimaryPK of ADC, TAb in Serum: Trough Concentration (Ctrough) at Cycle 1 Day 15Cycle 1 Day 15: pre-doseCtrough was derived from the PK blood samples collected.
PrimaryPK of MMAE in Serum: Trough Concentration (Ctrough) at Cycle 1 Day 15Cycle 1 Day 15: pre-doseCtrough was derived from the PK blood samples collected.
PrimaryPK of ADC, TAb, MMAE in Serum: Time to Maximum Concentration (Tmax) at Cycle 1 Day 1Cycle 1 Day 1: pre-dose, EOI, 2 hour, 4 hour post-dose (each cycle = 28 days)Tmax was derived from the PK blood samples collected.

Outcomes33

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYObjective Response Rate (ORR) as Per Response Evaluation Criteria in Solid Tumors V1.1 (RECIST V1.1)From first dose up to progressive disease or death (maximum duration: 9.33 months)FAS populationpercentage of participantsNUMBER
PRIMARYPharmacokinetics (PK) of Antibody-Drug Conjugate (ADC), Total Antibody (TAb), in Serum: Maximum Concentration (Cmax) at Cycle 1 Day 1Cycle 1 Day 1: pre-dose, end of infusion (EOI), 2 hour, 4 hour post-dose (each cycle = 28 days)
Pharmacokinetic Analysis Set (PKAS) included all participants in the PK cohort who had received at least 3 of 4 doses up through Cycle 2 Day 1, and had at least 5 blood samples collected and assayed for measurement of ADC, TAb or unconjugated MMAE serum/plasma concentrations to determine at least 1 PK parameter.
micrograms per milliliter (ug/mL)MEAN
PRIMARYPK of Monomethyl Auristatin E (MMAE) in Serum: Maximum Concentration (Cmax) at Cycle 1 Day 1Cycle 1 Day 1: pre-dose, end of infusion (EOI), 2 hour, 4 hour post-dose (each cycle = 28 days)PKAS population.nanograms per milliliter (ng/mL)MEAN
PRIMARYPK of ADC, TAb in Serum: Maximum Concentration (Cmax) at Cycle 1 Day 15Cycle 1 Day 15: pre-dose, EOI, 2 hour, 4 hour post-dose (each cycle = 28 days)PKAS population with available data were analyzed.ug/mLMEAN
PRIMARYPK of MMAE in Serum: Maximum Concentration (Cmax) at Cycle 1 Day 15Cycle 1 Day 15: pre-dose, EOI, 2 hour, 4 hour post-dose (each cycle = 28 days)PKAS population with available data were analyzed.ng/mLMEAN
PRIMARYPK of ADC , TAb in Serum: Trough Concentration (Ctrough) at Cycle 1 Day 1Cycle 1 Day 1: pre-dosePKAS population.ug/mLMEAN
PRIMARYPK of MMAE in Serum: Trough Concentration (Ctrough) at Cycle 1 Day 1Cycle 1 Day 1: pre-dosePKAS population.ng/mLMEAN
PRIMARYPK of ADC, TAb in Serum: Trough Concentration (Ctrough) at Cycle 1 Day 15Cycle 1 Day 15: pre-dosePKAS population with available data were analyzed.ug/mLMEAN
PRIMARYPK of MMAE in Serum: Trough Concentration (Ctrough) at Cycle 1 Day 15Cycle 1 Day 15: pre-dosePKAS population with available data were analyzed.picograms per milliliter (pg/mL)MEAN
PRIMARYPK of ADC, TAb, MMAE in Serum: Time to Maximum Concentration (Tmax) at Cycle 1 Day 1Cycle 1 Day 1: pre-dose, EOI, 2 hour, 4 hour post-dose (each cycle = 28 days)PKAS population.daysMEDIAN

Results by group59

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Objective Response Rate (ORR) as Per Response Evaluation Criteria in Solid Tumors V1.1 (RECIST V1.1)Enfortumab Vedotin 1.25 mg/kg37.595% Confidence Interval 22.7 to 54.2percentage of participants
Pharmacokinetics (PK) of Antibody-Drug Conjugate (ADC), Total Antibody (TAb), in Serum: Maximum Concentration (Cmax) at Cycle 1 Day 1Enfortumab Vedotin 1.25 mg/kgADC28.1Standard Deviation 4.52micrograms per milliliter (ug/mL)
Pharmacokinetics (PK) of Antibody-Drug Conjugate (ADC), Total Antibody (TAb), in Serum: Maximum Concentration (Cmax) at Cycle 1 Day 1Enfortumab Vedotin 1.25 mg/kgTAb31.7Standard Deviation 5.73micrograms per milliliter (ug/mL)
PK of Monomethyl Auristatin E (MMAE) in Serum: Maximum Concentration (Cmax) at Cycle 1 Day 1Enfortumab Vedotin 1.25 mg/kg3.33Standard Deviation 1.74nanograms per milliliter (ng/mL)
PK of ADC, TAb in Serum: Maximum Concentration (Cmax) at Cycle 1 Day 15Enfortumab Vedotin 1.25 mg/kgADC27.6Standard Deviation 4.01ug/mL
PK of ADC, TAb in Serum: Maximum Concentration (Cmax) at Cycle 1 Day 15Enfortumab Vedotin 1.25 mg/kgTAb34.4Standard Deviation 4.64ug/mL
PK of MMAE in Serum: Maximum Concentration (Cmax) at Cycle 1 Day 15Enfortumab Vedotin 1.25 mg/kg4.49Standard Deviation 3.58ng/mL
PK of ADC , TAb in Serum: Trough Concentration (Ctrough) at Cycle 1 Day 1Enfortumab Vedotin 1.25 mg/kgADC0Standard Deviation NAug/mL
PK of ADC , TAb in Serum: Trough Concentration (Ctrough) at Cycle 1 Day 1Enfortumab Vedotin 1.25 mg/kgTAb0Standard Deviation NAug/mL
PK of MMAE in Serum: Trough Concentration (Ctrough) at Cycle 1 Day 1Enfortumab Vedotin 1.25 mg/kg0Standard Deviation NAng/mL

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDEnfortumab Vedotin 1.25 mg/kg40
Overall StudyCOMPLETEDEnfortumab Vedotin 1.25 mg/kg0
Overall StudyNOT COMPLETEDEnfortumab Vedotin 1.25 mg/kg40

Adverse events122

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersEnfortumab Vedotin 1.25 mg/kg284081
otherLeukopeniaBlood and lymphatic system disordersEnfortumab Vedotin 1.25 mg/kg2402
otherSinus tachycardiaCardiac disordersEnfortumab Vedotin 1.25 mg/kg4406
otherDry eyeEye disordersEnfortumab Vedotin 1.25 mg/kg3403
otherEye dischargeEye disordersEnfortumab Vedotin 1.25 mg/kg5405
otherVision blurredEye disordersEnfortumab Vedotin 1.25 mg/kg2402
otherAbdominal discomfortGastrointestinal disordersEnfortumab Vedotin 1.25 mg/kg4404
otherAbdominal painGastrointestinal disordersEnfortumab Vedotin 1.25 mg/kg4405
otherAbdominal pain upperGastrointestinal disordersEnfortumab Vedotin 1.25 mg/kg5405
otherConstipationGastrointestinal disordersEnfortumab Vedotin 1.25 mg/kg194025

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityEnfortumab Vedotin 1.25 mg/kg1040
Total, other adverse eventsEnfortumab Vedotin 1.25 mg/kg4040
Total, serious adverse eventsEnfortumab Vedotin 1.25 mg/kg1840

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
39530574DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04995419

GET https://conductscience.org/api/trials/v1/NCT04995419/registered?page=2