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Zelenectide pevedotin

Phase 2

Metastatic Urothelial Cancer | Small molecule | Oncology |Bicycle Therapeutics plc|Last Updated: Jul 2, 2026

Target and mechanism

Target class-Tide (Peptide)
ModalitySmall molecule

Also known as Zelenectide pevedotin (BT8009)

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment375

FDA Designations

No designations recorded

Clinical trial landscape

Zelenectide pevedotin · 4 trials · 4 indications

Phase 2 4
NCT07681674Bicycle Continued Access Protocol (BiCAP) for Participants Receiving a Bicycle Investigational ProductAdvanced Solid Tumors
NOT YET_RECRUITING16 Analytics
NCT06933329Zelenectide Pevedotin in NECTIN4 Amplified Advanced or Metastatic Non-small Cell Lung CancerNon-Small Cell Lung Cancer
ACTIVE NOT_RECRUITING73 Analytics
NCT06840483Study of Zelenectide Pevedotin in Participants With Advanced Breast CancerBreast Cancer
ACTIVE NOT_RECRUITING66 Analytics
NCT06225596Study BT8009-230 in Participants With Locally Advanced or Metastatic Urothelial Cancer (Duravelo-2)Metastatic Urothelial Cancer
ACTIVE NOT_RECRUITING375 Analytics
PHASE2NOT YET_RECRUITING
Bicycle Continued Access Protocol (BiCAP) for Participants Receiving a Bicycle Investigational Product
Advanced Solid TumorsUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
Zelenectide Pevedotin in NECTIN4 Amplified Advanced or Metastatic Non-small Cell Lung Cancer
Non-Small Cell Lung CancerUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
Study of Zelenectide Pevedotin in Participants With Advanced Breast Cancer
Breast CancerUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
Study BT8009-230 in Participants With Locally Advanced or Metastatic Urothelial Cancer (Duravelo-2)
Metastatic Urothelial CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Monitor safety for participants receiving a Bicycle investigational product
Up to 48 months

Incidence, severity, seriousness, relationship, and type of serious adverse events (SAEs), treatment-related adverse events (TRAEs), adverse events of clinical interest (AECIs), and treatment modifications as a result of any of these

Objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1) assessed by Investigator
Up to approximately 3 years

Percentage of participants with either a confirmed complete response (CR) or partial response (PR)

Objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors per RECIST version 1.1 as assessed by the Investigator
Up to approximately 3 years

Percentage of participants with either a confirmed complete response (CR) or partial response (PR)

Cohort 1: Progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors, version 1.1(RECIST v1.1) by blinded central independent review (BICR) of optimal dose zelenectide pevedotin with pembrolizumab versus chemotherapy
Up to approximately 4 years

The time from randomization to date of first documentation of disease progression or death.

Cohort 2: PFS per RECIST v1.1 assessed by BICR of zelenectide pevedotin monotherapy in each treatment regimen
Up to approximately 4 years

The time from randomization to date of first documentation of disease progression or death.

Cohort 2: Objective response rate (ORR) per RECIST v1.1 assessed by BICR of zelenectide pevedotin monotherapy in each treatment regimen
Up to approximately 4 years

Secondary Endpoints

Number of participants reporting adverse events (AEs) and abnormalities in laboratory, electrocardiogram (ECG) and vital signs
Up to approximately 3 years
Duration of Response (DOR) per RECIST v1.1 assessed by the Investigator
Up to approximately 3 years
Disease Control Rate (DCR) per RECIST v1.1 assessed by the Investigator
Up to approximately 3 years
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Zelenectide pevedotinEXPERIMENTAL -
BT7480EXPERIMENTAL -
Nuzefatide pevedotinEXPERIMENTAL -
Cohort A (non-squamous NSCLC)EXPERIMENTAL -
Cohort B (squamous NSCLC)EXPERIMENTAL -
Cohort A (HR+/HER2-negative breast cancer)EXPERIMENTAL -
Cohort B (TNBC)EXPERIMENTAL -
Cohort 1: Zelenectide pevedotin Arm 1EXPERIMENTALParticipants will receive zelenectide pevedotin and a standard dose of pembrolizumab.
Cohort 1: Zelenectide pevedotin Arm 2EXPERIMENTALParticipants will receive zelenectide pevedotin and a standard dose of pembrolizumab.
Cohort 1: Arm 3ACTIVE_COMPARATORParticipants will receive Platinum-based combination chemotherapy +/- avelumab maintenance
Cohort 2: Zelenectide pevedotin Arm 1EXPERIMENTALParticipants will receive zelenectide pevedotin.
Cohort 2: Zelenectide pevedotin Arm 2EXPERIMENTALParticipants will receive zelenectide pevedotin.

Interventions

NameTypeDescription
Zelenectide pevedotinDRUGParticipants will continue on the same treatment regimen they were receiving in their parent study.
BT7480DRUGParticipants will continue on the same treatment regimen they were receiving in their parent study.
Nuzefatide pevedotinDRUGParticipants will continue on the same treatment regimen they were receiving in their parent study.
Zelenectide pevedotin (BT8009)DRUGParticipants will receive zelenectide pevedotin on Days 1, and 8 of every 21-day cycle.
PembrolizumabDRUGParticipants will receive Pembrolizumab on Day 1 of every 21-day cycle. Pembrolizumab infusion will be started 30 minutes following the completion of the zelenectide pevedotin infusion.
Gemcitabine + cisplatin Or carboplatinDRUGParticipants will receive Gemcitabine on Days 1 and 8 of every 21-day cycle plus cisplatin Or carboplatin on Day 1 of every 21-day cycle.
AvelumabDRUGAfter 4-6 cycles of Gemcitabine + Cisplatin or Carboplatin participants will receive maintenance Avelumab, if clinically indicated, on Days 1 and 15 each 28-day cycle.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Participants must be receiving a Bicycle investigational product in another Bicycle-sponsored clinical study and will benefit from continued study treatment as assessed by the Investigator. The participant must be tolerating the treatment and the disease being treated has not ...

Countries:FranceSpainUnited StatesAustraliaBelgiumItalyUnited KingdomArgentinaBrazilCanadaChileGeorgiaGermanyHungaryIsraelPolandSerbiaSingaporeSouth KoreaTaiwanTurkey (Türkiye)
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Recent Changes (Last 90 Days)

HIGHMay 28, 2026NCT06225596Enrollment: 956 → 375
HIGHMay 28, 2026NCT06225596Enrollment: 956 → 375

Frequently asked questions about Zelenectide pevedotin

What is Zelenectide pevedotin used for?

Zelenectide pevedotin is an investigational small molecule being studied for the treatment of metastatic urothelial cancer, non-small cell lung cancer, advanced solid tumors, and breast cancer. It is currently in Phase 2 clinical development and has not been approved by regulatory authorities.

What does Zelenectide pevedotin target?

Zelenectide pevedotin is a peptide-based small molecule, classified under the -tide (peptide) target class. It is designed to target NECTIN4, as indicated by its clinical trial in NECTIN4 amplified non-small cell lung cancer. The drug is being developed by Bicycle Therapeutics.

Who makes Zelenectide pevedotin?

Zelenectide pevedotin is developed by Bicycle Therapeutics plc, a biopharmaceutical company listed on the stock exchange under the ticker BCYC. The company is conducting multiple Phase 2 clinical trials to evaluate the drug's safety and efficacy in various oncology indications.

What phase is Zelenectide pevedotin in?

Zelenectide pevedotin is currently in Phase 2 clinical development. It is an investigational drug and has not received FDA approval. The ongoing trials are evaluating its use in metastatic urothelial cancer, breast cancer, non-small cell lung cancer, and advanced solid tumors.

What clinical trials is Zelenectide pevedotin in?

Zelenectide pevedotin is being studied in several Phase 2 trials, including NCT06225596 for metastatic urothelial cancer, NCT06840483 for advanced breast cancer, NCT06933329 for NECTIN4 amplified non-small cell lung cancer, and NCT07681674 for advanced solid tumors. These trials are actively recruiting or ongoing.

Is Zelenectide pevedotin the same as BT8009?

Yes, Zelenectide pevedotin is also known as BT8009. The drug is referred to by both names in clinical trial documentation and research literature. It is being developed by Bicycle Therapeutics for multiple oncology indications.