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Zelenectide pevedotin

Phase 2

Metastatic Urothelial Cancer | Small molecule | Oncology |Bicycle Therapeutics plc|Last Updated: May 27, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment375
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06225596Study BT8009-230 in Participants With Locally Advanced or Metastatic Urothelial Cancer (Duravelo-2)PHASE2 ACTIVE NOT_RECRUITING 375Jan 24, 2024Mar 1, 2028May 27, 2026102 United States, Argentina +19
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Study Endpoints
Primary Endpoints
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
Cohort 1: PFS per RECIST v1.1 assessed by BICR of zelenectide pevedotin combined treatment arms versus chemotherapy
Up to approximately 4 years
Cohort 1: ORR per RECIST v1.1 assessed by BICR of optimal dose zelenectide pevedotin in combination with pembrolizumab versus chemotherapy.
Up to approximately 4 years
Cohort 1: ORR per RECIST v1.1 assessed by BICR of zelenectide pevedotin combined treatment arms versus chemotherapy
Up to approximately 4 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
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 receive zelenectide pevedotin on Days 1, 8, and 15 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 — N/A
SexALL
Healthy VolunteersNo
Study Sites102

Key Inclusion Criteria: * Life expectancy ≥ 12 weeks. * Measurable disease as defined by RECIST v1.1. * Histologically or cytologically confirmed locally advanced (unresectable) or metastatic UC of the renal pelvis, ureter, bladder, or urethra. * Archival or fresh tumor tissue comprising primary or...

Countries:United StatesArgentinaAustraliaBelgiumBrazilCanadaChileFranceGeorgiaGermanyHungaryIsraelItalyPolandSerbiaSingaporeSouth KoreaSpainTaiwanTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)
HIGHMay 28, 2026NCT06225596Enrollment: 956 → 375
HIGHMay 28, 2026NCT06225596Enrollment: 956 → 375
LOWMay 26, 2026NCT06225596primaryCompletionDate: changed
LOWMay 24, 2026NCT06225596studyFirstPostDate: changed