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Pembrolizumab & Enfortumab Vedotin

Phase 2

Urothelial Carcinoma | Small molecule | Oncology |Natera, Inc.|Last Updated: Feb 2, 2026

Target and mechanism

Molecular targetPDCD1
Target classInhibitor
ModalitySmall molecule

Also known as Pembrolizumab & Enfortumab Vedotin (PEV)

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment30

FDA Designations

No designations recorded

Clinical trial landscape

Pembrolizumab & Enfortumab Vedotin · 1 trial · 1 indication

Phase 2 1
NCT07183319Circulating Tumor DNA Response In Urothelial CancerUrothelial Carcinoma
RECRUITING30 Analytics
PHASE2RECRUITING
Circulating Tumor DNA Response In Urothelial Cancer
Urothelial CarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

3 months of progression-free survival (PFS) while on Pembrolizumab Monotherapy.
3 months

Number of patients who achieve PFS at the 3-month mark on pembrolizumab monotherapy. These patients will undergo radiographic assessments to evaluate progression-free survival (PFS).

6 months of PFS while on Pembrolizumab Monotherapy
6 months

Number of patients in the de-escalation phase who have reached 6-month PFS while on pembrolizumab monotherapy.

Secondary Endpoints

Treatment Related Adverse Events (TRAEs) while on Pembrolizumab Monotherapy.
1 year
Pain Assessment In Patients While On Pembrolizumab Monotherapy.
1 year
Changes In Peripheral Neuropathy While on Pembrolizumab Monotherapy
1 year
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Pembrolizumab & Enfortumab Vedotin (PEV)EXPERIMENTALPatients with metastatic urothelial carcinoma (mUC) will initiate first-line (1L) PEV therapy as the standard of care. At 24 weeks, radiographic imaging will be performed to evaluate disease status. Patients who exhibit either stable disease or ongoing radiographic response, accompanied by a ≥50% reduction in circulating tumor DNA (ctDNA) levels, will transition to pembrolizumab monotherapy as part of a treatment de-escalation strategy. Pembrolizumab will be continued until the occurrence of disease progression or unacceptable toxicity. In the event of progression or intolerance, patients will be re-challenged with first-line PEV therapy and continue treatment until completion of the study-defined treatment period.

Interventions

NameTypeDescription
Pembrolizumab & Enfortumab Vedotin (PEV)DRUGPatients in the study will receive 1L PEV with 1.25 mg/kg of EV on day 1 and day 8 every 21 days, and 200 mg of pembrolizumab every 21 days.
PembrolizumabDRUGPatients will receive 400 mg of pembrolizumab every 42 days. During the de-escalation period from PEV.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Have histologically documented unresectable, locally advanced, or metastatic urothelial carcinoma. * Measurable disease according to the New Response Evaluation Criteria in Solid Tumors (RECIST v1.1)38 a. Participants with prior definitive radiation therapy must have measur...

Countries:United States
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Frequently asked questions about Pembrolizumab & Enfortumab Vedotin

What is Pembrolizumab & Enfortumab Vedotin used for in Urothelial Carcinoma?

Pembrolizumab & Enfortumab Vedotin (PEV) is an investigational combination being studied for the treatment of Urothelial Carcinoma. It is currently in Phase 2 clinical development, evaluated in a single-arm trial that is recruiting patients in the United States.

What does Pembrolizumab & Enfortumab Vedotin target?

Pembrolizumab & Enfortumab Vedotin targets components of the immune system and tumor cells. Pembrolizumab is an antibody that blocks PD-1, while enfortumab vedotin is an antibody-drug conjugate targeting Nectin-4. The combination is being studied in urothelial carcinoma.

Who makes Pembrolizumab & Enfortumab Vedotin?

Pembrolizumab & Enfortumab Vedotin is being developed by Natera, Inc. (NASDAQ: NTRA). The company is conducting a Phase 2 clinical trial of this combination in patients with urothelial carcinoma.

What phase is Pembrolizumab & Enfortumab Vedotin in?

Pembrolizumab & Enfortumab Vedotin is in Phase 2 clinical development. It is an investigational therapy, not yet approved by regulatory authorities. The ongoing trial is recruiting participants with urothelial carcinoma.

What clinical trials is Pembrolizumab & Enfortumab Vedotin in?

Pembrolizumab & Enfortumab Vedotin is being evaluated in one Phase 2 clinical trial, NCT07183319, titled 'Circulating Tumor DNA Response In Urothelial Cancer.' This single-arm, uncontrolled study is recruiting 30 participants aged 18 years and older in the United States.

Is Pembrolizumab & Enfortumab Vedotin the same as PEV?

Yes, Pembrolizumab & Enfortumab Vedotin is also known as PEV. The abbreviation PEV is used to refer to this combination therapy, which is currently being studied in a Phase 2 trial for urothelial carcinoma.