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Avelumab

Phase 3FDA approved

Advanced Malignancies | Monoclonal antibody | Oncology |Pfizer, Inc.|Trials Updated: Oct 20, 2026

Avelumab development status

FDA approval on record Mar 23, 2017 as Bavencio
Approval holderEmd Serono Inc
ApplicationBLA761049
Highest phase Phase 3
Registered trials 112 across 48 sponsors since Jan 2013

Label indication BAVENCIO is a programmed death ligand-1 (PD-L1) blocking antibody indicated for: Merkel Cell Carcinoma (MCC) Adults and pediatric patients 12 years and older with metastatic MCC. ( 1.1 , 14.1 ) Urothelial Carcinoma (UC) Maintenance treatment of patients with locally advanced or metastatic UC that has not progressed with first-line platinum-containing chemotherapy. FDA label

Avelumab target and mechanism

Molecular targetCD274
Target classOther
ModalityMonoclonal antibody

Also known as Avelumab (MSB0010718C), Bavencio, MSB0010718C, anti-PD-L1

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials10
Total Enrollment2,569

FDA Designations

No designations recorded

Avelumab clinical trials

Avelumab · 10 trials · 15 indications

Phase 3 4Phase 2 2Phase 1 4
NCT05059522Continued Access Study for Participants Deriving Benefit in Pfizer-Sponsored Avelumab Parent Studies That Are ClosingAdvanced Malignancies
ACTIVE NOT_RECRUITING77 Analytics
NCT02603432A Study Of Avelumab In Patients With Locally Advanced Or Metastatic Urothelial Cancer (JAVELIN Bladder 100)Urothelial Cancer
COMPLETED700 Analytics
NCT02684006A Study of Avelumab With Axitinib Versus Sunitinib In Advanced Renal Cell Cancer (JAVELIN Renal 101)Renal Cell Cancer
COMPLETED886 Analytics
NCT02580058A Study Of Avelumab Alone Or In Combination With Pegylated Liposomal Doxorubicin Versus Pegylated Liposomal Doxorubicin Alone In Patients With Platinum Resistant/Refractory Ovarian Cancer (JAVELIN Ovarian 200)Ovarian Cancer
COMPLETED566 Analytics
PHASE3ACTIVE NOT_RECRUITING
Continued Access Study for Participants Deriving Benefit in Pfizer-Sponsored Avelumab Parent Studies That Are Closing
Advanced MalignanciesUnlock trial analytics
PHASE3COMPLETED
A Study Of Avelumab In Patients With Locally Advanced Or Metastatic Urothelial Cancer (JAVELIN Bladder 100)
Urothelial CancerUnlock trial analytics
PHASE3COMPLETED
A Study of Avelumab With Axitinib Versus Sunitinib In Advanced Renal Cell Cancer (JAVELIN Renal 101)
Renal Cell CancerUnlock trial analytics
PHASE3COMPLETED
A Study Of Avelumab Alone Or In Combination With Pegylated Liposomal Doxorubicin Versus Pegylated Liposomal Doxorubicin Alone In Patients With Platinum Resistant/Refractory Ovarian Cancer (JAVELIN Ovarian 200)
Ovarian CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of participants with adverse events leading to permanent discontinuation of study intervention
Baseline up to approximately 5 years
Number serious adverse events reported for all participants
Baseline up to approximately 5 years
Overall Survival (OS)
From randomization to discontinuation from the study, death or date of censoring, whichever occurred first (for a maximum duration of 41 months)

Overall survival was defined as the time (in months) from the date of randomization to the date of death due to any cause. Participants last known to be alive were censored at date of last contact. Analysis was performed using Kaplan-Meier method.

Progression Free Survival (PFS) as Assessed by Blinded Independent Central Review (BICR) in Programmed Death-Ligand 1 (PD-L1) Positive Participants
From date of randomization to the first documentation of PD or death due to any cause or censoring date, whichever occurred first (maximum up to approximately 26 months)

PFS: time from the date of randomization to the date of the first documentation of progressive disease (PD) according to Response Evaluation Criteria in Solid Tumours (RECIST version \[v\] 1.1) or death due to any cause, whichever occurred first as assessed by BICR. PFS data was censored on date of last adequate tumor assessment for participants who did not have an event (PD or death), who started new anti-cancer therapy prior to an event or for participants with an event after 2 or more missing tumor assessments. PD was defined as at least a 20 percent (%), increase in the sum of all the longest diameter of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to relative increase of 20 %, sum must have also demonstrated an absolute more than (\>) of at least 5 millimeter (mm). The appearance of one or more new lesions was also considered progression.

Overall Survival (OS) in PD-L1 Positive Participants
From the date of randomization to the date of death due to any cause or censoring date, whichever occurred first (maximum up to approximately 89 months)

OS was defined as the time from the date of randomization to the date of death due to any cause. Participants last known to be alive were censored at date of last contact. Analysis was performed using Kaplan-Meier method.

Progression Free Survival (PFS) Based on Blinded Independent Central Review (BICR) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
From randomization to date of first documentation of PD or death due to any cause whichever was first (up to 30 months); based on cutoff date: 19 September 2018.

PFS is defined as the time from date of randomization to the date of the first documentation of progression of disease (PD) or death due to any cause, whichever occurs first. PFS time was summarized by treatment arm using the Kaplan-Meier method. PFS based on BICR assessment was evaluated for this endpoint.

Clinical Complete Response
2 years

The number of patients with a response to treatment as assessed by MRI breast imaging

Response Rate
At the end of 4 cycles of avelumab (approximately 4 months)

The study is designed by treating RECIST response \[complete response + partial response (CR+PR)\] after 4-cycle treatment of avelumab and the 16-week progression-free survival (PFS) as dual binary endpoints. Patients who fail to be evaluated at the end of the 4-cycle will be counted as failure.

Progression-free Survival
At the end of 4 cycles of avelumab (approximately 4 months)

The study is designed by treating RECIST response \[complete response + partial response (CR+PR)\] after 4-cycle treatment of avelumab and the 16-week progression-free survival (PFS) as dual binary endpoints. Patients who fail to be evaluated at the end of the 4-cycle will be counted as failure.

NSCLC Cohort: Evaluate best overall response rate (ORR) by tumor type according to Immune-Response Criteria (iRECIST) in metastatic or locally advanced, squamous or non-squamous NSCLC.
24 months
Number of Participants With Treatment Emergent Adverse Events (TEAEs) by Severity as Graded by National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version (v.) 4.03
From first dose of study drug up to 30 days after last dose of study drug or initiation of new anti-cancer drug therapy, whichever occurred first (maximum up to 21 months)

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. AEs were graded by investigator according to NCI CTCAE v.4.03 as follows: Grade 1: mild AE, Grade 2: moderate AE, Grade 3: severe AE, Grade 4: life-threatening consequences and urgent intervention indicated, Grade 5: death related to AE.

Number of Participants With Abnormal Laboratory Parameter Values (Hematology) as Graded by National Cancer Institute (NCI) Common Terminology Criteria for Adverse Event (CTCAE) Version 4.03
From first dose of study drug up to 30 days after last dose of study drug or initiation of new anti-cancer drug therapy, whichever occurred first (maximum up to 21 months)

As per NCI-CTCAE v 4.03, anemia Grade 1= Less than (\<) lower limit of normal (LLN) to 100 gram per liter (g/L),Grade 2= \<100 to 80 g/L; hemoglobin increased: Grade 1= increase of greater than (\>) 0 to 2 gram per deciliter(g/dL) above upper limit of normal \[ULN\]; lymphocyte count decreased: Grade 1= \<LLN to 0.8\*10\^9/L, Grade 2= \<0.8\*10\^9/L to 0.5\*10\^9/L, Grade 3= \<0.5\*10\^9/L to 0.2\*10\^9/L ; lymphocyte count increased: Grade 2= \>4\*10\^9/L to 20\*10\^9/L; neutrophil count decreased: Grade 1= \<LLN to 1.5\*10\^9/L ,Grade 2= \<1.5\*10\^9/L to 1.0\*10\^9/L; platelet count decreased: Grade 1= \<LLN to 75.0\*10\^9/L, Grade 2= \<75.0\*10\^9/L to 50.0\*10\^9/L; white blood cell decreased: Grade 1= \<LLN to 3\*10\^9/L, Grade 2= \<3\*10\^9/L to 2\*10\^9/L.

Number of Participants With Abnormal Laboratory Parameter Values (Chemistry) as Graded by National Cancer Institute (NCI) Common Terminology Criteria for Adverse Event (CTCAE) Version (v) 4.03
From first dose of study drug up to 30 days after last dose of study drug or initiation of new anti-cancer drug therapy, whichever occurred first (maximum up to 21 months)

ALT,ALP,AST increased grades(g):g1\>ULN-3.0\*ULN,g2\>3.0-5.0\*ULN,g3\>5.0-20.0\*ULN; blood bilirubin increased:g1\>ULN-1.5\*ULN, g2\>1.5-3.0\*ULN, g3\>3.0-10.0\*ULN; \[cholesterol high:g1\>ULN-7.75, g2 \>7.75-10.34,g4 \>12.92\]millimoles per liter(mmol/L);creatine phosphokinase, gamma-glutamyl transferase(ggt) increased g1\>ULN-2.5\*ULN, g2\>2.5\*ULN-5\*ULN; Ggt increased g3 \>5.0-20.0\*ULN; Creatinine increased: g1\>ULN-1.5\*ULN; \[hypoalbuminemia:g1\<LLN-30,g2\<30-20\] grams per liter(g/L);\[hyperglycemia:g1\> ULN-8.9,g2\> 8.9-13.9,g3\> 13.9-27.8;hypermagnesemia:g1\>ULN-1.23;hypercalcemia:g1\>ULN -2.9;hyperkalemia:g1\>ULN-5.5,hypernatremia:g1\>ULN-150;hypertriglyceridemia g1:1.71-3.42,g2 \>3.42-5.7;hypocalcemia:g1\<LLN-2.0,hypoglycemia:g1\<LLN-3.0, g2\<3.0-2.2;hypokalemia:g2\<LLN-3.0,g4\<2.5,hypomagnesemia:g1\<LLN-0.5,hyponatremia:g1\<LLN-130, g3\<130-120,hypophosphatemia:g1\<LLN-0.8,g2\<0.8-0.6\]mmol/L;lipase increased:g1\>ULN-1.5\*ULN,g3 \>2.0-5.0\*ULN;serum amylase increased:g1\>ULN-1.5\*ULN, g2\>1.5-2.0\*ULN,g3\>2.0-5.0\*ULN.

Phase Ib: To Evaluate the Safety and Tolerability of the Combination of TG4001 Plus Avelumab in Participants With Recurrent or Metastatic HPV-16 Positive Advanced Malignancies
From Day 1 to Day 28

Dose limiting toxicities (DLTs) includes the following: * Grade ≥ 3 drug related adverse event (AEs). However, fatigue, nausea/vomiting adequately treated with anti-emetics, endocrinopathies adequately controlled with one physiologic hormone replacement, skin toxicity and single laboratory values out of normal range without any clinical correlate, asymptomatic grade ≥3 lipase or amylase elevation, tumor flare defined as local pain, irritation, or rash localized at sites of known or suspected tumor or a transient Grade 3 infusion adverse event are excluded. * Liver function test abnormality: * AST or ALT \> 5 x ULN * Total bilirubin \> 3 x ULN * Concurrent AST or ALT \> 3 x ULN and total bilirubin \> 2 x ULN * Drug related AE requiring treatment interruption for more than 2 weeks

Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1
From treatment start, every 6 weeks for the first 9 months, then every 12 weeks up to 2 years.

Percentage of participants whose best overall response is either a Complete Response or a Partial Response according to Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria over the the total number of evaluable participants. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT/MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.", or similar definition that is accurate and appropriate.

Phase II Part 2 Cohort A: Progression Free Survival (PFS) by RECIST 1.1
From randomization: Every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 1 year.

PFS is defined as the time from the date of randomization to the date of first documented tumor progression or death due to any cause, whichever occurs first. If a participant has not had a PFS event at the cut-off date for analysis or at the date when a further antineoplastic therapy (other than those planned as study treatment in the protocol) is started, PFS will be censored at the date of last evaluable tumor assessment before the cut-off or start of further antineoplastic therapy.

Progression Free Survival (PFS) Phase II Part 2 Cohort A by Stratification
From randomization: Every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 1 year.

PFS is defined as the time from the date of randomization to the date of first documented tumor progression or death due to any cause, whichever occurs first. If a participant has not had a PFS event at the cut-off date for analysis or at the date when a further antineoplastic therapy (other than those planned as study treatment in the protocol) is started, PFS will be censored at the date of last evaluable tumor assessment before the cut-off or start of further antineoplastic therapy.

Number of Participants With Dose Limiting Toxicities (DLTs)
DLT observation period (from the beginning of Cycle 1 up to the end of Cycle 2 [28 days])

DLT: greater than or equal to (\>=) Grade 3 hematologic/non-hematologic toxicity, Grade 3-4 liver-related laboratory test elevation (alanine aminotransferase, aspartate aminotransferase) with Grade 2 elevation of total bilirubin, non-hematologic Grade 3 laboratory abnormality (required medical intervention to treat participant/led to hospitalization), inability to complete \>=75% of first 2 cycles doses of axitinib (from Cycle 1 Day 1 after completion of lead-in period) or 2 infusions of avelumab within DLT observation period due to investigational product related toxicity.

Secondary Endpoints

Progression-Free Survival (PFS) as Assessed by Blinded Independent Central Review (BICR)
From randomization to date of progression of disease, discontinuation from the study, death or date of censoring, whichever occurred first (for a maximum duration of 41 months)
Progression-Free Survival (PFS) as Assessed by Investigator
From randomization to date of progression of disease, discontinuation from the study, death or date of censoring, whichever occurred first (for a maximum duration of 41 months)
Percentage of Participants With Objective Response (OR) as Assessed by Blinded Independent Central Review (BICR)
From randomization to progression of disease, start of new anti-cancer therapy or discontinuation from study or death, whichever occurred first (for a maximum duration of 41 months)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm 1EXPERIMENTALAvelumab monotherapy as specified by sub-study protocol B9991001C
Arm 2EXPERIMENTALAvelumab in combination with CMP 001, Utomilumab or PF04518600 as specified by sub-study protocol B9991004C
Arm 3EXPERIMENTALAvelumab in combination with Loratanib as specified by sub-study protocol B9991005C
Arm 4EXPERIMENTALAvelumab monotherapy as specified by sub-study protocol B9991009C
Arm 5EXPERIMENTALAvelumab monotherapy or in combination with Pemetrexed as specified by sub-study protocol B9991023C
Arm 6EXPERIMENTALAvelumab in combination with Talazoparib as specified by sub-study B9991025C.
Arm 7EXPERIMENTALAvelumab in combination with Axitinib as specified by sub-study B9991027C.
Arm 8EXPERIMENTALAvelumab in combination with Talazoparib as specified by sub-study B9991032C.
Arm 9EXPERIMENTALAvelumab in combination with Axitinib as specified by sub-study protocol B9991003C
Arm AEXPERIMENTALAvelumab plus Best Supportive Care (BSC)
Arm BOTHERBest Supportive Care (BSC) alone Following the planned interim analysis for this study, eligible patients in Arm B whose cancer has not worsened and are still in the "watch and wait" part of the study will be given the option to receive Avelumab plus BSC. Prior to this, Arm B patients received BSC alone. All patients who choose not to receive Avelumab will be discontinued.
Avelumab in combination with axitinibEXPERIMENTALAvelumab administered at 10 mg/kg IV every two weeks in combination with axitinib, 5 mg PO BID.
SunitinibACTIVE_COMPARATORSunitinib given at 50 mg PO QD on schedule 4/2
avelumabEXPERIMENTALArm A: avelumab alone
avelumab plus pegylated liposomal doxorubicin (PLD)EXPERIMENTALArm B: avelumab plus PLD
PLDACTIVE_COMPARATORArm C: PLD alone
Endocrine TherapyACTIVE_COMPARATOREligible patients with ER-positive breast cancer will undergo a biopsy and be randomized to receive endocrine therapy (ET) versus endocrine therapy with palbociclib (PET) in a 1:2 ratio. A 1:2 ratio means that twice as many participants will be assigned to the PET arm as compared to the ET arm. After 1 cycle (28 days) another biopsy will be obtained, and both arms will receive avelumab (A) for 3 additional cycles. Patients will then undergo breast surgery.
Endocrine Therapy with PalbociclibACTIVE_COMPARATOREligible patients with ER-positive breast cancer will undergo a biopsy and be randomized to receive endocrine therapy (ET) versus endocrine therapy with palbociclib (PET) in a 1:2 ratio. A 1:2 ratio means that twice as many participants will be assigned to the PET arm as compared to the ET arm. After 1 cycle (28 days) another biopsy will be obtained, and both arms will receive avelumab (A) for 3 additional cycles. Patients will then undergo breast surgery.
PT-112 in combination with avelumabEXPERIMENTALPT-112, administered by intravenous infusion avelumab, administered by intravenous infusion Patients with all listed conditions are eligible for treatment during the dose escalation phase of the study. Patients with NSCLC are eligible for the dose confirmation phase of the study.
Experimental 1EXPERIMENTALAvelumab (MSB0010718C) in combination with axitinib (AG-013736)
TG4001/AvelumabEXPERIMENTAL -
Dose finding phase and dose expansion phase.EXPERIMENTALTo test the maximum tolerated dose of avelumab (MSB0010718C) in combination with axitinib (AG-013736)

Interventions

NameTypeDescription
AvelumabDRUGoral
LorlatanibDRUGoral
TalazoparibDRUGoral
PemetrexedDRUGIV (intravenous) infusion
AxitinibDRUGoral
CMP 001DRUGIT (intratumoral) or SC (subcutaneous)
UtomilumabDRUGIV infusion
PF04518600DRUGIV infusion
Best Supportive CareOTHERBSC will be administered as deemed appropriate by the treating physician, and could include treatment with antibiotics, nutritional support, correction of metabolic disorders, optimal symptom control and pain management (including palliative radiotherapy), etc. BSC does not include any active anti-tumor therapy, however local radiotherapy of isolated lesions with palliative intent is acceptable.
Following the planned interim analysis for this study: AvelumabBIOLOGICAL1 hour intravenous infusion every 2 weeks (Q2W) in 4 week cycles
Avelumab (MSB0010718C)DRUGIV treatment Avelumab administered at 10 mg/kg IV every two weeks
Axitinib (AG-013736)DRUGOral treatment Axitinib given 5 mg PO BID
SunitinibDRUGOral treatment Sunitinib given at 50 mg PO QD on schedule 4/2
PLDDRUGPLD (Arm B, Arm C) 40 mg/m2 will be given as a 1 hour IV infusion every 4 weeks (Q4W) in 4 week cycles
Endocrine therapyDRUGThe endocrine therapy given will depend on menopausal status. Premenopausal women will receive tamoxifen AND either Goserelin or Leuprolide: * Tamoxifen (20mg) will be given orally daily x 4 cycles. (Other Names: Nolvadex) * Goserelin (3.6mg) will be given subcutaneously (under the skin) on Day 1 of each cycle x 4 cycles. (Other Names: Zoladex) * Leuprolide (3.75mg) will be given intramuscularly (in the buttock, thigh, or upper arm) on Day 1 of each cycle x 4 cycles. (Other Names: Leuprorelin, Lupron, Eligard) Postmenopausal women will receive letrozole: \- Letrozole (2.5mg) will be given orally daily each cycle x 4 cycles. (Other Names: Femara)
PalbociclibDRUGPalbociclib (125 mg) will be given orally on days 1-21 of each cycle x 4 cycles.
QuestionnairesOTHERTo assess quality of life, patients will complete questionnaires at four time points.
PT-112DRUGThe RP2D of PT-112 when used in combination with avelumab has been determined during dose escalation and is being confirmed in the NSCLC dose confirmation cohort. For the NSCLC confirmation cohort, PT-112 will be administered at a dose of 360 mg/m2 on Days 1, 8 and 15.
TG4001BIOLOGICALPhIb: Dose escalation PhII: Established RP2D for TG4001
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites71

Inclusion Criteria: 1. Any participant who is receiving study treatment and deriving significant clinical benefit or is in the safety and/or survival follow-up period in a Pfizer-sponsored Avelumab Parent Study. 2. Participants must agree to follow the reproductive criteria. 3. Participants must be...

Countries:United StatesAustraliaBelgiumCanadaDenmarkFranceHungaryIsraelItalyJapanMexicoNew ZealandPolandRussiaSerbiaSouth KoreaSpainTaiwanUnited KingdomArgentinaBrazilCzechiaGreeceHong KongIndiaNetherlandsNorwayPortugalSwedenAustriaGermanyRomaniaIrelandSingaporeSwitzerland
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Recent Changes (Last 90 Days)

LOWOct 20, 2026NCT05059522lastUpdatePostDate: changed
LOWOct 20, 2026NCT05059522lastUpdatePostDate: changed
MEDIUMAug 21, 2026NCT03006848TRIAL_REMOVED: changed
MEDIUMAug 21, 2026NCT03006848TRIAL_REMOVED: changed
MEDIUMAug 21, 2026NCT03006848TRIAL_REMOVED: changed

Frequently asked questions about Avelumab

What is Avelumab used for?

Avelumab is an investigational monoclonal antibody being studied in advanced malignancies, including non-small cell lung cancer, breast cancer, hepatocellular carcinoma, HPV-related carcinoma, and osteosarcoma. It is also being evaluated in ovarian, urothelial, and other solid tumors. The clinical program spans Phase 1 to Phase 3 trials in these cancer types.

What does Avelumab target?

Avelumab targets CD274, also known as PD-L1. By binding to this immune checkpoint protein, it is designed to interfere with PD-L1-mediated immune suppression. This mechanism is intended to restore T-cell activity against tumor cells. The target class is listed as OTHER in the available data.

Who makes Avelumab?

Avelumab is developed by Pfizer, Inc., which trades under the ticker PFE. Pfizer sponsors the clinical trials for this monoclonal antibody across multiple cancer indications. The company is responsible for the ongoing development program.

What phase is Avelumab in?

Avelumab is in Phase 3 development. It is an investigational agent and has not been approved by the FDA for any indication. The clinical program includes Phase 1, Phase 2, and Phase 3 trials, with one active trial and two completed trials listed in the available data.

What clinical trials is Avelumab in?

Avelumab is being studied in several clinical trials. NCT05059522 is a Phase 3 continued access study for participants deriving benefit from parent studies. NCT03573648 is a Phase 2 trial in estrogen receptor positive breast cancer. NCT03409458 is a completed Phase 1 trial in NSCLC, and NCT03289533 is a completed Phase 1 trial in hepatocellular carcinoma.

Is Avelumab the same as MSB0010718C?

Yes, Avelumab is also known as MSB0010718C. MSB0010718C is an alternative designation used for the same monoclonal antibody. Both names refer to the same investigational drug developed by Pfizer.