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Enfortumab vedotin

Phase 3

Urothelial Cancer | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Jun 8, 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 Enrollment390
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07566156Enfortumab Vedotin in Combination With Pembrolizumab vs. Concurrent Chemoradiotherapy (cCRT) in People With Muscle Invasive Bladder Cancer (EV-309)PHASE3 RECRUITING 390May 11, 2026Feb 29, 2032Jun 8, 20269 United States
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Study Endpoints
Primary Endpoints
Bladder-intact Event Free Survival (BI-EFS) by Blinded Independent Central Review (BICR)
Up to approximately 45.5 months

BI-EFS is defined as the time from randomization to any of the following events: histologically confirmed persistent or residual MIBC post-treatment confirmed by BICR, histologically confirmed recurrent MIBC by BICR, disease progression by BICR, cystectomy, or death from any cause.

Overall Survival (OS)
Up to approximately 60 months

Time from randomization to death due to any cause.

Secondary Endpoints
Bladder-intact Event Free Survival (BI-EFS) by Investigator
Up to approximately 45.5 months
Complete clinical response (cCR) rate by Blinded Independent Central Review (BICR) and Investigator
Up to approximately 60 months
Metastasis-Free Survival (MFS) by Blinded Independent Central Review (BICR) and Investigator
Up to approximately 60 months]
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm AEXPERIMENTALEnfortumab vedotin + pembrolizumab (EV + P)
Arm BACTIVE_COMPARATORConcurrent Chemoradiotherapy (cCRT)
Interventions
NameTypeDescription
Enfortumab vedotinDRUGEnfortumab vedotin administered as an IV infusion on Days 1 and 8 of every 3-week cycle up to cycle 9.
Conventional RadiotherapyRADIATION64 Gy in 32 fractions over 6.5 weeks administered to the participant's bladder only or the bladder and prophylactically to pelvic nodes.
Hypofractionated RadiotherapyRADIATION55 Gy in 20 fractions over 4 weeks administered to the participant's bladder only.
CisplatinDRUG40 mg of cisplatin per meter squared of body surface area, administered once weekly via IV infusion during radiation OR 20 mg of cisplatin per meter squared of body surface area per day on Days 1 and 2 weekly via IV infusion during radiation.
FluorouracilDRUG500 mg per meter squared of body surface area per day on Days 1-5 (week 1) and Days 22 26 (week 3) administered as continuous IV infusion during radiation in combination with mitomycin C.
Mitomycin CDRUG12 mg per meter squared of body surface area administered as an IV bolus on Day 1 during radiation in combination with fluorouracil.
GemcitabineDRUG100 mg per meter squared of body surface area administered once weekly via IV infusion during radiation OR 27 mg per meter squared of body surface area administered twice weekly via IV infusion during radiation
PembrolizumabDRUGIV infusion on Day 1 of every 3-week cycle up to cycle 17.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: * Has histologically confirmed initial diagnosis of muscle-invasive bladder cancer (MIBC) with predominant urothelial histology staged cT2-T4aN0M0 * Tissue comprising muscle-invasive urothelial cancer must be submitted for clinical staging at baseline * Eligible for and agree to...

Countries:United States
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Recent Changes (Last 90 Days)
LOWJun 8, 2026NCT07566156lastUpdatePostDate: changed
LOWJun 8, 2026NCT07566156lastUpdatePostDate: changed
LOWJun 8, 2026NCT07566156lastUpdatePostDate: changed
LOWMay 26, 2026NCT07566156primaryCompletionDate: changed
LOWMay 24, 2026NCT07566156studyFirstPostDate: changed
LOWMay 21, 2026NCT07566156NEW_TRIAL: changed
LOWMay 21, 2026NCT07566156NEW_TRIAL: changed