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EVOLVE104

Phase 1

Bladder Cancer | Small molecule | Oncology |United Therapeutics Corporation|Trials Updated: Jun 3, 2026

EVOLVE104 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Oct 2025

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials1
Total Enrollment160

FDA Designations

No designations recorded

EVOLVE104 clinical trials

EVOLVE104 · 1 trial · 11 indications

Phase 1 1
NCT07217171A Study Evaluating the Safety, Efficacy, and Pharmacokinetics (PK) of EVOLVE104 in Participants With Advanced Urothelial and Squamous Cell CarcinomasBladder Cancer
RECRUITING160 Analytics
PHASE1RECRUITING
A Study Evaluating the Safety, Efficacy, and Pharmacokinetics (PK) of EVOLVE104 in Participants With Advanced Urothelial and Squamous Cell Carcinomas
Bladder CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence and Severity of Treatment Emergent Adverse Events (TEAEs)
Baseline, through study completion, an average of 10 months.

TEAEs will be assessed during routine study visits and compared to Baseline to continuously evaluate safety and tolerability

Number of patients with Dose Limiting Toxicities (DLTs)
Baseline, through study completion, an average of 10 months.

Protocol-defined potential DLTs will be assessed by the Safety Review Committee at routine intervals.

To determine the maximum tolerated dose (MTD) and/or recommended dose(s) for expansion (RDEs) for EVOLVE104
Baseline, through study completion, an average of 10 months.

Safety evaluations will occur consistently for each subject and across patients to assess MTD or RDE. Evaluations include analysis of TEAEs as well as ongoing assessments of laboratories, ECGs and physical examinations.

To determine the recommended phase 2 dose (RP2D) of EVOLVE104
Safety evaluations will be done as described above. PK and PD to be done each cycle (28 days) at pre-dose and post dose starting Day 1 at various time points, dependent upon treatment regimen assigned, through study completion, an average of 10 months.

Selection of the RP2D will be based on the aggregate safety, efficacy, PK, and PD observations for the entire study

Secondary Endpoints

Assess the efficacy of EVOLVE104
Baseline, through study completion, an average of 10 months.
Evaluate the Cmax of EVOLVE104
PK and PD to be done each cycle (28 days) at pre-dose and post dose starting Day 1 at various time points, dependent upon treatment regimen assigned, through study completion, an average of 10 months.
Evaluate the Tmax of EVOLVE104
PK and PD to be done each cycle (28 days) at pre-dose and post dose starting Day 1 at various time points, dependent upon treatment regimen assigned, through study completion, an average of 10 months.
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Phase 1a Cohort 1; dose level 1EXPERIMENTALActive Study Drug
Phase 1a Cohort 2; dose level 2EXPERIMENTALActive Study Drug
Phase 1a Cohort 3; dose level 3EXPERIMENTALActive Study Drug
Phase 1a Cohort 4; dose level 4EXPERIMENTALActive Study Drug
Phase 1a Cohort 5; dose level 5EXPERIMENTALActive Study Drug
Phase 1a Cohort 6; dose level 6EXPERIMENTALActive Study Drug
Phase 1a Cohort 7; dose level 7EXPERIMENTALActive Study Drug
Phase 1a Cohort 8; dose level 8EXPERIMENTALActive Study Drug
Phase 1a Cohort 9; dose level 9EXPERIMENTALActive Study Drug
Phase 1a Cohort 10; dose level 10EXPERIMENTALActive Study Drug
Phase 1b Cohort 1; dose level TBDEXPERIMENTALActive study drug
Phase 1b Cohort 2; dose level TBDEXPERIMENTALActive study drug

Interventions

NameTypeDescription
EVOLVE104DRUGEVOLVE104 is provided as a solution for injection via IV infusion
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites10

Key Inclusion Criteria: Participants must have locally advanced or metastatic cancer with one of the following tumor types: bladder cancer, squamous cell carcinoma of the lung, esophagus, skin, or an anogenital squamous cell carcinoma. 1. Participant must have documented disease progression during...

Countries:United States
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Frequently asked questions about EVOLVE104

What is EVOLVE104 used for?

EVOLVE104 is an investigational small molecule being studied for the treatment of bladder cancer, including advanced urothelial carcinoma, and for squamous cell carcinomas arising in multiple sites such as the lung, esophagus, tongue, skin, penis, anus, vulva, cervix, vagina, and urethra. It is not yet approved for any indication.

Who is developing EVOLVE104?

EVOLVE104 is being developed by United Therapeutics Corporation, which trades on the Nasdaq under the ticker UTHR. The company is the sponsor of the clinical program evaluating the agent in advanced urothelial and squamous cell carcinomas.

What phase is EVOLVE104 in?

EVOLVE104 is in Phase 1 clinical development. It is an investigational agent and has not been approved by the FDA or any other regulatory authority. The Phase 1 program is designed to evaluate safety, efficacy, and pharmacokinetics in participants with advanced solid tumors.

What clinical trials is EVOLVE104 in?

EVOLVE104 is being evaluated in one active clinical trial, NCT07217171, titled A Study Evaluating the Safety, Efficacy, and Pharmacokinetics (PK) of EVOLVE104 in Participants With Advanced Urothelial and Squamous Cell Carcinomas. The trial is currently recruiting, is controlled, and plans to enroll 160 participants aged 18 years and older in the United States.

What cancers is the EVOLVE104 trial enrolling?

The NCT07217171 trial enrolls participants with bladder cancer and a range of squamous cell carcinomas, including squamous cell carcinoma of the lung, esophagus, tongue, skin, penis, anus, vulva, cervix, vagina, and urethra. Enrollment is open to adults 18 years and older of any sex, and the study is recruiting in the United States.