Perioperative Pembrolizumab (MK-3475) Plus Cystectomy or Perioperative Pembrolizumab Plus Enfortumab Vedotin Plus Cystectomy Versus Cystectomy Alone in Participants Who Are Cisplatin-ineligible or Decline Cisplatin With Muscle-invasive Bladder Cancer (MK-3475-905/KEYNOTE-905/EV-303)

PHASE3Active, not recruitingINTERVENTIONAL
Enrollment

595

Participants

Timeline

Start Date

July 24, 2019

Primary Completion Date

June 6, 2025

Study Completion Date

December 15, 2027

Conditions
Urinary Bladder Cancer, Muscle-invasive
Interventions
DRUG

Pembrolizumab

Pembrolizumab 200 mg by intravenous (IV) infusion, given on Day 1 of each 21-day cycle.

PROCEDURE

Surgery (radical cystectomy (RC) plus Pelvic Lymph Node Dissection [PLND])

Surgical RC+PLND will be done in accordance with the American Urological Association (AUA)/American Society of Clinical Oncology (ASCO)/American Society for Radiation Oncology (ASTRO)/Society of Urologic Oncology (SUO) guidelines.

DRUG

Enfortumab Vedotin

Enfortumab vedotin 1.25 mg/kg by intravenous (IV) infusion, given on Days 1 and 8 of each 21-day cycle.

Trial Locations (242)

1106

Bajcsy Zsilinszki Korhaz es Rendelointezet ( Site 1001), Budapest

1112

St. Luke s Medical Center ( Site 1751), Quezon City

1200

UCL Saint-Luc - Oncologie Medicale ( Site 0357), Brussels

1605

The Medical City ( Site 1752), Pasig

2100

Rigshospitalet University Hospital ( Site 0411), Copenhagen

2109

Macquarie University ( Site 1251), Macquarie Park

2148

Western Sydney Local Health District ( Site 1259), Blacktown

2730

Herlev og Gentofte Hospital. ( Site 0412), Herlev

3000

UZ Leuven ( Site 0361), Leuven

3128

Eastern Health ( Site 1255), Box Hill

3168

Monash Health ( Site 1260), Clayton

4032

Debreceni Egyetem Klinikai Kozpont ( Site 1006), Debrecen

4101

Mater Misericordiae Ltd ( Site 1258), South Brisbane

4870

Cairns Base Hospital ( Site 1257), Cairns

5000

Odense Universitetshospital ( Site 0413), Odense

THE MEDICAL CITY ILOILO ( Site 1756), Iloilo City

5530

CHU UCL Namur Site de Godinne ( Site 0354), Yvoir

6720

SZTE Szent-Gyorgyi Albert Klinikai Kozpont ( Site 1010), Szeged

7400

Somogy Megyei Kaposi Mor Oktato Korhaz ( Site 1007), Kaposvár

7925

Groote Schuur Hospital ( Site 1602), Cape Town

8000

AZ Sint-Jan Brugge ( Site 0352), Bruges

8200

Aarhus University Hospital Skejby ( Site 0418), Aarhus

8800

AZ Delta vzw-Oncology ( Site 0362), Roeselare

9000

AZ Maria Middelares Gent ( Site 0353), Ghent

9023

Petz Aladar Megyei Oktato Korhaz ( Site 1012), Győr

10002

Zhytomyr Regional Oncology Center ( Site 0971), Zhytomyr

10003

Hospital San Pedro de Alcantara ( Site 0697), Cáceres

10016

New York University Perlmutter Cancer Center ( Site 0008), New York

10029

Icahn School of Medicine at Mount Sinai ( Site 0031), New York

10043

Azienda Sanitaria Ospedaliera S Luigi Gonzaga-SCDU Oncologia Medica ( Site 0563), Orbassano

10400

Ramathibodi Hospital. ( Site 1451), Bangkok

10408

National Cancer Center ( Site 1354), Goyang-si

10700

Faculty of Medicine Siriraj Hospital ( Site 1452), Bangkok

10967

Vivantes Klinikum am Urban ( Site 0529), Berlin

10990

Hospital Pulau Pinang ( Site 1703), George Town

11042

Northwell Health - Monter Cancer Center ( Site 0083), Lake Success

13005

Hopital de la Timone ( Site 0489), Marseille

13620

Seoul National University Bundang Hospital ( Site 1356), Seongnam-si

14075

Centre Francois Baclesse ( Site 0459), Caen

14080

Instituto Nacional de Cancerologia. ( Site 0256), Mexico City

15212

Allegheny General Hospital ( Site 0048), Pittsburgh

17007

Institut Català d'Oncologia (ICO) - Girona ( Site 0700), Girona

18009

Cherkasy Regional Oncology Dispensary ( Site 0959), Cherkasy

19004

MidLantic Urology ( Site 0089), Bala-Cynwyd

19104

Abramson Cancer Center of the University of Pennsylvania ( Site 0074), Philadelphia

19107

Thomas Jefferson University ( Site 1579), Philadelphia

19111

Fox Chase Cancer Center ( Site 0055), Philadelphia

20007

Georgetown University Medical Center ( Site 0022), Washington D.C.

20010

Investigacion Biomedica para el Desarrollo de Farmacos S.A. de C.V. ( Site 0300), Aguascalientes

20132

Ospedale San Raffaele-Oncologia Medica ( Site 0561), Milan

20133

Istituto Nazionale Studio e Cura dei Tumori ( Site 0551), Milan

20246

Universitaetsklinikum Hamburg-Eppendorf-Onkologisches Zentrum ( Site 0528), Hamburg

21000

Centre Georges Francois Leclerc ( Site 0488), Dijon

21204

Greater Baltimore Medical Center ( Site 0014), Baltimore

22031

Inova Schar Cancer Institute ( Site 0007), Fairfax

25000

CHU Jean Minjoz ( Site 0455), Besançon

25304

Charleston Area Medical Center ( Site 0023), Charleston

27100

Fondazione Salvatore Maugeri IRCCS ( Site 0554), Pavia

28034

Hospital Universitario Ramon y Cajal ( Site 0691), Madrid

28040

Hospital Universitario San Carlos ( Site 0678), Madrid

28046

Hospital Universitario la Paz ( Site 0690), Madrid

28223

Hospital Universitario Quiron Madrid ( Site 0694), Pozuelo de Alarcón

29572

Carolina Urologic Research Center ( Site 0062), Myrtle Beach

29607

Bon Secours St. Francis Health System ( Site 1572), Greenville

30029

Institut de Cancerologie du Gard - CHU Caremeau ( Site 0490), Nîmes

30322

Emory School of Medicine ( Site 0006), Atlanta

31000

Centro Estatal de Cancerologia de Chihuahua ( Site 0254), Chihuahua City

31059

Institut Claudius Regaud IUCT Oncopole ( Site 0486), Toulouse

33000

CHU de Bordeaux- Hopital Saint Andre ( Site 0456), Bordeaux

34096

Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 0930), Istanbul

34295

CHU de Montpellier - Hopital Saint-Eloi ( Site 0469), Montpellier

34722

TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 0926), Istanbul

34899

Marmara Universitesi Pendik Egitim ve Arastirma Hastanesi ( Site 0921), Istanbul

35033

C.H.R.U. de Rennes. Hopital de Pontchaillou ( Site 0492), Rennes

36100

AULSS8 Berica-Ospedale S.Bortolo-ONCOLOGIA CLINICA ( Site 0562), Vicenza

36604

University of South Alabama, Mitchell Cancer Institute ( Site 1582), Mobile

37209

Urology Associates [Nashville, TN] ( Site 0053), Nashville

37232

Vanderbilt University Medical Center ( Site 0017), Nashville

39120

Universitaetsklinikum Magdeburg A.o.R. ( Site 0535), Magdeburg

40002

Srinagarind Hospital ( Site 1454), Khon Kaen

41014

Hospital de Nuestra Senora de Valme ( Site 0693), Seville

41404

Kyungpook National University Chilgok Hospital-Urology ( Site 1357), Deagu

42080

Necmettin Erbakan Universitesi Meram Tip Fakultesi Hastanesi ( Site 0929), Konya

44093

CHU Hotel Dieu Nantes ( Site 0458), Nantes

44195

Cleveland Clinic Main ( Site 1576), Cleveland

46009

Instituto Valenciano de Oncologia - IVO ( Site 0679), Valencia

46202

Indiana University Melvin and Bren Simon Comprehensive Cancer Center ( Site 0004), Indianapolis

46845

Parkview Cancer Institute ( Site 0077), Fort Wayne

49005

ME І.І. Mechnykov Dnipro Regional Clinical Hospital ( Site 0963), Dnipropetrovsk

49102

MNPE City Clinical Hospital #4 of Dnipro Regional Council ( Site 0951), Dnipro

50200

Maharaj Nakorn Chiangmai Hospital ( Site 1453), Chiang Mai

52100

Azienda USL 8 di Arezzo-Medical Oncology ( Site 0565), Arezzo

52140

Centro de Tratamiento de Cancer ( Site 0266), Metepec

53127

Universitaetsklinikum Bonn ( Site 0550), Bonn

54290

Sakarya Universitesi Tip Fakultesi ( Site 0933), Sakarya

55337

M Health Fairview Ridges Hospital ( Site 1555), Burnsville

57070

Hopital Belle Isle ( Site 0452), Vantoux

59100

University Malaya Medical Centre ( Site 1702), Lembah Pantai

60612

John H. Stroger Jr. Hospital of Cook County ( Site 1551), Chicago

60637

University of Chicago ( Site 0068), Chicago

61000

Regional Oncology Center of Kharkiv ( Site 0958), Kharkiv

61037

MNPE V.I. Shapoval Regional Medical Clinical Urology and Nephrology Center of KharkivRegCouncil ( Site 0969), Kharkiv

61080

Karadeniz Teknik Universitesi Tip Fakultesi Farabi Hastanesi ( Site 0924), Trabzon

61166

Municipal Non-profit Enterprise of Kharkiv Regional Council RCSDRPP ( Site 0973), Kharkiv

66269

Centro de Urologia Avanzada del Noreste S.A. de C.V. ( Site 0253), Monterrey

67226

Wichita Urology Group ( Site 0059), Wichita

69310

C.H.U. Lyon Sud ( Site 0466), Pierre-Bénite

70112

Tulane University School of Medicine ( Site 0088), New Orleans

70174

Klinikum Stuttgart - Katharinenhospital ( Site 0520), Stuttgart

70300

Yitzhak Shamir Medical Center. ( Site 0848), Ẕerifin

72076

Klinikum der Eberhard-Karls-Universitaet Tuebingen ( Site 0549), Tübingen

72205

CARTI Cancer Center ( Site 1577), Little Rock

73000

"Communal nonprofit enterprise Kherson Regional Oncology Dispensary of Kherson Regional Council ( Site 0976)", Antonivka Village

74146

Oklahoma Cancer Specialists and Research Institute, LLC ( Site 0021), Tulsa

75014

CHU Cochin ( Site 0475), Paris

75015

Hopital Europeen Georges Pompidou ( Site 0476), Paris

75018

Hopital Bichat du Paris ( Site 0462), Paris

75246

Texas Oncology-Baylor Sammons Cancer Center ( Site 1552), Dallas

79010

MNPE Lviv Regional Clinical Hospital of Lviv Regional Council ( Site 0955), Lviv

79031

Lviv State Regional Oncological Center ( Site 0967), Lviv

80045

University of Colorado Hospital ( Site 0098), Aurora

80131

Istituto Nazionale Per Lo Studio E La Cura Dei Tumori ( Site 0552), Napoli

81377

Klinikum der Universitaet Muenchen - Grosshadern ( Site 0548), Munich

87106

UNM Comprehensive Cancer Center-Clinical Research Office ( Site 0045), Albuquerque

90404

John Wayne Cancer Institute ( Site 0075), Santa Monica

91058

Universitaetsklinikum Erlangen ( Site 0546), Erlangen

92037

Scripps MD Anderson ( Site 0010), La Jolla

92663

Hoag Memorial Hospital Presbyterian ( Site 1595), Newport Beach

92835

St. Joseph Heritage Healthcare ( Site 0046), Fullerton

93586

Sarawak General Hospital ( Site 1701), Kuching

94800

Institut Gustave Roussy ( Site 0487), Villejuif

95123

A.O.U. Policlinico Vittorio Emanuele - Presidio Gaspare Rodolico ( Site 0559), Catania

97080

Universitaetsklinikum Wuerzburg ( Site 0547), Würzburg

97213

Providence Portland Medical Center [Portland, OR] ( Site 0095), Portland

111321

Clinica Colsanitas S.A, Sede Clínica Universitaria Colombia-Center Investigator ( Site 2002), Bogotá

115478

Russian Oncological Research Center n.a. N.N.Blokhin of MoH ( Site 0878), Moscow

119074

National University Hospital ( Site 1802), Singapore

119991

First Moscow State Medical University n.a. I.M.Sechenov ( Site 0884), Moscow

121359

Central Clinical Hospital with outpatient Clinic ( Site 0856), Moscow

153040

Ivanovo Regional Oncology Dispensary ( Site 0852), Ivanovo

183057

Bayandin Murmansk Regional Clinical Hospital ( Site 0859), Murmansk

188663

Leningrad Regional Oncology Center ( Site 0868), Saint Petersburg

194044

Clinical Hospital Saint Luka ( Site 0867), Saint Petersburg

197022

First St. Petersburg State Medical University n.a. acad. I.P. Pavlov ( Site 0872), Saint Petersburg

197758

National Medical Research Center of Oncology N.A. N.N. Petrov ( Site 0860), Saint Petersburg

230002

IMAT S.A.S ( Site 2001), Montería

305524

Kursk Regional Clinical Oncology Dispensary ( Site 0854), Kursk

398442

Tan Tock Seng Hospital ( Site 1804), Singapore

410012

Saratov State Medical University n.a. V.I.Razumovskiy ( Site 0866), Saratov

450081

Clinic of Bashkortostan State Medical University ( Site 0873), Ufa

603074

Volga District Medical Center Federal Medical and Biological Agency ( Site 0857), Nizhny Novgorod

620036

Sverdlovsk Regional Oncology Hospital ( Site 0874), Yekaterinburg

625000

Medical Sanitary Unit Neftyannik ( Site 0888), Tyumen

644013

Omsk Clinical Oncology Dispensary ( Site 0865), Omsk

660133

Krasnoyarsk Regional Clinical Oncological Dispensary ( Site 0861), Krasnoyarsk

681017

Fundación Cardiovascular de Colombia ( Site 2004), Piedecuesta

760032

Fundacion Valle del Lili- CIC-Fundacion Valle del Lili ( Site 2005), Santiago de Cali

1834111

Ha Emek Medical Center ( Site 0843), Afula

3109601

Rambam Health Care Campus-Oncology Division ( Site 0845), Haifa

3438555

Dokkyo Medical University Saitama Medical Center ( Site 2304), Koshigaya

4428164

Meir Medical Center ( Site 0846), Kfar Saba

4941492

Rabin Medical Center ( Site 0847), Petah Tikva

5265601

Sheba Medical Center ( Site 0844), Ramat Gan

6423906

Sourasky Medical Center ( Site 0850), Tel Aviv

8410101

Soroka Medical Center ( Site 0849), Beersheba

9103102

Shaare Zedek Medical Center ( Site 0842), Jerusalem

9112001

Hadassah Ein Kerem Medical Center ( Site 0841), Jerusalem

04092

New England Cancer Specialists ( Site 0070), Westbrook

02215

Dana-Farber Cancer Institute ( Site 1596), Boston

07960

Morristown Medical Center ( Site 0015), Morristown

C1419AHN

Asociación de Beneficencia Hospital Sirio Libanés ( Site 2102), Buenos Aires

T2N 5G2

Arthur J.E. Child Comprehensive Cancer Centre ( Site 0100), Calgary

V5Z 4E6

BC Cancer Vancouver-Clinical Trials Unit ( Site 0121), Vancouver

V8T 2C1

Silverado Resarch Inc. ( Site 0111), Victoria

E1C 6Z8

Moncton Hospital - Horizon Health Network ( Site 0112), Moncton

M4N 3M5

Sunnybrook Research Institute ( Site 0110), Toronto

M5G 2M9

Princess Margaret Cancer Centre ( Site 0107), Toronto

G7H 5H6

CIUSSS du Saguenay-Lac-St-Jean ( Site 0116), Chicoutimi

H1T 2M4

CIUSSS de l Est de L Ile de Montreal - Hopital Maisonneuve-Rosemont ( Site 0105), Montreal

H3T 1E2

Jewish General Hospital ( Site 0120), Montreal

H4A 3J1

McGill University Health Centre ( Site 0123), Montreal

J1H 5N4

CIUSSS de l'Estrie-CHUS ( Site 0106), Sherbrooke

050030

Fundacion Colombiana de Cancerología Clinica Vida ( Site 2003), Medellín

01307

Universitaetsklinikum Carl Gustav Carus ( Site 0532), Dresden

07548

SRH Wald-Klinikum Gera-Zentrum für klinische Studien ( Site 0533), Gera

D24 NR0A

Tallaght University Hospital ( Site 0734), Dublin

X91ER8E

University Hospital Waterford ( Site 0747), Waterford

00168

Policlinico Gemelli di Roma ( Site 0558), Roma

05100

Azienda Ospedaliera Santa Maria Terni-S.C. Oncologia Medica e Traslazionale ( Site 0564), Terni

277-8577

National Cancer Center Hospital East ( Site 2305), Kashiwa

305-8576

University of Tsukuba Hospital ( Site 2302), Tsukuba

216-8511

St. Marianna University Hospital ( Site 2321), Kawasaki

252-0375

Kitasato University Hospital ( Site 2306), Sagamihara

238-8558

Yokosuka Kyosai Hospital ( Site 2307), Yokosuka

980-8574

Tohoku University Hospital ( Site 2301), Sendai

381-8551

Nagano Municipal Hospital ( Site 2309), Tomitake

634-0813

Nara Medical University Hospital ( Site 2312), Kashihara

591-8025

Osaka Rosai Hospital ( Site 2320), Sakai

362-0806

Saitama Prefectural Cancer Center ( Site 2319), Ina-machi

431-3192

Hamamatsu University Hospital ( Site 2311), Hamamatsu

113-8519

Institute of Science Tokyo Hospital ( Site 2303), Bunkyō

105-8470

Toranomon Hospital ( Site 2322), Minato-ku

930-0194

Toyama University Hospital ( Site 2308), Toyoma

501-1112

Gifu University Hospital ( Site 2310), Gifu

890-8520

Kagoshima University Hospital ( Site 2317), Kagoshima

852-8501

Nagasaki University Hospital ( Site 2315), Nagasaki

06700

Hospital Angeles Roma ( Site 0262), Mexico City

60-848

Clinical Research Center Medic-R ( Site 1073), Poznan

85-796

Centrum Onkologii im.prof. F. Lukaszczyka w Bydgoszczy ( Site 1068), Bydgoszcz

33-100

Szpital Wojewodzki ( Site 1062), Tarnów

50-556

Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego ( Site 1063), Wroclaw

05-400

Europejskie Centrum Zdrowia Otwock ( Site 1058), Otwock

01-748

Luxmed Onkologia sp. z o. o. ( Site 1051), Warsaw

15-027

Bialostockie Centrum Onkologii ( Site 1072), Bialystok

76-200

Wojewodzki Szpital Specjalistyczny im. Janusza Korczaka w Slupsku ( Site 1057), Słupsk

43-300

Beskidzkie Centrum Onkologii im. Jana Pawla II ( Site 1061), Bielsko-Biala

0001

Steve Biko Academic Hospital-Medical Oncology ( Site 1601), Pretoria

05505

Asan Medical Center ( Site 1355), Songpagu

02841

Korea University Anam Hospital ( Site 1351), Seoul

03080

Seoul National University Hospital ( Site 1352), Seoul

06351

Samsung Medical Center ( Site 1353), Seoul

08916

Hosp. Gral. Universitari Germans Trias i Pujol ( Site 0675), Badalona

08036

Hospital Clinic i Provincial ( Site 0674), Barcelona

08003

Hospital del Mar ( Site 0698), Barcelona

551 85

Laenssjukhuset Ryhov ( Site 1215), Jönköping

171 76

Karolinska Universitetssjukhuset Solna ( Site 1212), Stockholm

751 85

Akademiska Sjukhuset ( Site 1211), Uppsala

901 85

Cancercentrum ( Site 1214), Umeå

413 45

Onkologiska kliniken ( Site 1217), Gothenburg

06100

Hacettepe Universitesi Tıp Fakultesi ( Site 0931), Ankara

03022

SNPE National Cancer Institute ( Site 0962), Kyiv

03115

Kyiv City Clinical Oncology Center ( Site 0960), Kyiv

WS2 9PS

Walsall Manor Hospital-Oncology ( Site 0743), Walsall

CT1 3NG

Kent and Canterbury Hospital ( Site 0733), Canterbury

TS4 3BW

The James Cook University Hospital ( Site 0730), Middlesbrough

W6 8RF

Imperial College Healthcare NHS Trust ( Site 0745), London

SG1 4AB

Lister Hospital ( Site 0739), Stevenage

EC1A 7BE

Barts Health NHS Trust - St Bartholomew s Hospital ( Site 0725), London

SW3 6JJ

The Royal Marsden Foundation Trust ( Site 0726), London

EH4 2XU

Western General Hospital ( Site 0749), Edinburgh

CH63 4JY

Clatterbridge Oncology Centre ( Site 0731), Metropolitan Borough of Wirral

TR1 3LJ

Royal Cornwall Hospital ( Site 0727), Truro

All Listed Sponsors
collaborator

Seagen Inc.

INDUSTRY

collaborator

Astellas Pharma Global Development, Inc.

INDUSTRY

lead

Merck Sharp & Dohme LLC

INDUSTRY