Perioperative Enfortumab Vedotin (EV) Plus Pembrolizumab (MK-3475) Versus Neoadjuvant Chemotherapy for Cisplatin-Eligible Muscle Invasive Bladder Cancer (MIBC) (MK-3475-B15/ KEYNOTE-B15 / EV-304)

PHASE3Active, not recruitingINTERVENTIONAL
Enrollment

808

Participants

Timeline

Start Date

April 21, 2021

Primary Completion Date

December 23, 2026

Study Completion Date

December 23, 2026

Conditions
Bladder Cancer
Interventions
BIOLOGICAL

Pembrolizumab

200 mg of Pembrolizumab IV infusion, on Day 1 Q3W for 4 cycles (each cycle length = 21 days) in preoperative phase (up to approximately 3 months) and on Day 1 Q3W for 13 cycles in postoperative phase (up to approximately 9 months). The total duration of treatment is up to approximately 1 year.

BIOLOGICAL

Enfortumab vedotin (EV)

1.25 mg/kg of EV IV infusion, on Day 1 and Day 8 Q3W for 4 cycles (each cycle length = 21 days) in preoperative phase (up to approximately 3 months) and on Day 1 and Day 8 Q3W for 5 cycles (each cycle length = 21 days) in postoperative phase (up to approximately 4 months). The total duration of treatment is up to approximately 7 months.

PROCEDURE

RC + PLND

Curative intent RC + PLND surgery will be administered to all participants randomized to Arm A and B after completion of preoperative systemic treatment (RC + PLND to be done approximately at 15 weeks from randomization).

DRUG

Gemcitabine

1000 mg/m\^2 of Gemcitabine IV infusion, Day 1 and Day 8 Q3W for 4 cycles in preoperative phase (up to approximately 3 months)

DRUG

Cisplatin

70 mg/m\^2 of Cisplatin IV infusion, Day 1, Q3W for 4 cycles in preoperative phase (up to approximately 3 months)

Trial Locations (188)

112

Taipei Veterans General Hospital ( Site 1201), Taipei

1120

Centro de Urología (CDU) ( Site 1552), Buenos Aires

1632

MHAT Serdika ( Site 1152), Sofia

2109

Macquarie University-MQ Health Clinical Trials Unit ( Site 1259), Macquarie University

2193

Wits Clinical Research ( Site 0603), Johannesburg

3199

Frankston Hospital-Oncology and Haematology ( Site 1258), Frankston

4000

Complex Oncology Center Plovdiv ( Site 1151), Plovdiv

MHAT Central Onco Hospital OOD ( Site 1158), Plovdiv

4032

Debreceni Egyetem Klinikai Kozpont ( Site 1006), Debrecen

4101

Mater Hospital Brisbane ( Site 1257), South Brisbane

4500

"MHAT Uni Hospital OOD ( Site 1154)", Panagyurishte

5000

THE MEDICAL CITY ILOILO-The Medical City Iloilo - Clinical and Translational Research Institute-Ilo ( Site 0801), Iloilo City

5004

Jász-Nagykun-Szolnok Vármegyei Hetényi Géza Kórház ( Site 1002), Szolnok

5112

Lyell McEwin Hospital ( Site 1252), Elizabeth Vale

6720

Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ ( Site 1010), Szeged

7925

Groote Schuur Hospital ( Site 0602), Cape Town

10000

Klinički bolnički centar Sestre milosrdnice ( Site 1703), Zagreb

Klinički bolnički centar Zagreb-Klinika za onkologiju ( Site 1701), Zagreb

10002

Zhytomyr Regional Oncology Center ( Site 0961), Zhytomyr

10029

Icahn School of Medicine at Mount Sinai ( Site 0011), New York

10043

AOU San Luigi Gonzaga di Orbassano ( Site 0595), Orbassano

10450

Hospital Pulau Pinang ( Site 0355), George Town

10601

White Plains Hospital ( Site 0039), White Plains

10967

Vivantes Klinikum Am Urban ( Site 0519), Berlin

13005

CHU La Timone ( Site 0456), Marseille

13620

Seoul National University Bundang Hospital ( Site 1355), Gyeonggi-do

15706

CHUS - Hospital Clinico Universitario-Servicio de Oncologia ( Site 0660), Santiago de Compostela

17007

Institut Català d'Oncologia (ICO) - Girona ( Site 0653), Girona

19004

MidLantic Urology ( Site 0002), Bala-Cynwyd

20132

IRCCS Ospedale San Raffaele ( Site 0596), Milan

20133

Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Oncologia Medica 1 ( Site 0588), Milan

21000

Klinički Bolnički Centar Split-Oncology and Radiotherapy ( Site 1702), Split

21565

Gachon University Gil Medical Center ( Site 1356), Incheon

25000

CHU Jean Minjoz ( Site 0453), Besançon

26504

UNIVERSITY HOSPITAL OF PATRAS-DIVISION OF ONCOLOGY ( Site 0305), Pátrai

27157

Wake Forest Baptist Health ( Site 0014), Winston-Salem

27710

Duke University Medical Center ( Site 0017), Durham

28040

Hospital Clinico Universitario San Carlos de Madrid ( Site 0651), Madrid

29200

C.H. regional Unv. de Brest - Hopital La Cavale Blanche - Institut de Cancerologie et d Imagerie ( Site 0461), Brest

29607

Saint Francis Cancer Center ( Site 0008), Greenville

31000

Klinički bolnički centar Osijek ( Site 1705), Osijek

31059

Institut Universitaire du Cancer Toulouse - Oncopole ( Site 0455), Toulouse

32608

UF Health ( Site 0031), Gainesville

33011

Hospital Universitario Central de Asturias ( Site 0654), Oviedo

35016

Hospital Universitario Insular de Gran Canaria ( Site 0657), Las Palmas de Gran Canaria

35128

Istituto Oncologico Veneto IRCCS-Oncologia Medica 1 ( Site 0600), Padua

37126

Azienda Ospedaliera Universitaria Integrata Verona - Ospedale Borgo Trento ( Site 0598), Verona

37920

The University of Tennessee Medical Center ( Site 0034), Knoxville

38700

CHU GRENOBLE ALPES ( Site 0468), La Tronche

40202

University of Louisville, James Graham Brown Cancer Center ( Site 0022), Louisville

41013

Hospital Virgen del Rocio ( Site 0659), Seville

41404

Kyungpook National University Chilgok Hospital ( Site 1354), Daegu

44625

Kath. Krankenhaus Marienhospital. Universitaetsklinik ( Site 0511), Herne

45067

Centre Hospitalier Regional du Orleans ( Site 0463), Orléans

46009

Fundación Instituto Valenciano de Oncología-Oncologico ( Site 0662), Valencia

46202

Indiana University Melvin and Bren Simon Cancer Center ( Site 0050), Indianapolis

47500

Sunway Medical Centre ( Site 0353), Petaling Jaya

48149

Universitaetsklinikum Muenster ( Site 0516), Münster

49005

I.I. Mechnykov Dnipropetrovsk Regional Clinical Hospital ( Site 0959), Dnipro

49055

MI Clinical oncology dispensary of Dnipropetrovsk regional council ( Site 0954), Dnipro

50556

Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wrocławiu ( Site 1058), Wrocław

52242

University of Iowa Hospital and Clinics ( Site 0029), Iowa City

53792

University of Wisconsin Hospital and Clinics ( Site 0037), Madison

58128

Chonnam National University Hwasun Hospital ( Site 1353), Jeollanam-do

59000

Polyclinique du Bois ( Site 0458), Lille

59100

University Malaya Medical Centre ( Site 0352), Lembah Pantai

60126

Azienda Ospedaliero Universitaria delle Marche-Clinica Oncologica ( Site 0593), Ancona

61037

Regional Clinical Center of Urology and Nephrology n.a. V.I. Shapoval ( Site 0952), Kharkiv

61070

MNPE Regional Center of Oncology ( Site 0955), Kharkiv

61166

Municipal Non-profit Enterprise of Kharkiv Regional Council RCSDRPP ( Site 0965), Kharkiv

70300

Yitzhak Shamir Medical Center-Oncology ( Site 0756), Ẕerifin

72076

Universitaetsklinik fuer Urologie ( Site 0501), Tübingen

75390

UT Southwestern Medical Center ( Site 0003), Dallas

75960

Hopital Diaconesses Croix Saint Simon ( Site 0465), Paris

77030

Houston Methodist Urology Associates ( Site 0033), Houston

77900

Fakultni Nemocnice Olomouc ( Site 0251), Olomouc

78229

Urology of San Antonio ( Site 0020), San Antonio

79031

Lviv Oncology Regional Treatment and Diagnostic Center ( Site 0960), Lviv

79106

Universitaetsklinikum Freiburg ( Site 0512), Freiburg im Breisgau

80045

University of Colorado, Anschutz Cancer Pavilion ( Site 0009), Aurora

80078

Presidio Ospedaliero Santa Maria delle Grazie ( Site 0599), Pozzuoli

83301

Chang Gung Memorial Hospital at Kaohsiung ( Site 1203), Kaohsiung City

85054

Mayo Clinic in Arizona - Phoenix ( Site 0043), Phoenix

87042

CHU Limoges Hopital Dupuytren ( Site 0459), Limoges

90095

UCLA Hematology/Oncology - Westwood (Building 200 Suite 140)-Department of Urology/Institute of Uro ( Site 0005), Los Angeles

92835

St Joseph Heritage Healthcare-Oncology ( Site 0035), Fullerton

93053

Caritas Krankenhaus St. Josef ( Site 0502), Regensburg

93586

Sarawak General Hospital ( Site 0351), Kuching

94158

University of California San Francisco ( Site 0010), San Francisco

94305

Stanford University ( Site 0023), Stanford

94805

Gustave Roussy ( Site 0467), Villejuif

95126

Ospedale Cannizzaro ( Site 0590), Catania

97080

Universitaetsklinikum Wuerzburg ( Site 0520), Würzburg

111321

Clinica Colsanitas S.A, Sede Clínica Universitaria Colombia-Center Investigator ( Site 1654), Bogotá

115230

National Medical Research Centre of Oncology named after N.N. Blokhin ( Site 0865), Moscow

119991

First Moscow State Medical University n.a. I.M.Sechenov ( Site 0871), Moscow

194017

St.Petersburg Clinical Hospital RAS ( Site 0864), Saint Petersburg

197101

St.Petersburg State Medical Univ. n.a. acad. I.P.Pavlov ( Site 0856), Saint Petersburg

197758

Scientific Research Oncology Institute n.a. N.N.Petrov ( Site 0852), Saint Petersburg

200032

Fudan University Shanghai Cancer Center-Urology department ( Site 1401), Shanghai

200127

Renji Hospital Shanghai Jiao Tong University School of Medicine ( Site 1402), Shanghai

200542

S.C. Centrul de Oncologie Sf. Nectarie SRL ( Site 1107), Craiova

210008

Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School-Urology ( Site 1404), Nanjing

226361

Nantong Tumor Hospital-Urology ( Site 1405), Nantong

230002

IMAT S.A.S ( Site 1652), Montería

249036

National Medical Research Radiology Centre ( Site 0869), Obninsk

300239

Policlinica Oncomed SRL ( Site 1106), Timișoara

308442

Tan Tock Seng Hospital ( Site 0704), Singapore

400015

Cardiomed SRL Cluj-Napoca ( Site 1101), Cluj-Napoca

Institutul Oncologic Prof.Dr. Ion Chiricuta Cluj-Napoca ( Site 1102), Cluj-Napoca

Institutul Oncologic Prof.Dr. Ion Chiricuta Cluj-Napoca ( Site 1103), Cluj-Napoca

Institutul Oncologic Cluj-Oncologie Medicala ( Site 1109), Cluj-Napoca

404120

Volgograd Regional Uronephrological Center ( Site 0870), Volzhsky

404332

China Medical University Hospital ( Site 1202), Taichung

407280

SC Radiotherapy Center Cluj SRL ( Site 1108), Comuna Floresti

410013

Hunan Cancer Hospital ( Site 1403), Changsha

510060

SUN YAT-SEN UNIVERSITY CANCER CENTRE ( Site 1406), Guangzhou

510220

Sun Yat-sen Memorial Hospital, Sun Yat-sen University ( Site 1413), Guangzhou

603074

Volga District Medical Center ( Site 0876), Nizhny Novgorod

620036

Sverdlovsk Regional Oncology Hospital ( Site 0867), Yekaterinburg

620102

Sverdlovsky Regional Clinical hospital #1 ( Site 0868), Yekaterinburg

656045

Altay Regional Oncology Dispensary ( Site 0851), Barnaul

681017

Fundación Cardiovascular de Colombia-Santander ( Site 1657), Piedecuesta

760032

Fundación Valle del Lili ( Site 1656), Santiago de Cali

3109601

Rambam Health Care Campus-Oncology ( Site 0751), Haifa

4428164

Meir Medical Center-oncology ( Site 0754), Kfar Saba

4941492

Rabin Medical Center-Oncology ( Site 0752), Petah Tikva

5265601

Sheba Medical Center-ONCOLOGY ( Site 0753), Ramat Gan

6423906

Sourasky Medical Center-Oncology ( Site 0755), Tel Aviv

9112001

Hadassah Medical Center-Oncology ( Site 0757), Jerusalem

97239-3011

Oregon Health and Science University ( Site 0028), Portland

C1280AEB

Hospital Británico de Buenos Aires-Oncology ( Site 1551), Ciudad Autónoma de Buenos Aires

C1199ABB

Hospital Italiano de Buenos Aires ( Site 1554), ABB

C1419AHN

Asociación de Beneficencia Hospital Sirio Libanés ( Site 1553), Buenos Aires

C1431FWO

Centro de Educación Médica e Investigaciones Clínicas (CEMIC) ( Site 1558), Buenos Aires

S2000DEJ

Fundacion Estudios Clinicos-Oncology ( Site 1557), Rosario

V5Z 4E6

BC Cancer - Vancouver Center ( Site 0110), Vancouver

R3E 0V9

CancerCare Manitoba ( Site 0108), Winnipeg

E1C 6Z8

Moncton Hospital ( Site 0107), Moncton

K1H 8L6

Ottawa Hospital Research Institute ( Site 0109), Ottawa

H3T 1E2

Jewish General Hospital ( Site 0106), Montreal

050030

Fundacion Colombiana de Cancerología Clinica Vida ( Site 1653), Medellín

656 91

Fakultni nemocnice u sv. Anny v Brne ( Site 0253), Brno

500 05

Fakultni nemocnice Hradec Kralove-Klinika onkologie a radioterapie ( Site 0254), Hradec Králové

140 59

Fakultni Thomayerova nemocnice ( Site 0252), Prague

01307

Universitaetsklinikum Carl Gustav Carus ( Site 0509), Dresden

06120

Krankenhaus Martha Maria Halle-Doelau ( Site 0507), Halle

115 28

"General Hospital of Athens Alexandra ( Site 0303)", Athens

151 25

Athens Medical Center ( Site 0304), Athens

124 62

ATTIKON GENERAL UNIVERSITY HOSPITAL ( Site 0301), Chaïdári

411 10

University General Hospital of Larissa ( Site 0302), Larissa

466-8560

Nagoya University Hospital ( Site 1512), Nagoya

036-8563

Hirosaki University Hospital ( Site 1501), Hirosaki

305-8576

University of Tsukuba Hospital ( Site 1502), Tsukuba

920-8641

Kanazawa University Hospital ( Site 1509), Kanazawa

252-0375

Kitasato University Hospital ( Site 1506), Sagamihara

232-0024

Yokohama City University Medical Center ( Site 1508), Yokohama

241-8515

Kanagawa Cancer Center ( Site 1507), Yokohama

980-8574

Tohoku University Hospital ( Site 1503), Sendai

431-3192

Hamamatsu University Hospital ( Site 1511), Hamamatsu

501-1194

Gifu University Hospital ( Site 1513), Gifu

852-8510

Nagasaki University Hospital ( Site 1517), Nagasaki

700-8558

Okayama University Hospital ( Site 1516), Okayama

541-8567

Osaka International Cancer Institute ( Site 1514), Osaka

545-8586

Osaka Metropolitan University Hospital ( Site 1515), Osaka

113-8519

Institute of Science Tokyo Hospital ( Site 1505), Tokyo

160-8582

Keio University Hospital ( Site 1504), Tokyo

930-0194

Toyama University Hospital ( Site 1510), Toyama

61-731

Clinical Research Center Medic-R ( Site 1061), Poznan

08-110

Mazowiecki Szpital Wojewódzki w Siedlcach-Siedleckie Centrum Onkologii ( Site 1057), Siedlce

02-781

Narodowy Instytut Onkologii ( Site 1051), Warsaw

37-700

Wojewodzki Szpital im. Sw. Ojca Pio w Przemyslu ( Site 1053), Przemyśl

75-581

Szpital Wojewodzki im. Mikolaja Kopernika ( Site 1055), Koszalin

3000-075

Unidade Local de Saude de Coimbra - Hospitais da Universidade de Coimbra ( Site 0406), Coimbra

1099-023

Inst. Portugues de Oncologia de Lisboa Francisco Gentil EPE ( Site 0409), Lisbon

1449-005

Unidade Local de Saude Lisboa Ocidental - Hospital de São Francisco Xavier ( Site 0401), Lisbon

4099-001

Unidade Local de Saude de Santo António - Hospital Santo António ( Site 0408), Porto

013823

MEMORIAL HEALTHCARE INTERNATIONAL S.R.L. ( Site 1104), Bucharest

0002

Steve Biko Academic Hospital ( Site 0601), Pretoria

05505

Asan Medical Center ( Site 1352), Songpagu

02841

Korea University Anam Hospital ( Site 1357), Seoul

03080

Seoul National University Hospital ( Site 1351), Seoul

08916

Hospital Germans Trias i Pujol. ICO de Badalona ( Site 0658), Badalona

08243

Xarxa Assistencial Universitaria Manresa ( Site 0655), Manresa

08035

Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 0661), Barcelona

TQ2 7AA

Torbay Hospital ( Site 1804), Torquay

W6 8RF

Charing Cross Hospital-Oncology Research ( Site 1802), London

EC1A 7BE

St Bartholomew's Hospital-Centre for Experimental Cancer Medicine ( Site 1801), London

Sponsors

Collaborators (1)

All Listed Sponsors
collaborator

Seagen Inc.

INDUSTRY

collaborator

Astellas Pharma Inc

INDUSTRY

lead

Merck Sharp & Dohme LLC

INDUSTRY