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NCT05562830PHASE1, PHASE2RECRUITING

A Substudy of Investigational Agents in Programmed Cell Death-1/Ligand 1 (PD-1/L1) Refractory Locally Advanced or Metastatic Urothelial Carcinoma (mUC) (MK-3475-04A)

A Phase 1/2 Open-Label Rolling-Arm Umbrella Platform Study of Investigational Agents With or Without Pembrolizumab in Participants With PD-1/L1 Refractory Locally Advanced or Metastatic Urothelial Carcinoma (KEYMAKER-U04): Substudy 04A

Sponsor: Merck Sharp & Dohme LLC

No open prediction endpoints

Endpoints are classified and published by ProgramSignal analysts.

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Key Facts

Study type
INTERVENTIONAL
Conditions
Urothelial Carcinoma
Interventions
Zilovertamab vedotin, Pembrolizumab, MK-3120
Enrollment
48 participants
Primary completion
Feb 2029
Study completion
Feb 2029
First posted
Oct 2022
Last updated
May 2026

Primary Endpoints (CT.gov)

Percentage of Participants Who Experienced At Least One Adverse Event (AE)

Time frame: Up to approximately 5 years

Percentage of Participants Who Discontinued Study Treatment Due to an AE

Time frame: Up to approximately 5 years

Arm A: Objective Response Rate (ORR) as Assessed by Blinded Independent Central Review (BICR)

Time frame: Up to approximately 2 years

Arm B: ORR as Assessed by Investigator

Time frame: Up to approximately 2 years

Secondary Endpoints

Arm A: Duration of Response (DOR) as Assessed by BICR

Arm B: DOR as Assessed by Investigator

Eligibility Criteria

Inclusion Criteria: The main inclusion and exclusion criteria include but are not limited to the following: * Histologically or cytologically confirmed diagnosis of locally advanced/unresectable or mUC of the renal pelvis, ureter (upper urinary tract), bladder, or urethra. * Arm A: PD-1/L1 refractory locally advanced or mUC as evidenced by: EITHER disease progression while on treatment or after treatment with an anti-PD-1/L1 monoclonal antibody (mAb) for locally advanced/unresectable or mUC administered either as monotherapy, or in combination with other checkpoint inhibitors or other therapies OR disease recurrence while on treatment or after treatment with an anti-PD-1/L1 mAb for muscle-invasive urothelial carcinoma (MIUC) administered as monotherapy. * Arm A: Participants must provide an archival tumor tissue sample or newly obtained core or excisional biopsy of a tumor lesion demonstrating UC, not previously irradiated, and adequate for biomarker evaluation. * Arm B: PD-1/L1 refr

Read full criteria on CT.gov →

✦ Analyst Commentary

Expert commentary on why this trial matters and what to watch for.

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Source

Open on ClinicalTrials.gov