Clinical trial Recruiting at 173 sites Phase1; Phase2 Interventional Ages 18 and up

PF-08634404 alone or with enfortumab vedotin for advanced urothelial (bladder) cancer

Official title: AN INTERVENTIONAL PHASE 1B/2, OPEN-LABEL STUDY TO INVESTIGATE THE SAFETY, ANTITUMOR ACTIVITY, AND PHARMACOKINETICS OF PF 08634404 MONOTHERAPY OR IN COMBINATION WITH ENFORTUMAB VEDOTIN IN ADULT PARTICIPANTS WITH LOCALLY ADVANCED OR METASTATIC UROTHELIAL CANCER

Run by Pfizer · NCT07421700 · Data updated 2026-11-12

This trial will try PF-08634404 by itself or together with enfortumab vedotin to see if it is safe and helps adults with advanced or metastatic urothelial (bladder) cancer.

More Urothelial Carcinoma trials

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment132 (estimated)
SponsorPfizer
Industry-sponsored
Drugs / interventionsenfortumab
Locations184 sites (Fayetteville, Arkansas and 183 other locations)
StatusRecruiting
StartedMarch 11, 2026
Main results expectedDecember 28, 2027
Study endsSeptember 25, 2028
Registry record updatedOctober 8, 2026
Trial IDNCT07421700 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with locally advanced or metastatic urothelial carcinoma who have measurable disease, ECOG 0–1, adequate organ function, and who meet cohort-specific prior-treatment criteria are the intended participants.

Probably not a fit

Patients with active central nervous system metastases, recent other malignancies, uncontrolled autoimmune disease, poor organ function, or ECOG performance status above 1 are unlikely to be eligible or to benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 1/2 trial tests the investigational drug PF-08634404 alone or in combination with enfortumab vedotin in adults with locally advanced or metastatic urothelial carcinoma. Participants who have already received prior therapy get PF-08634404 alone (Cohort A), while treatment-naive participants receive PF-08634404 plus enfortumab vedotin (Cohort B). The study examines safety, drug pharmacokinetics, tumor response by RECIST v1.1, and changes in cancer-related biomarkers. Eligible patients must have measurable disease, ECOG performance status 0–1, and adequate organ function, and will be treated at participating Highlands Oncology Group sites in Arkansas.

Why it matters

Potential benefit: If successful, the regimen could provide a new treatment option that shrinks tumors or prolongs disease control for people with advanced urothelial cancer.

How similar studies have gone: Enfortumab vedotin is an approved therapy with demonstrated benefit in urothelial cancer, but PF-08634404 is experimental and combining it with enfortumab vedotin is a novel approach that is unproven.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥18 years at the time of screening.
* Histologically confirmed locally advanced or metastatic urothelial carcinoma (LA/mUC).
* Measurable disease per RECIST v1.1 criteria.
* ECOG performance status of 0 or 1.
* Adequate organ function, including hematologic, hepatic, and renal parameters.
* Willingness to comply with study procedures and provide informed consent.
* For participants of childbearing potential: agreement to use effective contraception during the study and for a defined period after the last dose.

Exclusion Criteria:

Participants will be excluded if they meet any of the following:

* History of another malignancy within 3 years before the first dose of study intervention, or any evidence of residual disease from a previously diagnosed malignancy
* Known active CNS lesions, including leptomeningeal metastasis, brainstem, meningeal, or spinal cord metastases or compression
* Active autoimmune diseases requiring systemic treatment within the past 2 years
* Participation in another investigational study within 30 days or 5 half-lives of the investigational product.
* Pregnant or breastfeeding individuals.
* Inability or unwillingness to comply with study requirements.
* Study staff or their immediate family members directly involved in the conduct of the study.

Where it's running

  • Highlands Oncology Group, PA
    Fayetteville, Arkansas, United States
    Recruiting
  • Highlands Oncology Group, PA
    Rogers, Arkansas, United States
    Recruiting
  • Highlands Oncology Group, PA
    Springdale, Arkansas, United States
    Recruiting
  • UCLA Hematology/Oncology - Alhambra
    Alhambra, California, United States
    Recruiting
  • UCLA Hematology/Oncology - Atascadero
    Atascadero, California, United States
    Recruiting
  • UCLA Hematology/Oncology - Beverly Hills
    Beverly Hills, California, United States
    Recruiting
Show 44 more locations
  • UCLA Hematology/Oncology - Burbank
    Burbank, California, United States
    Recruiting
  • City of Hope (City of Hope National Medical Center, City of Hope Medical Center)
    Duarte, California, United States
    Recruiting
  • City of Hope Investigational Drug Services (IDS)
    Duarte, California, United States
    Recruiting
  • UC San Diego Medical Center - Encinitas
    Encinitas, California, United States
    Recruiting
  • UCLA Hematology/Oncology - Encino
    Encino, California, United States
    Recruiting
  • UCLA Hematology/Oncology - Irvine
    Irvine, California, United States
    Recruiting
  • Chao Family Comprehensive Cancer Center and Ambulatory Care
    Irvine, California, United States
    Recruiting
  • UCI Health - Irvine Infusion Pharmacy ACC
    Irvine, California, United States
    Recruiting
  • City of Hope at Irvine Lennar
    Irvine, California, United States
    Recruiting
  • City of Hope Investigational Drug Service (IDS)
    Irvine, California, United States
    Recruiting
  • UC San Diego Koman Family Outpatient Pavilion
    La Jolla, California, United States
    Recruiting
  • UC San Diego Medical Center - La Jolla (Jacobs Medical Center / Thornton Pavilion)
    La Jolla, California, United States
    Recruiting
  • UC San Diego Moores Cancer Center
    La Jolla, California, United States
    Recruiting
  • UC San Diego Shiley Eye Institute
    La Jolla, California, United States
    Recruiting
  • UC San Diego Sulpizio Cardiovascular Center
    La Jolla, California, United States
    Recruiting
  • Viterbi Family Department of Ophthalmology
    La Jolla, California, United States
    Recruiting
  • UCLA Hematology Oncology- Laguna Hills
    Laguna Hills, California, United States
    Recruiting
  • City of Hope-Long Beach (ELM)
    Long Beach, California, United States
    Recruiting
  • START Los Angeles, LLC
    Los Angeles, California, United States
    Recruiting
  • Los Angeles Cancer Network - Century City
    Los Angeles, California, United States
    Recruiting
  • (IRB# 26-0433) Ronald Reagan UCLA Medical Center, Drug Information Center
    Los Angeles, California, United States
    Recruiting
  • UCLA Hematology/Oncology
    Los Angeles, California, United States
    Recruiting
  • UCLA Hematology/Oncology - Marina del Rey
    Marina del Rey, California, United States
    Recruiting
  • UC Irvine Health
    Orange, California, United States
    Recruiting
  • UCLA Hematology/Oncology - Pasadena
    Pasadena, California, United States
    Recruiting
  • UCLA Hematology Oncology - Porter Ranch
    Porter Ranch, California, United States
    Recruiting
  • UC San Diego Medical Center - Bankers Hill
    San Diego, California, United States
    Recruiting
  • UC San Diego McGrath Outpatient Pavilion - Hillcrest
    San Diego, California, United States
    Recruiting
  • UC San Diego Medical Center- Hillcrest
    San Diego, California, United States
    Recruiting
  • UC San Diego Medical Center - Rancho Bernardo
    San Diego, California, United States
    Recruiting
  • UCLA Hematology/Oncology - San Luis Obispo
    San Luis Obispo, California, United States
    Recruiting
  • UCLA Hematology/Oncology- Santa Barbara
    Santa Barbara, California, United States
    Recruiting
  • UCLA Hematology/Oncology- Santa Monica
    Santa Monica, California, United States
    Recruiting
  • UCLA Hematology/Oncology - Torrance
    Torrance, California, United States
    Recruiting
  • City of Hope UPLAND
    Upland, California, United States
    Recruiting
  • UCLA Hematology/Oncology - Santa Clarita
    Valencia, California, United States
    Recruiting
  • UCLA Hematology/Oncology - Ventura
    Ventura, California, United States
    Recruiting
  • UC San Diego Medical Center - Vista
    Vista, California, United States
    Recruiting
  • UCLA Hematology/Oncology - Westlake
    Westlake Village, California, United States
    Recruiting
  • Rocky Mountain Cancer Centers, LLP
    Aurora, Colorado, United States
    Recruiting
  • Rocky Mountain Cancer Centers, LLP
    Denver, Colorado, United States
    Recruiting
  • Rocky Mountain Cancer Centers, LLP
    Lone Tree, Colorado, United States
    Recruiting
  • Smilow Cancer Hospital - Derby
    Derby, Connecticut, United States
    Recruiting
  • Smilow Cancer Hospital - Fairfield
    Fairfield, Connecticut, United States
    Recruiting

+134 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.