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.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 132 (estimated) |
| Sponsor | Pfizer Industry-sponsored |
| Drugs / interventions | enfortumab |
| Locations | 184 sites (Fayetteville, Arkansas and 183 other locations) |
| Status | Recruiting |
| Started | March 11, 2026 |
| Main results expected | December 28, 2027 |
| Study ends | September 25, 2028 |
| Registry record updated | October 8, 2026 |
| Trial ID | NCT07421700 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
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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
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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
- Study coordinator: Pfizer CT.gov Call Center
- Email: ClinicalTrials.gov_Inquiries@pfizer.com
- Phone: 1-800-718-1021
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Bladder cancer: test a biomarker-guided plan after neoadjuvant therapy
This phase 2 study tests a biomarker- and response-guided plan to preserve the bladder in patients with muscle-invasive bladder cancer after neoadjuvant therapy.
-
Peripheral neuropathy during perioperative therapy with enfortumab vedotin and pembrolizumab in muscle-invasive urothelial cancer
This study follows adults with muscle-invasive urothelial cancer to see how nerve-related side effects develop when people receive enfortumab vedotin and pembrolizumab around surgery as part of standard care.
-
Enfortumab vedotin plus pembrolizumab versus chemoradiotherapy for muscle-invasive bladder cancer
This trial tests whether combining enfortumab vedotin with pembrolizumab can help people with non-metastatic muscle-invasive bladder cancer keep their bladder and control the cancer better than standard concurrent chemoradiotherapy.
-
Nerve effects of enfortumab vedotin in people with urothelial cancer
We will see how nerve testing and patient-reported symptoms change in adults with urothelial cancer who are starting enfortumab vedotin.
-
Gemcitabine plus carboplatin after progression on enfortumab vedotin and pembrolizumab for advanced urothelial cancer
This trial tests whether the chemotherapy combination gemcitabine and carboplatin can shrink or control advanced urothelial cancer in people whose cancer got worse after enfortumab vedotin plus pembrolizumab.
-
Investigating nerve damage in patients treated for advanced bladder cancer
This study is testing how the treatments enfortumab vedotin and pembrolizumab affect nerve damage and quality of life in people with advanced bladder cancer.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.