A Study of Erdafitinib in Participants With Metastatic or Locally Advanced Urothelial Cancer
Urothelial Carcinoma
About this trial
This is an interventional treatment trial for Urothelial Carcinoma
Eligibility Criteria
Inclusion Criteria:
- Histologic demonstration of transitional cell carcinoma of the urothelium. Variant urothelial carcinoma histologies such as glandular or squamous differentiation, or evolution to more aggressive phenotypes such as sarcomatoid or micropapillary change are acceptable
- Metastatic or locally advanced urothelial cancer
- Must have measurable disease by radiological imaging according to the Response Evaluation Criteria in Solid Tumors (RECIST, version 1.1) at baseline
- Prior systemic therapy for metastatic urothelial cancer: (a) For Phase 1b erdafitinib + cetrelimab cohort: Any number of lines of prior therapy; (b) For Phase 1b erdafitinib + cetrelimab + platinum chemotherapy cohort: No prior systemic therapy for metastatic disease; and renal function for participants must have a creatinine clearance (CrCl) greater than (>) 30 milliliter per minute (mL/min) to receive carboplatin and >60 mL/min to receive cisplatin as calculated by Cockcroft Gault and (c) Phase 2: No prior systemic therapy for metastatic disease and cisplatin-ineligible based on: ECOG PS 0-1 and at least one of the following criteria: Renal function defined as creatinine clearance (CrCl) less than (˂) 60 mL/min as calculated by Cockcroft-Gault; Grade 2 or higher peripheral neuropathy per NCI-CTCAE version 5.0; Grade 2 or higher hearing loss per NCI-CTCAE version 5.0 OR ECOG PS 2
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) grade of: (a) Phase 1b erdafitinib + cetrelimab cohort: ECOG 0-2; (b) Phase 1b erdafitinib + cetrelimab + platinum chemotherapy cohort: ECOG 0-1 for cisplatin and 0-2 for carboplatin (c) Phase 2: ECOG 0-2
Exclusion Criteria:
- Treatment with any other investigational agent or participation in another clinical study with therapeutic intent within 30 days prior to Cycle 1 Day 1. For Phase 1b, participants who have received the following prior antitumor therapy: received nitrosoureas and mitomycin C within 6 weeks
- Phase 1b erdafitinib + cetrelimab cohort: Chemotherapy within 3 weeks of Cycle 1 Day 1; Phase 1b erdafitinib + cetrelimab + platinum chemotherapy cohort and Phase 2: Prior neoadjuvant/adjuvant chemotherapy is allowed if the last dose was given >12 months prior to recurrent disease progression and did not result in drug-related toxicity leading to treatment discontinuation
- Prior anti-programmed death receptor-1 (PD-1), anti-programmed death ligand-1 (PD-L1), or anti-programmed death ligand-2 (PD-L2) therapy. Prior neoadjuvant/adjuvant checkpoint inhibitor therapy is allowed if the last dose was given more than (>)12 months prior to recurrent disease progression and did not result in drug-related toxicity leading to treatment discontinuation. PD-1 for non-muscle invasive bladder cancer is also allowed
- Active malignancies requiring concurrent therapy other than urothelial cancer
- Symptomatic central nervous system metastases
Sites / Locations
- Rocky Mountain Cancer Centers
- Norton Cancer Institute
- Maryland Oncology Hematology, PA
- Hackensack University Medical Center
- Weill Cornell Medical College - NY Presbyterian Hospital
- White Plains Hospital Center for Cancer Care
- Levine Cancer Institute, Carolinas HealthCare System
- Toledo Clinic Cancer Centers
- Penn State Hershey Cancer Institute
- Texas Oncology, P.A.
- The University of Texas MD Anderson Cancer Center
- Virginia Oncology Associates
- Brest Regional Oncology Dispensary
- Gomel Regional Clinical Oncology Dispensary
- Grodno University Hospital
- State Institution N.N. Alexandrov Republican Scientific and
- Minsk city Clinical Oncological Dispensary
- Mogilev Regional Hospital
- Vitebsk Regional Clinical Hospital
- Cliniques Universitaires Saint-Luc
- ULB Hôpital Erasme
- Jolimont
- Az Groeninge
- CHU de Liège - Domaine Universitaire du Sart Tilman
- AZ Nikolaas - Campus Sint-Niklaas Moerland
- GZA Ziekenhuizen- Campus St Augustinus
- Fundacao Pio XII
- Santa Casa de Misericordia de Belo Horizonte
- Liga Paranaense de Combate ao Cancer
- Oncocentro Servicos Medicos e Hospitalares Ltda - Oncocentro
- Oncoclínicas Rio de Janeiro S.A.
- Instituto de Educacao, Pesquisa e Gestao em Saude Instituto Americas (COI)
- CEPHO - Centro de Estudos e Pesquisa de Hematologia e Oncologia
- Institut de Cancerologie de Ouest (ICO) Site Paul Papin
- Hopital Saint André
- Centre Francois Baclesse
- Centre hospitalier Saint Louis
- Centre Leon Bérard
- APHM Hopital Timone
- Hôpital Européen Georges Pompidou
- Clinique Sainte Anne
- CHRU de Tours
- Institut de Cancérologie de Lorraine
- Institut Gustave Roussy
- Cliniche Humanitas Gavazzeni
- Istituto di Candiolo, IRCCS
- Ospedale Di Zona B Ramazzini
- UOS Oncologia Medica, A.O. Cannizzaro
- Arcispedale S. Anna Ferrara
- PO A.Manzoni di Lecco, ASST Lecco - Oncologia Medica - Lecco
- Ospedale Civile Di Livorno
- IRCCS Ospedale San Raffaele
- ASST Grande Ospedale Metropolitano Niguarda
- Ospedale S. Maria Della Misericordia Centro Operativo Studi Clinici SC Oncologia Medica
- AUSL DI PIACENZA - Ospedale Guglielmo da Saliceto
- Campus Bio-Medico di Roma
- Azienda Socio Sanitaria Territoriale (ASST) della Valtellin
- Azienda Ospedaliera S. Maria Terni
- Azienda Ospedaliero Universitaria S.Maria Della Misericordia
- Chungnam National University Hospital
- Chonnam National University Hospital
- The Catholic university of Korea, St. Vincent's Hospital
- Pusan National University Yangsan Hospital
- Seoul National University Hospital
- Kangbuk Samsung Hospital
- Severance Hospital, Yonsei University Health System
- Asan Medical Center
- The Catholic University of Korea Seoul St. Mary's Hospital
- Seoul Metropolitan Government Seoul National University Boramae Medical Center
- Przychodnia Lekarska KOMED Roman Karaszewski
- Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Lodzi
- LUX MED Onkologia Sp. z o.o.
- Centralny Szpital Kliniczny MSWiA w Warszawie
- Altai Regional Oncology Dispensary
- Ivanovo Regional Oncology Dispensary
- GUZ Kursk Regional Oncology Dispensary
- Leningrad Regional Oncology Dispensary
- City Clinical Hospital n.a. D.D.Pletnev
- Russian Scientific Center of Roentgenoradiology
- Moscow City Clinical Hospital # 62
- Clinical Diagnostic Centre of Nizhny Novgorod Region
- Privolzhsky District Medical Centre
- Clinical Oncology Dispensary
- LLC Novaya Clinica
- Private Medical Institution Euromedservice
- Russian Scientific Center of Radiology and Surgical Technologies
- Tambov Regional Oncology Clinical Dispansary
- Multifunctional clinical medical center 'Medical city'
- Hosp. Del Mar
- Hosp. Clinic I Provincial de Barcelona
- Hosp. Univ. Ramon Y Cajal
- Hosp. Clinico San Carlos
- Hosp. Univ. Fund. Jimenez Diaz
- Hosp. Univ. Hm Sanchinarro
- Hosp. Virgen de La Victoria
- Complexo Hosp. Univ. de Ourense
- Complejo Hospitalario de Vigo
- Hosp. Quiron Madrid Pozuelo
- Corporacio Sanitari Parc Tauli
- Hosp. Univ. Marques de Valdecilla
- H. Clinico Universitario de Santiago de Compostela
- Hosp. Virgen Macarena
- Hosp. Virgen Del Rocio
- Instituto Valenciano de Oncologia
- Hosp. Clinico Univ. de Valencia
- Kaohsiung Chang Gung Memorial Hospital
- Kaohsiung Medical University Chung-Ho Memorial Hospital
- China Medical University Hospital
- National Cheng Kung University Hospital
- National Taiwan University Hospital
- Chang-Gung Memorial Hospital, LinKou Branch
- Adana Acibadem Hospital
- Memorial Ankara Hastanesi
- Hacettepe University Medical Faculty
- Dr.Abdurrahman Yurtaslan Oncology Training and Research Hospital
- Adnan Menderes University Training and Research Hospital
- Trakya University Medical Faculty
- Istanbul University Cerrahpasa Medical Faculty
- Istanbul Medeniyet University Goztepe Training and Research Hospital
- Ege University
- Kocaeli University Medical Faculty
- Necmettin Erbakan University Meram Medical Faculty
- Karadeniz Teknik University Medical Faculty
- Royal Lancaster Infirmary
- St Bartholomew's Hospital
- University College London Hospitals Nhs Foundation Trust
- Nottingham University Hospitals NHS Trust
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Phase 1b: Dose Escalation
Phase 2: Dose Expansion
Two dosing cohorts (erdafitinib and cetrelimab; and erdafitinib, cetrelimab and cisplatin/carboplatin) are explored in Phase 1b of the study. Participants will receive erdafitinib orally followed by cetrelimab intravenously (IV) and carboplatin/cisplatin IV as a part of platinum chemotherapy. The dose levels will be escalated sequentially based on the decisions of the Study Evaluation Team (SET) until the recommended Phase 2 Dose (RP2D) has been identified.
The participants will be randomized in a 1:1 manner to receive either erdafitinib alone (orally) or the identified RP2D of Phase 1b for erdafitinib (orally) in combination with cetrelimab (IV).