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OncoMatch/Clinical Trials/NCT04724018

Sacituzumab Govitecan Plus EV in Metastatic UC

Is NCT04724018 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including Sacituzumab Govitecan (SG) and Enfortumab vedotin-ejfv (EV) for urothelial cancer.

Phase 1/2RecruitingDana-Farber Cancer InstituteNCT04724018Data as of May 2026

Treatment: Sacituzumab Govitecan (SG) · Enfortumab vedotin-ejfv (EV) · PembrolizumabPhase I of this research study will assess what doses of Sacituzumab Govitecan and Enfortumab Vedotin can be safely combined in the treatment of metastatic urothelial carcinoma (mUC). In Phase II of the study, patients in one of the two cohorts will receive Sacituzumab Govitecan, Enfortumab Vedotin, and Pembrolizumab to assess the efficacy of this drug combination. The names of the study drugs in these investigational combinations are: * Enfortumab Vedotin * Sacituzumab Govitecan * Pembrolizumab

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Extracted eligibility criteria

Cancer type

Urothelial Carcinoma

Disease stage

Metastatic disease required

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: platinum-based chemotherapy — adjuvant/neoadjuvant or locally advanced/metastatic

must have received prior treatment with platinum containing therapy defined as within the adjuvant/neoadjuvant setting with ≥ ypT2 disease at surgery or recurrent or progressive disease within 12 months or receiving treatment with platinum in locally advanced or metastatic setting

Must have received: checkpoint inhibitor — locally advanced or metastatic urothelial cancer

must have received a checkpoint inhibitor (CPI) in locally advanced or metastatic urothelial cancer setting. Patients who received CPI therapy in the neoadjuvant/adjuvant setting and had recurrent or progressive disease either during or within 12 months of therapy completion are eligible. A CPI is defined as a PD-1 or PD-L1 inhibitor.

Cannot have received: topoisomerase 1 inhibitor

Have previously received topoisomerase 1 inhibitors, SG or EV

Cannot have received: Sacituzumab govitecan (Sacituzumab govitecan)

Have previously received topoisomerase 1 inhibitors, SG or EV

Cannot have received: Enfortumab vedotin (Enfortumab vedotin)

Have previously received topoisomerase 1 inhibitors, SG or EV

Lab requirements

Blood counts

Leukocytes ≥3,000/mcL; Absolute neutrophil count ≥1,500/mcL; Platelets ≥100,000/mcL

Kidney function

Glomerular filtration rate (GFR) ≥30 mL/min/1.73 m2 (by Cockcroft Gault formula)

Liver function

Total bilirubin ≤ institutional upper limit of normal (ULN); AST(SGOT)/ALT(SGPT) ≤2.5x institutional ULN OR ≤5x ULN with liver metastases and serum albumin > 3 g/dL

Cardiac function

Participants with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, participants should be class 2B or better.

Participants must have adequate organ and marrow function as defined below: Leukocytes ≥3,000/mcL; Absolute neutrophil count ≥1,500/mcL; Platelets ≥100,000/mcL; Total bilirubin ≤ institutional upper limit of normal (ULN); AST(SGOT)/ALT(SGPT) ≤2.5x institutional ULN OR ≤5x ULN with liver metastases and serum albumin > 3 g/dL; Glomerular filtration rate (GFR) ≥30 mL/min/1.73 m2 (by Cockcroft Gault formula); cardiac risk assessment NYHA class 2B or better.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Dana Farber Cancer Institute · Boston, Massachusetts

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