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OncoMatch/Clinical Trials/NCT07869836

BL-M07D1 (Trastuzumab Brengitecan T-bren) vs Standard of Care Platinum-based Chemotherapy (PBC) for HER2-expressing Metastatic Urothelial Cancer After Progression on Anti-PD-(L)1-based Therapy

Official title: A Phase 3 Open-Label, Randomized Controlled Trial of T-bren (BL M07D1) vs. Platinum-based Chemotherapy in Patients With HER2 Expressing Metastatic Urothelial Cancer With Disease Progression on or After Anti-PD-(L)1-based Therapy

Is NCT07869836 recruiting? Yes, currently enrolling (Oct 2026). This Phase 3 trial studies multiple treatments including T-Bren, Dose level 1 and T-bren, Dose level 2 for urothelial cancer.

Phase 3RecruitingSystImmune Inc.NCT07869836Data as of Oct 2026

Treatment: T-Bren, Dose level 1 · T-bren, Dose level 2 · Gemcitabine + Platinum Based Chemotherapy (Cisplatin or Carboplatin) — The objective of the study is to evaluate the efficacy and safety of T-bren in participants with HER2 expressing metastatic UC with progression on or after anti-PD-(L)1-based therapy.

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Extracted eligibility criteria

Treatments studied

Chemotherapy

Gemcitabine + Platinum Based Chemotherapy (Cisplatin or Carboplatin)

Other

T-Bren, Dose level 1T-bren, Dose level 2

Cancer type

Urothelial Carcinoma

Biomarker criteria

Required: HER2 (ERBB2) expression (testing required; no eligibility threshold specified)

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: anti-PD-1/PD-L1 therapy

Disease progression or recurrence during or following anti-PD-(L)1-based therapy

Cannot have received: topoisomerase inhibitor-based antibody-drug conjugate

Prior topoisomerase inhibitor-based ADC therapy

Lab requirements

Blood counts

adequate organ function

Kidney function

adequate organ function

Liver function

adequate organ function

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

US trial sites

  • Central Georgia Cancer Center · Macon, Georgia
  • Central Georgia Cancer Center · Macon, Georgia

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT07869836 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior topoisomerase inhibitor-based antibody-drug conjugate disqualifies patients from enrollment.

Does this trial require ERBB2?

Yes, ERBB2 expression is a required biomarker for enrollment.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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