Overview
Sponsor-declared trial summary
Carcinoma, Transitional Cell
The purpose of this study is to test a new medicine, vepugratinib, in comparison with placebo, to see if it is safe and can help people with a bladder cancer that is advanced or has spread. Vepugratinib or placebo will be administered in combination with enfortumab vedotin and pembrolizumab. Study participation could l…
Key facts
- Sponsor
- Eli Lilly & Co.
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Decision date (initial)
- 2026-04-21
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
External identifiers
- EU CT number
- 2025-522855-25-00
- WHO UTN
- U1111-1328-1470
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Pharmacokinetic, Safety, Efficacy
The purpose of this study is to test a new medicine, vepugratinib, in comparison with placebo, to see if it is safe and can help people with a bladder cancer that is advanced or has spread.
Vepugratinib or placebo will be administered in combination with enfortumab vedotin and pembrolizumab.
Study participation could last up to approximately 6 years.
Conditions and MedDRA coding
Carcinoma, Transitional Cell
Regulatory references
- Scientific advice from competent authorities
- European Medicines Agency
- Plan to share IPD
- Yes
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 5
- A type of cancer called urothelial cancer that has spread to other parts of your body and cannot be removed with surgery
- A specific genetic change in the FGFR3 gene that can be found in a tumor or blood sample
- Tumors that can be measured by a doctor using a special system called RECIST v1.1
- Moderate to good level of physical ability
- Adequate laboratory test results
Exclusion criteria 5
- Have already had treatment for cancer that has spread to other parts of your body
- Still have side effects from previous cancer treatment that are worse than mild
- Have nerve damage that affects your senses or movement
- Have cancer that has spread to the brain that is untreated or uncontrolled
- Have eye problems like corneal keratopathy or retinal disorder that are symptomatic or haven't been treated yet
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 3
- Safety Lead-in:Safety and Tolerability of vepugratinib in combination with EV and pembrolizumab
- Safety Lead-in:Overall Response Rate (ORR)
- Progression-free Survival (PFS) by Blinded Independent Central Review (BICR)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 3
PRD12339913 · Product
- Active substance
- (S-4-4-3-CHLORO-4-1-5-FLUOROPYRIDIN-2-YL-2-HYDROXYETHOXYPYRAZOLO15-APYRIDIN-6-YL-5-METHYL-1H-123-TRIAZOL-1-YLPIPERIDINE-1-CARBONITRILE
- Other product name
- Loxo-435
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 400 mg milligram(s)
- Max total dose
- 294000 mg milligram(s)
- Max treatment duration
- 735 Day(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY LIMITED
- Paediatric formulation
- No
- Orphan designation
- No
PRD10158656 · Product
- Active substance
- LOXO-435
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 400 mg milligram(s)
- Max total dose
- 294000 mg milligram(s)
- Max treatment duration
- 735 Day(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY LIMITED
- Paediatric formulation
- No
- Orphan designation
- No
PRD10158639 · Product
- Active substance
- LOXO-435
- Pharmaceutical form
- TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 400 mg milligram(s)
- Max total dose
- 294000 mg milligram(s)
- Max treatment duration
- 735 Day(s)
- Authorisation status
- Not Authorised
- MA holder
- ELI LILLY AND COMPANY LIMITED
- Paediatric formulation
- No
- Orphan designation
- No
Comparator 2
—
SCP6094344 · ATC
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 200 mg milligram(s)
- Max total dose
- 7000 mg milligram(s)
- Max treatment duration
- 735 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01FF02 — PEMBROLIZUMAB
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
—
SCP56433228 · ATC
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 1.25 mg/kg milligram(s)/kilogram
- Max total dose
- 6125 mg/kg milligram(s)/kilogram
- Max treatment duration
- 735 Day(s)
- Authorisation status
- Authorised
- ATC code
- L01FX13 — ENFORTUMAB VEDOTIN
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Placebo 1
N/A · Product
- Other product name
- N/A
- Pharmaceutical form
- N/A
- ATC code
- N/A — N/A
- Marketing authorisation
- N/A
- MA holder
- N/A
- MA country
- Iceland
- Paediatric formulation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Eli Lilly & Co.
- Sponsor organisation
- Eli Lilly & Co.
- Address
- 1 Lilly Corporate Center
- City
- Indianapolis
- Postcode
- 46285-0001
- Country
- United States
Scientific contact point
- Organisation
- Eli Lilly & Co.
- Contact name
- Lilly Clinical Trials information desk
Public contact point
- Organisation
- Eli Lilly & Co.
- Contact name
- Lilly Clinical Trials information desk
Third parties 13
| Organisation | City, country | Duties |
|---|---|---|
| Caerus US 1 Inc. ORG-100048366
|
New York, United States | Other |
| The Hibbert Co. ORG-100047639
|
Trenton, United States | Other |
| Clinical AI Inc ORL-000016741
|
United States | Other |
| Q2 Solutions LLC ORG-100017000
|
Ithaca, United States | Laboratory analysis |
| Tempus AI Inc. ORG-100044006
|
Chicago, United States | Laboratory analysis |
| Arup Laboratories Inc. ORG-100041750
|
Salt Lake City, United States | Laboratory analysis |
| Florence Healthcare Inc. ORL-000016740
|
Atlanta, United States | Other |
| Mural Health Technologies Inc. ORG-100051510
|
Berwyn, United States | Other |
| Iqvia Biotech LLC ORG-100008704
|
Durham, United States | On site monitoring |
| Bioclinica Inc. ORG-100033079
|
Philadelphia, United States | Laboratory analysis |
| Thermo Fisher Clinical Services ORL-000016742
|
United States | Other |
| PPD (Thermo Fisher Clinical Scientific) ORL-000016743
|
Belgium | Laboratory analysis |
| RWS Life Sciences Inc. ORG-100042348
|
East Hartford, United States | Other |
Locations
9 EU/EEA countries · 103 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Czechia | Authorised, recruitment pending | 16 | 6 |
| Denmark | Authorised, recruitment pending | 5 | 5 |
| France | Authorised, recruitment pending | 24 | 12 |
| Germany | Authorised, recruitment pending | 28 | 25 |
| Hungary | Authorised, recruitment pending | 18 | 5 |
| Italy | Authorised, recruitment pending | 27 | 8 |
| Netherlands | Authorised, recruitment pending | 8 | 4 |
| Poland | Authorised, recruitment pending | 15 | 12 |
| Spain | Authorised, recruitment pending | 56 | 26 |
| Rest of world
Canada, China, United Kingdom, Brazil, Taiwan, Australia, Japan, Korea, Republic of, Turkey
|
— | 306 | — |
Investigational sites
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 96 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_redacted_2025-522855-25-00 | 1.0 |
| Protocol (for publication) | D4_Patient Documents Copyright Template | 1 |
| Recruitment arrangements (for publication) | K1_Additionnal Document_Redacted | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Allocation | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements | 1.1 |
| Recruitment arrangements (for publication) | K1_recruitment arrangements statement | 1.0 |
| Recruitment arrangements (for publication) | K1_recruitment arrangements statement | 1.0 |
| Recruitment arrangements (for publication) | K1_recruitment arrangements statement | 1 |
| Recruitment arrangements (for publication) | K1_recruitment arrangements statement | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment Procedure | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment procedure | 3.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Procedure_ | 1.0 |
| Recruitment arrangements (for publication) | K1_recruitment_arrangements_statement_PL | 1 |
| Recruitment arrangements (for publication) | K2_Brochure_Master_Redacted | 1.0 |
| Recruitment arrangements (for publication) | K2_Flyer_Master | 1 |
| Recruitment arrangements (for publication) | K2_Poster_Master | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material Brochure_Redacted | 2.1 |
| Recruitment arrangements (for publication) | K2_Recruitment material Brochure_Redacted | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material Flyer | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material Poster | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Brochure_Redacted | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Brochure_Redacted | 2.1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_EN_Site facing_Doctor Referral Slides | 1.1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Flyer | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Flyer | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_HU_Brochure_Redacted | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_HU_Flyer | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_HU_Poster | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_HU_Site facing_Doctor Referral Letter | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Poster | 2 |
| Recruitment arrangements (for publication) | K2_Recruitment material_Poster | 2 |
| Recruitment arrangements (for publication) | K2_recruitment_material_Brochure_PL_Redacted | 2 |
| Recruitment arrangements (for publication) | K2_recruitment_material_Flyer_PL_Redacted | 2 |
| Recruitment arrangements (for publication) | K2_recruitment_material_Poster_PL_Redacted | 2 |
| Recruitment arrangements (for publication) | K3_Appreciation-Items | 2 |
| Recruitment arrangements (for publication) | K3_Recruitment material Flyer | 2.1 |
| Recruitment arrangements (for publication) | K4_Recruitment material Poster | 2.1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF TC_Redacted | 1.1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF_Addendum Genetic_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF_Main_Redacted | 3.1 |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF_Redacted | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Addendum Prescreening | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Addendum Samples_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_Redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Activity - Screening_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Activity_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-Screening | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Addendum Optional Activity_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Addendum Screening | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Future Research Addendum_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Future Research ICF_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_JZVD_DPA ICF_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_JZVD_Main ICF_CZ_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_JZVD_Optional Activity - Future Research_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_main ICF_Redacted | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Activity_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Prescreening ICF | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Optional Preselection Process | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PL_Main ICF_Redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PL_Optional ICF_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PL_Prescreening ICF | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening Addendum | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Screening Activity_Clean | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and Main ICF_NL_Redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS_and_ICF_Main_ICF_Redacted | 1.3 |
| Subject information and informed consent form (for publication) | L2_Informed consent and patient recruitment procedure_PL | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material Leaflet on trial subject rights | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Brochure_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Confidentiality Notice_Netherlands | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_CT_Card_TY-Enrollment | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_CT_Card_TY-Screening | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Flyer | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Patient Card | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Poster | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Study Participant Contact Card | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Study-Connect-Participant Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Study-Guide_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Visit-Card | 1.0 |
| Subject information and informed consent form (for publication) | L2_Patient Card text_Redacted | 1 |
| Subject information and informed consent form (for publication) | L2_Patient Information Card CZ | 2.0 |
| Subject information and informed consent form (for publication) | L3_Info Re insurance Conditions for Patient | 2 |
| Subject information and informed consent form (for publication) | L3_Retention_HU_eCOA Participant Quick-Start Guide | 2 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Keytruda | 1.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Padcev | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-522855-25-00_ENG_Redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-522855-25-00_IT_Redacted | initial |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-522855-25-00_NL_Redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2025-522855-25-00_PL_Redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_CZ_2025-522855-25-00_Redacted | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_HU 2025-522855-25-00_Redacted | initial |
| Synopsis of the protocol (for publication) | D1_Protocol_Synopsis_2025-522855-25-00_FR_Redacted | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol_Synopsis_ES_2025-522855-25-00_Redacted | 1.0 |
Application history
1 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-12-08 | Denmark | Acceptable 2026-04-20
|
2026-04-20 |