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Looking Back at Enfortumab Vedotin Plus Pembrolizumab for Advanced Upper Tract Urothelial Cancer

Reviews past records of adults treated first with enfortumab vedotin plus pembrolizumab.

Key facts

Who runs it
Centre Hospitalier Universitaire de Nīmes
Where
Nîmes, FranceSee the site
Trial code
Registry title
Real-World Outcomes of First-Line Treatment of Metastatic or Locally Advanced Upper Tract Urothelial Carcinoma With Enfortumab Vedotin Plus Pembrolizumab : A French Multicenter Retrospective Observational Study
Status
Enrolling by invitation
People taking part
50 people, planned
Started
1 Jul 2026
Expected to end
1 Jul 2027
Type of study
Observational
Treatments tested
  • enfortumab vedotin plus pembrolizumab in first line setting for advanced upper tract urothelial carcinoma
Record updated
8 June 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The study looks back at adults with advanced cancer of the upper urinary tract who were treated with enfortumab vedotin plus pembrolizumab as their first treatment.

Age
18 years or older
Sex
All sexes can join
Disease stage
Advanced upper tract urothelial carcinoma (metastatic or locally advanced)
Earlier treatment
Must have had at least one infusion of enfortumab vedotin and pembrolizumab. Must not have had an immune checkpoint inhibitor before. Must not have had systemic treatment for advanced upper tract cancer before.

Main reasons for not taking part

  • Earlier treatment with an immune checkpoint inhibitor
  • Earlier systemic treatment for advanced upper tract urothelial carcinoma

The registry criteria, word for word

Show all 4 criteriaShow less

Who can take part

  • advanced upper tract urothelial carcinoma treated with enfortumab vedotin and pembrolizumab
  • at least one infusion of the treatment

Who cannot take part

  • patient previously treated with immune checkpoint inhibitor
  • patient previously treated with systemic treatment for advance UTUC

Where in France

  • Centre Hospitalier UniversitaireNîmes, FranceNo longer taking part

About the trial

What the trial wants to find out

The combination of Enfortumab Vedotin and Pembrolizumab has substantially improved outcomes for patients with advanced urothelial carcinoma and has emerged as a new standard of care in the first-line setting. However, data specifically regarding its use in patients with Upper Tract Urothelial Carcinoma (UTUC) remain limited.

Read full original descriptionShow less

This multicenter retrospective observational study aims to evaluate the real-world efficacy and safety of Enfortumab Vedotin plus Pembrolizumab as first-line treatment in patients with metastatic or locally advanced Upper Tract Urothelial Carcinoma (UTUC). The primary outcome will include objective response rate (ORR). Secondary outcomes will include progression-free survival (PFS), overall survival (OS), time to treatment response (TTR) and treatment-related toxicity.

In addition, the study will explore potential associations between clinical outcomes and selected molecular and immunohistochemical biomarkers, including Nectin-4 expression, microsatellite instability (MSI) status, and programmed death-ligand 1 (PD-L1) expression. These exploratory analyses may help identify predictive factors of response and contribute to a better understanding of treatment outcomes in this specific patient population.

Treatments tested

  • enfortumab vedotin plus pembrolizumab in first line setting for advanced upper tract urothelial carcinoma

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

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Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
A French Multicenter Retrospective Observational Study Assessing the Efficacy and Safety of Enfortumab Vedotin Combined With Pembrolizumab in the First-Line Treatment of Patients With Metastatic or Locally Advanced Upper Tract Urothelial Carcinoma
Plain-language title
Looking Back at Enfortumab Vedotin Plus Pembrolizumab for Advanced Upper Tract Urothelial CancerGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 12 November 2026.
Record updated
8 June 2026