A Study of Erdafitinib in Participants With Metastatic or Locally Advanced Urothelial Cancer
A Phase 1b-2 Study to Evaluate Safety, Efficacy, Pharmacokinetics, and Pharmacodynamics of Various Regimens of Erdafitinib in Subjects With Metastatic or Locally Advanced Urothelial Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Expanded Access
Expanded Access
Approved
- Available: Expanded access is currently available for this investigational treatment, and patients who are not participants in the clinical study may be able to gain access to the drug, biologic, or medical device being studied.
- No longer available: Expanded access was available for this intervention previously but is not currently available and will not be available in the future.
- Temporarily not available: Expanded access is not currently available for this intervention but is expected to be available in the future.
- Approved for marketing: The intervention has been approved by the U.S. Food and Drug Administration for use by the public.
Contacts and Locations
Study Locations
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Brest, Belarus, 224027
- Brest Regional Oncology Dispensary
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Grodno, Belarus, 230017
- Grodno University Hospital
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Homyel, Belarus, 246012
- Gomel Regional Clinical Oncology Dispensary
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Lesnoy, Belarus, 223040
- State Institution N.N. Alexandrov Republican Scientific and
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Minsk, Belarus, 220013
- Minsk city Clinical Oncological Dispensary
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Mogilev, Belarus, 212018
- Mogilev Regional Hospital
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Vitebsk, Belarus, 210603
- Vitebsk Regional Clinical Hospital
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Brussels, Belgium, 1200
- Cliniques Universitaires Saint Luc
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Brussels, Belgium, 1070
- ULB Hôpital Erasme
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Haine-Saint-Paul, Belgium, 7100
- Jolimont
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Kortrijk, Belgium, 8500
- AZ Groeninge
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Liège, Belgium, 4000
- CHU de Liège - Domaine Universitaire du Sart Tilman
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Sint-Niklaas, Belgium, 9100
- AZ Nikolaas - Campus Sint-Niklaas Moerland
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Wilrijk, Belgium, 2610
- GZA Ziekenhuizen- Campus St Augustinus
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Barretos, Brazil, 14784-400
- Fundação Pio XII
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Belo Horizonte, Brazil, 30150-221
- Santa Casa de Misericordia de Belo Horizonte
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Curitiba, Brazil, 81520 060
- Liga Paranaense de Combate ao Cancer
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Fortaleza, Brazil, 60170-170
- Oncocentro Servicos Medicos e Hospitalares Ltda - Oncocentro
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Rio de Janeiro, Brazil, 22250 905
- Oncoclinicas Rio de Janeiro S A
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Rio de Janeiro, Brazil, 22775 001
- Instituto de Educacao, Pesquisa e Gestao em Saude Instituto Americas (COI)
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Santo André, Brazil, 09060-650
- CEPHO Centro de Estudos e Pesquisa de Hematologia e Oncologia
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Angers, France, 49055
- Institut de Cancerologie de Ouest (ICO) Site Paul Papin
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Bordeaux, France, 33075
- Hopital Saint André
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Caen, France, 14000
- Centre Francois Baclesse
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La Rochelle, France, 17019
- Centre Hospitalier Saint Louis
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Lyon, France, 69008
- Centre Leon Berard
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Marseille, France, 13005
- APHM Hopital Timone
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Paris, France, 75015
- Hôpital Européen Georges Pompidou
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Strasbourg, France, 67000
- Clinique Sainte Anne
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Tours, France, 37044
- CHRU de Tours
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Vandœuvre-lès-Nancy, France, 54519
- Institut de cancerologie de Lorraine
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Villejuif, France, 94800
- Institut Gustave Roussy
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Bergamo, Italy, 24125
- Cliniche Humanitas Gavazzeni
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Candiolo, Italy, 10060
- Istituto di Candiolo, IRCCS
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Carpi, Italy, 41012
- Ospedale Di Zona B Ramazzini
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Catania, Italy, 95126
- UOS Oncologia Medica, A.O. Cannizzaro
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Ferrara, Italy, 44124
- Arcispedale S. Anna Ferrara
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Lecco, Italy, 23900
- PO A.Manzoni di Lecco, ASST Lecco - Oncologia Medica - Lecco
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Livorno, Italy, 57122
- Ospedale Civile Di Livorno
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Milan, Italy, 20132
- IRCCS Ospedale San Raffaele
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Milan, Italy, 20162
- ASST Grande Ospedale Metropolitano Niguarda
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Perugia, Italy, 06132
- Ospedale S. Maria Della Misericordia Centro Operativo Studi Clinici SC Oncologia Medica
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Piacenza, Italy, 29121
- AUSL DI PIACENZA - Ospedale Guglielmo da Saliceto
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Roma, Italy, 00128
- Campus Bio Medico di Roma
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Sondrio, Italy, 23100
- Azienda Socio Sanitaria Territoriale (ASST) della Valtellin
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Terni, Italy, 05100
- Azienda Ospedaliera S. Maria Terni
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Udine, Italy, 33100
- Azienda Ospedaliero Universitaria S.Maria Della Misericordia
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Konin, Poland, 62-500
- Przychodnia Lekarska KOMED Roman Karaszewski
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Lodz, Poland, 93 513
- Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im M Kopernika w Lodzi
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Warsaw, Poland, 02-507
- Centralny Szpital Kliniczny MSWiA w Warszawie
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Warsaw, Poland, 01-748
- LUX MED Onkologia Sp. z o.o.
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Barnaul, Russia, 656049
- Altai Regional Oncology Dispensary
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Ivanovo, Russia, 153040
- Ivanovo Regional Oncology Dispensary
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Kislino Village, Russia, 305524
- GUZ Kursk Regional Oncology Dispensary
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Kuzmolovsky, Russia, 188663
- Leningrad Regional Oncology Dispensary
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Moscow, Russia, 105077
- City Clinical Hospital n.a. D.D.Pletnev
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Moscow, Russia, 117997
- Russian Scientific Center of Roentgenoradiology
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Moscow, Russia, 125130
- Moscow City Clinical Hospital # 62
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Nizhny Novgorod, Russia, 603000
- Clinical Diagnostic Centre of Nizhny Novgorod Region
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Nizhny Novgorod, Russia, 603074
- Privolzhsky District Medical Centre
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Omsk, Russia, 644013
- Clinical Oncology Dispensary
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Pyatigorsk, Russia, 357500
- LLC Novaya Clinica
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Saint Petersburg, Russia, 196603
- Private Medical Institution Euromedservice
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Saint Petersburg, Russia, 197758
- Russian Scientific Center of Radiology and Surgical Technologies
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Tambov, Russia, 392013
- Tambov Regional Oncology Clinical Dispansary
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Tyumen, Russia, 625041
- Multifunctional clinical medical center 'Medical city'
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Daejeon, South Korea, 35015
- Chungnam National University Hospital
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Gwangju, South Korea, 61469
- Chonnam National University Hospital
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Gyeonggi-do, South Korea, 16247
- The Catholic University Of Korea, St. Vincent's Hospital
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Seoul, South Korea, 03080
- Seoul National University Hospital
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Seoul, South Korea, 05505
- Asan Medical Center
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Seoul, South Korea, 03722
- Severance Hospital Yonsei University Health System
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Seoul, South Korea, 03181
- Kangbuk Samsung Hospital
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Seoul, South Korea, 06591
- The Catholic University of Korea Seoul St Marys Hospital
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Seoul, South Korea, 07061
- Seoul Metropolitan Government Seoul National University Boramae Medical Center
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Yangsan, South Korea, 50612
- Pusan National University Yangsan Hospital
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Barcelona, Spain, 08003
- Hosp. Del Mar
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Barcelona, Spain, 08036
- Hosp Clinic de Barcelona
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Madrid, Spain, 28040
- Hosp. Clinico San Carlos
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Madrid, Spain, 28034
- Hosp. Univ. Ramon Y Cajal
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Madrid, Spain, 28050
- Hosp Univ Fund Jimenez Diaz
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Madrid, Spain, 28050
- Hosp Univ Hm Sanchinarro
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Málaga, Spain, 29010
- Hosp Virgen de La Victoria
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Ourense, Spain, 32005
- Complexo Hosp. Univ. de Ourense
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Pontevedra, Spain, 36204
- Complejo Hospitalario de Vigo
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Pozuelo de Alarcón, Spain, 28223
- Hosp. Quiron Madrid Pozuelo
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Sabadell, Spain, 08208
- Corporacio Sanitari Parc Tauli
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Santander, Spain, 39008
- Hosp. Univ. Marques de Valdecilla
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Santiago de Compostela, Spain, 15706
- H. Clinico Universitario de Santiago de Compostela
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Seville, Spain, 41013
- Hosp. Virgen Del Rocio
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Seville, Spain, 41009
- Hosp. Virgen Macarena
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Valencia, Spain, 46009
- Instituto Valenciano de Oncología
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Valencia, Spain, 46010
- Hosp. Clinico Univ. de Valencia
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Kaohsiung City, Taiwan, 83301
- Kaohsiung Chang Gung Memorial Hospital
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Kaohsiung City, Taiwan, 807
- Kaohsiung Medical University Chung Ho Memorial Hospital
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Taichung, Taiwan, 40447
- China Medical University Hospital
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Tainan, Taiwan, 70403
- National Cheng Kung University Hospital
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Taipei, Taiwan, 10002
- National Taiwan University Hospital
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Taoyuan, Taiwan, 333
- Chang-Gung Memorial Hospital, LinKou Branch
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Adana, Turkey (Türkiye), 1130
- Adana Acibadem Hospital
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Ankara, Turkey (Türkiye), 06520
- Memorial Ankara Hastanesi
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Ankara, Turkey (Türkiye), 6100
- Hacettepe University Medical Faculty
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Ankara, Turkey (Türkiye), 6200
- Dr Abdurrahman Yurtaslan Oncology Training and Research Hospital
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Aydin, Turkey (Türkiye), 09100
- Adnan Menderes University Training and Research Hospital
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Edirne, Turkey (Türkiye), 22030
- Trakya University Medical Faculty
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Istanbul, Turkey (Türkiye), 34096
- Istanbul University Cerrahpasa Medical Faculty
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Istanbul, Turkey (Türkiye), 34732
- Istanbul Medeniyet University Goztepe Training and Research Hospital
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Izmir, Turkey (Türkiye), 35100
- Ege University
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Kocaeli, Turkey (Türkiye)
- Kocaeli University Medical Faculty
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Konya, Turkey (Türkiye), 42080
- Necmettin Erbakan University Meram Medical Faculty
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Trabzon, Turkey (Türkiye), 61080
- Karadeniz Teknik University Medical Faculty
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Lancaster, United Kingdom, LA1 4rp
- Royal Lancaster Infirmary
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London, United Kingdom, EC1A 7BE
- St Bartholomew's Hospital
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London, United Kingdom, NW1 2PG
- University College London Hospitals NHS Foundation Trust
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Nottingham, United Kingdom, NG5 1PB
- Nottingham University Hospitals NHS Trust
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Colorado
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Aurora, Colorado, United States, 80012
- Rocky Mountain Cancer Centers
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Kentucky
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Louisville, Kentucky, United States, 40202
- Norton Cancer Institute
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Maryland
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Rockville, Maryland, United States, 20850
- Maryland Oncology Hematology, PA
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New Jersey
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Hackensack, New Jersey, United States, 07601
- Hackensack University Medical Center
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New York
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New York, New York, United States, 10021
- Weill Cornell Medical College - NY Presbyterian Hospital
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White Plains, New York, United States, 10601
- White Plains Hospital Center for Cancer Care
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North Carolina
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Charlotte, North Carolina, United States, 28204
- Levine Cancer Institute, Carolinas HealthCare System
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Ohio
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Toledo, Ohio, United States, 43623-3536
- Toledo Clinic Cancer Centers
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Pennsylvania
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Hershey, Pennsylvania, United States, 17033
- Penn State Hershey Cancer Institute
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Texas
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Fort Worth, Texas, United States, 76104
- Texas Oncology, P.A.
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Houston, Texas, United States, 77030
- The University of Texas MD Anderson Cancer Center
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Virginia
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Norfolk, Virginia, United States, 23502
- Virginia Oncology Associates
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Phase 1b: Dose Escalation
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.
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Participants will receive erdafitinib orally.
Other Names:
Participants will receive cetrelimab by intravenous infusion.
Other Names:
Participants will receive cisplatin by intravenous infusion as a part of platinum chemotherapy.
Participants will receive carboplatin by intravenous infusion as a part of platinum chemotherapy.
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Experimental: Phase 2: Dose Expansion
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).
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Participants will receive erdafitinib orally.
Other Names:
Participants will receive cetrelimab by intravenous infusion.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Phase 1b: Number of Participants With Dose-Limiting Toxicity (DLTs)
Time Frame: Up to 8 weeks
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Number of participants with DLTs were reported.
The DLTs as per National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE version 5.0) are specific adverse events defined as grade 3 (severe), grade 4 (life-threatening), and grade 5 (death) non-hematological toxicity or hematological toxicity.
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Up to 8 weeks
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Phase 2: Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 by Investigator Assessment
Time Frame: From Day 1 up to 36 months
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ORR is defined as the percentage of participants who achieved confirmed complete response (CR) or confirmed partial response (PR), according to response evaluation criteria in solid tumors (RECIST) version1.1.
As per RECIST version 1.1, CR: disappearance of all lesions; all lymph nodes were non-pathological in size and normalization of tumor marker level; PR: greater than or equal to (>=) 30 percent (%) decrease in the sum of the diameters of all target lesions compared with baseline, in absence of new lesions or unequivocal progression of nontarget lesions.
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From Day 1 up to 36 months
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Phase 2: Number of Participants With Treatment-emergent Adverse Event (TEAEs)
Time Frame: From Day 1 up to 36 months
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Number of participants with TEAEs were reported.
An adverse event is any untoward medical event that occurs in a participant administered an investigational product and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.
TEAEs were defined as adverse events with onset or worsening on or after date of first dose of study treatment.
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From Day 1 up to 36 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Phase 1b and Phase 2: Plasma Concentration of Erdafitinib
Time Frame: Up to 6 years 1 month
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Up to 6 years 1 month
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Phase 1b and Phase 2: Serum Concentration of Cetrelimab
Time Frame: Up to 6 years 1 month
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Up to 6 years 1 month
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Phase 1b: Plasma Concentration of Platinum (Cisplatin and Carboplatin) Chemotherapy
Time Frame: Up to 6 years 1 month
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Up to 6 years 1 month
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Phase 1b and Phase 2: Number of Participants With Anti-Cetrelimab Antibodies
Time Frame: Up to 6 years 1 month
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Up to 6 years 1 month
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Phase 2: Number of Participants With Serious Adverse Events (SAEs)
Time Frame: Up to 6 years 1 month
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Up to 6 years 1 month
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Phase 2: Number of Participants With Abnormal Laboratory Values
Time Frame: Up to 6 years 1 month
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Up to 6 years 1 month
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Phase 2: Duration of Response (DoR)
Time Frame: Up to 6 years 1 month
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Up to 6 years 1 month
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Phase 2: Time to Response (TTR)
Time Frame: Up to 6 years 1 month
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Up to 6 years 1 month
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Phase 2: Progression-free Survival (PFS)
Time Frame: Up to 6 years 1 month
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Up to 6 years 1 month
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Phase 2: Overall Survival (OS)
Time Frame: Up to 6 years 1 month
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Up to 6 years 1 month
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Publications and helpful links
General Publications
- LaRoche JK, Lanier J, Alvarenga R, Collins M, Costelloe T, Chiau A, Whetherly H, De Soete W, Faludi J, Rens K. Climate footprint of industry-sponsored in-human clinical trials: life cycle assessments of clinical trials spanning multiple phases and disease areas. BMJ Open. 2025 Feb 19;15(2):e085364. doi: 10.1136/bmjopen-2024-085364.
- Loriot Y, Powles T, Moreno V, Kang TW, Cicin I, Girvin A, Akapame S, O'Hagan A, Zhu W, Tammaro M, Thomas S, Triantos S, Siefker-Radtke AO. Erdafitinib or Erdafitinib Plus Cetrelimab for Patients With Metastatic Urothelial Carcinoma and FGFR Alterations: Final Results From the Phase II NORSE Study. J Clin Oncol. 2026 Mar 10;44(8):676-684. doi: 10.1200/JCO-25-00826. Epub 2026 Jan 15.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CR108445
- 2023 (U.S. NIH Grant/Contract: GRAMMY Museum Foundation)
- 2017 (U.S. NIH Grant/Contract)
- 2017-001980-19 (EudraCT Number)
- 42756493BLC2002 (Other Identifier: Janssen Research & Development, LLC)
- 2023-510295-31-00 (Registry Identifier: EUCT number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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