New hope for rare gut cancer: targeted drug enters trial for patients out of options

NCT ID NCT07347314

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This phase II trial tests enfortumab vedotin, a targeted drug that homes in on a protein called Nectin-4 found on many small bowel cancer cells. The study enrolls 27 adults whose cancer has worsened despite platinum-based chemotherapy or who cannot tolerate it. Participants receive the drug intravenously three weeks out of four. Researchers will measure how many patients' tumors shrink and track safety, hoping to find a new standard treatment for this rare and aggressive cancer.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Enfortumab vedotin (an antibody-drug conjugate that targets Nectin-4 on cancer cells and delivers a chemotherapy payload)

What this could lead to

If it works, this could provide a new treatment option for people with advanced small bowel adenocarcinoma who have run out of standard therapies.

What could go wrong

This is a small, early-phase trial with only 27 participants and no comparison group. The drug may not shrink tumors or may cause significant side effects. Results may not apply to all patients.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

small intestine adenocarcinoma

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Kyushu University Hospital

    RECRUITING

    Fukuoka, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • National Cancer Center Hospital

    RECRUITING

    Tokyo, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Osaka International Cancer Institute

    RECRUITING

    Osaka, Japan

    Contact Phone: •••-•••-•••• Email: •••••@•••••