New drug aims to outsmart chemo in tough bladder cancer
NCT ID NCT07106762
First seen Jun 25, 2026 · Last updated Jul 30, 2026 · Updated 5 times
Summary
This study compares a new drug, izalontamab brengitecan, against standard platinum-based chemotherapy in 470 people with metastatic urothelial cancer that has worsened after immunotherapy. The goal is to see if the new drug can slow cancer growth or improve survival. Participants are randomly assigned to receive either the new drug or chemotherapy.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- izalontamab brengitecan (a drug that targets cancer cells)
- What this could lead to
- If successful, this could offer a new treatment option for people with advanced bladder cancer that has stopped responding to immunotherapy.
- What could go wrong
- This is an early-to-mid stage trial, so the drug may not prove more effective than standard chemotherapy. Side effects from the new drug are still being studied.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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A.O.U.C. Policlinico di Bari
RECRUITINGBari, Apulia, 70124, Italy
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AZ Maria Middelares
RECRUITINGGhent, Oost-Vlaanderen, 9000, Belgium
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Akershus Universitetssykehus
RECRUITINGLørenskog, Akershus, 1478, Norway
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Asociación de Beneficencia Hospital Sirio Libanés
RECRUITINGCiudad Autonoma de Buenos Aires, Buenos Aires, 1419, Argentina
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Austin Health
RECRUITINGHeidelberg, Victoria, 3084, Australia
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Azienda Ospedaliera Universitaria Federico II
RECRUITINGNaples, 80131, Italy
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Azienda Ospedaliero Universitaria Pisana
RECRUITINGPisa, Tuscany, 56126, Italy
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Azienda Ospedaliero Universitaria di Parma
RECRUITINGParma, 43126, Italy
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CHRU de Brest
RECRUITINGBrest, Finistère, 29200, France
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CHU Strasbourg-Hautepierre
RECRUITINGStrasbourg, Alsace, 67098, France
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CHU de Bordeaux Hop St ANDRE
RECRUITINGBordeaux, Aquitaine, 33075, France
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Cantonal Hospital St.Gallen
RECRUITINGSankt Gallen, Canton of St. Gallen, 9007, Switzerland
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Caritas-Krankenhaus St. Josef
RECRUITINGRegensburg, Bavaria, 93053, Germany
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Centre Antoine-Lacassagne
RECRUITINGNice, Alpes-Maritimes, 06189, France
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Centre Hospitalier Universitaire de Liège - Domaine Universitaire du Sart Tilman
RECRUITINGLiège, 4000, Belgium
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Centre Jean Perrin - Centre Régional de Lutte contre le Cancer d'Auvergne
RECRUITINGClermont-Ferrand, Puy-de-Dôme, 63011, France
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Centre Leon Berard
RECRUITINGLyon Cedex08, Auvergne-Rhône-Alpes, 69373, France
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Centrul de Oncologie "Sfântul Nectarie"
RECRUITINGCraiova, Dolj, 200542, Romania
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Charité - Universitaetsmedizin Berlin - Campus Bejnamin Franklin
RECRUITINGBerlin, 10117, Germany
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Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
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Cleveland Clinic - Hillcrest Hospital
RECRUITINGMayfield Heights, Ohio, 44124, United States
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Fairview Hospital
RECRUITINGCleveland, Ohio, 44111, United States
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Fondazione IRCCS Istituto Nazionale dei Tumori
RECRUITINGMilan, 20133, Italy
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Fred Hutchinson Cancer Center
RECRUITINGSeattle, Washington, 98109, United States
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Fundacion Centro Oncologico de Integración Regional
RECRUITINGMendoza, M5500AYB, Argentina
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Fundación Instituto Valenciano de Oncología
RECRUITINGValencia, Valenciana, Comunitat, 46009, Spain
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GenesisCare North Shore
RECRUITINGSt Leonards, New South Wales, 2065, Australia
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Groupe hospitalier Paris saint Joseph
RECRUITINGParis, Île-de-France Region, 75014, France
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Gustave Roussy
RECRUITINGVillejuif, Val-de-Marne, 94800, France
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Hadassah Medical Center
RECRUITINGJerusalem, Jerusalem, 9112001, Israel
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Hospital Británico de Buenos Aires
RECRUITINGCABA, Buenos Aires, CP1280AEB, Argentina
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Hospital Clinico San Carlos
RECRUITINGMadrid, 28040, Spain
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Hospital General Universitario Gregorio Marañon
RECRUITINGMadrid, 28007, Spain
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Hospital Infanta Cristina
RECRUITINGBadajoz, 06006, Spain
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Hospital Italiano de Buenos Aires
RECRUITINGABB, Buenos Aires F.D., C1199ABB, Argentina
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Hospital Universitari Vall d'Hebron
RECRUITINGBarcelona, Barcelona [Barcelona], 08035, Spain
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, 28041, Spain
-
Hospital Universitario Marqués de Valdecilla
RECRUITINGSantander, Cantabria, 39008, Spain
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Hospital Universitario Ramón y Cajal
RECRUITINGMadrid, Madrid, Comunidad de, 28034, Spain
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Hospital Universitario Reina Sofia
RECRUITINGCórdoba, 14004, Spain
-
Hospital Universitario Virgen Del Rocio
RECRUITINGSeville, 41013, Spain
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Hospital de la Santa Creu i Sant Pau
RECRUITINGBarcelona, Catalunya [Cataluña], 08041, Spain
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Hôpital Européen Georges Pompidou
RECRUITINGParis, 75015, France
-
Hôpital Foch
RECRUITINGSuresnes, Hauts-de-Seine, 92151, France
-
IONC Instituto Oncologico de Cordoba - Fundacion Richardet Longo
RECRUITINGCórdoba, 5000, Argentina
-
IRCCS AOM Azienda Ospedaliera Metropolitana
RECRUITINGGenoa, Liguria, 16132, Italy
-
Icahn School of Medicine at Mount Sinai
RECRUITINGNew York, New York, 10029, United States
-
Institut de Cancérologie de l'Ouest
RECRUITINGSaint-Herblain, Loire-Atlantique, 44805, France
-
Instituto Alexander Fleming
RECRUITINGCaba, Buenos Aires, 1426, Argentina
-
Institutul Oncologic Cluj
RECRUITINGCluj-Napoca, 400015, Romania
-
Institutul Regional de Oncologie
RECRUITINGIași, 700483, Romania
-
Intermountain Medical Center
RECRUITINGMurray, Utah, 84107, United States
-
Istituto Nazionale Tumori Regina Elena
RECRUITINGRome, Roma, 00144, Italy
-
Istituto Oncologico Veneto IRCCS
RECRUITINGCastelfranco Veneto, Veneto, 31033, Italy
-
Johns Hopkins Hospital
RECRUITINGBaltimore, Maryland, 21287, United States
-
Kantonsspital Graubünden
RECRUITINGChur, 7000, Switzerland
-
Karmanos Cancer Institute
RECRUITINGDetroit, Michigan, 48201, United States
-
Karolinska Universitetssjukhuset Solna
RECRUITINGSolna, Stockholms Län [se-01], 171 64, Sweden
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Klinik Ottakring
RECRUITINGVienna, State of Vienna, 1160, Austria
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Klinikum Nürnberg Nord
RECRUITINGNuremberg, Bavaria, 90419, Germany
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Krankenhaus Nordwest GmbH
RECRUITINGFrankfurt, 60488, Germany
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Local Institution - 0005
WITHDRAWNMarseille, Provence-Alpes-Côte d'Azur Region, 13273, France
-
Local Institution - 0020
NOT_YET_RECRUITINGEdmonton, Alberta, T6G 1Z2, Canada
-
Local Institution - 0031
NOT_YET_RECRUITINGLeeuwarden, Provincie Friesland, 8934 AD, Netherlands
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Local Institution - 0033
NOT_YET_RECRUITINGAmsterdam, North Holland, 1066 CX, Netherlands
-
Local Institution - 0036
NOT_YET_RECRUITINGBreda, North Brabant, 4818 CK, Netherlands
-
Local Institution - 0041
NOT_YET_RECRUITINGPrague, Praha 5, 150 06, Czechia
-
Local Institution - 0042
NOT_YET_RECRUITINGShanghai, Shanghai Municipality, 200032, China
-
Local Institution - 0046
NOT_YET_RECRUITINGNanjing, Jiangsu, 210009, China
-
Local Institution - 0048
NOT_YET_RECRUITINGFuzhou, Fujian, 350001, China
-
Local Institution - 0050
NOT_YET_RECRUITINGBeijing, Beijing Municipality, 100034, China
-
Local Institution - 0056
NOT_YET_RECRUITINGXiamen, Fujian, 361003, China
-
Local Institution - 0059
NOT_YET_RECRUITINGChangsha, Hunan, 410013, China
-
Local Institution - 0064
NOT_YET_RECRUITINGZhengzhou, Henan, 450008, China
-
Local Institution - 0084
NOT_YET_RECRUITINGNashville, Tennessee, 37232, United States
-
Local Institution - 0114
NOT_YET_RECRUITINGNantong, Jiangsu, 226361, China
-
Local Institution - 0115
NOT_YET_RECRUITINGBrno, Brno-město, 656 53, Czechia
-
Local Institution - 0121
NOT_YET_RECRUITINGPorto Alegre, Rio Grande do Sul, 90610-000, Brazil
-
Local Institution - 0124
NOT_YET_RECRUITINGSão Paulo, 01452-000, Brazil
-
Local Institution - 0129
NOT_YET_RECRUITINGSalvador, Estado de Bahia, 41253-190, Brazil
-
Local Institution - 0130
NOT_YET_RECRUITINGRio de Janeiro, 22451-100, Brazil
-
Local Institution - 0141
NOT_YET_RECRUITINGPortland, Oregon, 97239, United States
-
Local Institution - 0146
NOT_YET_RECRUITINGHradec Králové, Hradec Králové, 500 05, Czechia
-
Local Institution - 0157
NOT_YET_RECRUITINGHangzhou, Zhejiang, 310022, China
-
Local Institution - 0162
NOT_YET_RECRUITINGFullerton, California, 92835, United States
-
Local Institution - 0167
NOT_YET_RECRUITINGGilbert, Arizona, 85234, United States
-
Local Institution - 0169
NOT_YET_RECRUITINGKoto-ku, Tokyo, 135-8550, Japan
-
Local Institution - 0171
NOT_YET_RECRUITINGBunkyo-ku, Tokyo, 1138603, Japan
-
Local Institution - 0179
NOT_YET_RECRUITINGToyoma, Toyama, 930-0194, Japan
-
Local Institution - 0183
NOT_YET_RECRUITINGKawasaki, Kanagawa, 216-8511, Japan
-
Local Institution - 0187
NOT_YET_RECRUITINGAustin, Texas, 78705, United States
-
Local Institution - 0188
NOT_YET_RECRUITINGNorfolk, Virginia, 23502, United States
-
Local Institution - 0195
NOT_YET_RECRUITINGBoston, Massachusetts, 02215, United States
-
Local Institution - 0200
NOT_YET_RECRUITINGSeattle, Washington, 98101, United States
-
Local Institution - 0224
NOT_YET_RECRUITINGBeijing, Beijing Municipality, 100091, China
-
Local Institution - 0227
NOT_YET_RECRUITINGTianjin, Tianjin Municipality, 300070, China
-
Local Institution - 0230
NOT_YET_RECRUITINGSheffield, S10 2SJ, United Kingdom
-
Local Institution - 0238
NOT_YET_RECRUITINGCork, T12 DC4A, Ireland
-
Local Institution - 0241
NOT_YET_RECRUITINGMalmö, 205 02, Sweden
-
Local Institution - 0243
NOT_YET_RECRUITINGGlasgow, Glasgow City, G12 0YN, United Kingdom
-
Local Institution - 0245
WITHDRAWNDillon, Colorado, 80435, United States
-
Local Institution - 0248
WITHDRAWNBuffalo, New York, 14203, United States
-
Macquarie University
RECRUITINGMacquarie University, New South Wales, 2109, Australia
-
Marienhospital Herne
RECRUITINGHerne, 44625, Germany
-
McGill University Health Centre
RECRUITINGMontreal, Quebec, H4A 3J1, Canada
-
Medizinische Hochschule Hannover
RECRUITINGHanover, Lower Saxony, 30625, Germany
-
Medizinische Universitaet Innsbruck
RECRUITINGInnsbruck, Tyrol, 6020, Austria
-
Medizinische Universität Wien
RECRUITINGVienna, State of Vienna, 1090, Austria
-
Memorial Sloan Kettering Cancer Center
RECRUITINGNew York, New York, 10065, United States
-
Miami Cancer Institute at Baptist Health, Inc.
RECRUITINGMiami, Florida, 33176, United States
-
NCT
RECRUITINGHeidelberg, Baden-Wurttemberg, 69120, Germany
-
Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School
RECRUITINGNanjing, Jiangsu, 210000, China
-
Ospedale Regionale Bellinzona e Valli
RECRUITINGBellinzona, Canton Ticino, 6500, Switzerland
-
Ospedale San Raffaele
RECRUITINGMilan, 20132, Italy
-
Pacific Hematology Oncology Associates
RECRUITINGSan Francisco, California, 94115, United States
-
Palo Alto Center-Palo Alto Medical Foundation Research Institute
RECRUITINGPalo Alto, California, 94304, United States
-
Princess Margaret Cancer Centre
RECRUITINGToronto, Ontario, M5G 2M9, Canada
-
Rabin Medical Center
RECRUITINGPetah Tikva, Central District, 4941492, Israel
-
Rambam Health Care Campus
RECRUITINGHaifa, Northern District, 3109601, Israel
-
Rocky Mountain Cancer Centers, LLP
RECRUITINGDenver, Colorado, 80218, United States
-
Royal Marsden Hospital (Sutton)
RECRUITINGLondon, Sutton, SM2 5PT, United Kingdom
-
SCRI Oncology Partners
RECRUITINGNashville, Tennessee, 37203, United States
-
Sahlgrenska Universitetssjukhuset
RECRUITINGGothenburg, Västra Götalands Län [se-14], 413 45, Sweden
-
Shandong Cancer Hospital
RECRUITINGJinan, Shandong, 250117, China
-
Shaw Cancer Center
RECRUITINGEdwards, Colorado, 81632, United States
-
Sibley Memorial Hospital
RECRUITINGWashington D.C., District of Columbia, 20016, United States
-
Sichuan Cancer hospital
RECRUITINGChengdu, Sichuan, 610041, China
-
St Bartholomew's Hospital
RECRUITINGLondon, London, City of, EC1A 7BE, United Kingdom
-
St George Regional Hospital Cancer Center
RECRUITINGSt. George, Utah, 84790, United States
-
Studienpraxis Urologie
RECRUITINGNürtingen, Baden-Wurttemberg, 72622, Germany
-
Sun Yat-sen University Cancer Center
RECRUITINGGuangzhou, Guangdong, 510060, China
-
Sutter Health - Sutter Institute for Medical Research
RECRUITINGSacramento, California, 95816, United States
-
Sutter Santa Rosa
RECRUITINGSanta Rosa, California, 95403, United States
-
Sykehuset i Vestfold
RECRUITINGTønsberg, Vestfold, 3103, Norway
-
Sykehuset Østfold Kalnes
RECRUITINGSarpsborg, Østfold fylke, 1714, Norway
-
TUM Klinikum
RECRUITINGMunich, Bavaria, 81675, Germany
-
Tallaght University Hospital
RECRUITINGDublin, D24 NR0A, Ireland
-
Texas Oncology - West Texas
RECRUITINGAbilene, Texas, 79606, United States
-
The Affiliated Hospital of Qingdao University
RECRUITINGQingdao, Shandong, 266003, China
-
The First Affiliated Hospital Of Fujian Medical University
RECRUITINGFuzhou, Fujian, 350005, China
-
The First Affiliated Hospital of Guangzhou Medical University
RECRUITINGGuangzhou, Guangdong, 510120, China
-
The First Affiliated Hospital of Nanchang University
RECRUITINGNanchang, Jiangxi, 330006, China
-
The First Affiliated Hospital of Wenzhou Medical University
RECRUITINGWenzhou, Zhejiang, 325000, China
-
The James Outpatient Care West Campus
RECRUITINGColumbus, Ohio, 43221, United States
-
The Ottawa Hospital Cancer Centre
RECRUITINGOttawa, Ontario, K1H 8L6, Canada
-
Tianjin Medical University Cancer Institute & Hospital
RECRUITINGTianjin, Tianjin Municipality, 300060, China
-
Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology
RECRUITINGWuhan, 430030, China
-
UZ Gent
RECRUITINGGhent, Oost-Vlaanderen, 9000, Belgium
-
Universitaetsklinikum Duesseldorf
RECRUITINGDüsseldorf, 40225, Germany
-
Universitaetsklinikum Hamburg-Eppendorf
RECRUITINGHamburg, 20246, Germany
-
Universitaetsklinikum Schleswig-Holstein Campus Kiel
RECRUITINGKiel, Schleswig-Holstein, 24105, Germany
-
Universitaetsklinikum Ulm
RECRUITINGUlm, 89081, Germany
-
University of California Davis (UC Davis) Comprehensive Cancer Center
RECRUITINGSacramento, California, 95817, United States
-
University of Kentucky Chandler Medical Center
RECRUITINGLexington, Kentucky, 40536, United States
-
University of Virginia Health System
RECRUITINGCharlottesville, Virginia, 22903, United States
-
University of Washington Medical Center - Montlake
RECRUITINGSeattle, Washington, 98195, United States
-
UniversitätsSpital Zürich
RECRUITINGZurich, 8091, Switzerland
-
Universitätsklinikum Jena
RECRUITINGJena, Thuringia, 07747, Germany
-
West China Hospital, Sichuan University
RECRUITINGChengdu, Sichuan, 610066, China
-
Yantai Yuhuangding Hospital
RECRUITINGYantai, Shandong, 264000, China
-
Yitzhak Shamir Medical Center
RECRUITINGẔerifin, Central District, 70300, Israel
-
ZAS Augustinus
RECRUITINGWilrijk, Antwerpen, 2610, Belgium
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Zhujiang Hospital
RECRUITINGGuangzhou, Guangdong, 510280, China
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