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.

Urinary Bladder Neoplasms urothelial carcinoma

As listed by the trial registrant

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

Contacts and locations

Locations

  • A.O.U.C. Policlinico di Bari

    RECRUITING

    Bari, Apulia, 70124, Italy

  • AZ Maria Middelares

    RECRUITING

    Ghent, Oost-Vlaanderen, 9000, Belgium

  • Akershus Universitetssykehus

    RECRUITING

    Lørenskog, Akershus, 1478, Norway

  • Asociación de Beneficencia Hospital Sirio Libanés

    RECRUITING

    Ciudad Autonoma de Buenos Aires, Buenos Aires, 1419, Argentina

  • Austin Health

    RECRUITING

    Heidelberg, Victoria, 3084, Australia

  • Azienda Ospedaliera Universitaria Federico II

    RECRUITING

    Naples, 80131, Italy

  • Azienda Ospedaliero Universitaria Pisana

    RECRUITING

    Pisa, Tuscany, 56126, Italy

  • Azienda Ospedaliero Universitaria di Parma

    RECRUITING

    Parma, 43126, Italy

  • CHRU de Brest

    RECRUITING

    Brest, Finistère, 29200, France

  • CHU Strasbourg-Hautepierre

    RECRUITING

    Strasbourg, Alsace, 67098, France

  • CHU de Bordeaux Hop St ANDRE

    RECRUITING

    Bordeaux, Aquitaine, 33075, France

  • Cantonal Hospital St.Gallen

    RECRUITING

    Sankt Gallen, Canton of St. Gallen, 9007, Switzerland

  • Caritas-Krankenhaus St. Josef

    RECRUITING

    Regensburg, Bavaria, 93053, Germany

  • Centre Antoine-Lacassagne

    RECRUITING

    Nice, Alpes-Maritimes, 06189, France

  • Centre Hospitalier Universitaire de Liège - Domaine Universitaire du Sart Tilman

    RECRUITING

    Liège, 4000, Belgium

  • Centre Jean Perrin - Centre Régional de Lutte contre le Cancer d'Auvergne

    RECRUITING

    Clermont-Ferrand, Puy-de-Dôme, 63011, France

  • Centre Leon Berard

    RECRUITING

    Lyon Cedex08, Auvergne-Rhône-Alpes, 69373, France

  • Centrul de Oncologie "Sfântul Nectarie"

    RECRUITING

    Craiova, Dolj, 200542, Romania

  • Charité - Universitaetsmedizin Berlin - Campus Bejnamin Franklin

    RECRUITING

    Berlin, 10117, Germany

  • Cleveland Clinic

    RECRUITING

    Cleveland, Ohio, 44195, United States

  • Cleveland Clinic - Hillcrest Hospital

    RECRUITING

    Mayfield Heights, Ohio, 44124, United States

  • Fairview Hospital

    RECRUITING

    Cleveland, Ohio, 44111, United States

  • Fondazione IRCCS Istituto Nazionale dei Tumori

    RECRUITING

    Milan, 20133, Italy

  • Fred Hutchinson Cancer Center

    RECRUITING

    Seattle, Washington, 98109, United States

  • Fundacion Centro Oncologico de Integración Regional

    RECRUITING

    Mendoza, M5500AYB, Argentina

  • Fundación Instituto Valenciano de Oncología

    RECRUITING

    Valencia, Valenciana, Comunitat, 46009, Spain

  • GenesisCare North Shore

    RECRUITING

    St Leonards, New South Wales, 2065, Australia

  • Groupe hospitalier Paris saint Joseph

    RECRUITING

    Paris, Île-de-France Region, 75014, France

  • Gustave Roussy

    RECRUITING

    Villejuif, Val-de-Marne, 94800, France

  • Hadassah Medical Center

    RECRUITING

    Jerusalem, Jerusalem, 9112001, Israel

  • Hospital Británico de Buenos Aires

    RECRUITING

    CABA, Buenos Aires, CP1280AEB, Argentina

  • Hospital Clinico San Carlos

    RECRUITING

    Madrid, 28040, Spain

  • Hospital General Universitario Gregorio Marañon

    RECRUITING

    Madrid, 28007, Spain

  • Hospital Infanta Cristina

    RECRUITING

    Badajoz, 06006, Spain

  • Hospital Italiano de Buenos Aires

    RECRUITING

    ABB, Buenos Aires F.D., C1199ABB, Argentina

  • Hospital Universitari Vall d'Hebron

    RECRUITING

    Barcelona, Barcelona [Barcelona], 08035, Spain

  • Hospital Universitario 12 de Octubre

    RECRUITING

    Madrid, 28041, Spain

  • Hospital Universitario Marqués de Valdecilla

    RECRUITING

    Santander, Cantabria, 39008, Spain

  • Hospital Universitario Ramón y Cajal

    RECRUITING

    Madrid, Madrid, Comunidad de, 28034, Spain

  • Hospital Universitario Reina Sofia

    RECRUITING

    Córdoba, 14004, Spain

  • Hospital Universitario Virgen Del Rocio

    RECRUITING

    Seville, 41013, Spain

  • Hospital de la Santa Creu i Sant Pau

    RECRUITING

    Barcelona, Catalunya [Cataluña], 08041, Spain

  • Hôpital Européen Georges Pompidou

    RECRUITING

    Paris, 75015, France

  • Hôpital Foch

    RECRUITING

    Suresnes, Hauts-de-Seine, 92151, France

  • IONC Instituto Oncologico de Cordoba - Fundacion Richardet Longo

    RECRUITING

    Córdoba, 5000, Argentina

  • IRCCS AOM Azienda Ospedaliera Metropolitana

    RECRUITING

    Genoa, Liguria, 16132, Italy

  • Icahn School of Medicine at Mount Sinai

    RECRUITING

    New York, New York, 10029, United States

  • Institut de Cancérologie de l'Ouest

    RECRUITING

    Saint-Herblain, Loire-Atlantique, 44805, France

  • Instituto Alexander Fleming

    RECRUITING

    Caba, Buenos Aires, 1426, Argentina

  • Institutul Oncologic Cluj

    RECRUITING

    Cluj-Napoca, 400015, Romania

  • Institutul Regional de Oncologie

    RECRUITING

    Iași, 700483, Romania

  • Intermountain Medical Center

    RECRUITING

    Murray, Utah, 84107, United States

  • Istituto Nazionale Tumori Regina Elena

    RECRUITING

    Rome, Roma, 00144, Italy

  • Istituto Oncologico Veneto IRCCS

    RECRUITING

    Castelfranco Veneto, Veneto, 31033, Italy

  • Johns Hopkins Hospital

    RECRUITING

    Baltimore, Maryland, 21287, United States

  • Kantonsspital Graubünden

    RECRUITING

    Chur, 7000, Switzerland

  • Karmanos Cancer Institute

    RECRUITING

    Detroit, Michigan, 48201, United States

  • Karolinska Universitetssjukhuset Solna

    RECRUITING

    Solna, Stockholms Län [se-01], 171 64, Sweden

  • Klinik Ottakring

    RECRUITING

    Vienna, State of Vienna, 1160, Austria

  • Klinikum Nürnberg Nord

    RECRUITING

    Nuremberg, Bavaria, 90419, Germany

  • Krankenhaus Nordwest GmbH

    RECRUITING

    Frankfurt, 60488, Germany

  • Local Institution - 0005

    WITHDRAWN

    Marseille, Provence-Alpes-Côte d'Azur Region, 13273, France

  • Local Institution - 0020

    NOT_YET_RECRUITING

    Edmonton, Alberta, T6G 1Z2, Canada

  • Local Institution - 0031

    NOT_YET_RECRUITING

    Leeuwarden, Provincie Friesland, 8934 AD, Netherlands

  • Local Institution - 0033

    NOT_YET_RECRUITING

    Amsterdam, North Holland, 1066 CX, Netherlands

  • Local Institution - 0036

    NOT_YET_RECRUITING

    Breda, North Brabant, 4818 CK, Netherlands

  • Local Institution - 0041

    NOT_YET_RECRUITING

    Prague, Praha 5, 150 06, Czechia

  • Local Institution - 0042

    NOT_YET_RECRUITING

    Shanghai, Shanghai Municipality, 200032, China

  • Local Institution - 0046

    NOT_YET_RECRUITING

    Nanjing, Jiangsu, 210009, China

  • Local Institution - 0048

    NOT_YET_RECRUITING

    Fuzhou, Fujian, 350001, China

  • Local Institution - 0050

    NOT_YET_RECRUITING

    Beijing, Beijing Municipality, 100034, China

  • Local Institution - 0056

    NOT_YET_RECRUITING

    Xiamen, Fujian, 361003, China

  • Local Institution - 0059

    NOT_YET_RECRUITING

    Changsha, Hunan, 410013, China

  • Local Institution - 0064

    NOT_YET_RECRUITING

    Zhengzhou, Henan, 450008, China

  • Local Institution - 0084

    NOT_YET_RECRUITING

    Nashville, Tennessee, 37232, United States

  • Local Institution - 0114

    NOT_YET_RECRUITING

    Nantong, Jiangsu, 226361, China

  • Local Institution - 0115

    NOT_YET_RECRUITING

    Brno, Brno-město, 656 53, Czechia

  • Local Institution - 0121

    NOT_YET_RECRUITING

    Porto Alegre, Rio Grande do Sul, 90610-000, Brazil

  • Local Institution - 0124

    NOT_YET_RECRUITING

    São Paulo, 01452-000, Brazil

  • Local Institution - 0129

    NOT_YET_RECRUITING

    Salvador, Estado de Bahia, 41253-190, Brazil

  • Local Institution - 0130

    NOT_YET_RECRUITING

    Rio de Janeiro, 22451-100, Brazil

  • Local Institution - 0141

    NOT_YET_RECRUITING

    Portland, Oregon, 97239, United States

  • Local Institution - 0146

    NOT_YET_RECRUITING

    Hradec Králové, Hradec Králové, 500 05, Czechia

  • Local Institution - 0157

    NOT_YET_RECRUITING

    Hangzhou, Zhejiang, 310022, China

  • Local Institution - 0162

    NOT_YET_RECRUITING

    Fullerton, California, 92835, United States

  • Local Institution - 0167

    NOT_YET_RECRUITING

    Gilbert, Arizona, 85234, United States

  • Local Institution - 0169

    NOT_YET_RECRUITING

    Koto-ku, Tokyo, 135-8550, Japan

  • Local Institution - 0171

    NOT_YET_RECRUITING

    Bunkyo-ku, Tokyo, 1138603, Japan

  • Local Institution - 0179

    NOT_YET_RECRUITING

    Toyoma, Toyama, 930-0194, Japan

  • Local Institution - 0183

    NOT_YET_RECRUITING

    Kawasaki, Kanagawa, 216-8511, Japan

  • Local Institution - 0187

    NOT_YET_RECRUITING

    Austin, Texas, 78705, United States

  • Local Institution - 0188

    NOT_YET_RECRUITING

    Norfolk, Virginia, 23502, United States

  • Local Institution - 0195

    NOT_YET_RECRUITING

    Boston, Massachusetts, 02215, United States

  • Local Institution - 0200

    NOT_YET_RECRUITING

    Seattle, Washington, 98101, United States

  • Local Institution - 0224

    NOT_YET_RECRUITING

    Beijing, Beijing Municipality, 100091, China

  • Local Institution - 0227

    NOT_YET_RECRUITING

    Tianjin, Tianjin Municipality, 300070, China

  • Local Institution - 0230

    NOT_YET_RECRUITING

    Sheffield, S10 2SJ, United Kingdom

  • Local Institution - 0238

    NOT_YET_RECRUITING

    Cork, T12 DC4A, Ireland

  • Local Institution - 0241

    NOT_YET_RECRUITING

    Malmö, 205 02, Sweden

  • Local Institution - 0243

    NOT_YET_RECRUITING

    Glasgow, Glasgow City, G12 0YN, United Kingdom

  • Local Institution - 0245

    WITHDRAWN

    Dillon, Colorado, 80435, United States

  • Local Institution - 0248

    WITHDRAWN

    Buffalo, New York, 14203, United States

  • Macquarie University

    RECRUITING

    Macquarie University, New South Wales, 2109, Australia

  • Marienhospital Herne

    RECRUITING

    Herne, 44625, Germany

  • McGill University Health Centre

    RECRUITING

    Montreal, Quebec, H4A 3J1, Canada

  • Medizinische Hochschule Hannover

    RECRUITING

    Hanover, Lower Saxony, 30625, Germany

  • Medizinische Universitaet Innsbruck

    RECRUITING

    Innsbruck, Tyrol, 6020, Austria

  • Medizinische Universität Wien

    RECRUITING

    Vienna, State of Vienna, 1090, Austria

  • Memorial Sloan Kettering Cancer Center

    RECRUITING

    New York, New York, 10065, United States

  • Miami Cancer Institute at Baptist Health, Inc.

    RECRUITING

    Miami, Florida, 33176, United States

  • NCT

    RECRUITING

    Heidelberg, Baden-Wurttemberg, 69120, Germany

  • Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School

    RECRUITING

    Nanjing, Jiangsu, 210000, China

  • Ospedale Regionale Bellinzona e Valli

    RECRUITING

    Bellinzona, Canton Ticino, 6500, Switzerland

  • Ospedale San Raffaele

    RECRUITING

    Milan, 20132, Italy

  • Pacific Hematology Oncology Associates

    RECRUITING

    San Francisco, California, 94115, United States

  • Palo Alto Center-Palo Alto Medical Foundation Research Institute

    RECRUITING

    Palo Alto, California, 94304, United States

  • Princess Margaret Cancer Centre

    RECRUITING

    Toronto, Ontario, M5G 2M9, Canada

  • Rabin Medical Center

    RECRUITING

    Petah Tikva, Central District, 4941492, Israel

  • Rambam Health Care Campus

    RECRUITING

    Haifa, Northern District, 3109601, Israel

  • Rocky Mountain Cancer Centers, LLP

    RECRUITING

    Denver, Colorado, 80218, United States

  • Royal Marsden Hospital (Sutton)

    RECRUITING

    London, Sutton, SM2 5PT, United Kingdom

  • SCRI Oncology Partners

    RECRUITING

    Nashville, Tennessee, 37203, United States

  • Sahlgrenska Universitetssjukhuset

    RECRUITING

    Gothenburg, Västra Götalands Län [se-14], 413 45, Sweden

  • Shandong Cancer Hospital

    RECRUITING

    Jinan, Shandong, 250117, China

  • Shaw Cancer Center

    RECRUITING

    Edwards, Colorado, 81632, United States

  • Sibley Memorial Hospital

    RECRUITING

    Washington D.C., District of Columbia, 20016, United States

  • Sichuan Cancer hospital

    RECRUITING

    Chengdu, Sichuan, 610041, China

  • St Bartholomew's Hospital

    RECRUITING

    London, London, City of, EC1A 7BE, United Kingdom

  • St George Regional Hospital Cancer Center

    RECRUITING

    St. George, Utah, 84790, United States

  • Studienpraxis Urologie

    RECRUITING

    Nürtingen, Baden-Wurttemberg, 72622, Germany

  • Sun Yat-sen University Cancer Center

    RECRUITING

    Guangzhou, Guangdong, 510060, China

  • Sutter Health - Sutter Institute for Medical Research

    RECRUITING

    Sacramento, California, 95816, United States

  • Sutter Santa Rosa

    RECRUITING

    Santa Rosa, California, 95403, United States

  • Sykehuset i Vestfold

    RECRUITING

    Tønsberg, Vestfold, 3103, Norway

  • Sykehuset Østfold Kalnes

    RECRUITING

    Sarpsborg, Østfold fylke, 1714, Norway

  • TUM Klinikum

    RECRUITING

    Munich, Bavaria, 81675, Germany

  • Tallaght University Hospital

    RECRUITING

    Dublin, D24 NR0A, Ireland

  • Texas Oncology - West Texas

    RECRUITING

    Abilene, Texas, 79606, United States

  • The Affiliated Hospital of Qingdao University

    RECRUITING

    Qingdao, Shandong, 266003, China

  • The First Affiliated Hospital Of Fujian Medical University

    RECRUITING

    Fuzhou, Fujian, 350005, China

  • The First Affiliated Hospital of Guangzhou Medical University

    RECRUITING

    Guangzhou, Guangdong, 510120, China

  • The First Affiliated Hospital of Nanchang University

    RECRUITING

    Nanchang, Jiangxi, 330006, China

  • The First Affiliated Hospital of Wenzhou Medical University

    RECRUITING

    Wenzhou, Zhejiang, 325000, China

  • The James Outpatient Care West Campus

    RECRUITING

    Columbus, Ohio, 43221, United States

  • The Ottawa Hospital Cancer Centre

    RECRUITING

    Ottawa, Ontario, K1H 8L6, Canada

  • Tianjin Medical University Cancer Institute & Hospital

    RECRUITING

    Tianjin, Tianjin Municipality, 300060, China

  • Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology

    RECRUITING

    Wuhan, 430030, China

  • UZ Gent

    RECRUITING

    Ghent, Oost-Vlaanderen, 9000, Belgium

  • Universitaetsklinikum Duesseldorf

    RECRUITING

    Düsseldorf, 40225, Germany

  • Universitaetsklinikum Hamburg-Eppendorf

    RECRUITING

    Hamburg, 20246, Germany

  • Universitaetsklinikum Schleswig-Holstein Campus Kiel

    RECRUITING

    Kiel, Schleswig-Holstein, 24105, Germany

  • Universitaetsklinikum Ulm

    RECRUITING

    Ulm, 89081, Germany

  • University of California Davis (UC Davis) Comprehensive Cancer Center

    RECRUITING

    Sacramento, California, 95817, United States

  • University of Kentucky Chandler Medical Center

    RECRUITING

    Lexington, Kentucky, 40536, United States

  • University of Virginia Health System

    RECRUITING

    Charlottesville, Virginia, 22903, United States

  • University of Washington Medical Center - Montlake

    RECRUITING

    Seattle, Washington, 98195, United States

  • UniversitätsSpital Zürich

    RECRUITING

    Zurich, 8091, Switzerland

  • Universitätsklinikum Jena

    RECRUITING

    Jena, Thuringia, 07747, Germany

  • West China Hospital, Sichuan University

    RECRUITING

    Chengdu, Sichuan, 610066, China

  • Yantai Yuhuangding Hospital

    RECRUITING

    Yantai, Shandong, 264000, China

  • Yitzhak Shamir Medical Center

    RECRUITING

    Ẕerifin, Central District, 70300, Israel

  • ZAS Augustinus

    RECRUITING

    Wilrijk, Antwerpen, 2610, Belgium

  • Zhujiang Hospital

    RECRUITING

    Guangzhou, Guangdong, 510280, China

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