A Study of Erdafitinib in Participants With Metastatic or Locally Advanced Urothelial Cancer
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT03473743 |
Recruitment Status :
Active, not recruiting
First Posted : March 22, 2018
Results First Posted : October 25, 2023
Last Update Posted : April 25, 2024
|
Sponsor:
Janssen Research & Development, LLC
Information provided by (Responsible Party):
Janssen Research & Development, LLC
- Study Details
- Tabular View
- Study Results
- Disclaimer
- How to Read a Study Record
Study Type | Interventional |
---|---|
Study Design | Allocation: Randomized; Intervention Model: Sequential Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Urothelial Carcinoma |
Interventions |
Drug: Erdafitinib Drug: Cetrelimab Drug: Cisplatin Drug: Carboplatin |
Enrollment | 125 |
Participant Flow
Recruitment Details | |
Pre-assignment Details |
Arm/Group Title | Cohort Dose Level (DL) 1 (Phase 1b): Erdafitinib 6 Milligrams (mg) + Cetrelimab 240/480 mg | Cohort DL2A (Phase 1b): Erdafitinib 8 mg + Cetrelimab 240/480 mg | Cohort DL2B (Phase 1b): Erdafitinib 8/9 mg + Cetrelimab 240/480 mg | Cohort DL2 (Phase 1b): Erdafitinib 8/9 mg + Cetrelimab 240/480 mg (RP2D) | Cohort DL2C (Phase 1b): Erdafitinib 8 mg + Cetrelimab 360 mg + Cisplatin 50 mg/m^2 | Cohort DL2D (Phase 1b): Erdafitinib 8 mg + Cetrelimab 360 mg + Carboplatin AUC 4 mg/mL/Min | Arm A (Phase 2): Erdafitinib 8/9 mg Monotherapy | Arm B (Phase 2): Erdafitinib 8 mg + Cetrelimab 240/480 mg |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants received an oral tablet of erdafitinib 6 mg once daily in 28-day cycle starting from Cycle 1 Day 1 followed by intravenous (IV) injection of cetrelimab 240 mg every 2 weeks in 28-day cycle starting from Cycle 1 Day 1 up to Cycle 4 Day 15. From Cycle 5 Day 1, all participants received an increased dose of cetrelimab 480 mg every 4 weeks in 28-day cycle until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met. | Participants received an oral tablet of erdafitinib 8 mg once daily in 28-day cycle starting from Cycle 1 Day 1 followed by IV injection of cetrelimab 240 mg every 2 weeks in 28-day cycle starting from Cycle 1 Day 1 up to Cycle 4 Day 15. From Cycle 5 Day 1, all participants received an increased dose of cetrelimab 480 mg every 4 weeks in 28-day cycle until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met.. | Participants received an oral tablet of erdafitinib 8 mg once daily in 28-day cycle starting from Cycle 1 Day 1 followed by IV injection of cetrelimab 240 mg every 2 weeks in 28-day cycle starting from Cycle 2 Day 1 up to Cycle 4 Day 15. Based on phosphate (PO4) levels, erdafitinib dose was up-titrated to 9 mg once daily starting from Cycle 1 Day 15. From Cycle 5 Day 1, all participants received an increased dose of cetrelimab 480 mg every 4 weeks in 28-day cycle until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met. | Participants received an oral tablet of recommended Phase 2 dose (RP2D) of erdafitinib 8 mg once daily in 28-day cycle starting from Cycle 1 Day 1 followed by IV injection of cetrelimab 240 mg every 2 weeks in 28-day cycle starting from Cycle 1 Day 1 up to Cycle 4 Day 15. Based on PO4 levels, erdafitinib dose was up-titrated to 9 mg, orally, once daily starting from Cycle 1 Day 15. From Cycle 5 Day 1, all participants received an increased dose of cetrelimab 480 mg every 4 weeks in 28-day cycle until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met. | Participants received an oral tablet of erdafitinib 8 mg once daily in 28-day cycle starting from Cycle 1 Day 1 along with single dose of IV injection of cetrelimab 360 mg and cisplatin 50 milligrams per meter square (mg/m^2) (chemotherapy) every 2 weeks in 28-day cycle starting from Cycle 1 Day 1 until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met. | Participants received an oral tablet of erdafitinib 8 mg once daily in 28-day cycle starting from Cycle 1 Day 1 along with single dose of IV injection of cetrelimab 360 mg and carboplatin area under the curve (AUC) 4 milligrams per milliliter per minute (mg/mL/min) (chemotherapy) every 2 weeks in 28-day cycle starting from Cycle 1 Day 1 until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met. | Participants received an oral tablet of erdafitinib 8 mg once daily in 28-day cycle starting from Cycle 1 Day 1. Based on PO4 levels, erdafitinib dose was up-titrated to 9 mg, orally, once daily starting from Cycle 1 Day 15 until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met. | Participants received an oral tablet of erdafitinib 8 mg once daily in 28-day cycle starting from Cycle 1 Day 1 followed by IV injection of cetrelimab 240 mg every 2 weeks in 28-day cycle starting from Cycle 1 Day 1 up to Cycle 4 Day 15. From Cycle 5 Day 1, all participants received an increased dose of cetrelimab 480 mg every 4 weeks in 28-day cycle until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met. |
Period Title: Overall Study | ||||||||
Started | 4 | 3 | 11 | 12 | 3 | 3 | 44 | 45 |
Treated (Treated Analysis Set) | 4 | 3 | 11 | 12 | 3 | 3 | 43 | 44 |
Completed | 4 | 3 | 5 | 3 | 2 | 2 | 21 | 17 |
Not Completed | 0 | 0 | 6 | 9 | 1 | 1 | 23 | 28 |
Reason Not Completed | ||||||||
Withdrawal by Subject | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 |
Other | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
Ongoing | 0 | 0 | 6 | 8 | 1 | 1 | 22 | 24 |
Randomized but not treated | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
Baseline Characteristics
Arm/Group Title | Cohort Dose Level (DL) 1 (Phase 1b): Erdafitinib 6 Milligrams (mg) + Cetrelimab 240/480 mg | Cohort DL2A (Phase 1b): Erdafitinib 8 mg + Cetrelimab 240/480 mg | Cohort DL2B (Phase 1b): Erdafitinib 8/9 mg + Cetrelimab 240/480 mg | Cohort DL2 (Phase 1b): Erdafitinib 8/9 mg + Cetrelimab 240/480 mg (RP2D) | Cohort DL2C (Phase 1b): Erdafitinib 8 mg + Cetrelimab 360 mg + Cisplatin 50 mg/m^2 | Cohort DL2D (Phase 1b): Erdafitinib 8 mg + Cetrelimab 360 mg + Carboplatin AUC 4 mg/mL/Min | Arm A (Phase 2): Erdafitinib 8/9 mg Monotherapy | Arm B (Phase 2): Erdafitinib 8 mg + Cetrelimab 240/480 mg | Total | |
---|---|---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants received an oral tablet of erdafitinib 6 mg once daily in 28-day cycle starting from Cycle 1 Day 1 followed by intravenous (IV) injection of cetrelimab 240 mg every 2 weeks in 28-day cycle starting from Cycle 1 Day 1 up to Cycle 4 Day 15. From Cycle 5 Day 1, all participants received an increased dose of cetrelimab 480 mg every 4 weeks in 28-day cycle until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met. | Participants received an oral tablet of erdafitinib 8 mg once daily in 28-day cycle starting from Cycle 1 Day 1 followed by IV injection of cetrelimab 240 mg every 2 weeks in 28-day cycle starting from Cycle 1 Day 1 up to Cycle 4 Day 15. From Cycle 5 Day 1, all participants received an increased dose of cetrelimab 480 mg every 4 weeks in 28-day cycle until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met.. | Participants received an oral tablet of erdafitinib 8 mg once daily in 28-day cycle starting from Cycle 1 Day 1 followed by IV injection of cetrelimab 240 mg every 2 weeks in 28-day cycle starting from Cycle 2 Day 1 up to Cycle 4 Day 15. Based on phosphate (PO4) levels, erdafitinib dose was up-titrated to 9 mg once daily starting from Cycle 1 Day 15. From Cycle 5 Day 1, all participants received an increased dose of cetrelimab 480 mg every 4 weeks in 28-day cycle until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met. | Participants received an oral tablet of recommended Phase 2 dose (RP2D) of erdafitinib 8 mg once daily in 28-day cycle starting from Cycle 1 Day 1 followed by IV injection of cetrelimab 240 mg every 2 weeks in 28-day cycle starting from Cycle 1 Day 1 up to Cycle 4 Day 15. Based on PO4 levels, erdafitinib dose was up-titrated to 9 mg, orally, once daily starting from Cycle 1 Day 15. From Cycle 5 Day 1, all participants received an increased dose of cetrelimab 480 mg every 4 weeks in 28-day cycle until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met. | Participants received an oral tablet of erdafitinib 8 mg once daily in 28-day cycle starting from Cycle 1 Day 1 along with single dose of IV injection of cetrelimab 360 mg and cisplatin 50 milligrams per meter square (mg/m^2) (chemotherapy) every 2 weeks in 28-day cycle starting from Cycle 1 Day 1 until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met. | Participants received an oral tablet of erdafitinib 8 mg once daily in 28-day cycle starting from Cycle 1 Day 1 along with single dose of IV injection of cetrelimab 360 mg and carboplatin area under the curve (AUC) 4 milligrams per milliliter per minute (mg/mL/min) (chemotherapy) every 2 weeks in 28-day cycle starting from Cycle 1 Day 1 until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met. | Participants received an oral tablet of erdafitinib 8 mg once daily in 28-day cycle starting from Cycle 1 Day 1. Based on PO4 levels, erdafitinib dose was up-titrated to 9 mg, orally, once daily starting from Cycle 1 Day 15 until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met. | Participants received an oral tablet of erdafitinib 8 mg once daily in 28-day cycle starting from Cycle 1 Day 1 followed by IV injection of cetrelimab 240 mg every 2 weeks in 28-day cycle starting from Cycle 1 Day 1 up to Cycle 4 Day 15. From Cycle 5 Day 1, all participants received an increased dose of cetrelimab 480 mg every 4 weeks in 28-day cycle until disease progression, unacceptable toxicity (based on investigator assessment), or another treatment discontinuation criterion was met. | Total of all reporting groups | |
Overall Number of Baseline Participants | 4 | 3 | 11 | 12 | 3 | 3 | 43 | 44 | 123 | |
Baseline Analysis Population Description |
Safety analysis set was defined as all participants who had received at least one dose of study drug.
|
|||||||||
Age, Categorical
Measure Type: Count of Participants Unit of measure: Participants |
||||||||||
Number Analyzed | 4 participants | 3 participants | 11 participants | 12 participants | 3 participants | 3 participants | 43 participants | 44 participants | 123 participants | |
<=18 years |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Between 18 and 65 years |
1 25.0%
|
1 33.3%
|
7 63.6%
|
4 33.3%
|
3 100.0%
|
0 0.0%
|
12 27.9%
|
13 29.5%
|
41 33.3%
|
|
>=65 years |
3 75.0%
|
2 66.7%
|
4 36.4%
|
8 66.7%
|
0 0.0%
|
3 100.0%
|
31 72.1%
|
31 70.5%
|
82 66.7%
|
|
Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
||||||||||
Number Analyzed | 4 participants | 3 participants | 11 participants | 12 participants | 3 participants | 3 participants | 43 participants | 44 participants | 123 participants | |
72.8 (6.5) | 66.7 (9.07) | 61.3 (11.14) | 63.5 (11.41) | 60.3 (0.58) | 69 (3.61) | 71.1 (10.18) | 70.2 (8.61) | 68.8 (9.96) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
||||||||||
Number Analyzed | 4 participants | 3 participants | 11 participants | 12 participants | 3 participants | 3 participants | 43 participants | 44 participants | 123 participants | |
Female |
0 0.0%
|
1 33.3%
|
2 18.2%
|
5 41.7%
|
0 0.0%
|
1 33.3%
|
10 23.3%
|
11 25.0%
|
30 24.4%
|
|
Male |
4 100.0%
|
2 66.7%
|
9 81.8%
|
7 58.3%
|
3 100.0%
|
2 66.7%
|
33 76.7%
|
33 75.0%
|
93 75.6%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||||||
Number Analyzed | 4 participants | 3 participants | 11 participants | 12 participants | 3 participants | 3 participants | 43 participants | 44 participants | 123 participants | |
Hispanic or Latino |
0 0.0%
|
1 33.3%
|
0 0.0%
|
1 8.3%
|
0 0.0%
|
0 0.0%
|
1 2.3%
|
2 4.5%
|
5 4.1%
|
|
Not Hispanic or Latino |
4 100.0%
|
0 0.0%
|
9 81.8%
|
10 83.3%
|
3 100.0%
|
3 100.0%
|
39 90.7%
|
37 84.1%
|
105 85.4%
|
|
Unknown or Not Reported |
0 0.0%
|
2 66.7%
|
2 18.2%
|
1 8.3%
|
0 0.0%
|
0 0.0%
|
3 7.0%
|
5 11.4%
|
13 10.6%
|
|
Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||||||
Number Analyzed | 4 participants | 3 participants | 11 participants | 12 participants | 3 participants | 3 participants | 43 participants | 44 participants | 123 participants | |
American Indian or Alaska Native |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Asian |
0 0.0%
|
0 0.0%
|
2 18.2%
|
0 0.0%
|
1 33.3%
|
1 33.3%
|
3 7.0%
|
2 4.5%
|
9 7.3%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Black or African American |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
White |
4 100.0%
|
1 33.3%
|
6 54.5%
|
11 91.7%
|
2 66.7%
|
2 66.7%
|
36 83.7%
|
36 81.8%
|
98 79.7%
|
|
More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Unknown or Not Reported |
0 0.0%
|
2 66.7%
|
3 27.3%
|
1 8.3%
|
0 0.0%
|
0 0.0%
|
4 9.3%
|
6 13.6%
|
16 13.0%
|
|
Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 4 participants | 3 participants | 11 participants | 12 participants | 3 participants | 3 participants | 43 participants | 44 participants | 123 participants |
BELARUS |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
4 9.3%
|
6 13.6%
|
10 8.1%
|
|
BELGIUM |
0 0.0%
|
0 0.0%
|
1 9.1%
|
0 0.0%
|
0 0.0%
|
1 33.3%
|
2 4.7%
|
1 2.3%
|
5 4.1%
|
|
BRAZIL |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
2 4.7%
|
1 2.3%
|
3 2.4%
|
|
FRANCE |
0 0.0%
|
2 66.7%
|
2 18.2%
|
1 8.3%
|
0 0.0%
|
0 0.0%
|
3 7.0%
|
4 9.1%
|
12 9.8%
|
|
ITALY |
0 0.0%
|
0 0.0%
|
1 9.1%
|
2 16.7%
|
0 0.0%
|
0 0.0%
|
3 7.0%
|
2 4.5%
|
8 6.5%
|
|
POLAND |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 2.3%
|
1 0.8%
|
|
RUSSIAN FEDERATION |
0 0.0%
|
0 0.0%
|
1 9.1%
|
1 8.3%
|
2 66.7%
|
1 33.3%
|
8 18.6%
|
8 18.2%
|
21 17.1%
|
|
SOUTH KOREA |
0 0.0%
|
0 0.0%
|
2 18.2%
|
0 0.0%
|
1 33.3%
|
1 33.3%
|
2 4.7%
|
2 4.5%
|
8 6.5%
|
|
SPAIN |
2 50.0%
|
1 33.3%
|
4 36.4%
|
6 50.0%
|
0 0.0%
|
0 0.0%
|
4 9.3%
|
8 18.2%
|
25 20.3%
|
|
TAIWAN |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 2.3%
|
0 0.0%
|
1 0.8%
|
|
TURKEY |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
9 20.9%
|
8 18.2%
|
17 13.8%
|
|
UNITED KINGDOM |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
3 7.0%
|
0 0.0%
|
3 2.4%
|
|
UNITED STATES |
2 50.0%
|
0 0.0%
|
0 0.0%
|
2 16.7%
|
0 0.0%
|
0 0.0%
|
2 4.7%
|
3 6.8%
|
9 7.3%
|
Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
If an investigator wishes to publish information from the study, a copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested by the sponsor in writing, the investigator will withhold such publication for up to an additional 60 days to allow for filing of a patent application.
Results Point of Contact
Name/Title: | Executive Medical Director |
Organization: | Janssen Research & Development, LLC |
Phone: | 844-434-4210 |
EMail: | ClinicalTrialDisclosure@its.jnj.com |
Responsible Party: | Janssen Research & Development, LLC |
ClinicalTrials.gov Identifier: | NCT03473743 |
Other Study ID Numbers: |
CR108445 2017-001980-19 ( EudraCT Number ) 42756493BLC2002 ( Other Identifier: Janssen Research & Development, LLC ) 2023-510295-31-00 ( Registry Identifier: EUCT number ) |
First Submitted: | March 14, 2018 |
First Posted: | March 22, 2018 |
Results First Submitted: | September 29, 2023 |
Results First Posted: | October 25, 2023 |
Last Update Posted: | April 25, 2024 |