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Phase II: Therapeutic plasma exchange + enfortumab vedotin (Nectin-4 ADC) + pembrolizumab vs standard therapy in metastatic urothelial/upper-tract cancer

Trial ID
NCT07087860 on ClinicalTrials.gov
Cancer type
Urothelial Cancer
Stage of research
Exploratory
Published in
New in Oncology - Aug 15, 2025 (DOUBLE ISSUE)

This randomized Mayo Clinic study tests whether a TPE lead-in before enfortumab vedotin plus pembrolizumab improves outcomes versus standard next-line therapy in patients with metastatic, refractory urothelial or upper-tract urothelial carcinoma. The trial evaluates safety and antitumor activity with imaging and biomarker follow-up.

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