Urothelial CarcinomaPhase 1/2NCT03473743
A Study of Erdafitinib in Participants With Metastatic or Locally Advanced Urothelial Cancer
A Phase 1/2 study testing Erdafitinib, Cetrelimab and Cisplatin in people with Urothelial Carcinoma, run by Janssen Research & Development, LLC at 127 sites in 13 countries.
Trial summary
The purpose of this study is to: (a) characterize the safety and tolerability of and to identify the recommended Phase 2 dose (RP2D) and schedule for erdafitinib in combination with cetrelimab, and for erdafitinib in combination with cetrelimab and platinum (cisplatin and carboplatin) chemotherapy and; (b) to evaluate… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Urothelial Carcinoma
- What is being tested?
- Erdafitinib, Cetrelimab and Cisplatin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 125 participants
- Where
- 127 sitesin 13 countries
- Study dates
- 5 Apr 2018to 31 Dec 2026
- Phase
- Phase 1/2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologic demonstration of transitional cell carcinoma of the urothelium. Variant urothelial carcinoma histologies such as glandular or squamous differentiation, or evolution to more aggressive phenotypes such as sarcomatoid or micropapillary change are acceptable
- Metastatic or locally advanced urothelial cancer
- Must have measurable disease by radiological imaging according to the Response Evaluation Criteria in Solid Tumors (RECIST, version 1.1) at baseline
- Prior systemic therapy for metastatic urothelial cancer: (a) For Phase 1b erdafitinib + cetrelimab cohort: Any number of lines of prior therapy; (b) For Phase 1b erdafitinib + cetrelimab + platinum chemotherapy cohort: No prior systemic therapy for metastatic disease; and renal function for participants must have a creatinine clearance (CrCl) greater than (>) 30 milliliter per minute (mL/min) to receive carboplatin and >60 mL/min to receive cisplatin as calculated by Cockcroft Gault and (c) Phase 2: No prior systemic therapy for metastatic disease and cisplatin-ineligible based on: ECOG PS 0-1 and at least one of the following criteria: Renal function defined as creatinine clearance (CrCl) less than (˂) 60 mL/min as calculated by Cockcroft-Gault; Grade 2 or higher peripheral neuropathy per NCI-CTCAE version 5.0; Grade 2 or higher hearing loss per NCI-CTCAE version 5.0 OR ECOG PS 2
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) grade of: (a) Phase 1b erdafitinib + cetrelimab cohort: ECOG 0-2; (b) Phase 1b erdafitinib + cetrelimab + platinum chemotherapy cohort: ECOG 0-1 for cisplatin and 0-2 for carboplatin (c) Phase 2: ECOG 0-2
Who cannot join
- Treatment with any other investigational agent or participation in another clinical study with therapeutic intent within 30 days prior to Cycle 1 Day 1. For Phase 1b, participants who have received the following prior antitumor therapy: received nitrosoureas and mitomycin C within 6 weeks
- Phase 1b erdafitinib + cetrelimab cohort: Chemotherapy within 3 weeks of Cycle 1 Day 1; Phase 1b erdafitinib + cetrelimab + platinum chemotherapy cohort and Phase 2: Prior neoadjuvant/adjuvant chemotherapy is allowed if the last dose was given >12 months prior to recurrent disease progression and did not result in drug-related toxicity leading to treatment discontinuation
- Prior anti-programmed death receptor-1 (PD-1), anti-programmed death ligand-1 (PD-L1), or anti-programmed death ligand-2 (PD-L2) therapy. Prior neoadjuvant/adjuvant checkpoint inhibitor therapy is allowed if the last dose was given more than (>)12 months prior to recurrent disease progression and did not result in drug-related toxicity leading to treatment discontinuation. PD-1 for non-muscle invasive bladder cancer is also allowed
- Active malignancies requiring concurrent therapy other than urothelial cancer
- Symptomatic central nervous system metastases
Trial locations and contacts
127 sites in 13 countries.
127 sites in 13 countries
Spain17 sites
Hosp. Del Mar
Barcelona, 08003
Hosp Clinic de Barcelona
Barcelona, 08036
Hosp. Univ. Ramon Y Cajal
Madrid, 28034
Hosp. Clinico San Carlos
Madrid, 28040
Hosp Univ Fund Jimenez Diaz
Madrid, 28050
Hosp Univ Hm Sanchinarro
Madrid, 28050
Hosp Virgen de La Victoria
Málaga, 29010
Complexo Hosp. Univ. de Ourense
Ourense, 32005
Complejo Hospitalario de Vigo
Pontevedra, 36204
Hosp. Quiron Madrid Pozuelo
Pozuelo de Alarcón, 28223
Corporacio Sanitari Parc Tauli
Sabadell, 08208
Hosp. Univ. Marques de Valdecilla
Santander, 39008
H. Clinico Universitario de Santiago de Compostela
Santiago de Compostela, 15706
Hosp. Virgen Macarena
Seville, 41009
Hosp. Virgen Del Rocio
Seville, 41013
Instituto Valenciano de Oncologia
Valencia, 46009
Hosp. Clinico Univ. de Valencia
Valencia, 46010
Italy15 sites
Cliniche Humanitas Gavazzeni
Bergamo, 24125
Istituto di Candiolo, IRCCS
Candiolo, 10060
Ospedale Di Zona B Ramazzini
Carpi, 41012
UOS Oncologia Medica, A.O. Cannizzaro
Catania, 95126
Arcispedale S. Anna Ferrara
Ferrara, 44124
PO A.Manzoni di Lecco, ASST Lecco - Oncologia Medica - Lecco
Lecco, 23900
Ospedale Civile Di Livorno
Livorno, 57122
IRCCS Ospedale San Raffaele
Milan, 20132
ASST Grande Ospedale Metropolitano Niguarda
Milan, 20162
Ospedale S. Maria Della Misericordia Centro Operativo Studi Clinici SC Oncologia Medica
Perugia, 06132
AUSL DI PIACENZA - Ospedale Guglielmo da Saliceto
Piacenza, 29121
Campus Bio Medico di Roma
Roma, 00128
Azienda Socio Sanitaria Territoriale (ASST) della Valtellin
Sondrio, 23100
Azienda Ospedaliera S. Maria Terni
Terni, 05100
Azienda Ospedaliero Universitaria S.Maria Della Misericordia
Udine, 33100
Russia15 sites
Altai Regional Oncology Dispensary
Barnaul, 656049
Ivanovo Regional Oncology Dispensary
Ivanovo, 153040
GUZ Kursk Regional Oncology Dispensary
Kislino Village, 305524
Leningrad Regional Oncology Dispensary
Kuzmolovsky, 188663
City Clinical Hospital n.a. D.D.Pletnev
Moscow, 105077
Russian Scientific Center of Roentgenoradiology
Moscow, 117997
Moscow City Clinical Hospital # 62
Moscow, 125130
Clinical Diagnostic Centre of Nizhny Novgorod Region
Nizhny Novgorod, 603000
Privolzhsky District Medical Centre
Nizhny Novgorod, 603074
Clinical Oncology Dispensary
Omsk, 644013
LLC Novaya Clinica
Pyatigorsk, 357500
Private Medical Institution Euromedservice
Saint Petersburg, 196603
Russian Scientific Center of Radiology and Surgical Technologies
Saint Petersburg, 197758
Tambov Regional Oncology Clinical Dispansary
Tambov, 392013
Multifunctional clinical medical center 'Medical city'
Tyumen, 625041
United States12 sites
Rocky Mountain Cancer Centers
Aurora, Colorado, 80012
Levine Cancer Institute, Carolinas HealthCare System
Charlotte, North Carolina, 28204
Texas Oncology, P.A.
Fort Worth, Texas, 76104
Hackensack University Medical Center
Hackensack, New Jersey, 07601
Penn State Hershey Cancer Institute
Hershey, Pennsylvania, 17033
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Norton Cancer Institute
Louisville, Kentucky, 40202
Weill Cornell Medical College - NY Presbyterian Hospital
New York, New York, 10021
Virginia Oncology Associates
Norfolk, Virginia, 23502
Maryland Oncology Hematology, PA
Rockville, Maryland, 20850
Toledo Clinic Cancer Centers
Toledo, Ohio, 43623-3536
White Plains Hospital Center for Cancer Care
White Plains, New York, 10601
Turkey (Türkiye)12 sites
Adana Acibadem Hospital
Adana, 1130
Memorial Ankara Hastanesi
Ankara, 06520
Hacettepe University Medical Faculty
Ankara, 6100
Dr Abdurrahman Yurtaslan Oncology Training and Research Hospital
Ankara, 6200
Adnan Menderes University Training and Research Hospital
Aydin, 09100
Trakya University Medical Faculty
Edirne, 22030
Istanbul University Cerrahpasa Medical Faculty
Istanbul, 34096
Istanbul Medeniyet University Goztepe Training and Research Hospital
Istanbul, 34732
Ege University
Izmir, 35100
Kocaeli University Medical Faculty
Kocaeli
Necmettin Erbakan University Meram Medical Faculty
Konya, 42080
Karadeniz Teknik University Medical Faculty
Trabzon, 61080
France11 sites
Institut de Cancerologie de Ouest (ICO) Site Paul Papin
Angers, 49055
Hopital Saint André
Bordeaux, 33075
Centre Francois Baclesse
Caen, 14000
Centre hospitalier Saint Louis
La Rochelle, 17019
Centre Leon Berard
Lyon, 69008
APHM Hopital Timone
Marseille, 13005
Hopital Europeen Georges Pompidou
Paris, 75015
Clinique Sainte Anne
Strasbourg, 67000
CHRU de Tours
Tours, 37044
Institut de Cancerologie de Lorraine
Vandœuvre-lès-Nancy, 54519
Institut Gustave Roussy
Villejuif, 94800
South Korea10 sites
Chungnam National University Hospital
Daejeon, 35015
Chonnam National University Hospital
Gwangju, 61469
The Catholic university of Korea, St. Vincent's Hospital
Gyeonggi-do, 16247
Seoul National University Hospital
Seoul, 03080
Kangbuk Samsung Hospital
Seoul, 03181
Severance Hospital Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
The Catholic University of Korea Seoul St Marys Hospital
Seoul, 06591
Seoul Metropolitan Government Seoul National University Boramae Medical Center
Seoul, 07061
Pusan National University Yangsan Hospital
Yangsan, 50612
Belarus7 sites
Brest Regional Oncology Dispensary
Brest, 224027
Grodno University Hospital
Grodno, 230017
Gomel Regional Clinical Oncology Dispensary
Homyel, 246012
State Institution N.N. Alexandrov Republican Scientific and
Lesnoy, 223040
Minsk city Clinical Oncological Dispensary
Minsk, 220013
Mogilev Regional Hospital
Mogilev, 212018
Vitebsk Regional Clinical Hospital
Vitebsk, 210603
Belgium7 sites
ULB Hôpital Erasme
Brussels, 1070
Cliniques Universitaires Saint Luc
Brussels, 1200
Jolimont
Haine-Saint-Paul, 7100
Az Groeninge
Kortrijk, 8500
CHU de Liège - Domaine Universitaire du Sart Tilman
Liège, 4000
AZ Nikolaas - Campus Sint-Niklaas Moerland
Sint-Niklaas, 9100
GZA Ziekenhuizen- Campus St Augustinus
Wilrijk, 2610
Brazil7 sites
Fundacao Pio XII
Barretos, 14784-400
Santa Casa de Misericordia de Belo Horizonte
Belo Horizonte, 30150-221
Liga Paranaense de Combate ao Cancer
Curitiba, 81520 060
Oncocentro Servicos Medicos e Hospitalares Ltda - Oncocentro
Fortaleza, 60170-170
Oncoclinicas Rio de Janeiro S A
Rio de Janeiro, 22250 905
Instituto de Educacao, Pesquisa e Gestao em Saude Instituto Americas (COI)
Rio de Janeiro, 22775 001
CEPHO Centro de Estudos e Pesquisa de Hematologia e Oncologia
Santo André, 09060-650
Taiwan6 sites
Kaohsiung Medical University Chung Ho Memorial Hospital
Kaohsiung City, 807
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 83301
China Medical University Hospital
Taichung, 40447
National Cheng Kung University Hospital
Tainan, 70403
National Taiwan University Hospital
Taipei, 10002
Chang-Gung Memorial Hospital, LinKou Branch
Taoyuan, 333
Poland4 sites
Przychodnia Lekarska KOMED Roman Karaszewski
Konin, 62-500
Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im M Kopernika w Lodzi
Lodz, 93 513
LUX MED Onkologia Sp. z o.o.
Warsaw, 01-748
Centralny Szpital Kliniczny MSWiA w Warszawie
Warsaw, 02-507
United Kingdom4 sites
Royal Lancaster Infirmary
Lancaster, LA1 4rp
St Bartholomew's Hospital
London, EC1A 7BE
University College London Hospitals Nhs Foundation Trust
London, NW1 2PG
Nottingham University Hospitals NHS Trust
Nottingham, NG5 1PB
About this study
Official title: A Phase 1b-2 Study to Evaluate Safety, Efficacy, Pharmacokinetics, and Pharmacodynamics of Various Regimens of Erdafitinib in Subjects With Metastatic or Locally Advanced Urothelial Cancer
The purpose of this study is to: (a) characterize the safety and tolerability of and to identify the recommended Phase 2 dose (RP2D) and schedule for erdafitinib in combination with cetrelimab, and for erdafitinib in combination with cetrelimab and platinum (cisplatin and carboplatin) chemotherapy and; (b) to evaluate the safety and clinical activity of erdafitinib alone and in combination with cetrelimab in cisplatin-ineligible participants with metastatic or locally advanced urothelial cancer (UC) with select fibroblast growth factor receptor (FGFR) gene alterations and no prior systemic therapy for metastatic disease.
Read the detailed description
This open-label (all people know identity of intervention) and multicenter (when more than one hospital or medical school team work on a medical research study) study to establish the recommended phase 2 dose (RP2D) for erdafitinib and cetrelimab and/or platinum (cisplatin or carboplatin) chemotherapy, and to evaluate the safety of erdafitinib in combination with cetrelimab and platinum chemotherapy in Phase 1b and to evaluate the safety and efficacy of the RP2D of erdafitinib plus cetrelimab versus erdafitinib in Phase 2 in participants with advanced urothelial cancer with select fibroblast growth factor receptor (FGFR) gene alterations. Participants enrolled in Phase 1b erdafitinib + cetrelimab cohort may have received any number of lines of prior therapy, and participants enrolled in Phase 1b erdafitinib + cetrelimab + platinum chemotherapy cohort will have had no prior systemic therapy for metastatic disease and participants enrolled in Phase 2 will have had no prior systemic therapy for metastatic disease and will be cis-ineligible. Part 1 (Phase 1b: Dose Escalation) will identify safety and RP2Ds of erdafitinib + cetrelimab and erdafitinib + cetrelimab + platinum (cisplatin or carboplatin) chemotherapy, and Part 2 (Phase 2: Dose Expansion) will evaluate erdafitinib monotherapy and the RP2D regimen of the erdafitinib + cetrelimab combination to further characterize safety and clinical activity. The study will be conducted in 3 phases: screening phase, treatment phase, and follow-up phase. Study evaluations include efficacy, pharmacokinetics, pharmacodynamics, immunogenicity, biomarkers, and safety.
- Conditions
- Urothelial Carcinoma
- Being tested
- Erdafitinib, Cetrelimab, Cisplatin, Carboplatin
- Medical subject headings
- Carcinoma, Transitional Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ErdafitinibDrug
Also called JNJ-42756493
Participants will receive erdafitinib orally.
CetrelimabDrug
Also called JNJ-63723283
Participants will receive cetrelimab by intravenous infusion.
CisplatinDrug
Participants will receive cisplatin by intravenous infusion as a part of platinum chemotherapy.
CarboplatinDrug
Participants will receive carboplatin by intravenous infusion as a part of platinum chemotherapy.
| Study group | Role | What they receive |
|---|---|---|
| Phase 1b: Dose Escalation | Experimental | Two dosing cohorts (erdafitinib and cetrelimab; and erdafitinib, cetrelimab and cisplatin/carboplatin) are explored in Phase 1b of the study. Participants will receive erdafitinib orally followed by cetrelimab intravenously (IV) and carboplatin/cisplatin IV as a part of platinum chemotherapy. The dose levels will be escalated sequentially based on the decisions of the Study Evaluation Team (SET) until the recommended Phase 2 Dose (RP2D) has been identified. Receives: Drug: Erdafitinib; Drug: Cetrelimab; Drug: Cisplatin; Drug: Carboplatin |
| Phase 2: Dose Expansion | Experimental | The participants will be randomized in a 1:1 manner to receive either erdafitinib alone (orally) or the identified RP2D of Phase 1b for erdafitinib (orally) in combination with cetrelimab (IV). Receives: Drug: Erdafitinib; Drug: Cetrelimab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Phase 1b: Number of Participants With Dose-Limiting Toxicity (DLTs)
Number of participants with DLTs were reported. The DLTs as per National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE version 5.0) are specific adverse events defined as grade 3 (severe), grade 4 (life-threatening), and grade 5 (death) non-hematological toxicity or hematological toxicity.
Measured: Up to 8 weeks
Phase 2: Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 by Investigator Assessment
ORR is defined as the percentage of participants who achieved confirmed complete response (CR) or confirmed partial response (PR), according to response evaluation criteria in solid tumors (RECIST) version1.1. As per RECIST version 1.1, CR: disappearance of all lesions; all lymph nodes were non-pathological in size and normalization of tumor marker level; PR: greater than or equal to (>=) 30 percent (%) decrease in the sum of the diameters of all target lesions compared with baseline, in absence of new lesions or unequivocal progression of nontarget lesions.
Measured: From Day 1 up to 36 months
Phase 2: Number of Participants With Treatment-emergent Adverse Event (TEAEs)
Number of participants with TEAEs were reported. An adverse event is any untoward medical event that occurs in a participant administered an investigational product and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAEs were defined as adverse events with onset or worsening on or after date of first dose of study treatment.
Measured: From Day 1 up to 36 months
Secondary outcomes (10)
Phase 1b and Phase 2: Plasma Concentration of Erdafitinib
Measured: Up to 6 years 1 month
Phase 1b and Phase 2: Serum Concentration of Cetrelimab
Measured: Up to 6 years 1 month
Phase 1b: Plasma Concentration of Platinum (Cisplatin and Carboplatin) Chemotherapy
Measured: Up to 6 years 1 month
Phase 1b and Phase 2: Number of Participants With Anti-Cetrelimab Antibodies
Measured: Up to 6 years 1 month
Phase 2: Number of Participants With Serious Adverse Events (SAEs)
Measured: Up to 6 years 1 month
Phase 2: Number of Participants With Abnormal Laboratory Values
Measured: Up to 6 years 1 month
Phase 2: Duration of Response (DoR)
Measured: Up to 6 years 1 month
Phase 2: Time to Response (TTR)
Measured: Up to 6 years 1 month
Phase 2: Progression-free Survival (PFS)
Measured: Up to 6 years 1 month
Phase 2: Overall Survival (OS)
Measured: Up to 6 years 1 month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Mar 2018
- Study start5 Apr 2018
- Primary completion30 Sep 2022
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Urothelial CarcinomaStudies of the same condition, open and under way.
- More trials run by Janssen Research & Development, LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 125 participants (actual)
Sponsor and investigators
- Lead sponsor
- Janssen Research & Development, LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Research & Development, LLC Clinical Trial, Study director, Janssen Research & Development, LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03473743
- Sponsor's protocol ID
- CR108445
- Other IDs
- 42756493BLC2002, 2017-001980-19, 2023-510295-31-00, 2023, 2017
- Status last verified
- Aug 2026
- First submitted
- 14 Mar 2018
- Last updated
- 28 Aug 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Expanded access
- Available
Publications
Loriot Y, Powles T, Moreno V, Kang TW, Cicin I, Girvin A, Akapame S, O'Hagan A, Zhu W, Tammaro M, Thomas S, Triantos S, Siefker-Radtke AO. Erdafitinib or Erdafitinib Plus Cetrelimab for Patients With Metastatic Urothelial Carcinoma and FGFR Alterations: Final Results From the Phase II NORSE Study. J Clin Oncol. 2026 Mar 10;44(8):676-684. doi: 10.1200/JCO-25-00826. Epub 2026 Jan 15.
PubMed 41538748LaRoche JK, Lanier J, Alvarenga R, Collins M, Costelloe T, Chiau A, Whetherly H, De Soete W, Faludi J, Rens K. Climate footprint of industry-sponsored in-human clinical trials: life cycle assessments of clinical trials spanning multiple phases and disease areas. BMJ Open. 2025 Feb 19;15(2):e085364. doi: 10.1136/bmjopen-2024-085364.
PubMed 39971605
Study at a glance
From the registry record, last updated by the sponsor on 28 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1b-2 Study to Evaluate Safety, Efficacy, Pharmacokinetics, and Pharmacodynamics of Various Regimens of Erdafitinib in Subjects With Metastatic or Locally Advanced Urothelial Cancer
- ClinicalTrials.gov ID
- NCT03473743
- Acronym / sponsor ID
- CR108445
- Conditions
- Urothelial Carcinoma
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 125 participants (actual)
- Lead sponsor
- Janssen Research & Development, LLCIndustry (pharma, biotech, devices)
- Study start
- 5 Apr 2018 (actual)
- Primary completion
- 30 Sep 2022 (actual)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 22 Mar 2018 (actual)
- Results
- Posted 25 Oct 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to: (a) characterize the safety and tolerability of and to identify the recommended Phase 2 dose (RP2D) and schedule for erdafitinib in combination with cetrelimab, and for erdafitinib in combination with cetrelimab and platinum (cisplatin and carboplatin) chemotherapy and; (b) to evaluate the safety and clinical activity of erdafitinib alone and in combination with cetrelimab in cisplatin-ineligible participants with metastatic or locally advanced urothelial cancer (UC) with select fibroblast growth factor receptor (FGFR) gene alterations and no prior systemic therapy for metastatic disease.
Detailed description
This open-label (all people know identity of intervention) and multicenter (when more than one hospital or medical school team work on a medical research study) study to establish the recommended phase 2 dose (RP2D) for erdafitinib and cetrelimab and/or platinum (cisplatin or carboplatin) chemotherapy, and to evaluate the safety of erdafitinib in combination with cetrelimab and platinum chemotherapy in Phase 1b and to evaluate the safety and efficacy of the RP2D of erdafitinib plus cetrelimab versus erdafitinib in Phase 2 in participants with advanced urothelial cancer with select fibroblast growth factor receptor (FGFR) gene alterations. Participants enrolled in Phase 1b erdafitinib + cetrelimab cohort may have received any number of lines of prior therapy, and participants enrolled in Phase 1b erdafitinib + cetrelimab + platinum chemotherapy cohort will have had no prior systemic therapy for metastatic disease and participants enrolled in Phase 2 will have had no prior systemic therapy for metastatic disease and will be cis-ineligible. Part 1 (Phase 1b: Dose Escalation) will identify safety and RP2Ds of erdafitinib + cetrelimab and erdafitinib + cetrelimab + platinum (cisplatin or carboplatin) chemotherapy, and Part 2 (Phase 2: Dose Expansion) will evaluate erdafitinib monotherapy and the RP2D regimen of the erdafitinib + cetrelimab combination to further characterize safety and clinical activity. The study will be conducted in 3 phases: screening phase, treatment phase, and follow-up phase. Study evaluations include efficacy, pharmacokinetics, pharmacodynamics, immunogenicity, biomarkers, and safety.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Phase 1b: Dose Escalation | Experimental | Drug: Erdafitinib, Drug: Cetrelimab, Drug: Cisplatin, Drug: CarboplatinTwo dosing cohorts (erdafitinib and cetrelimab; and erdafitinib, cetrelimab and cisplatin/carboplatin) are explored in Phase 1b of the study. Participants will receive erdafitinib orally followed by cetrelimab intravenously (IV) and carboplatin/cisplatin IV as a part of platinum chemotherapy. The dose levels will be escalated sequentially based on the decisions of the Study Evaluation Team (SET) until the recommended Phase 2 Dose (RP2D) has been identified. |
| Phase 2: Dose Expansion | Experimental | Drug: Erdafitinib, Drug: CetrelimabThe participants will be randomized in a 1:1 manner to receive either erdafitinib alone (orally) or the identified RP2D of Phase 1b for erdafitinib (orally) in combination with cetrelimab (IV). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Histologic demonstration of transitional cell carcinoma of the urothelium. Variant urothelial carcinoma histologies such as glandular or squamous differentiation, or evolution to more aggressive phenotypes such as sarcomatoid or micropapillary change are acceptable
- Metastatic or locally advanced urothelial cancer
- Must have measurable disease by radiological imaging according to the Response Evaluation Criteria in Solid Tumors (RECIST, version 1.1) at baseline
- Prior systemic therapy for metastatic urothelial cancer: (a) For Phase 1b erdafitinib + cetrelimab cohort: Any number of lines of prior therapy; (b) For Phase 1b erdafitinib + cetrelimab + platinum chemotherapy cohort: No prior systemic therapy for metastatic disease; and renal function for participants must have a creatinine clearance (CrCl) greater than (>) 30 milliliter per minute (mL/min) to receive carboplatin and >60 mL/min to receive cisplatin as calculated by Cockcroft Gault and (c) Phase 2: No prior systemic therapy for metastatic disease and cisplatin-ineligible based on: ECOG PS 0-1 and at least one of the following criteria: Renal function defined as creatinine clearance (CrCl) less than (˂) 60 mL/min as calculated by Cockcroft-Gault; Grade 2 or higher peripheral neuropathy per NCI-CTCAE version 5.0; Grade 2 or higher hearing loss per NCI-CTCAE version 5.0 OR ECOG PS 2
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) grade of: (a) Phase 1b erdafitinib + cetrelimab cohort: ECOG 0-2; (b) Phase 1b erdafitinib + cetrelimab + platinum chemotherapy cohort: ECOG 0-1 for cisplatin and 0-2 for carboplatin (c) Phase 2: ECOG 0-2
Key exclusion criteria (5 listed)
- Treatment with any other investigational agent or participation in another clinical study with therapeutic intent within 30 days prior to Cycle 1 Day 1. For Phase 1b, participants who have received the following prior antitumor therapy: received nitrosoureas and mitomycin C within 6 weeks
- Phase 1b erdafitinib + cetrelimab cohort: Chemotherapy within 3 weeks of Cycle 1 Day 1; Phase 1b erdafitinib + cetrelimab + platinum chemotherapy cohort and Phase 2: Prior neoadjuvant/adjuvant chemotherapy is allowed if the last dose was given >12 months prior to recurrent disease progression and did not result in drug-related toxicity leading to treatment discontinuation
- Prior anti-programmed death receptor-1 (PD-1), anti-programmed death ligand-1 (PD-L1), or anti-programmed death ligand-2 (PD-L2) therapy. Prior neoadjuvant/adjuvant checkpoint inhibitor therapy is allowed if the last dose was given more than (>)12 months prior to recurrent disease progression and did not result in drug-related toxicity leading to treatment discontinuation. PD-1 for non-muscle invasive bladder cancer is also allowed
- Active malignancies requiring concurrent therapy other than urothelial cancer
- Symptomatic central nervous system metastases
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ErdafitinibAlso: JNJ-42756493Participants will receive erdafitinib orally. | Drug | Phase 1b: Dose Escalation, Phase 2: Dose Expansion |
| CetrelimabAlso: JNJ-63723283Participants will receive cetrelimab by intravenous infusion. | Drug | Phase 1b: Dose Escalation, Phase 2: Dose Expansion |
| CisplatinParticipants will receive cisplatin by intravenous infusion as a part of platinum chemotherapy. | Drug | Phase 1b: Dose Escalation |
| CarboplatinParticipants will receive carboplatin by intravenous infusion as a part of platinum chemotherapy. | Drug | Phase 1b: Dose Escalation |
Primary outcome
Phase 1b: Number of Participants With Dose-Limiting Toxicity (DLTs)
Time frame: Up to 8 weeks
Number of participants with DLTs were reported. The DLTs as per National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE version 5.0) are specific adverse events defined as grade 3 (severe), grade 4 (life-threatening), and grade 5 (death) non-hematological toxicity or hematological toxicity.
Phase 2: Objective Response Rate (ORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 by Investigator Assessment
Time frame: From Day 1 up to 36 months
ORR is defined as the percentage of participants who achieved confirmed complete response (CR) or confirmed partial response (PR), according to response evaluation criteria in solid tumors (RECIST) version1.1. As per RECIST version 1.1, CR: disappearance of all lesions; all lymph nodes were non-pathological in size and normalization of tumor marker level; PR: greater than or equal to (>=) 30 percent (%) decrease in the sum of the diameters of all target lesions compared with baseline, in absence of new lesions or unequivocal progression of nontarget lesions.
Phase 2: Number of Participants With Treatment-emergent Adverse Event (TEAEs)
Time frame: From Day 1 up to 36 months
Number of participants with TEAEs were reported. An adverse event is any untoward medical event that occurs in a participant administered an investigational product and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAEs were defined as adverse events with onset or worsening on or after date of first dose of study treatment.
10 secondary outcomes
Phase 1b and Phase 2: Plasma Concentration of Erdafitinib
Time frame: Up to 6 years 1 month
Phase 1b and Phase 2: Serum Concentration of Cetrelimab
Time frame: Up to 6 years 1 month
Phase 1b: Plasma Concentration of Platinum (Cisplatin and Carboplatin) Chemotherapy
Time frame: Up to 6 years 1 month
Phase 1b and Phase 2: Number of Participants With Anti-Cetrelimab Antibodies
Time frame: Up to 6 years 1 month
Phase 2: Number of Participants With Serious Adverse Events (SAEs)
Time frame: Up to 6 years 1 month
Phase 2: Number of Participants With Abnormal Laboratory Values
Time frame: Up to 6 years 1 month
Phase 2: Duration of Response (DoR)
Time frame: Up to 6 years 1 month
Phase 2: Time to Response (TTR)
Time frame: Up to 6 years 1 month
Phase 2: Progression-free Survival (PFS)
Time frame: Up to 6 years 1 month
Phase 2: Overall Survival (OS)
Time frame: Up to 6 years 1 month
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Aug 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41538748Loriot Y, Powles T, Moreno V, Kang TW, Cicin I, Girvin A, Akapame S, O'Hagan A, Zhu W, Tammaro M, Thomas S, Triantos S, Siefker-Radtke AO. Erdafitinib or Erdafitinib Plus Cetrelimab for Patients With Metastatic Urothelial Carcinoma and FGFR Alterations: Final Results From the Phase II NORSE Study. J Clin Oncol. 2026 Mar 10;44(8):676-684. doi: 10.1200/JCO-25-00826. Epub 2026 Jan 15.
- Derived from this study: PubMed 39971605LaRoche JK, Lanier J, Alvarenga R, Collins M, Costelloe T, Chiau A, Whetherly H, De Soete W, Faludi J, Rens K. Climate footprint of industry-sponsored in-human clinical trials: life cycle assessments of clinical trials spanning multiple phases and disease areas. BMJ Open. 2025 Feb 19;15(2):e085364. doi: 10.1136/bmjopen-2024-085364.
Related trials for Urothelial Carcinoma
Active, not recruitingEarly Phase 1
(CLONEVO): Cell cycLe inhbitiON to Target the EVolution of UrOthelial Cancer
Bladder Cancer
RecruitingPhase 2/3
Testing the Addition of MEDI4736 (Durvalumab) to Chemotherapy Before Surgery for Patients With High-Grade Upper Urinary Tract Cancer
Renal Pelvis and Ureter Urothelial Carcinoma
RecruitingPhase 2/3
Testing the Role of DNA Released From Tumor Cells Into the Blood in Guiding the Use of Immunotherapy After Surgical Removal of the Bladder, Kidney, Ureter, and Urethra for Urothelial Cancer Treatment, MODERN Study
Muscle Invasive Bladder Urothelial Carcinoma, Muscle Invasive Renal Pelvis Urothelial Carcinoma
Active, not recruitingPhase 3
Testing the Addition of the Anti-cancer Drug, Cabozantinib, to the Usual Immunotherapy Treatment, Avelumab, in Patients With Metastatic Urothelial Cancer, MAIN-CAV Study
Advanced Bladder Urothelial Carcinoma, Advanced Renal Pelvis Urothelial Carcinoma
Active, not recruitingPhase 3
Testing MK-3475 (Pembrolizumab) After Surgery for Localized Muscle-Invasive Bladder Cancer and Locally Advanced Urothelial Cancer
Localized Renal Pelvis and Ureter Urothelial Carcinoma, Locally Advanced Bladder Urothelial Carcinoma
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Janssen Research & Development, LLC Clinical Trial study director
Janssen Research & Development, LLC
127 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Erdafitinib, Cetrelimab and Cisplatin in people with Urothelial Carcinoma, run by Janssen Research & Development, LLC at 127 sites in 13 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 28 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 127 sites in Spain, Italy, Russia, United States, Turkey (Türkiye) and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 25 Oct 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Phase 1b: Number of Participants With Dose-Limiting Toxicity (DLTs) (time frame: Up to 8 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03473743, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Aug 2026.