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Urothelial CarcinomaPhase 2LIVIGNO-3NCT06632951

Study to Evaluate Adverse Events and Change in Disease Activity When Intravenously (IV) Infused Livmoniplimab is Used in Combination With IV Infused Budigalimab in Adult Participants With Urothelial Carcinoma (UC)

A Phase 2 study testing Livmoniplimab, Budigalimab and Docetaxel in people with Urothelial Carcinoma, run by AbbVie at 37 sites in 8 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

Urothelial carcinoma (UC) is the ninth most common cancer type worldwide. While the treatment of front-line metastatic urothelial carcinoma (mUC) has improved, there remains a high unmet need for effective therapies for participants who have recurrent disease and disease that has progressed after frontline treatment. 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?
Livmoniplimab, Budigalimab and Docetaxel
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
37 sitesin 8 countries
Study dates
20 Jan 2025to Aug 2028
Phase
Phase 2
Are there results?
Not yet: the study is under way

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

  • Participant has histologically or cytologically confirmed urothelial carcinoma (i.e., cancer of the bladder, renal pelvis, ureter, or urethra). Mixed histologic types are allowed if urothelial (transitional cell) is the predominant histology.
  • Participant has radiologically documented metastatic disease.
  • Participant must have experienced radiographic progression or relapse on checkpoint inhibitor (anti-programmed cell death protein 1 [PD-1] or anti-programmed death-ligand 1 [PD-L1]) in the metastatic, adjuvant, or neo-adjuvant setting. Participant must have received at least 2 cycles of anti-PD-1 or anti-PD-L1.
  • Participants eligible for platinum must have received a platinum containing regimen (cisplatin or carboplatin) in the metastatic, locally advanced, neoadjuvant, or adjuvant setting. If platinum was administered in the neoadjuvant or adjuvant setting, participant must have progressed within 6 months of completion of treatment. Platinum ineligible participants may enroll in this study without receiving a platinum containing regimen.
  • Participant has at least 1 measurable lesion per response evaluation criteria in solid tumors (RECIST) v1.1 as determined by investigator.
  • Life expectancy must be at least 3 months.

Who cannot join

  • Participant has received more than 1 prior chemotherapy regimen for urothelial cancer in metastatic setting, including chemotherapy agents planned in comparator arm.
  • Platinum based chemotherapy administered in adjuvant or neoadjuvant setting will count towards this criterion if participant progressed within 6 months of completion.
  • Chemotherapy administered during concurrent chemoradiotherapy for primary cancer will not count towards this criterion.
  • The substitution of carboplatin for cisplatin does not constitute a new regimen provided no new chemotherapeutic agents were added to the regimen and no progression was noted prior to the change in platinum.
  • Antibody-drug conjugate (ADC) will not count towards this criterion.
  • Participant who previously received gemcitabine in combination with platinum in metastatic setting will be eligible to receive docetaxel or paclitaxel in comparator arm.
Show all 10Show fewer
  • Participant has received more than 1 antibody-drug conjugate (ADC) in metastatic setting.
  • Has had prior radiation therapy within 28 days prior to first dose of study drug or who has not recovered (i.e., <= Grade 1 or at baseline) from adverse events due to radiotherapy.
  • History of additional malignancy or history of prior malignancy, except for adequately treated basal or squamous skin cancer, or cervical carcinoma in situ without evidence of disease, or malignancy treated with curative intent and with no evidence of disease recurrence for 5 years since the initiation of that therapy.
  • Prior allogeneic stem cell or solid organ transplantation.

Trial locations and contacts

37 sites in 8 countries.

37 sites in 8 countries

United States11 sites
  • Texas Oncology - Austin Central /ID# 271284

    Austin, Texas, 78731

  • University Hospitals Cleveland Medical Center /ID# 271010

    Cleveland, Ohio, 44106

  • The Ohio State University /ID# 271349

    Columbus, Ohio, 43210

  • SCRI Oncology Partners /ID# 270439

    Nashville, Tennessee, 37203

  • Yale University School of Medicine /ID# 270449

    New Haven, Connecticut, 06510

  • Icahn School of Medicine at Mount Sinai /ID# 270272

    New York, New York, 10029

  • Medical Oncology Hematology Consultants /ID# 271347

    Newark, Delaware, 19713

  • Utah Cancer Specialist /ID# 270810

    Salt Lake City, Utah, 84124

  • University of California San Francisco - Mission Bay /ID# 270289

    San Francisco, California, 94158

  • Highlands Oncology Group - Springdale /ID# 270290

    Springdale, Arkansas, 72762

  • Florida Cancer Specialists - North /ID# 271215

    St. Petersburg, Florida, 33705

Other trials in United States

Spain6 sites
  • Parc de Salut Mar - Hospital del Mar /ID# 270173

    Barcelona, 08003

  • Hospital Universitario Vall d'Hebron /ID# 269783

    Barcelona, 08035

  • Hospital Clinic de Barcelona /ID# 269789

    Barcelona, 08036

  • Hospital MD Anderson Cancer Center Madrid /ID# 269780

    Madrid, 28033

  • Hospital Clinico San Carlos /ID# 269786

    Madrid, 28040

  • Hospital Universitario Virgen del Rocio /ID# 269782

    Seville, 41013

Other trials in Spain

Israel5 sites
  • Rambam Health Care Campus /ID# 270105

    Haifa, 3525408

  • Meir Medical Center /ID# 270108

    Kfar Saba, Central District, 4428164

  • Rabin Medical Center /ID# 270107

    Petah Tikva, 4941492

  • The Chaim Sheba Medical Center /ID# 270096

    Ramat Gan, Tel Aviv, 5265601

  • Tel Aviv Sourasky Medical Center /ID# 270106

    Tel Aviv, Tel Aviv, 6423906

Other trials in Israel

South Korea5 sites
  • National Cancer Center /ID# 270453

    Goyang-si, Gyeonggido, 10408

  • Chonnam National University Hwasun Hospital /ID# 271299

    Hwasun-gun, Jeonranamdo, 58128

  • Yonsei University Health System Severance Hospital /ID# 270317

    Seoul, Seoul Teugbyeolsi, 03722

  • Asan Medical Center /ID# 270898

    Seoul, Seoul Teugbyeolsi, 05505

  • Samsung Medical Center /ID# 270318

    Seoul, Seoul Teugbyeolsi, 06351

Other trials in South Korea

Japan4 sites
  • Fukushima Medical University Hospital /ID# 270752

    Fukushima, Fukushima, 960-1295

  • Hirosaki University Hospital /ID# 270531

    Hirosaki, Aomori, 036-8563

  • Kanazawa University Hospital /ID# 270473

    Kanazawa, Ishikawa-ken, 920-8641

  • University of Tsukuba Hospital /ID# 270354

    Tsukuba, Ibaraki, 305-8576

Other trials in Japan

France3 sites
  • Institut Paoli-Calmettes /ID# 270580

    Marseille, Bouches-du-Rhone, 13273

  • Hôpital Foch /ID# 270573

    Suresnes, Hauts-de-Seine, 92151

  • Institut Gustave Roussy /ID# 270575

    Villejuif, Île-de-France Region, 94800

Other trials in France

Poland2 sites
  • Aidport Sp. z o.o. /ID# 270049

    Skórzewo, Greater Poland Voivodeship, 60-185

  • Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Bada /ID# 270046

    Warsaw, Masovian Voivodeship, 02-781

Other trials in Poland

Canada1 site
  • Centre Hospitalier Affilié Universitaire de Québec - Hôpital de l'Enfant-Jésus /ID# 271635

    Québec, Quebec, G1J 1Z4

Other trials in Canada

About this study

Official title: A Phase 2, Open-Label, Randomized Study of Livmoniplimab in Combination With Budigalimab Versus Chemotherapy in Subjects With Metastatic Urothelial Carcinoma

Urothelial carcinoma (UC) is the ninth most common cancer type worldwide. While the treatment of front-line metastatic urothelial carcinoma (mUC) has improved, there remains a high unmet need for effective therapies for participants who have recurrent disease and disease that has progressed after frontline treatment. The purpose of this study is to evaluate the optimized dose, adverse events, and efficacy of livmoniplimab in combination with budigalimab.

Livmoniplimab is an investigational drug being developed for the treatment of mUC. There are 3 treatment arms in this study and participants will be randomized in a 1:1:1 ratio. Participants will either receive livmoniplimab (at one of 2 different doses) in combination with budigalimab (another investigational drug), or either docetaxel, paclitaxel, or gemcitabine (based on investigator's choice). Approximately 150 adult participants will be enrolled in the study across 56 sites worldwide.

Read more

In arm 1, participants will receive intravenously (IV) infused livmoniplimab (dose A) in combination with IV infused budigalimab. In arm 2, participants will receive IV infused livmoniplimab (dose B) in combination with IV infused budigalimab. In arm 3 (control), participants will receive the investigator's choice: IV infused or injected docetaxel; IV infused or injected paclitaxel; or IV infused gemcitabine. The estimated duration of the study is up to approximately 3.5 years.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic and may require frequent medical assessments, blood tests, questionnaires, and scans.

Being tested
Livmoniplimab, Budigalimab, Docetaxel, Paclitaxel, Gemcitabine
Keywords
Urothelial Carcinoma, Metastatic Urothelial Carcinoma, Docetaxel, Paclitaxel, Gemcitabine, Livmoniplimab, Budigalimab, ABBV-181, ABBV-151, Cancer, LIVIGNO-3
Medical subject headings
Carcinoma, Transitional Cell, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT06632951
Study groupRoleWhat they receive
Arm 1: Livmoniplimab (Dose A) + BudigalimabExperimentalParticipants will receive livmoniplimab (dose A) in combination with budigalimab, as part of the approximately 3.5 years study duration.
Receives: Drug: Livmoniplimab; Drug: Budigalimab
Arm 2: Livmoniplimab (Dose B) + BudigalimabExperimentalParticipants will receive livmoniplimab (dose B) in combination with budigalimab, as part of the approximately 3.5 years study duration.
Receives: Drug: Livmoniplimab; Drug: Budigalimab
Arm 3: Docetaxel, Paclitaxel, or GemcitabineExperimentalParticipants will receive docetaxel, paclitaxel, or gemcitabine, investigator's choice, as part of the approximately 3.5 years study duration.
Receives: Drug: Docetaxel; Drug: Paclitaxel; Drug: Gemcitabine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Survival (OS)

    OS is defined as the time measured from randomization until death from any cause.

    Measured: Up to Approximately 3.5 Years

Secondary outcomes (23)
  1. Progression-Free survival (PFS)

    PFS is defined as the time measured from randomization until the first documentation of progressive disease according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 as determined by investigators or death from any cause, whichever occurs first.

    Measured: Up to Approximately 3.5 Years

  2. Best Overall Response (BOR) per Investigator

    BOR is defined as achieving complete response (CR) or partial response (PR) according to RECIST 1.1 as determined by investigators at any time prior to subsequent anticancer therapy.

    Measured: Up to Approximately 3.5 Years

  3. Duration of Response (DOR) per Investigator

    DOR id defined as the time from first CR/PR until the first documentation of progressive disease according to RECIST 1.1 as determined by investigators or death from any cause, whichever occurs first.

    Measured: Up to Approximately 3.5 Years

  4. Percentage of Participants with Adverse Events (AE)s

    An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.

    Measured: Up to Approximately 3.5 Years

  5. Percentage of Participants with Serious Adverse Events (SAE)s

    An SAE is defined as an AE that results in the death of the participant, threat to the participant's life, hospitalization, congenital abnormality, persistent or significant disability/incapacitation, or medical event requiring medical or surgical interventions to prevent a serious outcome.

    Measured: Up to Approximately 3.5 Years

  6. Percentage of Participants with Treatment Emergent Adverse Events (TEAE)s

    The treatment-emergent period is defined as time from the date of the first dose of study drug up to 90 days after the date of the last dose of study drug, or the first date starting new anticancer therapy, whichever occurs earlier. TEAEs include all AEs that occurred or worsened during the treatment emergent period and all treatment related SAEs as assessed by investigators.

    Measured: Up to Approximately 3.5 Years

  7. Percentage of Participants with Clinically Significant Vital Sign Measurements as Assessed by the Investigator

    Vital signs are defined as systolic and diastolic blood pressure, pulse rate, respiratory rate, and body temperature.

    Measured: Up to Approximately 3.5 Years

  8. Percentage of Participants with Clinically Significant Laboratory Values

    Percentage of participants with clinically significant laboratory values (hematology, chemistry, coagulation, and urinalysis) as assessed by the investigator.

    Measured: Up to Approximately 3.5 Years

  9. Percentage of Participants with Immune-Related Reactions as AEs of Special Interest

    An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.

    Measured: Up to Approximately 3.5 Years

  10. Maximum Observed Serum Concentration (Cmax) of Livmoniplimab

    Cmax is defined as the maximum observed serum concentration of livmoniplimab.

    Measured: Up to Approximately 3.5 Years

  11. Cmax of Budigalimab

    Cmax is defined as the maximum observed serum concentration of budigalimab.

    Measured: Up to Approximately 3.5 Years

  12. Time to Reach Cmax (Tmax) of Livmoniplimab

    Tmax is defined as the time to reach Cmax of livmoniplimab.

    Measured: Up to Approximately 3.5 Years

  13. Tmax of Budigalimab

    Tmax is defined as the time to reach Cmax of budigalimab.

    Measured: Up to Approximately 3.5 Years

  14. Area Under the Serum Concentration Versus Time Curve (AUC) of Livmoniplimab

    AUC is defined as the area under the serum concentration versus time curve of livmoniplimab.

    Measured: Up to Approximately 3.5 Years

  15. AUC of Budigalimab

    AUC is defined as the area under the serum concentration versus time curve of budigalimab.

    Measured: Up to Approximately 3.5 Years

  16. Clearance (CL) of Livmoniplimab

    CL is defined as the Clearance of livmoniplimab.

    Measured: Up to Approximately 3.5 Years

  17. CL of Budigalimab

    CL is defined as the Clearance of budigalimab.

    Measured: Up to Approximately 3.5 Years

  18. Volume of Distribution (Vd) of Livmoniplimab

    Vd is defined as the volume of distribution of livmoniplimab.

    Measured: Up to Approximately 3.5 Years

  19. Vd of Budigalimab

    Vd is defined as the volume of distribution of budigalimab.

    Measured: Up to Approximately 3.5 Years

  20. Incidence of Anti-Drug Antibodies (ADAs) of Livmoniplimab

    Incidence of anti-drug antibodies of livmoniplimab.

    Measured: Up to Approximately 3.5 Years

  21. ADAs of Budigalimab

    Incidence of anti-drug antibodies of budigalimab.

    Measured: Up to Approximately 3.5 Years

  22. Incidences of Neutralizing Anti-Drug Antibodies (nADAs) of Livmoniplimab

    Incidences of neutralizing anti-drug antibodies of livmoniplimab.

    Measured: Up to Approximately 3.5 Years

  23. Incidences of nADAs of Budigalimab

    Incidences of neutralizing anti-drug antibodies of budigalimab.

    Measured: Up to Approximately 3.5 Years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Oct 2024
  2. Study start20 Jan 2025
  3. Primary completionMar 2027 (estimated)
  4. Study completionAug 2028 (estimated)

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06632951
Sponsor's protocol ID
M25-204
Other IDs
2024-515506-11-00
Acronym
LIVIGNO-3
Status last verified
Aug 2025
First submitted
8 Oct 2024
Last updated
11 Aug 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Livmoniplimab, Budigalimab and Docetaxel in people with Urothelial Carcinoma, run by AbbVie at 37 sites in 8 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 6 inclusion and 10 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 11 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in United States, Spain, Israel, South Korea, Japan and 3 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 phase mean?

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?

This study is still under way. Results are not available in the source record yet.

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?

Overall Survival (OS) (time frame: Up to Approximately 3.5 Years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 11 Aug 2025.

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