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NCT04223856 · FLOW

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Enfortumab Vedotin and Pembrolizumab vs. Chemotherapy Alone in Untreated Locally Advanced or Metastatic Urothelial Cancer · Source last updated 2026-05-29

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

groups
  1. description
    Participants received enfortumab vedotin at 1.25 milligram per kilogram (mg/kg) as an intravenous (IV) infusion over approximately 30 minutes on Days 1 and 8 of each cycle, and pembrolizumab 200 mg as an IV infusion over approximately 30 minutes on Day 1 of each cycle, after completion of the enfortumab vedotin infusion. 1 cycle = 3 weeks.
    id
    FG000
    title
    Enfortumab Vedotin + Pembrolizumab
  2. description
    Participants received gemcitabine at 1000 mg/m\^2 as an IV infusion on Days 1 and 8 of each cycle, and either cisplatin (70 mg/m\^2) or carboplatin (area under curve \[AUC\] 4.5, or AUC 5 according to local guidelines) on Day 1 of each cycle, with adequate pre- and post-hydration, by IV infusion per institutional standards. 1 cycle = 3 weeks.
    id
    FG001
    title
    Standard of Care
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        153
      2. group Id
        FG001
        num Subjects
        73
      type
      Progressive disease
    2. reasons
      1. group Id
        FG000
        num Subjects
        97
      2. group Id
        FG001
        num Subjects
        62
      type
      Adverse Event
    3. reasons
      1. group Id
        FG000
        num Subjects
        9
      2. group Id
        FG001
        num Subjects
        28
      type
      Physician Decision
    4. reasons
      1. group Id
        FG000
        num Subjects
        22
      2. group Id
        FG001
        num Subjects
        24
      type
      Withdrawal by Subject
    5. reasons
      1. group Id
        FG000
        num Subjects
        7
      2. group Id
        FG001
        num Subjects
        2
      type
      Other
    6. reasons
      1. group Id
        FG000
        num Subjects
        2
      2. group Id
        FG001
        num Subjects
        11
      type
      Randomized but not treated
    7. reasons
      1. group Id
        FG000
        num Subjects
        144
      2. group Id
        FG001
        num Subjects
        0
      type
      On-treatment
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        442
      2. group Id
        FG001
        num Subjects
        444
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        440
      2. group Id
        FG001
        num Subjects
        433
      type
      Treated
    3. achievements
      1. group Id
        FG000
        num Subjects
        8
      2. group Id
        FG001
        num Subjects
        244
      type
      COMPLETED
    4. achievements
      1. group Id
        FG000
        num Subjects
        434
      2. group Id
        FG001
        num Subjects
        200
      type
      NOT COMPLETED
    title
    Overall Study
pre Assignment Details
Results are reported only for primary outcome measures at primary completion date (08-Aug-2023). Remaining secondary outcome measures whose analysis are not final, results would be reported at study completion date.
recruitment Details
Participants with untreated locally advanced or metastatic urothelial cancer (UC) were enrolled in the study.
Complete source fields
groups
  1. description
    Participants received enfortumab vedotin at 1.25 milligram per kilogram (mg/kg) as an intravenous (IV) infusion over approximately 30 minutes on Days 1 and 8 of each cycle, and pembrolizumab 200 mg as an IV infusion over approximately 30 minutes on Day 1 of each cycle, after completion of the enfortumab vedotin infusion. 1 cycle = 3 weeks.
    id
    FG000
    title
    Enfortumab Vedotin + Pembrolizumab
  2. description
    Participants received gemcitabine at 1000 mg/m\^2 as an IV infusion on Days 1 and 8 of each cycle, and either cisplatin (70 mg/m\^2) or carboplatin (area under curve \[AUC\] 4.5, or AUC 5 according to local guidelines) on Day 1 of each cycle, with adequate pre- and post-hydration, by IV infusion per institutional standards. 1 cycle = 3 weeks.
    id
    FG001
    title
    Standard of Care
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        153
      2. group Id
        FG001
        num Subjects
        73
      type
      Progressive disease
    2. reasons
      1. group Id
        FG000
        num Subjects
        97
      2. group Id
        FG001
        num Subjects
        62
      type
      Adverse Event
    3. reasons
      1. group Id
        FG000
        num Subjects
        9
      2. group Id
        FG001
        num Subjects
        28
      type
      Physician Decision
    4. reasons
      1. group Id
        FG000
        num Subjects
        22
      2. group Id
        FG001
        num Subjects
        24
      type
      Withdrawal by Subject
    5. reasons
      1. group Id
        FG000
        num Subjects
        7
      2. group Id
        FG001
        num Subjects
        2
      type
      Other
    6. reasons
      1. group Id
        FG000
        num Subjects
        2
      2. group Id
        FG001
        num Subjects
        11
      type
      Randomized but not treated
    7. reasons
      1. group Id
        FG000
        num Subjects
        144
      2. group Id
        FG001
        num Subjects
        0
      type
      On-treatment
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        442
      2. group Id
        FG001
        num Subjects
        444
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        440
      2. group Id
        FG001
        num Subjects
        433
      type
      Treated
    3. achievements
      1. group Id
        FG000
        num Subjects
        8
      2. group Id
        FG001
        num Subjects
        244
      type
      COMPLETED
    4. achievements
      1. group Id
        FG000
        num Subjects
        434
      2. group Id
        FG001
        num Subjects
        200
      type
      NOT COMPLETED
    title
    Overall Study
pre Assignment Details
Results are reported only for primary outcome measures at primary completion date (08-Aug-2023). Remaining secondary outcome measures whose analysis are not final, results would be reported at study completion date.
recruitment Details
Participants with untreated locally advanced or metastatic urothelial cancer (UC) were enrolled in the study.

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