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Efficacy of Prophylactic Topical Steroid Administration for Enfortumab Vedotin-Related Cutaneous Toxicity

A Multicenter, Placebo-Controlled, Randomized, Double-Blind, Parallel Group Study of the Efficacy of Prophylactic Topical Steroid Administration for Enfortumab Vedotin-Related Cutaneous Toxicity.

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCTs051240214
Enrollment
48
Registered
2024-12-13
Start date
2025-02-28
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Urothelial carcinoma

Interventions

The study drug (Delmovate ointment or Vaseline ointment, double-blind) is applied to the right and left axilla/groin/medial upper arm/medial thigh/flexor wrist/waist twice daily in the morning and eve

Sponsors

Kita Yuki
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Male and female patients receiving EV at the standard initial dose (1.25 mg/kg) for the treatment of unresectable urothelial carcinoma.

Exclusion criteria

Exclusion criteria: 1. Patients with a history of EV administration. 2. Patients treated with systemic steroid therapy (prednisolone equivalent >10 mg/day) within 2 weeks prior to the first dose of EV. 3. Patients with an ECOG Performance Status of 3 or higher, with an assessment of ECOG Performance Status within 7 days prior to the first dose of EV 4. Patients with poorly controlled eczema, atopic dermatitis, psoriasis vulgaris, or autoimmune bullous disease.

Design outcomes

Primary

MeasureTime frame
Frequency of grade 2 or higher skin disorders based on CTCAE v5.0 or SDRIFE up to 4 weeks of EV administration

Secondary

MeasureTime frame
Safety, frequency of skin disorders of all grades or SDRIFE up to 12 weeks of EV, frequency of EV withdrawal, dose reduction, or discontinuation due to skin disorders, site-specific IGA score at visit date and at discontinuation up to 12 weeks of EV, pain and pruritus scale up to 12 weeks of EV, objective response rate at 12 weeks, progression-free survival, overall survival, blood cortisol and adrenocorticotropic hormone (ACTH) levels, and EQ-5D-5L score up to 12 weeks of EV

Contacts

Public ContactYuki Kita

Kyoto University Hospital

kitayuki@kuhp.kyoto-u.ac.jp+81-9094031731

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026