Evidence map›Paper›PMID 41197088›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

First-in-Human, Phase I/II Dose Escalation and Expansion Study of Zelenectide Pevedotin in Patients With Advanced Solid Tumors: Results From Monotherapy Dose Escalation.

Capucine Baldini, Loic Verlingue, Vincent Goldschmidt, Bernard Doger de Spéville, Julia Lostes, Antoine Italiano, Sophie Cousin, Gerald S Falchook, Andrea Necchi, Oscar Reig Torras and 12 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04561362 (Phase I/II Study of the Safety, Pharmacokinetics, and Preliminary Clinical Activity of BT8009 in Patients With Nectin-4 Expressing Advanced Malignancies), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04561362 phase1 / phase2active not recruitingnot on this map

Phase I/II Study of the Safety, Pharmacokinetics, and Preliminary Clinical Activity of BT8009 in Patients With Nectin-4 Expressing Advanced Malignancies

TypeinterventionalSponsorBicycleTx LimitedRan2020 to 2026Enrolled329ConditionsUrinary Bladder Neoplasm, Triple Negative Breast Neoplasms, Hormone Receptor Positive, HER2-negative Neoplasms, Hormone Receptor Positive, HER2-low NeoplasmsArmsBT8009, Pembrolizumab
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Preliminary biological evaluation of a [EJNMMI radiopharmacy and chemistry · 2026
    Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Capucine BaldiniDrug Development Department (DITEP), Gustave Roussy Cancer Campus, Villejuif, France.ORCID 0000-0002-0604-7614
Loic VerlingueCentre Leon Berard, Lyon, France.ORCID 0000-0002-5694-4022
Vincent GoldschmidtDrug Development Department (DITEP), Gustave Roussy Cancer Campus, Villejuif, France.ORCID 0000-0002-2053-8639
Bernard Doger de SpévilleSTART Madrid-FJD and Hospital Universitario Fundacion Jimenez Diaz, Madrid, Spain.
Julia LostesVall d'Hebron University Hospital and Vall d'Hebron Institute of Oncology, Barcelona, Spain.
Antoine ItalianoMedical Oncology Department, Institut Bergonié, Bordeaux, France.ORCID 0000-0002-8540-5351
Sophie CousinMedical Oncology Department, Institut Bergonié, Bordeaux, France.
Gerald S FalchookSarah Cannon Research Institute at HealthONE, Denver, CO.ORCID 0000-0001-9165-2191
Andrea NecchiVita-Salute San Raffaele University, Milan, Italy.ORCID 0000-0002-3007-2756
Oscar Reig TorrasMedical Oncology Department, Hospital Clinic, and Translational Genomics and Targeted Therapeutics in Solid Tumors, IDIBAPS, Barcelona, Spain.
Elisa FontanaSarah Cannon Research Institute UK, London, United Kingdom.ORCID 0000-0002-4991-9355
Louise CarterThe University of Manchester and The Christie NHS Foundation Trust, Manchester, United Kingdom.
Jordi Rodon AhnertUniversity of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-6467-3632
Jason R BrownUniversity Hospitals Seidman Cancer Center, Cleveland, OH.ORCID 0000-0001-6225-7555
Leslie R DeMarsBicycle Therapeutics Inc, Cambridge, MA.
Kate JosephsBicycle Therapeutics Inc, Cambridge, MA.ORCID 0009-0009-4582-9561
Amy DicksonBicycle Therapeutics Inc, Cambridge, MA.
Cong XuBicycle Therapeutics Inc, Cambridge, MA.
Justin BaderBicycle Therapeutics Inc, Cambridge, MA.
Carly CampbellBicycle Therapeutics Inc, Cambridge, MA.ORCID 0000-0002-7600-3027
Rajiv SharmaBicycleTx Ltd, Cambridge, United Kingdom.
Meredith McKeanSarah Cannon Research Institute, Nashville, TN.ORCID 0000-0003-0944-7418

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeZelenectide pevedotin (BT8009) is a Bicycle Drug Conjugate comprising a highly selective Nectin-4-targeting Bicycle peptide, linked to monomethyl auristatin E. We report monotherapy dose-escalation results from Duravelo-1 (Phase I/II; ClinicalTrials.gov identifier: NCT04561362).

methodsAdults with advanced/metastatic solid tumors associated with Nectin-4 expression received zelenectide pevedotin intravenously at 2.5, 5.0, or 7.5 mg/m

resultsForty-nine patients, most with urothelial carcinoma (UC; 25 of 49), received three previous lines of therapy (median). Common treatment-related adverse events (TRAEs) included nausea (49% [grade 3/4 2%]), likely because of a lack of prophylactic antiemetics during the dose-limiting toxicity period, and fatigue (39% [grade 3/4 6%]). The most common TRAEs of clinical interest were peripheral neuropathy (33% [grade 3/4 2%]), neutropenia (22% [grade 3/4 16%]), and skin reactions (22% [grade 3/4 2%]). The maximum tolerated dose was 7.5 mg/m

conclusionZelenectide pevedotin monotherapy demonstrated a generally well-tolerated safety profile and preliminary efficacy, particularly in UC, supporting investigation of UC and non-UC populations in the expansion phase.

Indexed as

Antineoplastic AgentsNeoplasmsOligopeptidesAdultAgedAged, 80 and overCell Adhesion MoleculesDose-Response Relationship, DrugFemaleHumansMaleMaximum Tolerated DoseMiddle AgedNectinsAntineoplastic AgentsCell Adhesion MoleculesNECTIN4 protein, humanNectinsOligopeptides

Identifiers

PMID41197088
PMCPMC12680284

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.