Bicycle Therapeutics Duravelo-2 ASCO 2026 Oral: Optimal-Dose Zelenectide Pevedotin Plus Pembrolizumab Matches Standard-of-Care Response in First-Line Urothelial Cancer With Far Less Skin and Nerve Toxicity
In the June 1 rapid oral session (Abstract 4516, Yohann Loriot), the dose-optimization stage of the randomized Phase 2 Duravelo-2 trial showed the optimal dose of the bicyclic peptide-drug conjugate zelenectide pevedotin (BT8009) plus pembrolizumab produced response rates comparable to published standard-of-care data in previously untreated locally advanced or metastatic urothelial carcinoma, with roughly four-fold lower skin reactions and about half the peripheral neuropathy. The separate Duravelo-1 Phase 1 trial showed median progression-free survival comparable to standard of care in cisplatin-ineligible patients.