OncoSignal
Live from Open Targets Platform, fetched 2026-11-11 19:08 UTC. Every row links to its source record.

NECTIN4 nectin cell adhesion molecule 4

ENSG00000143217 · protein coding · Open Targets profile

Seems to be involved in cell adhesion through trans- homophilic and -heterophilic interactions, the latter including specifically interactions with NECTIN1. Does not act as receptor for alpha-herpesvirus entry into cells.

NECTIN4: inherited and tumour-mutation evidence across 15 cancers

Each row is a cancer, strongest overall evidence first. The two dots show how strong the inherited (germline) and tumour-mutation (somatic) evidence is; the line between them is the gap.

Inherited (germline) variantsMutations in tumours (somatic)
00.250.50.751urothelial carcinomaurothelial carcinomaurinary bladder carcinomaurinary bladder carcinomatransitional cell carcinomatransitional cell carcinomaurogenital neoplasmurogenital neoplasmurinary bladder cancerurinary bladder cancerbreast cancerbreast cancerovarian cancerovarian cancerhepatocellular carcinomahepatocellular carcinomabreast carcinomabreast carcinomaovarian carcinomaovarian carcinomasquamous cell carcinoma of penissquamous cell carcinoma of penispancreatic neoplasmpancreatic neoplasmfamilial pancreatic carcinomafamilial pancreatic carcinomamelanomamelanomatriple-negative breast carcinomatriple-negative breast carcinoma

Scores run from 0 (no evidence) to 1 (strongest). A missing dot at 0 means Open Targets holds no evidence of that kind. Source: Open Targets Platform, fetched live.

Tractability

Antibody
UniProt loc high conf, GO CC high conf, UniProt SigP or TMHMM, Human Protein Atlas loc
Other modalities
Approved Drug

gnomAD loss of function constraint: o/e 0.3675000071525574 (upper bound 0.5392400026321411). Low values mean loss of function is poorly tolerated, a safety flag for inhibition.

Who runs trials of these drugs

Principal investigators and study chairs on 91 registry trials, updated in the last three years, of the most advanced drugs against NECTIN4 (enfortumab vedotin), ranked by Phase 2+ trials. Live from ClinicalTrials.gov.

41 of 88 trials of drugs against NECTIN4 have sites only in United States

Registry trials of enfortumab vedotin updated in the last three years, counted by the country group of their listed sites. A trial with sites in several groups counts in each; 62 of 88 have all sites in one country.

Sites only in this groupSites here and elsewhere
United StatesUnited States: 41 trials with sites only hereUnited States: 26 trials with sites here and elsewhere67ChinaChina: 9 trials with sites only hereChina: 8 trials with sites here and elsewhere17EuropeEurope: 6 trials with sites only hereEurope: 20 trials with sites here and elsewhere26JapanJapan: 3 trials with sites only hereJapan: 14 trials with sites here and elsewhere17OtherOther: 3 trials with sites only hereOther: 24 trials with sites here and elsewhere27

Site counts are not patients per country, and trials registered only outside ClinicalTrials.gov are not covered. Where sites are is a fact about the record, not a judgement of its quality. Europe is the EU and EEA, the UK and Switzerland. 3 trials list no sites and are left out. Source: ClinicalTrials.gov, fetched live.

5 trials of drugs against NECTIN4 were stopped early

Terminated, withdrawn and suspended interventional trials of enfortumab vedotin, newest update first, live from ClinicalTrials.gov. Each reason is quoted exactly as the registry gives it; we do not sort reasons into safety, efficacy or business. Dates are the last registry update. Showing the 5 most recent of 5.

  • terminated · 2026-09-14 · Astellas Pharma Global Development, Inc. · Enfortumab vedotin
    “Trial was discontinued for strategic reasons. Decision was not based on safety concerns, futility, or request from regulatory authority, ethics committee, or institutional review board or EC/IRB.”
  • terminated · 2026-08-03 · Hoffmann-La Roche · Enfortumab Vedotin
    “Study was closed early as the sponsor decided not to continue development of certain treatment combinations.”
  • terminated · 2026-03-24 · Astellas Pharma Global Development, Inc. · enfortumab vedotin (EV)
    “Sponsor stopped the study after meeting enrollment targets and primary objectives, and after collecting sufficient data for planned regulatory filings. The decision was not due to safety concerns, futility, or any regulatory request.”
  • terminated · 2025-01-08 · Strata Oncology · enfortumab vedotin
    “Business decision and enrollment difficulties”
  • terminated · 2023-08-24 · Mirati Therapeutics Inc. · Enfortumab vedotin
    “The study was terminated due to sponsor decision / portfolio prioritization, and not due to safety reasons.”
Paediatric incentives and obligations for NECTIN4's drugs

For enfortumab vedotin: what EMA and FDA publish about paediatric plans, orphan status and pediatric approvals, and how many registered studies take children. Each line is a yes, no or not published fact from the record linked under it; none of it is a forecast.

  • EU paediatric investigation plan: yes · EMEA-002299-PIP01-17 (Enfortumab vedotin, Treatment of urothelial carcinoma): W: decision granting a waiver in all age groups for all conditions or indications, 11 Apr 2018; EMEA-002299-PIP02-23 (Enfortumab vedotin, Treatment of head and neck epithelial malignant neoplasms): W: decision granting a waiver in all age groups for all conditions or indications, 7 Sept 2023
    Rule: An EMA PIP decision (agreement, modification or waiver) lists the drug as its active substance, exact name. Source: EMA data download (dated snapshot), 2026-11-11
  • EU orphan designation: no · No EU orphan designation names enfortumab vedotin
    Rule: An EU orphan designation lists the drug as its active substance (exact name) or belongs to a medicine that does; withdrawn and expired designations are listed with their status. Source: EMA data download (dated snapshot), 2026-11-11
  • Authorised in the EU: yes · Padcev: authorised since 13 Apr 2022
    Rule: An EMA medicine record lists the drug as its active substance or INN, exact name; national-only authorisations are not in this file. Source: EMA EPAR Padcev, 2026-11-11
  • FDA orphan designation: not published · FDA's orphan designation database turns away automated requests, so this app does not read it; search it by hand at the link
    Rule: Would be: an FDA orphan designation names the drug. Source: FDA orphan designations search
  • FDA pediatric oncology approval: no · FDA's table lists no pediatric approval of enfortumab vedotin
    Rule: FDA's Pediatric Oncology Drug Approvals table names the drug. Source: FDA Pediatric Oncology Drug Approvals (content current as of 2026-03-03), 2026-11-11
  • Registered studies open to children: yes · 1 interventional studies of enfortumab vedotin include patients under 18; 1 is recruiting, not yet recruiting or active
    Rule: The registry's age group includes Child (birth to 17 years), which also counts studies that set no minimum age. Source: ClinicalTrials.gov search, 2026-11-11

Rare pediatric disease voucher. FDA, content current as of 29 Apr 2026: “As of February 3, 2026, enactment of the Consolidated Appropriations Act, 2026, the rare pediatric disease PRV program will sunset after September 30, 2029. FDA may not award any PRVs under this program after September 30, 2029.” Voucher sale prices are not shown here; they appear only as company-reported news. FDA: Rare Pediatric Disease Designation and Priority Review Voucher Programs

All 1 drugs and clinical candidates as a table

Each drug, stage and indication links to its Open Targets record, where the trials and approvals behind it are listed. Salt forms (for example a mesylate) are listed as Open Targets records them, as separate entries.

DrugTypeHighest stageIndicationsSource records
ENFORTUMAB VEDOTINAntibody drug conjugatephase 4urothelial carcinoma, transitional cell carcinoma, neoplasm, urinary bladder carcinoma, urogenital neoplasm, cancer, urinary bladder cancer, renal pelvis carcinoma, +21 moreOpen Targets · ChEMBL