Sponsor: Seagen, a wholly owned subsidiary of Pfizer (industry)
Phase: 2
Start date: May 3, 2022
Planned enrollment: 372
Disitamab vedotin (RC48, Aidixi) is an antibody-drug conjugate (ADC) that targets HER2-expressing cancers. It consists of a humanized anti-HER2 monoclonal antibody (disitamab) conjugated to the cytotoxic agent monomethyl auristatin E (MMAE) via a cleavable vedotin linker [1]. The drug works through multiple mechanisms including direct cytotoxicity to HER2-expressing cells, bystander effect on neighboring cells, immunogenic cell death, and inhibition of HER2 signaling pathways. It received its first approval in China in June 2021 for HER2-overexpressing locally advanced or metastatic gastric cancer after at least two lines of chemotherapy [2].
Clinical trials have shown promising results across multiple cancer types. In HER2-expressing metastatic breast cancer, the drug demonstrated objective response rates of 42.9% in HER2-overexpressing and 33.3% in HER2-low disease, with median progression-free survival of 5.7 and 5.1 months respectively [3]. In urothelial carcinoma, when combined with the immunotherapy drug toripalimab, it showed a 73.2% response rate with median progression-free survival of 9.2 months [4]. Common adverse events include elevated liver enzymes, peripheral neuropathy, asthenia, and neutropenia. Grade 3 or higher adverse events occurred in about 40-44% of patients across trials, but were generally manageable.
The drug is currently being investigated in multiple ongoing clinical trials, including phase 3 studies in various cancers. It is being studied both as monotherapy and in combination with other agents like immunotherapy drugs and targeted therapies. Development is focused on both HER2-overexpressing and HER2-low expressing cancers, with studies ongoing in breast cancer, gastric cancer, urothelial cancer, and other solid tumors.
[1] AACR Abstract on Mechanism of Action [2] Review Article on Development and Approval [3] Phase I/Ib Study in Breast Cancer [4] Phase 1b/2 Study in Urothelial Cancer
Last updated: Dec 2024
Goal: Evaluate the antitumor activity and safety of the HER2-targeted antibody-drug conjugate disitamab vedotin (DV), alone or combined with pembrolizumab, in HER2-expressing locally advanced unresectable or metastatic urothelial carcinoma, and characterize pharmacokinetics and immunogenicity.
Patients: Adults with histologically confirmed locally advanced, unresectable or metastatic urothelial carcinoma of the renal pelvis, ureter, bladder, or urethra with centrally confirmed HER2 expression (IHC 1+, 2+, or 3%). Multiple cohorts enroll patients across lines of therapy: previously treated (1–2 prior lines including platinum; or prior enfortumab vedotin ± pembrolizumab), treatment-naïve but cisplatin/carboplatin-eligible, and Japan-specific cohorts with mandated prior exposure to platinum, PD-(L)1 inhibitors, and enfortumab vedotin. ECOG 0–1 for most cohorts (0–2 allowed in one first-line cohort). Key exclusions include prior HER2-directed therapy, prior MMAE-based ADCs in most cohorts, unresolved toxicities, significant neuropathy, and recent major surgery; immune therapy–related exclusions apply when pembrolizumab is used.
Design: Phase 2, multi-cohort, open-label, multicenter study with both randomized and non-randomized components. Randomization occurs within Cohort C comparing DV plus pembrolizumab versus DV monotherapy in the first-line, chemotherapy-eligible setting. Other cohorts are single-arm. Planned enrollment is 372.
Treatments: Disitamab vedotin (RC48-ADC) is a HER2-targeted antibody-drug conjugate composed of a humanized anti-HER2 antibody linked via a cleavable vedotin linker to the microtubule-disrupting payload monomethyl auristatin E (MMAE). Mechanisms include targeted delivery of MMAE to HER2-expressing cells, bystander cytotoxicity, immunogenic cell death, and HER2 signaling inhibition. Across early-phase studies in HER2-expressing solid tumors, DV has shown meaningful activity, including objective responses in urothelial carcinoma (notably high response rates when combined with PD-1 blockade) and manageable toxicity characterized by neuropathy, cytopenias, and transaminase elevations. Pembrolizumab is an anti–PD-1 monoclonal antibody used as standard immunotherapy in urothelial carcinoma; in this trial it is combined with DV in selected cohorts to assess potential synergy.
Outcomes: Primary endpoints: confirmed objective response rate by blinded independent central review in most cohorts (A, B, C, G); in Japan-only cohorts (D, E), primary endpoints are safety-focused, including incidence of adverse events, dose alterations, laboratory and ECG abnormalities, LVEF changes, and DV pharmacokinetics (AUC, Cmax, Tmax, Ctrough). Secondary endpoints across cohorts include investigator-assessed ORR, duration of response, progression-free survival, disease control rate, overall survival, safety/tolerability summaries, ECG and LVEF changes, DV and pembrolizumab pharmacokinetics, and anti-drug and neutralizing antibody incidence. Follow-up for efficacy extends approximately 2 years, with survival up to about 3 years.
Burden on patient: Moderate to high. Participants will undergo frequent clinic visits for intravenous infusions (DV with or without pembrolizumab), serial safety assessments, and regular imaging per RECIST. Central confirmation of HER2 status implies provision of adequate tumor tissue; new biopsy may be required if archival tissue is insufficient. Early-cycle intensive pharmacokinetic sampling is planned, especially in Japan cohorts, along with periodic ECGs and echocardiograms/MUGA to monitor LVEF, increasing visit length and blood draw frequency. Monitoring for neuropathy and immune-related adverse events (in combination cohorts) necessitates additional evaluations and potential dose modifications. Travel burden is consistent with multi-center oncology trials using IV therapies and frequent assessments over approximately 2 years.
Inclusion Criteria:
Cohorts A and B
* Histopathologically-confirmed, locally-advanced, unresectable or metastatic urothelial cancer (LA/mUC), including UC originating from the renal pelvis, ureters, bladder, or urethra
* Participants must have received only 1 or 2 lines of prior systemic treatment for LA/mUC, including 1 line of platinum-containing chemotherapy
* At least one measurable lesion by investigator assessment based on RECIST version 1.1.
* HER2-expression status determined by the central laboratory to be IHC 1+, 2+ or 3+, in the provided tumor sample
* Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
Cohort C
* Histopathologically-confirmed LA/mUC, including UC originating from the renal pelvis, ureters, bladder, or urethra
* No prior systemic therapy for LA/mUC
* Neoadjuvant or adjuvant therapy, including PD-(L)1 inhibitors, is acceptable, if disease recurrence/progression occurred more than 12 months after the last dose of systemic therapy
* At least one measurable lesion by investigator assessment based on RECIST v1.1.
* Participant is eligible to receive cisplatin- or carboplatin- containing chemotherapy per investigator evaluation
* HER2-expression status determined by the central laboratory to be IHC 1+, 2+ or 3+, on the provided tumor tissue sample
* ECOG performance status of 0, 1, or 2
Cohort D
* Histopathologically-confirmed LA/mUC, including UC originating from the renal pelvis, ureters, bladder, or urethra
* Based on a participant's eligibility to receive treatment with standard of care therapies in Japan, participants must have received all of the following lines of therapy for LA/mUC:
* a. One prior line of platinum-containing chemotherapy.
* b. Prior therapy with PD-(L)1 inhibitors as (neo)adjuvant therapy, first-line maintenance therapy or as second line treatment.
* c. Prior enfortumab vedotin therapy.
* At least one measurable lesion by investigator assessment based on RECIST v1.1.
* ECOG performance status of 0 or 1
Cohort E
* Histopathologically-confirmed LA/mUC, including UC originating from the renal pelvis, ureters, bladder, or urethra
* No prior systemic therapy for LA/mUC
* Neoadjuvant or adjuvant therapy, including PD-(L)1 inhibitors, is acceptable, if disease recurrence/progression occurred more than 12 months after the last dose of systemic therapy.
* At least one measurable lesion by investigator assessment based on RECIST v1.1.
* Participant is eligible to receive cisplatin- or carboplatin- containing chemotherapy per investigator evaluation
* HER2-expression status determined by the central laboratory to be IHC 1+, 2+ or 3+, in the provided tumor sample
* ECOG performance status of 0 or 1
Cohort G
* Histopathologically-confirmed, locally-advanced, unresectable or metastatic urothelial cancer (LA/mUC), including UC originating from the renal pelvis, ureters, bladder, or urethra
* Participants must have received only 1 or 2 lines of prior systemic treatment for LA/mUC, including 1 line of therapy containing enfortumab vedotin as monotherapy or in combination with pembrolizumab
* The last administration of enfortumab vedotin must be 90 days from the start of study treatment. Intervening therapies are allowed between the final dose of enfortumab vedotin and the start of disitamab vedotin.
* At least one measurable lesion by investigator assessment based on RECIST version 1.1.
* HER2-expression status determined by the central laboratory to be IHC 1+, 2+ or 3+, in the provided tumor sample
* Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
Exclusion Criteria:
Cohorts A and B
* Known hypersensitivity to disitamab vedotin or any of their components
* Prior antitumor treatment (including chemotherapy, radiotherapy, targeted therapy, immunotherapy etc.) within 2 weeks of start of study (defined as Cycle 1 Day 1 for Cohorts A and B)
* Toxicity from a previous treatment has not returned to Grades 0 or 1 (except for Grade 2 alopecia)
* Prior MMAE-based ADCs (eg, enfortumab vedotin) or HER2-directed therapy
* Major surgery that has not fully recovered within 4 weeks prior to dose administration
* Peripheral sensory or motor neuropathy ≥ Grade 2 at baseline
Cohort C
* Known hypersensitivity to disitamab vedotin, pembrolizumab, or any of their components
* Prior antitumor treatment (including chemotherapy, radiotherapy, targeted therapy, immunotherapy etc.) within 2 weeks of start of study defined as Cycle 1 Day 1 for the single-arm part of Cohort C and as randomization date for the randomized part of Cohort C)
* Toxicity from a previous treatment has not returned to Grades 0 or 1 (except for Grade 2 alopecia)
* Prior MMAE-based ADCs (eg, enfortumab vedotin) or HER2-directed therapy
* Major surgery that has not fully recovered within 4 weeks prior to dose administration
* Peripheral sensory or motor neuropathy ≥ Grade 2 at baseline
* Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior the first dose of study drug
* Participants who have previously received any prior treatment with an agent directed to another stimulatory or co-inhibitory T cell receptor (including but not limited to CD137 agonists, CAR-T cell therapy, CTLA-4 inhibitors, or OX-40 agonists) are excluded.
Cohort D
* Known hypersensitivity to disitamab vedotin or any of their components
* Prior antitumor treatment (including chemotherapy, radiotherapy, targeted therapy, immunotherapy etc.) within 2 weeks of start of study (defined as Cycle 1 Day 1 for Cohort D)
* Toxicity from a previous treatment has not returned to Grades 0 or 1 (except for Grade 2 alopecia)
* Prior HER2-directed therapy
* Any prior history of ≥ Grade 3 non-hematological AEs related to prior therapy
* Major surgery that has not fully recovered within 4 weeks prior to dose administration
* Peripheral sensory or motor neuropathy ≥ Grade 1 at baseline
Cohort E
* Known hypersensitivity to disitamab vedotin, pembrolizumab, or any of their components
* Prior antitumor treatment (including chemotherapy, radiotherapy, targeted therapy, immunotherapy etc.) within 2 weeks of start of study (defined as Cycle 1 Day 1 for Cohort E)
* Toxicity from a previous treatment has not returned to Grades 0 or 1 (except for Grade 2 alopecia)
* Any prior history of ≥ Grade 3 non-hematological AEs related to prior therapy
* Prior MMAE-based ADCs (eg, enfortumab vedotin) or HER2-directed therapy
* Major surgery that has not fully recovered within 4 weeks prior to dose administration
* Peripheral sensory or motor neuropathy ≥ Grade 1 at baseline
* Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior the first dose of study drug
Cohort G
* Known hypersensitivity to disitamab vedotin or any of their components
* Prior antitumor treatment (including chemotherapy, radiotherapy, targeted therapy, immunotherapy etc.) within 2 weeks of start of study (defined as Cycle 1 Day 1 for Cohort G)
* Toxicity from a previous treatment has not returned to Grades 0 or 1 (except for Grade 2 alopecia)
* Prior HER2-directed therapy
* Major surgery that has not fully recovered within 4 weeks prior to dose administration
* Peripheral sensory or motor neuropathy ≥ Grade 2 at baseline
There are additional inclusion and exclusion criteria. The study center will determine if criteria for participation are met.
Viedma, Río Negro Province, R8500ACE, Argentina
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Status: Recruiting
Buenos Aires, C1426ANZ, Argentina
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Status: Recruiting
Buenos Aires, C1118AAT, Argentina
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Buenos Aires, ZC 1419, Argentina
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Córdoba, X5004, Argentina
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Status: Recruiting
Caba, ZC 1426, Argentina
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Status: Not yet recruiting
CABA, C1019ABS, Argentina
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Status: Recruiting
CABA, 1125, Argentina
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Status: Recruiting
St Leonards, New South Wales, 2065, Australia
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Status: Recruiting
Sydney, New South Wales, 2109, Australia
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Status: Recruiting
South Brisbane, Queensland, QLD 4101, Australia
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Status: Recruiting
Frankston, Victoria, 3199, Australia
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Status: Recruiting
Woolloongabba, 4102, Australia
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Status: Recruiting
Elizabeth Vale, 5112, Australia
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Status: Recruiting
Namur, 5000, Belgium
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Status: Active, not recruiting
Ghent, 9000, Belgium
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Status: Active, not recruiting
Calgary, Alberta, T3N 4N1, Canada
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Status: Recruiting
Vancouver, British Columbia, V5Z 4E6, Canada
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Status: Recruiting
Vancouver, British Columbia, V5Z 1H7, Canada
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Status: Recruiting
Winnipeg, Manitoba, R3E 0V9, Canada
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Status: Recruiting
Montreal, Quebec, H3T 1E2, Canada
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Status: Recruiting
Fleurimont, Canada
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Status: Recruiting
Santiago, Providencia, 8330032, Chile
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Status: Recruiting
Santiago, Providencia, 7510032, Chile
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Status: Recruiting
La Serena, CP 1720430, Chile
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Status: Recruiting
Ramat Gan, 5265601, Israel
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Status: Active, not recruiting
Ramat Gan, 52621, Israel
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Status: Active, not recruiting
Petah Tikva, 4941492, Israel
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Status: Active, not recruiting
Haifa, 3109601, Israel
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Status: Active, not recruiting
Tel Aviv, 6423906, Israel
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Status: Active, not recruiting
Milan, Lombardy, 20132, Italy
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Status: Active, not recruiting
Aviano, Pordenone, 33184, Italy
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Status: Active, not recruiting
Roma, ROME, 00168, Italy
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Status: Active, not recruiting
Roma, 00168, Italy
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Status: Active, not recruiting
Terni, 05100, Italy
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Status: Active, not recruiting
Terni, 05100, Italy
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Status: Active, not recruiting
Pisa, 56126, Italy
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Status: Active, not recruiting
Padua, 35128, Italy
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Status: Active, not recruiting
Milan, 20132, Italy
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Status: Active, not recruiting
Kashiwa-shi, Chiba, 277-8577, Japan
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Status: Active, not recruiting
Sapporo, Hokkaido, 060-8543, Japan
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Status: Active, not recruiting
Suita-shi, Osaka, 565-0871, Japan
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Status: Active, not recruiting
Tokushima, Tokushima, 770-8503, Japan
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Status: Recruiting
Koto-ku, Tokyo, 135-8550, Japan
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Status: Active, not recruiting
Osaka, 541-8567, Japan
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Status: Active, not recruiting
Sabadell, Barcelona, 08208, Spain
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Status: Active, not recruiting
Seville, 41013, Spain
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Status: Active, not recruiting
Madrid, 28033, Spain
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Status: Active, not recruiting
Madrid, 28033, Spain
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Status: Active, not recruiting
Barcelona, 08035, Spain
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Status: Active, not recruiting
Glasgow, Scotland, G12 0YN, United Kingdom
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Status: Recruiting
Manchester, M20 4BX, United Kingdom
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Status: Not yet recruiting
Manchester, M20 4BX, United Kingdom
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Status: Not yet recruiting
Merseyside, CH63 4JY, United Kingdom
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Status: Recruiting
London, W6 8RF, United Kingdom
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Status: Recruiting
London, EC1A 7BE, United Kingdom
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Status: Recruiting
Cambridge, CB2 0QQ, United Kingdom
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Status: Recruiting
London, SE1 9RT, United Kingdom
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Status: Recruiting
Gilbert, Arizona, 85234, United States
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Status: Recruiting
Gilbert, Arizona, 85234, United States
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Status: Recruiting
San Francisco, California, 94115, United States
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Status: Recruiting
Anaheim, California, 92806, United States
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Status: Recruiting
Baldwin Park, California, 91706, United States
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Status: Recruiting
Bellflower, California, 90706, United States
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Status: Recruiting
Duarte, California, 91010, United States
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Status: Active, not recruiting
Fontana, California, 92335, United States
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Status: Recruiting
Harbor City, California, 90710, United States
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Status: Recruiting
Irvine, California, 92612, United States
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Status: Recruiting
Irvine, California, 92618, United States
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Status: Recruiting
Los Angeles, California, 90027, United States
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Status: Recruiting
Los Angeles, California, 90034, United States
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Status: Recruiting
Los Angeles, California, 90067, United States
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Status: Not yet recruiting
Los Angeles, California, 90095, United States
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Status: Recruiting
Los Angeles, California, 90095, United States
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Status: Recruiting
Ontario, California, 91761, United States
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Status: Recruiting
Orange, California, 92868, United States
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Status: Recruiting
Panorama City, California, 91402, United States
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Status: Recruiting
Riverside, California, 92505, United States
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Status: Recruiting
Riverside, California, 92505, United States
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Status: Recruiting
San Diego, California, 92108, United States
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Status: Recruiting
San Diego, California, 92120, United States
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Status: Recruiting
San Francisco, California, 94115, United States
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Status: Recruiting
San Francisco, California, 94143, United States
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Status: Recruiting
San Francisco, California, 94158, United States
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Status: Recruiting
San Francisco, California, 94158, United States
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Status: Recruiting
San Francisco, California, 94158, United States
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Status: Recruiting
San Marcos, California, 92078, United States
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Status: Recruiting
Santa Monica, California, 90404, United States
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Status: Recruiting
Woodland Hills, California, 91367, United States
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Status: Recruiting
Washington D.C., District of Columbia, 20010, United States
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Status: Not yet recruiting
Bonita Springs, Florida, 34135, United States
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Status: Recruiting
Bradenton, Florida, 34205, United States
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Status: Recruiting
Bradenton, Florida, 34211, United States
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Status: Recruiting
Cape Coral, Florida, 33909, United States
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Status: Recruiting
Daytona Beach, Florida, 32117, United States
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Status: Active, not recruiting
Fleming Island, Florida, 32003, United States
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Status: Recruiting
Fort Myers, Florida, 33905, United States
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Status: Recruiting
Fort Myers, Florida, 33908, United States
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Status: Recruiting
Naples, Florida, 34102, United States
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Status: Recruiting
Port Charlotte, Florida, 33980, United States
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Status: Recruiting
Sarasota, Florida, 34232, United States
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Status: Recruiting
Sarasota, Florida, 34236, United States
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Status: Recruiting
Stuart, Florida, 34994, United States
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Status: Active, not recruiting
Tallahassee, Florida, 32308, United States
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Status: Recruiting
Tampa, Florida, 33612, United States
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Status: Recruiting
Venice, Florida, 34285, United States
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Status: Recruiting
Venice, Florida, 34292, United States
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Status: Recruiting
Vero Beach, Florida, 32960, United States
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Status: Active, not recruiting
West Palm Beach, Florida, 33401, United States
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Status: Active, not recruiting
Wellington, Florida, 33414, United States
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Status: Active, not recruiting
Marietta, Georgia, 30060, United States
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Status: Recruiting
Carrollton, Georgia, 30117, United States
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Status: Recruiting
Carrollton, Georgia, 30117, United States
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Status: Recruiting
Cartersville, Georgia, 30121, United States
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Status: Recruiting
Douglasville, Georgia, 30134, United States
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Status: Recruiting
Hiram, Georgia, 30141, United States
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Status: Recruiting
Hiram, Georgia, 30141, United States
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Status: Recruiting
Marietta, Georgia, 30060, United States
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Status: Recruiting
Orland Park, Illinois, 60462, United States
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Status: Recruiting
Chicago, Illinois, 60611, United States
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Status: Recruiting
Chicago, Illinois, 60637, United States
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Status: Recruiting
Deerfield, Illinois, 60015, United States
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Status: Recruiting
Flossmoor, Illinois, 60422, United States
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Status: Recruiting
Harvey, Illinois, 60426, United States
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Status: Recruiting
New Lenox, Illinois, 60451, United States
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Status: Recruiting
Tinley Park, Illinois, 60477, United States
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Status: Recruiting
Worcester, Massachusetts, 01655, United States
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Status: Recruiting
Worcester, Massachusetts, 01655, United States
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Status: Recruiting
Holland, Michigan, 49424, United States
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Status: Recruiting
Norton Shores, Michigan, 49444, United States
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Status: Recruiting
Lansing, Michigan, 48910, United States
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Status: Recruiting
Grand Rapids, Michigan, 49546, United States
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Status: Recruiting
Grand Rapids, Michigan, 49503, United States
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Status: Recruiting
Farmington Hills, Michigan, 48334, United States
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Status: Recruiting
Detroit, Michigan, 48202, United States
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Status: Recruiting
Detroit, Michigan, 48201, United States
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Status: Recruiting
Montvale, New Jersey, 07645, United States
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Status: Recruiting
Basking Ridge, New Jersey, 07920, United States
No email / No phone
Status: Recruiting
Middletown, New Jersey, 07748, United States
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Status: Recruiting
Long Island City, New York, 11101, United States
No email / No phone
Status: Recruiting
New York, New York, 10029, United States
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Status: Recruiting
New York, New York, 10065, United States
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Status: Recruiting
New York, New York, 10065, United States
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Status: Recruiting
New York, New York, 10065, United States
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Status: Recruiting
Uniondale, New York, 11553, United States
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Status: Recruiting
Syracuse, New York, 13210, United States
No email / No phone
Status: Active, not recruiting
Harrison, New York, 10604, United States
No email / No phone
Status: Recruiting
Lake Success, New York, 11042, United States
No email / No phone
Status: Recruiting
Charlotte, North Carolina, 28204, United States
No email / No phone
Status: Recruiting
Chapel Hill, North Carolina, 27599, United States
No email / No phone
Status: Not yet recruiting
Chapel Hill, North Carolina, 27514, United States
No email / No phone
Status: Not yet recruiting
Monroe, North Carolina, 28112, United States
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Status: Recruiting
Concord, North Carolina, 28025, United States
No email / No phone
Status: Recruiting
Concord, North Carolina, 28025, United States
No email / No phone
Status: Recruiting
Charlotte, North Carolina, 28277, United States
No email / No phone
Status: Recruiting
Charlotte, North Carolina, 28262, United States
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Status: Recruiting
Charlotte, North Carolina, 28262, United States
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Status: Recruiting
Charlotte, North Carolina, 28210, United States
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Status: Recruiting
Charlotte, North Carolina, 28207, United States
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Status: Recruiting
Charlotte, North Carolina, 28204, United States
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Status: Recruiting
Charlotte, North Carolina, 28203, United States
No email / No phone
Status: Recruiting
Columbus, Ohio, 43210, United States
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Status: Not yet recruiting
Columbus, Ohio, 43210, United States
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Status: Not yet recruiting
Columbus, Ohio, 43210, United States
No email / No phone
Status: Not yet recruiting
Cleveland, Ohio, 44106, United States
No email / No phone
Status: Recruiting
Columbus, Ohio, 43210, United States
No email / No phone
Status: Not yet recruiting
Oklahoma City, Oklahoma, 73104, United States
No email / No phone
Status: Recruiting
Oklahoma City, Oklahoma, 73104, United States
No email / No phone
Status: Recruiting
Knoxville, Tennessee, 37920, United States
No email / No phone
Status: Recruiting
Dallas, Texas, 75204, United States
No email / No phone
Status: Not yet recruiting
Temple, Texas, 76508, United States
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Status: Not yet recruiting
Houston, Texas, 77030, United States
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Status: Recruiting
Salt Lake City, Utah, 84112, United States
No email / No phone
Status: Not yet recruiting
Fairfax, Virginia, 22031, United States
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Status: Recruiting
Seattle, Washington, 98109, United States
No email / No phone
Status: Recruiting
Seattle, Washington, 98104, United States
No email / No phone
Status: Recruiting
Seattle, Washington, 98195, United States
No email / No phone
Status: Recruiting
Milwaukee, Wisconsin, 53226, United States
No email / No phone
Status: Recruiting