The safety and efficacy of this agent(s), or use in this setting, has not been established or is subject to confirmation. For an agent(s) whose safety and efficacy has not been established or confirmed, future regulatory approval or commercial availability is not guaranteed.

Clinical Trial Details

Geo Regions

Category

Other or Multiple Cancer Types

Tisotumab vedotin

Open Label Phase 2 Study of Tisotumab Vedotin for Locally Advanced or Metastatic Disease in Solid Tumors
Phase 2
NCT03485209

Active enrolling

Globe
Locations

United States, Canada, France, Germany, Italy, Puerto Rico, Spain, United Kingdom

Study design

Participant Group/Arm

EXPERIMENTAL: Part A: Tisotumab Vedotin - Q3W Schedule

Tisotumab Vedotin on Day 1 of every 21-day cycle in participants with various solid tumors in 2L+

Intervention/Treatment

DRUG: tisotumab vedotin

Given into the vein (IV; intravenously)
Participant Group/Arm

EXPERIMENTAL: Part B: Tisotumab Vedotin - 3Q4W Schedule

Tisotumab Vedotin on Days 1, 8, and 15 of 28-day cycle in participants with various solid tumors in 2L+

Intervention/Treatment

DRUG: tisotumab vedotin

Given into the vein (IV; intravenously)
Participant Group/Arm

EXPERIMENTAL: Part C: Tisotumab Vedotin - 2Q4W Schedule

Tisotumab Vedotin on Days 1 and 15 of every 28-day cycle in participants with HNSCC or sqNSCLC in 2L+

Intervention/Treatment

DRUG: tisotumab vedotin

Given into the vein (IV; intravenously)
Participant Group/Arm

EXPERIMENTAL: Part D: Tisotumab Vedotin Combination Therapy - Q3W Schedule

Tisotumab Vedotin + pembrolizumab + (carboplatin or cisplatin). Given on Day 1 of every 21-day cycle in participants with various solid tumors in 1L HNSCC or sqNSCLC

Intervention/Treatment

DRUG: tisotumab vedotin

Given into the vein (IV; intravenously)

DRUG: pembrolizumab

200mg or 400mg given by IV

DRUG: carboplatin

AUC 5mg/mL per minute or AUC 3.3mg/mL per minute given by IV

DRUG: cisplatin

100mg/m\^2 given by IV
Participant Group/Arm

EXPERIMENTAL: Part E: Tisotumab Vedotin - 2Q4W Schedule

Tisotumab Vedotin on Days 1 and 15 of every 28-day cycle in participants with HNSCC in the second- or third-line setting

Intervention/Treatment

DRUG: tisotumab vedotin

Given into the vein (IV; intravenously)
Participant Group/Arm

EXPERIMENTAL: Part F: Tisotumab Vedotin Combination Therapy - Q2W Schedule

Tisotumab Vedotin + pembrolizumab. Tisotumab Vedotin given on Days 1, 15, and 29 of every 6-week cycle. Pembrolizumab given on Day 1 of every 6-week cycle in participants with HNSCC in the first line setting

Intervention/Treatment

DRUG: tisotumab vedotin

Given into the vein (IV; intravenously)

DRUG: pembrolizumab

200mg or 400mg given by IV
Participant Group/Arm

EXPERIMENTAL: Part G: Tisotumab Vedotin Combination Therapy - Q2W Schedule

Tisotumab Vedotin + pembrolizumab + carboplatin. Tisotumab Vedotin and carboplatin given on Days 1, 15, and 29 of every 6-week cycle. Pembrolizumab given on Day 1 of every 6-week cycle in participants with HNSCC in the first line setting

Intervention/Treatment

DRUG: tisotumab vedotin

Given into the vein (IV; intravenously)

DRUG: pembrolizumab

200mg or 400mg given by IV

DRUG: carboplatin

AUC 5mg/mL per minute or AUC 3.3mg/mL per minute given by IV
Study design table for Clinical Trial

Key eligibility criteria

Inclusion criteria
* Parts A, B, and C * Relapsed, locally-advanced or metastatic colorectal or pancreatic cancer, sqNSCLC, or HNSCC participants who are not candidates for standard therapy. * All participants must have experienced disease progression on or after their most recent systemic therapy. * Colorectal cancer (closed to enrollment): participants must have received prior therapy with each of following agents, if eligible: a fluoropyrimidine, oxaliplatin, irinotecan, and/or bevacizumab. Participants should have received no more than 3 systemic regimens in the metastatic setting. * sqNSCLC (closed to enrollment): Participants with NSCLC must have predominant squamous histology. Participants must have received prior therapy with a platinum-based treatment and a checkpoint inhibitor (CPI), if eligible. Participants should have received no more than 3 lines of systemic therapy in the metastatic setting. * Participants eligible for a tyrosine kinase inhibitor should have received such therapy. These participants should have received no more than 4 lines of systemic therapy in the metastatic setting. * Exocrine pancreatic adenocarcinoma (closed to enrollment): Participants with exocrine pancreatic adenocarcinoma must have predominant adenocarcinoma histology. Participants must have received prior therapy with a gemcitabine-based or 5FU-based regimen, if eligible, and should have received no more than 1 systemic regimen in the unresectable or metastatic setting. * HNSCC (closed to enrollment): Participants with HNSCC in Part C must have received prior therapy with a platinum-based regimen and/or a checkpoint inhibitor (CPI), if eligible, and must have experienced disease progression following such therapy. Participants should have received no more than 3 systemic lines of therapy in the recurrent or metastatic setting. * Part E * Participants with HNSCC must have experienced disease progression on or after their most recent systemic therapy. Participants should have received no more than 1 or 2 systemic lines of therapy in the recurrent/metastatic setting as specified below. Participants must have received a platinum-based regimen and a PD-(L)1 inhibitor. * Parts D, F, and G * Part D is closed to enrollment. Part F and Part G will enroll only participants with HNSCC. * Participants with HNSCC must have received no previous systemic therapy in the recurrent or metastatic disease setting. * Part D only * Participants with NSCLC must have histologically or cytologically documented squamous cell NSCLC and must have received no previous systemic therapy for metastatic disease or radiation therapy to the lung that is \> 30 Gy within 6 months of the first dose of study treatment. * PD-L1 biomarker expression as determined by a PD-L1 IHC assay should be available * Part F only * Participants must have CPS ≥1 by local PD-L1 IHC assay to be eligible for enrollment. Participants must be able to submit a tissue sample for retrospective PD-L1 testing. Tissue may be fresh biopsy or archival, collected within 2 years of Cycle 1 Day 1. * Part G only * Non-EU eligibility criteria: No CPS requirement for the cohort evaluating tisotumab vedotin in combination with pembrolizumab and carboplatin. * EU-specific eligibility criteria: Participants must have a CPS ≥1 by local PD-L1 IHC assay. * Participants must be able to submit a tissue sample for retrospective PD-L1 testing. Tissue may be fresh biopsy or archival, collected within 2 years of Cycle 1 Day 1. * Baseline measurable disease as measured by RECIST v1. 1. * Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1.
Exclusion criteria
* Participants with primary neuroendocrine or sarcomatoid histologies. For HNSCC, participants may not have a primary site of nasopharynx or salivary gland. * Active bleeding conditions * Ocular surface disease at the time of enrollment (Note: cataract is not considered active ocular surface disease for this protocol) * Other cancer: known past or current malignancy other than inclusion diagnosis. * Uncontrolled tumor-related pain * Inflammatory lung disease. Participants with pulmonary disease are allowed if systemic steroids and long-term oxygen are not required * Peripheral neuropathy greater than or equal to Grade 2 * Active brain metastasis * Ongoing clinically significant toxicity associated with prior treatment (including radiotherapy or surgery). * Part D, F, and G Only: Prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor.

Key dates

Study start date
  • June 2018
Estimated primary completion date
  • November 2026

Key endpoints

Primary Outcome Measures
Outcome Measure

Confirmed Objective Response Rate (ORR) (Parts A, B, C, D, F, and G)

Measure Description

Proportion of patients who achieve a confirmed complete response (CR) or partial response (PR) according to RECIST v1.1 as assessed by the investigator

Time Frame

Up to approximately 3 years

Outcome Measure

Confirmed ORR per blinded independent central review (BICR) (Part E)

Measure Description

Proportion of patients who achieve a confirmed CR or PR according to RECIST v1.1 as assessed by BICR

Time Frame

Up to approximately 3 years

Primary Outcome Measures table for Clinical Trial
Secondary Outcome Measures:
Outcome Measure

Incidence of Adverse Events (AEs)

Measure Description

Type, severity, and relatedness of adverse events. An AE is any untoward medical occurrence in a subject or clinical investigational subject administered a medicinal product and which does not necessarily have a causal relationship with this treatment.

Time Frame

Up to approximately 3 years

Outcome Measure

Confirmed and Unconfirmed ORR

Measure Description

Proportion of patients who achieve a CR or PR according to RECIST v1.1 as assessed by the investigator

Time Frame

Up to approximately 3 years

Outcome Measure

Confirmed and Unconfirmed ORR per BICR (Part E)

Measure Description

Proportion of patients who achieve a CR or PR according to RECIST v1.1 as assessed by BICR

Time Frame

Up to approximately 3 years

Outcome Measure

Disease Control Rate (DCR)

Measure Description

Proportion of patients who achieve a confirmed CR or PR according to RECIST v1.1 as assessed by the investigator, or meet the stable disease (SD) criteria at least once after start of study treatment at a minimum interval of 12 weeks

Time Frame

Up to approximately 3 years

Outcome Measure

DCR per BICR (Part E)

Measure Description

Proportion of patients who achieve a confirmed CR or PR according to RECIST v1.1 as assessed by BICR, or meet the stable disease (SD) criteria at least once after start of study treatment at a minimum interval of 12 weeks

Time Frame

Up to approximately 3 years

Outcome Measure

Duration of Response (DOR)

Measure Description

Time from the first documentation of objective response to the first documentation of PD or death due to any cause, whichever comes first, as assessed by the investigator

Time Frame

Up to approximately 3 years

Outcome Measure

DOR per BICR (Part E)

Measure Description

Time from the first documentation of objective response to the first documentation of PD or death due to any cause, whichever comes first, as assessed by BICR

Time Frame

Up to approximately 3 years

Outcome Measure

Time to Response (TTR)

Measure Description

Time from the start of study treatment to the first documentation of objective response, as assessed by investigator

Time Frame

Up to approximately 1 year

Outcome Measure

TTR per BICR (Part E)

Measure Description

Time from the start of study treatment to the first documentation of objective response, as assessed by BICR

Time Frame

Up to approximately 1 year

Outcome Measure

Progression-free survival (PFS)

Measure Description

Time from the start of study treatment to the first documentation of PD according to RECIST v1.1 or death due to any cause, whichever comes first, as assessed by the investigator

Time Frame

Up to approximately 3 years

Outcome Measure

PFS per BICR (Part E)

Measure Description

Time from the start of study treatment to the first documentation of PD according to RECIST v1.1 or death due to any cause, whichever comes first, as assessed by BICR

Time Frame

Up to approximately 3 years

Outcome Measure

Overall Survival (OS)

Measure Description

Time from the start of study treatment to date of death due to any cause

Time Frame

Up to approximately 4 years

Outcome Measure

Cmax

Measure Description

Maximum observed plasma concentration

Time Frame

Through 30-37 days following the last dose; up to approximately 3 years

Outcome Measure

Ctrough

Measure Description

Observed plasma concentration at the end of the dosing interval

Time Frame

Through 30-37 days following the last dose; up to approximately 3 years

Outcome Measure

Incidence of anti-therapeutic antibodies (ATAs)

Measure Description

Time Frame

Through 30-37 days following the last dose; up to approximately 3 years

Secondary Outcome Measures table for Clinical Trial

Number of participants

692

Collaborators and investigators

Sponsor: Seagen Inc.

Collaborator: Genmab, Merck Sharp & Dohme LLC

This information is current as of August 27th 2024.
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More Information Close NCT# stands for National Clinical Trial number. This is a unique identification code given to each clinical trial registered on ClinicalTrials.gov. The format is "NCT" followed by an 8-digit number (for example, NCT00000419). Also called the ClinicalTrials.gov identifier. NCT03485209