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

Breast Cancer

Category

Other or Multiple Cancer Types

Felmetatug vedotin (B7-H4-directed Antibody Drug Conjugate)

Felmetatug vedotin is an investigational compound. Its safety and efficacy have not been established.

A Phase 1 Study of SGN-B7H4V in Advanced Solid Tumors
Phase 1
NCT05194072

Active enrolling

Globe
Locations

United States, Canada, Germany, Italy, Spain, United Kingdom

Study design

Participant Group/Arm

EXPERIMENTAL: SGN-B7H4V

SGN-B7H4V monotherapy

Intervention/Treatment

DRUG: SGN-B7H4V

Given into the vein (IV; intravenously)
Study design table for Clinical Trial

Key eligibility criteria

Inclusion criteria
  • Participants must have one of the following histologically or cytologically confirmed locally advanced unresectable or metastatic solid tumor types:
    • High-grade serous epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer
    • HER2-negative, HR positive breast cancer
    • Triple-negative breast cancer (TNBC)
    • Endometrial carcinoma
    • Non-small cell lung cancer (Squamous cell carcinoma \[SqCC\], Adenocarcinoma \[AC\])
    • Cholangiocarcinoma or gallbladder carcinoma
    • Adenoid cystic carcinoma (AC
  • Parts A and B: Participants must have disease that is relapsed or refractory or be intolerant to SOC therapies, and, in the judgement of the investigator, should have no appropriate SOC therapeutic option
  • Part C: Participants must have disease that is relapsed or refractory or be intolerant to SOC therapies, unless contraindicated
  • Tumor tissue is required for enrollment.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • Measurable disease per RECIST version 1.1 at baseline
Exclusion criteria
  • History of another malignancy within 3 years before the first dose of study drug. Any evidence of residual disease from a previously diagnosed malignancy. Exceptions are malignancies with a negligible risk of metastasis or death.
  • Known active central nervous system metastases. Participants with previously treated brain metastases may participate provided they:
    • are clinically stable for at least 4 weeks prior to study entry after brain metastasis treatment
    • have no new or enlarging brain metastases
    • and are off corticosteroids prescribed for symptoms associated with brain metastases for at least 7 days prior to the first dose of study treatmen
  • Carcinomatous meningitis
  • Previous receipt of an MMAE-containing agent or an agent targeting B7-H4
  • Pre-existing neuropathy ≥ Grade 2 per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0
  • Corneal disease or injury requiring treatment or active monitoring
  • Key dates

    Study start date
    • January 2022
    Estimated primary completion date
    • January 2027

    Key endpoints

    Primary Outcome Measures
    Outcome Measure

    Number of participants with adverse events (AEs)

    Measure Description

    Any untoward medical occurrence in a clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment.

    Time Frame

    Through 30 days after last study treatment, up to approximately 3 years

    Outcome Measure

    Number of participants with laboratory abnormalities

    Measure Description

    Time Frame

    Through 30-37 days after last study treatment, up to approximately 3 years

    Outcome Measure

    Number of participants with dose limiting toxicities (DLTs)

    Measure Description

    Time Frame

    Up to 28 days

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

    Confirmed objective response rate (ORR) by investigator assessment

    Measure Description

    The proportion of participants with complete response (CR) or partial response (PR) which is subsequently confirmed as assessed according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 by investigator.

    Time Frame

    Up to approximately 3 years

    Outcome Measure

    Complete response rate (CRR)

    Measure Description

    The proportion of participants achieving a CR as determined by the investigator per RECIST Version 1.1.

    Time Frame

    Up to approximately 3 years

    Outcome Measure

    Duration of response (DOR)

    Measure Description

    The time from start of the first documentation of objective tumor response (CR or PR) to the first documentation of tumor progression or to death due to any cause.

    Time Frame

    Up to approximately 3 years

    Outcome Measure

    Progression-free survival (PFS)

    Measure Description

    The time from the start of any study treatment to first documentation of disease progression or to death due to any cause.

    Time Frame

    Up to approximately 3 years

    Outcome Measure

    Overall survival (OS)

    Measure Description

    The time from the start of any study treatment to the date of death due to any cause.

    Time Frame

    Up to approximately 3 years

    Outcome Measure

    Pharmacokinetic (PK) parameter - Area under the curve (AUC)

    Measure Description

    To be summarized using descriptive statistics.

    Time Frame

    Through 30-37 days after last study treatment; up to approximately 3 years

    Outcome Measure

    PK parameter - Maximum concentration (Cmax)

    Measure Description

    To be summarized using descriptive statistics.

    Time Frame

    Through 30-37 days after last study treatment, up to approximately 3 years

    Outcome Measure

    PK parameter - Time to maximum concentration (Tmax)

    Measure Description

    To be summarized using descriptive statistics.

    Time Frame

    Through 30-37 days after last study treatment, up to approximately 3 years

    Outcome Measure

    PK parameter - Apparent terminal half-life (t1/2)

    Measure Description

    To be summarized using descriptive statistics.

    Time Frame

    Through 30-37 days after last study treatment, up to approximately 3 years

    Outcome Measure

    PK parameter - Trough concentration (Ctrough)

    Measure Description

    To be summarized using descriptive statistics.

    Time Frame

    Through 30-37 days after last study treatment, up to approximately 3 years

    Outcome Measure

    Incidence of antidrug antibodies (ADAs)

    Measure Description

    To be summarized using descriptive statistics.

    Time Frame

    Through 30-37 days after last study treatment, up to approximately 3 years

    Secondary Outcome Measures table for Clinical Trial

    Number of participants

    430

    Collaborators and investigators

    Sponsor: Seagen Inc.

    Collaborator: None

    This information is current as of July 30th 2024.
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    When calling, please reference this study number:

    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. NCT05194072