Inclusion Criteria:

          -  Histologically confirmed, unresectable advanced solid malignancy with documented
             disease progression after at least 1 prior systemic therapy

          -  Disease is relapsed/refractory to prior standard systemic therapy or for which
             standard or curative therapy does not exist or is not considered appropriate by the
             Investigator.

          -  Measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST)
             1.1

          -  Delta-like protein 3 (DLL3)-expressing malignancy based on central immunohistochemical
             (IHC) testing of representative baseline tumor tissue (archived tissue or on-study
             biopsy). Positive is defined as staining in ≥ 1% of tumor cells.

          -  Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

          -  Minimum life expectancy of at least 12 weeks

          -  Subjects with a history of central nervous system (CNS) metastases must have
             documentation of stable or improved brain imaging for at least 2 weeks after
             completion of definitive treatment and within 2 weeks prior to first dose of Study
             Drug, off or on a stable dose of corticosteroids. Definitive treatment may include
             surgical resection, whole brain irradiation, and/or stereotactic radiation therapy.
             (Applicable to tumor types of non-CNS primary origin only)

          -  Recovery to Grade 1 of any clinically significant toxicity (excluding alopecia) prior
             to initiation of study drug administration

          -  Adequate hematologic and organ function as confirmed by laboratory values

          -  Last dose of any prior therapy administered by the following time intervals before the
             first dose of study drug:

               1. Chemotherapy, small molecule inhibitors, radiation, and/or other investigational
                  anticancer agents (excluding investigational monoclonal antibodies): 2 weeks.

               2. Immune-checkpoint inhibitors (e.g., anti-programmed death protein 1 [PD-1],
                  anti-programmed death-ligand 1 [PD-L1], or anti-cytotoxic T-lymphocyte-associated
                  protein 4 [CTLA-4]), monoclonal antibodies, antibody-drug conjugates,
                  radioimmunoconjugates, or T-cell or other cell-based therapies: 4 weeks (2 weeks
                  with documented disease progression).

          -  Females of childbearing potential must have a negative beta human chorionic
             gonadotropin (β-hCG) pregnancy test result within 7 days prior to the first dose of
             study drug. Females of non-childbearing potential are those who are postmenopausal
             greater than 1 year or who have had a bilateral tubal ligation or hysterectomy.

        Exclusion Criteria:

          -  Any significant medical condition, including any suggested by screening laboratory
             findings that, in the opinion of the investigator or sponsor, may place the subject at
             undue risk from the study, including but not necessarily limited to uncontrolled
             hypertension and/or diabetes, clinically significant pulmonary disease (e.g., chronic
             obstructive pulmonary disease requiring hospitalization within 3 months) or
             neurological disorder (e.g., seizure disorder active within 3 months).

          -  Documented history of a cerebral vascular event (stroke or transient ischemic attack),
             unstable angina, myocardial infarction, or cardiac symptoms consistent with New York
             Heart Association (NYHA) Class III-IV within 6 months prior to their first dose of
             study drug.

          -  Recent or ongoing serious infection, including:

               1. Any active grade 3 or higher (per National Cancer Institute Common Terminology
                  Criteria for Adverse Events version [NCI CTCAE] 4.03) viral, bacterial, or fungal
                  infection within 2 weeks of the first dose of the study drug. Routine
                  antimicrobial prophylaxis is permitted.

               2. Known seropositivity for or active infection by human immunodeficiency virus
                  (HIV).

               3. Active Hepatitis B (by surface antigen expression or polymerase chain reaction)
                  or C (by polymerase chain reaction) infection or on hepatitis-related antiviral
                  therapy within 6 months of first dose of study drug.

          -  Women who are pregnant or breastfeeding

          -  Systemic therapy with corticosteroids at >20 mg/day prednisone or equivalent within 1
             week prior to the first dose of study drug

          -  History of another invasive malignancy that has not been in remission for at least 3
             years. Exceptions to the 3year limit include non-melanoma skin cancer, curatively
             treated localized prostate cancer, ductal carcinoma in situ, and cervical cancer in
             situ on biopsy or squamous intraepithelial lesion on pap smear.

          -  Prior exposure to a pyrrolobenzodiazepine (PBD)-based drug, prior participation in a
             rovalpituzumab tesirine clinical trial, or known hypersensitivity to rovalpituzumab
             tesirine or excipient contained in the drug formulation, unless undergoing retreatment
             with rovalpituzumab tesirine in the context of this protocol