Description:
This trial will study tisotumab vedotin to find out what its side effects are and to see if
it works for platinum-resistant ovarian cancer (PROC). It will test different doses of
tisotumab vedotin that are given at different times. It will also compare the side effects
and ability to treat tumors of these different doses and schedules. In this study, there will
be a safety run-in group of approximately 12 patients that will look at a dose-dense
treatment schedule. In a dose-dense schedule, smaller doses are given more frequently. In
addition to the safety run-in patients, there will be three groups in the study. One group
will get tisotumab vedotin once every 3 weeks (21-day cycles). The two other groups will get
tisotumab vedotin once a week for 3 weeks followed by 1 week off (28-day cycles).
Title
- Brief Title: A Study of Weekly Tisotumab Vedotin for Patients With Platinum-Resistant Ovarian Cancer With Safety Run-in (innovaTV 208)
- Official Title: Open Label Phase 2 Study of Tisotumab Vedotin for Patients With Platinum-Resistant Ovarian Cancer With a Safety Run-in of a Dose-Dense Regimen
Clinical Trial IDs
- ORG STUDY ID:
SGNTV-002
- NCT ID:
NCT03657043
Conditions
- Ovarian Cancer
- Fallopian Tube Cancer
- Peritoneal Cancer
Interventions
Drug | Synonyms | Arms |
---|
tisotumab vedotin | | Part A: Tisotumab Vedotin |
Purpose
This trial will study tisotumab vedotin to find out what its side effects are and to see if
it works for platinum-resistant ovarian cancer (PROC). It will test different doses of
tisotumab vedotin that are given at different times. It will also compare the side effects
and ability to treat tumors of these different doses and schedules. In this study, there will
be a safety run-in group of approximately 12 patients that will look at a dose-dense
treatment schedule. In a dose-dense schedule, smaller doses are given more frequently. In
addition to the safety run-in patients, there will be three groups in the study. One group
will get tisotumab vedotin once every 3 weeks (21-day cycles). The two other groups will get
tisotumab vedotin once a week for 3 weeks followed by 1 week off (28-day cycles).
Detailed Description
The study objectives are to evaluate the safety, antitumor activity, and pharmacokinetics of
tisotumab vedotin (TV) administered every 3 weeks or on Days 1, 8, and 15 of every 4-week
cycle (3Q4W) for patients with epithelial ovarian cancer, primary peritoneal cancer, or
fallopian tube cancer that has relapsed within 6 months of the completion of platinum-based
treatment and determined to be platinum resistant. All patients must have PROC and be
eligible for single agent chemotherapy.
The safety run-in period will evaluate the safety of a weekly schedule. The highest dose
level that is considered safe will be the recommended phase 2 dose (RP2D) and will be used in
Part A. In Part A, participants will be randomized in a 1:1 ratio to receive tisotumab
vedotin intravenously (IV) every 3 weeks (Q3W regimen) or the safety run-in RP2D on Days 1,
8, and 15 of every 4-week cycle (weekly regimen; 3Q4W) if a RP2D has been identified.
Participants who enroll in Part B will receive tisotumab vedotin on Days 1, 8, and 15 of
every 4-week cycle (weekly regimen) at a pre-specified dose level, if the dose level is
considered safe and tolerable in the safety run-in period.
Trial Arms
Name | Type | Description | Interventions |
---|
Safety Run-In (3Q4W Schedule) | Experimental | 28-day, 3 dose cycle | |
Part A: Tisotumab Vedotin | Experimental | 21-day, single dose cycle | |
Part A: Tisotumab Vedotin (3Q4W Schedule) | Experimental | 28-day, 3 dose cycle | |
Part B: Tisotumab Vedotin (3Q4W Schedule) | Experimental | 28-day, 3 dose cycle | |
Eligibility Criteria
Inclusion Criteria:
- Histologic documentation of epithelial ovarian cancer, primary peritoneal cancer, or
fallopian tube cancer
- Safety run-in only: PROC. Patients may have received more than 1 prior systemic
treatment regimen in the PROC setting.
- Part A and Part B only: Patients with PROC who have received 1 to 3 anticancer lines
of therapy overall, including at least 1 line of therapy containing bevacizumab or
biosimilar.
- Adjuvant ± neoadjuvant are considered 1 line of therapy.
- Patients may have received a PARP inhibitor or an immuno-oncology (IO) agent; any
of these regimens are to be considered a line of therapy for the purposes of this
study if not used as maintenance therapy.
- Maintenance therapy (including bevacizumab, PARP inhibitors and IOs) will be
considered part of the preceding line of therapy and not to be counted as a new
line of therapy.
- Any chemotherapy regimen change due to toxicity in the absence of disease
progression is considered as part of the same line of therapy.
- Hormonal therapy will be not be counted towards the lines of therapy.
- Measurable disease according to RECIST v1.1 as assessed by the investigator
- An Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1
- Life expectancy of at least 3 months
- Able to provide fresh or archival tissue for biomarker analysis
Exclusion Criteria:
- Primary platinum-refractory disease, defined as disease progression within 2 months of
completion of first line platinum-based therapy
- Patients with clinical symptoms or signs of gastrointestinal obstruction with the past
6 months or who currently require parenteral nutrition
- Hematological: Known past or current coagulation defects leading to an increased risk
of bleeding, diffuse alveolar hemorrhage from vasculitis, known bleeding diathesis,
ongoing major bleeding, or trauma with increased risk of life-threatening bleeding
within 8 weeks of trial entry
- Cardiovascular: Clinically significant cardiac disease including uncontrolled
hypertension, unstable angina, acute myocardial infarction with 6 months of screening,
serious cardiac arrhythmia requiring medication, medical history of congestive heart
failure, or medical history of decreased cardiac ejection fraction of <45%
- Ophthalmological: Active ocular surface disease at baseline or prior episode of
cicatricial conjunctivitis or Stevens Johnson syndrome
- Prior treatment with MMAE-derived drugs
- Inflammatory bowel disease including Crohn's disease and ulcerative colitis
- Ongoing, acute, or chronic inflammatory skin disease
- Uncontrolled tumor-related pain
- Inflammatory lung disease requiring chronic medical therapy
- Grade 3 or higher pulmonary disease unrelated to underlying malignancy
- Uncontrolled pleural or pericardial effusions
- Grade >1 peripheral neuropathy
- Patients who are pregnant or breastfeeding
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | Female |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of dose limiting toxicities (DLTs) (Safety Run-in only) |
Time Frame: | Up to 28 days |
Safety Issue: | |
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 |
Secondary Outcome Measures
Measure: | Incidence of adverse events that are Grade 3+, treatment-related, or serious (Parts A and B) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | |
Measure: | Confirmed and unconfirmed ORR (Parts A and B) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Proportion of patients who achieve a CR or PR according to RECIST v1.1 as assessed by the investigator |
Measure: | Cancer Antigen 125 (CA-125) response rate according to Gynecologic Cancer Intergroup (GCIG) criteria (Parts A and B) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Proportion of patients who have at least a 50% reduction in CA-125 value from baseline |
Measure: | Overall response according to the Gynecological Cancer Intergroup (GCIG) combined RECIST and CA-125 criteria (Parts A and B) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Proportion of patients whose best response is a CR or PR according to the GCIG combined RECIST and CA-125 criteria |
Measure: | Duration of response (DOR) (Parts A and B) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Time from the first documentation of objective response (CR or PR that is subsequently confirmed) to the first documentation of PD or death due to any cause, whichever comes first |
Measure: | Disease control rate (DCR) (Parts A and B) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Proportion of patients with complete response (CR), partial response (PR), or stable disease (SD) |
Measure: | Time to response (TTR) (Parts A and B) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Time from the start of study treatment to the first documentation of objective response (CR or PR that is subsequently confirmed) |
Measure: | Progression-free survival (PFS) (Parts A and B) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Time from the start of study treatment to the first documentation of PD or death due to any cause, whichever comes first |
Measure: | Overall survival (OS) (Parts A and B) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Time from the start of study treatment to date of death due to any cause |
Measure: | Pharmacokinetic (PK) parameter: Cmax (Parts A and B) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Maximum observed concentration |
Measure: | PK parameter: AUClast (Parts A and B) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration |
Measure: | Incidence of antitherapeutic antibodies (ATA) (Parts A and B) |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Seagen Inc. |
Trial Keywords
- Platinum-resistant
- Antibody drug conjugate
- Tisotumab vedotin
- PROC
- Seattle Genetics
Last Updated
August 10, 2021