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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03438396
Other study ID # GCT1015-04
Secondary ID innovaTV 204
Status Completed
Phase Phase 2
First received
Last updated
Start date June 12, 2018
Est. completion date August 2, 2022

Study information

Verified date July 2023
Source Seagen Inc.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

A Single arm, Multicenter, International Trial of Tisotumab Vedotin (HuMax®-TF-ADC) in Previously Treated, Recurrent or Metastatic Cervical Cancer.


Description:

The purpose of the trial is to evaluate the efficacy and safety/tolerability of tisotumab vedotin in patients with previously treated, recurrent or metastatic cervical cancer. Tisotumab vedotin is an antibody-drug conjugate (ADC) targeting tissue factor (TF), a protein aberrantly expressed in a wide number of tumors including cervical cancer. Preliminary safety and efficacy data observed in a cohort of previously treated cervical cancer patients suggest a positive benefit risk profile for this population of high unmet need.


Recruitment information / eligibility

Status Completed
Enrollment 102
Est. completion date August 2, 2022
Est. primary completion date February 6, 2020
Accepts healthy volunteers No
Gender Female
Age group 18 Years and older
Eligibility Inclusion Criteria - Patients with extra-pelvic metastatic or recurrent cervical cancer including squamous cell, adenocarcinoma or adenosquamous histology who have experienced disease progressed on standard of care chemotherapy in combination with bevacizumab, if eligible. - Measurable disease according to RECIST v1.1 as assessed by IRC. - Age = 18 years. - Acceptable renal function - Acceptable liver function - Acceptable hematological status - Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 - A negative serum pregnancy test for patients of reproductive potential. - All patients must provide a fresh or archival biopsy during screening. - Following receipt of verbal and written information about the trial, patients must provide signed informed consent before any trial-related activity is carried out. Exclusion Criteria - Have received no more than 2 prior systemic treatment regimens for recurrent or metastatic cervical cancer. - Known past or current coagulation defects leading to an increased risk of bleeding; - Ongoing major bleeding - Active ocular surface disease - Known past or current malignancy other than the inclusion diagnosis. - Peripheral neuropathy grade = 2

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
tisotumab vedotin
All patients will be treated with tisotumab vedotin once every three weeks until progression or toxicity

Locations

Country Name City State
Belgium AZ Sint-Jan Brugge-Oostende av Brugge
Belgium Cliniques universitaires Saint-Luc Brussels
Belgium Grand Hôpital de Charleroi Charleroi
Belgium Algemeen Ziekenhuis Maria MiddelaresMedical Oncology - IKG Gent
Belgium Universitair Ziekenhuis Gent Gent
Belgium UZLeuvenGynaecologische oncologie Leuven
Belgium Centre Hospitalier de l'Ardenne Libramont
Belgium CHU de LIEGE/ Oncologie Médicale, domaine universitaire du Sart Tilman Liege
Belgium CHC SAINT Montlegia Liège
Belgium CHU UCL Namur site de Sainte Elisabeth Namur
Czechia Fakultni Nemocnice Brno Brno
Czechia Fakultni nemocnice Olomouc Onkologic Olomouc
Czechia Nemocnice Na Bulovce, Gynekologicko-porodnicka kl Prague
Czechia Vseobecna fakultni nemocnice v Praze Prague
Denmark Aalborg Universitetshospital Aalborg
Denmark Rigshospitalet Copenhagen
Germany Kliniken Essen-Mitte Duesseldorf
Germany Universitaetsklinikum Hamburg-Eppendorf Hamburg
Germany Klinikum der Universität München Münich
Italy Policlinico S.Orsola-Malpighi, SSD Oncologia Medica Addarii Bologna
Italy Irst Irccs Meldola
Italy Fondazione IRCCS Istituto Nazionale dei Tumori Milan
Italy Istituto Nazionale Tumori Fondazione G. Pascale Naples
Italy Policlinico Universitario Agostino Gemelli, UOC Patologia Ostetrica e Ginecologica Rome
Spain Hospital Teresa Herrera-CHUAC A Coruna
Spain Hospital Clinic Barcelona Barcelona
Spain Hospital Duran I Reynals ICO Hospitalet Hospitalet de Llobregat
Spain Clínica Universidad de Navarra (Sede Madrid) Madrid
Spain Hospital Clínico San Carlos Madrid
Spain Hospital Universitario 12 de Octubre Madrid
Spain Hospital Universitario La Paz, Edificio dotacional de Oncología Madrid
Spain Fundacion Hospital Son Llatzer Palma de Mallorca
Sweden Skåne University Hospital Lund
United States University of New Mexico Comprehensive Cancer Center (UNMCCC) Albuquerque New Mexico
United States University of Gynecologic Oncology Atlanta Georgia
United States University of Alabama Birmingham Alabama
United States MD Anderson Cancer Center at Cooper University Hospital Camden New Jersey
United States University of Cincinnati Cincinnati Ohio
United States Bon Secours Saint Francis Cancer Center Greenville South Carolina
United States The Ohio State University Wexner Medical Center Hilliard Ohio
United States UT Health McGovern Medical School Houston Texas
United States Community Hospital East Indianapolis Indiana
United States Southern Baptist Hospital of Florida, Inc Jacksonville Florida
United States Women's Cancer Center of Nevada Las Vegas Nevada
United States UCLA Dept. of OBGYN Los Angeles California
United States Louisville Oncology Louisville Kentucky
United States University of Miami Miller School of Medicine Miami Florida
United States Froedtert & Medical College Clinics Milwaukee Wisconsin
United States Stephenson Cancer Center Oklahoma City Oklahoma
United States Arizona Oncology Associate - Biltmore Cancer Center Phoenix Arizona
United States Baystate Medical Center Springfield Massachusetts
United States Oklahoma Cancer Specialists and Research Institute, LLC Tulsa Oklahoma
United States Abington Memorial Hospital Willow Grove Pennsylvania

Sponsors (5)

Lead Sponsor Collaborator
Seagen Inc. Belgian Gynaecological Oncology Group, European Network of Gynaecological Oncological Trial Groups (ENGOT), Genmab, Gynecologic Oncology Group

Countries where clinical trial is conducted

United States,  Belgium,  Czechia,  Denmark,  Germany,  Italy,  Spain,  Sweden, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Participants With Confirmed Objective Response (OR) as Assessed by the Independent Review Committee (IRC) The confirmed OR is defined as best overall response of confirmed complete response (CR) or confirmed partial response (PR) based upon RECIST v1.1, assessed by the IRC. The CR is disappearance of all target and non-target lesions and no new lesions. A confirmed CR is 2 CRs (CR-CR sequence) that were separated by at least 4 weeks with no evidence of progression in-between. The PR is = 30% decrease in the sum of diameters of target lesions (compared to baseline) and no unequivocal progression of existing non-target lesions and no new lesion. A confirmed PR is PR-PR sequence or PR-CR sequence that were separated by at least 4 weeks. The intermediate missing (Not Evaluable [NE]) scan evaluations between response scan and confirmation scan were allowed, eg, PR-NE-PR and PR-NE-NE-PR was considered PR confirmed (a repeat scan not earlier than 4 weeks after initial scan documenting response). 95% CI was calculated using the Clopper-Pearson method. From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 20 months)
Secondary Duration of Response (DOR) as Assessed by the IRC The DOR is defined as the duration from the first documented response of CR or PR (the start date of response, not the date when response was confirmed) to the date of the first documented progression disease (PD) verified by IRC or death. Based upon RECIST v1.1, the CR is defined as disappearance of all target and non-target lesions and no new lesions; the PR is defined as = 30% decrease in the sum of diameters of target lesions (compared to baseline) and no unequivocal progression of existing non-target lesions and no new lesion; and the PD is defined as at least 20% increase in the sum of diameters of target lesions (compared to baseline), unequivocal progression of existing non-target lesions, and/or new lesion. The DOR was estimated using Kaplan-Meier method. From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
Secondary Percentage of Participants With Confirmed OR as Assessed by the Investigator The confirmed OR is defined as best overall response of confirmed CR or confirmed PR based upon RECIST v1.1, assessed by the investigator. The CR is defined as disappearance of all target and non-target lesions and no new lesions. A confirmed CR is defined as 2 CRs (CR-CR sequence) that were separated by at least 4 weeks with no evidence of progression in-between. The PR is defined as = 30% decrease in the sum of diameters of target lesions (compared to baseline) and no unequivocal progression of existing non-target lesions and no new lesion. A confirmed PR is defined as PR-PR sequence or PR-CR sequence that were separated by at least 4 weeks. The intermediate missing (NE) scan evaluations between the response scan and the confirmation scan were allowed, eg, PR-NE-PR and PR-NE-NE-PR was considered PR confirmed (a repeat scan not earlier than 4 weeks after initial scan documenting response). 95% CI was calculated using the Clopper-Pearson method. From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
Secondary DOR as Assessed by the Investigator The DOR is defined as the duration from the first documented response of CR or PR (the start date of response, not the date when response was confirmed) to the date of the first documented PD verified by investigator or death. Based upon RECIST v1.1, the CR is defined as disappearance of all target and non-target lesions and no new lesions; the PR is defined as = 30% decrease in the sum of diameters of target lesions (compared to baseline) and no unequivocal progression of existing non-target lesions and no new lesion; and the PD is defined as at least 20% increase in the sum of diameters of target lesions (compared to baseline), unequivocal progression of existing non-target lesions, and/or new lesion. The DOR was estimated using Kaplan-Meier method. From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
Secondary Time to Response (TTR) as Assessed by the IRC The TTR is defined as the duration from the start of study drug to the first documented response of either CR or PR based on RECIST v1.1, assessed by the IRC. A confirmed CR is defined as 2 CRs (disappearance of all target and non-target lesions and no new lesions) that were separated by at least 4 weeks with no evidence of progression in-between. A confirmed PR is defined as 2 PRs (= 30% decrease in the sum of diameters of target lesions compared to baseline and no unequivocal progression of existing non-target lesions and no new lesion) or an un-confirmed PR and an un-confirmed CR or achieved PR-NE-PR or PR-NE-NE-PR that were separated by at least 4 weeks with no evidence of progression in-between. From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
Secondary TTR as Assessed by the Investigator The TTR is defined as the duration from the start of study drug to the first documented response of either CR or PR based on RECIST v1.1, assessed by the investigator. A confirmed CR is defined as 2 CRs (disappearance of all target and non-target lesions and no new lesions) that were separated by at least 4 weeks with no evidence of progression in-between. A confirmed PR is defined as 2 PRs (= 30% decrease in the sum of diameters of target lesions compared to baseline and no unequivocal progression of existing non-target lesions and no new lesion) or an un-confirmed PR and an un-confirmed CR or achieved PR-NE-PR or PR-NE-NE-PR that were separated by at least 4 weeks with no evidence of progression in-between. From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
Secondary Progression Free Survival (PFS) as Assessed by the IRC The PFS is defined as the time from the start of study drug until the first documentation of PD based on RECIST v1.1, as assessed by the IRC or death due to any cause, whichever occurred first. The PD based upon RECIST v1.1 is defined as at least 20% increase in the sum of diameters of target lesions (compared to baseline), unequivocal progression of existing non-target lesions, and/or new lesion. The PFS was estimated using Kaplan-Meier method. From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
Secondary PFS as Assessed by the Investigator The PFS is defined as the time from the start of study drug until the first documentation of PD based on RECIST v1.1, as assessed by the investigator or death due to any cause, whichever occurred first. The PD based upon RECIST v1.1 is defined as at least 20% increase in the sum of diameters of target lesions (compared to baseline), unequivocal progression of existing non-target lesions, and/or new lesion. The PFS was estimated using Kaplan-Meier method. From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
Secondary Overall Survival (OS) The OS is defined as the time from the start of study treatment until death due to any cause. The OS was estimated using Kaplan-Meier method. From Day 1 until death or withdrawal from the study, whichever occurred first (approximately 49 months)
Secondary Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A SAE is defined as an AE that meets one of the following criteria: fatal or life-threatening; results in persistent or significant disability/incapacity; constitutes a congenital anomaly/birth defect; medically significant (an event that jeopardizes the participant or may require medical or surgical intervention to prevent one of the outcomes listed above [medical and scientific judgment must be exercised in deciding whether an AE is "medically important"]); required inpatient hospitalization or prolongation of existing hospitalization. A TEAE is defined as an AE occurring or worsening between the first dose of tisotumab vedotin and 30 days after the last dose received. From Day 1 through 30 days after the last dose of study drug (approximately 49 months)
Secondary Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs Laboratory abnormalities that induced clinical signs or symptoms, required concomitant therapy or required changes during treatment emergent period were reported as TEAEs. Number of participants with abnormal clinical laboratory parameters reported as TEAEs are reported. From Day 1 through 30 days after the last dose of study drug (approximately 49 months)
Secondary Plasma Concentrations of Tisotumab Vedotin (HuMax-TF), Tisotumab Vedotin Antibody-drug Conjugate (HuMax-TF-ADC), and Free Monomethyl Auristatin E (MMAE) Plasma concentrations of HuMax-TF, HuMax-TF-ADC, and Free MMAE measures on Cycle 1 Day 1 (predose and end of infusion) and Cycle 6 Day 1 (predose and end of infusion) are reported. Predose and end of infusion of Cycle 1 Day 1 (C1D1) and Cycle 6 Day 1 (C6D1)
Secondary Number of Participants With Positive Anti-drug Antibodies (ADA) to Tisotumab Vedotin Number of participants with positive ADA titer to tisotumab vedotin at baseline and post-baseline are reported. Baseline is defined as the latest available measurement made before the first dose of tisotumab vedotin. For post-baseline results, a participant was considered ADA positive if either ADA is negative at baseline and at least one post-baseline result is positive or positive at baseline and at least one positive post-baseline result with a titer higher than baseline. Predose of each treatment cycle (Cycle 1 to 21) and end of treatment visit (approximately 49 months)
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