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Ovarian CancerPhase 2NCT03657043

A Study of Weekly Tisotumab Vedotin for Patients With Platinum-Resistant Ovarian Cancer With Safety Run-in (innovaTV 208)

A Phase 2 study testing tisotumab vedotin in people with Ovarian Cancer and Fallopian Tube Cancer, run by Seagen Inc. at 37 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

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. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
tisotumab vedotin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
98 participants
Where
37 sitesin 6 countries
Study dates
20 Mar 2019to 8 Feb 2022
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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.
Show all 12Show fewer
  • 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

Who cannot join

  • 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
Show all 14Show fewer
  • 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

Trial locations and contacts

37 sites in 6 countries.

37 sites in 6 countries

United States21 sites
  • Augusta University

    Augusta, Georgia, 30912

  • University of Virginia

    Charlottesville, Virginia, 22903

  • Cleveland Clinic Fairview Hospital

    Cleveland, Ohio, 44111

  • Cleveland Clinic, The

    Cleveland, Ohio, 44195

  • University of Missouri Healthcare / Ellis Fischel Cancer Center

    Columbia, Missouri, 65212

  • Ohio State University Clinical Trials Management Office

    Columbus, Ohio, 43210

  • Texas Oncology - Fort Worth

    Dallas, Texas, 75246

  • Karmanos Cancer Institute / Wayne State University

    Detroit, Michigan, 48201

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • Poudre Valley Health System (PVHS)

    Fort Collins, Colorado, 80524

  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601

  • Cleveland Clinic Hillcrest Hospital

    Mayfield Heights, Ohio, 44124

  • Miami Cancer Institute at Baptist Health, Inc.

    Miami, Florida, 33176

  • Miami Cancer Institute- Plantation (MCIP)

    Miami, Florida, 33176

  • Mount Sinai Chelsea

    New York, New York, 10011

  • Mount Sinai Medical Center

    New York, New York, 10029

  • Columbia University Medical Center

    New York, New York, 10032

  • Stanford Cancer Center South Bay

    San Jose, California, 95124

  • H. Lee Moffitt Cancer Center and Research Institute

    Tampa, Florida, 33612

  • Renovatio Clinical

    The Woodlands, Texas, 77380

  • University of Kansas Cancer Center

    Westwood, Kansas, 66205

Other trials in United States

Spain6 sites
  • Hospital Universitario Vall d'Hebron

    Barcelona, Other, 08035

  • L'Institut Catala d'Oncologia

    L'Hospitalet de Llobregat, Other, 08907

  • Hospital Universitario Ramon y Cajal

    Madrid, Other, 28034

  • HM Centro Integral Oncologico Clara Campal

    Madrid, Other, 28050

  • Clinica Universidad de Navarra

    Pamplona, Other, 31008

  • Hospital Universitario Quironsalud Madrid

    Pozuelo de Alarcón, Other, 28223

Other trials in Spain

Italy5 sites
  • Ospedale Ramazzini di Carpi

    Carpi, Other, 41012

  • IRCCS Istituto Romagnolo per lo Studio dei Tumori Dino Amadori- IRST S.r.l

    Meldola, Other, 47014

  • Istituto Europeo di Oncologia

    Milan, Other, 20141

  • Istituto Nazionale Tumori IRCCS Fondazione G. Pascale

    Naples, Other, 80131

  • Fondazione Policlinico Universitario Agostino

    Rome, Other, 00168

Other trials in Italy

Belgium2 sites
  • Algemeen Ziekenhuis Maria Middelares

    Ghent, Other, 9000

  • Universitair Ziekenhuis Leuven

    Lueven, Other, 3000

Other trials in Belgium

Ireland2 sites
  • Mater Private

    Dublin, Other, D07 WKW8

  • Cork University Hospital

    Wilton, Other, T12 E8YV

Other trials in Ireland

Denmark1 site
  • Aalborg Universite Hospital

    Aalborg, Other, 9100

Other trials in Denmark

About this study

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

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).

Read the 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.

Being tested
tisotumab vedotin
Keywords
Platinum-resistant, Antibody drug conjugate, Tisotumab vedotin, PROC, Seattle Genetics
Medical subject headings
Ovarian Neoplasms, Fallopian Tube Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • tisotumab vedotinDrug

    Also called TIVDAK

    Intravenous (IV) infusion

Study groups in NCT03657043
Study groupRoleWhat they receive
Safety Run-In (3Q4W Schedule)Experimental28-day, 3 dose cycle
Receives: Drug: tisotumab vedotin
Part A: Tisotumab VedotinExperimental21-day, single dose cycle
Receives: Drug: tisotumab vedotin
Part A: Tisotumab Vedotin (3Q4W Schedule)Experimental28-day, 3 dose cycle
Receives: Drug: tisotumab vedotin
Part B: Tisotumab Vedotin (3Q4W Schedule)Experimental28-day, 3 dose cycle
Receives: Drug: tisotumab vedotin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Dose-Limiting Toxicities (DLTs) (Safety Run-In Only)

    Incidence of dose-limiting toxicity (DLT) was evaluated in participants enrolled in the Safety Run-In, who were followed for protocol-defined DLT events up to 28 days after the first dose of tisotumab vedotin.

    Measured: Up to 28 days

  2. Confirmed Objective Response Rate (ORR) (Part B)

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

    Measured: Up to 9.7 months

Secondary outcomes (20)
  1. Number of Participants With Adverse Events (AEs) (Part B)

    An AE is any untoward medical occurrence in a patient or clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. Treatment emergent AEs (TEAEs) are defined as events that are new or worsened on or after receiving the first dose of study treatment and up through 30 days after the last dose of study treatment.

    Measured: Up to 23.0 months

  2. Confirmed and Unconfirmed ORR (Part B)

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

    Measured: Up to 9.7 months

  3. Cancer Antigen 125 (CA-125) Response Rate According to Gynecologic Cancer Intergroup (GCIG) Criteria (Part B)

    Percentage of participants who have at least a 50% reduction in CA-125 value from baseline

    Measured: Up to 10.1 months

  4. Overall Response According to the Gynecological Cancer Intergroup (GCIG) Combined RECIST and CA-125 Criteria (Part B)

    Percentage of participants whose best response is a CR or PR according to the GCIG combined RECIST and CA-125 criteria

    Measured: Up to 10.1 months

  5. Duration of Response (DOR) (Part B)

    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

    Measured: Up to 8.3 months

  6. Disease Control Rate (DCR) (Part B)

    Percentage of participants who achieved a confirmed Complete Response(CR) or Partial Response (PR) per 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.

    Measured: Up to 3.0 months

  7. Time to Response (TTR) (Part B)

    Time from the start of study treatment to the first documentation of objective response (CR or PR that is subsequently confirmed)

    Measured: Up to 23.0 months

  8. Progression-free Survival (PFS) (Part B)

    Time from the start of study treatment to the first documentation of PD or death due to any cause, whichever comes first

    Measured: Up to 9.7 months

  9. Overall Survival (OS) (Part B)

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

    Measured: Up to 23.0 months

  10. Incidence of Antitherapeutic Antibodies (ATA) (Part B)

    The proportion of participants who develop ATA at any time during the study. A positive baseline ATA result is considered positive post-baseline if the post-baseline ATA titer result is at least four times higher than the baseline result.

    Measured: Up to 6.9 months

  11. Pharmacokinetic (PK) Parameter: Antibody-Drug Conjugate (ADC) Maximum Concentration (Cmax) (Part B)

    ADC Cmax was derived from the PK blood samples collected.

    Measured: Samples for PK measures were collected at Cycle 1 Day 1 (predose, end of infusion, 1 hr, and 5 hr), Day 3, Day 8 (predose), Day 15 (predose, end of infusion, 1 hr, and 5 hr), Day 17, Day 22, and Cycle 2 Day 1 (predose). Approximately 4 weeks per cycle.

  12. PK Parameter: ADC Time of Cmax (Tmax) (Part B)

    ADC Tmax was derived from the PK blood samples collected.

    Measured: Samples for PK measures were collected at Cycle 1 Day 1 (predose, end of infusion, 1 hr, and 5 hr), Day 3, Day 8 (predose), Day 15 (predose, end of infusion, 1 hr, and 5 hr), Day 17, Day 22, and Cycle 2 Day 1 (predose). Approximately 4 weeks per cycle.

  13. PK Parameter: ADC Area Under Concentration-Time Curve (AUC) (Part B)

    ADC AUC was derived from the PK blood samples collected.

    Measured: Cycle 1 Dose 1 AUC 7: Assessed from Cycle 1 Days 1 - 8 (predose). Cycle 1 Dose 3 AUC 7: Assessed from Cycle 1 Days 15 - 22. Cycle 1 Dose 3 AUC 14: Assessed from Cycle 1 Days 15 - Cycle 2 Day 1 (predose).

  14. PK Parameter: Free Monomethyl Auristatin E (MMAE) Cmax (Part B)

    MMAE Cmax was derived from the PK blood samples collected.

    Measured: Samples for PK measures were collected at Cycle 1 Day 1 (predose, end of infusion, 1 hr, and 5 hr), Day 3, Day 8 (predose), Day 15 (predose, end of infusion, 1 hr, and 5 hr), Day 17, Day 22, and Cycle 2 Day 1 (predose). Approximately 4 weeks per cycle.

  15. PK Parameter: MMAE Tmax (Part B)

    MMAE Tmax was derived from the PK blood samples collected.

    Measured: Samples for PK measures were collected at Cycle 1 Day 1 (predose, end of infusion, 1 hr, and 5 hr), Day 3, Day 8 (predose), Day 15 (predose, end of infusion, 1 hr, and 5 hr), Day 17, Day 22, and Cycle 2 Day 1 (predose). Approximately 4 weeks per cycle.

  16. PK Parameter: MMAE AUC (Part B)

    MMAE AUC was derived from the PK blood samples collected.

    Measured: Samples for PK measures were collected at Cycle 1 Day 1 (predose, end of infusion, 1 hr, and 5 hr), Day 3, Day 8 (predose), Day 15 (predose, end of infusion, 1 hr, and 5 hr), Day 17, Day 22, and Cycle 2 Day 1 (predose). Approximately 4 weeks per cycle.

  17. PK Parameter: MMAE Trough Concentration (Ctrough) (Part B)

    MMAE Ctrough was derived from the PK blood samples collected.

    Measured: Samples for PK measures were collected at Cycle 1 Day 1 (predose, end of infusion, 1 hr, and 5 hr), Day 3, Day 8 (predose), Day 15 (predose, end of infusion, 1 hr, and 5 hr), Day 17, Day 22, and Cycle 2 Day 1 (predose). Approximately 4 weeks per cycle.

  18. PK Parameter: Total Antibody (TAb) Cmax (Part B)

    TAb Cmax was derived from the PK blood samples collected.

    Measured: Samples for PK measures were collected at Cycle 1 Day 1 (predose, end of infusion, 1 hr, and 5 hr), Day 3, Day 8 (predose), Day 15 (predose, end of infusion, 1 hr, and 5 hr), Day 17, Day 22, and Cycle 2 Day 1 (predose). Approximately 4 weeks per cycle.

  19. PK Parameter: TAb Tmax (Part B)

    TAb Tmax was derived from the PK blood samples collected.

    Measured: Samples for PK measures were collected at Cycle 1 Day 1 (predose, end of infusion, 1 hr, and 5 hr), Day 3, Day 8 (predose), Day 15 (predose, end of infusion, 1 hr, and 5 hr), Day 17, Day 22, and Cycle 2 Day 1 (predose). Approximately 4 weeks per cycle.

  20. PK Parameter: TAb Area Under Concentration-Time Curve (AUC) (Part B)

    TAb AUC was derived from the PK blood samples collected.

    Measured: Cycle 1 Dose 1 AUC 7: Assessed from Cycle 1 Days 1 - 8 (predose). Cycle 1 Dose 3 AUC 7: Assessed from Cycle 1 Days 15 - 22. Cycle 1 Dose 3 AUC 14: Assessed from Cycle 1 Days 15 - Cycle 2 Day 1 (predose).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Sep 2018
  2. Study start20 Mar 2019
  3. Primary completion8 Feb 2022
  4. Study completion8 Feb 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
98 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03657043
Sponsor's protocol ID
SGNTV-002
Status last verified
Apr 2023
First submitted
22 Aug 2018
Last updated
6 May 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Feng S, Gunawan R, Passey C, Voellinger J, Polhamus D, Gerritsen A, O'Day C, Carret AS, Soumaoro I, Gupta M, Hanley WD. Exposure-safety Markov modeling of ocular adverse events in patient populations treated with tisotumab vedotin. J Pharmacokinet Pharmacodyn. 2025 Oct 3;52(5):55. doi: 10.1007/s10928-025-10003-w.

    PubMed 41044356

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing tisotumab vedotin in people with Ovarian Cancer and Fallopian Tube Cancer, run by Seagen Inc. at 37 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in United States, Spain, Italy, Belgium, Ireland and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 May 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Dose-Limiting Toxicities (DLTs) (Safety Run-In Only) (time frame: Up to 28 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03657043, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 May 2023.

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