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Open Label Phase 2 Study of Tisotumab Vedotin for Locally Advanced or Metastatic Disease in Solid Tumors
EU CTIS ID: 2023-503812-34-00
What this study is testing
Parts A, B, C, E: Evaluate antitumor activity of tisotumab vedotin as a single agent. Part D, F, G: Evaluate antitumor activity of tisotumab vedotin in combination with pembrolizumab or with both pembrolizumab and platinum agent.
- Therapeutic exploratory (Phase II)
A plain-language read of the study's public EU CTIS listing. The study team confirms the details.
Who can take part
You may be able to join if
- Relapsed, locally-advanced or metastatic colorectal or pancreatic cancer, sqNSCLC, or SCCHN that has failed prior lines of systemic treatment as specified and which are not candidates for standard therapy. o Colorectal Cancer (closed to enrollment) o NSCLC(closed to enrollment) o Exocrine pancreatic adenocarcinoma(closed to enrollment) o SCCHN: Part C(closed to enrollment) Part E: Participants with SCCHN must have experienced disease progression on or after their most recent systemic therapy. Participants should have received no more than 1 or 2 systemic lines of therapy in the recurrent/metastatic setting as specified below. Maintenance therapy should not be counted as a separate line of therapy. Participants must have received one of the following: o A platinum-based regimen in combination with a PD-1/PD-L1 inhibitor in the first-line recurrent/metastatic setting. No more than 1 prior line of therapy in the recurrent/metastatic setting. o A platinum-based regimen in the first-line setting followed by a PD 1/PD L1 inhibitor (as monotherapy or in combination) in the second-line setting. No more than 2 prior lines of therapy in the recurrent/metastatic setting. o A PD-1/PD-L1 inhibitor in the first-line setting followed by a platinum therapy in the second-line setting. No more than 2 prior lines of therapy in the recurrent/metastatic setting. o Treatment with platinum therapy given as part of a multimodal therapy in the curative setting and experienced recurrence/progression within 6 months of the last dose followed by treatment with a PD-1/PD-L1 inhibitor (as monotherapy or in combination). No other lines of therapy prior to receiving study drug. China will participate in Part E only.
- Measurable disease according to RECIST v1.1 as assessed by the investigator. o A minimum of one non-nodal lesion ≥10 mm in the longest diameter from a non-irradiated area. If target lesion(s) are located within previously irradiated area only, the patient can be enrolled only if there has been demonstrated progression in the "in field" lesion and upon approval of the sponsor's medical monitor. OR o Lymph node lesion ≥ 15mm in the shortest diameter from a non-irradiated area. o Part D, F and G: Part D is closed to enrollment. Part F and Part G will enroll only patients with SCCHN. · Patients with SCCHN must have received no previous systemic therapy for recurrent or metastatic disease with the exception of systemic therapy completed >6 months prior, if given as part of multimodal treatment for locally advanced disease in the curative setting. • Part D only: o Patients with NSCLC must have histologically or cytologically documented squamous cell NSCLC and must have received no previous systemic therapy for metastatic disease or radiation therapy to the lung that is > 30 Gy within 6 months of the first dose of study drug. o PD-L1 biomarker expression from IHC analysis should be available o Patients with SCCHN must have a CPS ≥1 to be eligible for the cohorts testing tisotumab vedotin in combination with pembrolizumab. Patients with sqNSCLC must have a TPS ≥1% to be enrolled to cohorts testing tisotumab vedotin in combination with pembrolizumab. • Part F only: o Patients must have CPS ≥1 by local PD-L1 IHC assay to be eligible for enrollment. Retrospective PD-L1 central testing is not required for enrollment. Patients must be able to submit a tissue sample for retrospective PD L1 testing. Tissue may be fresh biopsy or archival, collected within 2 years of Cycle 1 Day 1. •Part G only (cohort not opened): o Non-EU eligibility criteria: No CPS requirement for the cohort evaluating tisotumab vedotin in combination with pembrolizumab and carboplatin. o EU-specific eligibility criteria: Patients must have a CPS ≥1 by local PD L1 IHC assay. Retrospective PD-L1 central testing not required for enrollment. o Patients must be able to submit a tissue sample for retrospective PD-L1 testing. Retrospective PD-L1 central testing is not required for enrollment. Tissue may be fresh biopsy or archival, collected within 2 years of Cycle 1 Day 1. Other inclusion criteria can be found in Protocol.
You likely can't join if
- Primary neuroendocrine or sarcomatoid histologies. For SCCHN, participants may not have a primary site of nasopharynx (regardless of histology or salivary gland).
- Seropositivity of human immunodeficiency virus; hepatitis B (defined as Hepatitis B surface antigen detected) or known active hepatitis C virus (defined as HCV RNA [qualitative] detected) infection. Part D, F, and G Only: Received prior therapy with an anti–PD-1, anti–PD-L1, or anti–PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor Other exclusion Criteria found in Protocol
- Known past or current coagulation defects leading to an increased risk of bleeding; diffuse alveolar hemorrhage from vasculitis; known bleeding diathesis; ongoing major bleeding; trauma with increased risk of lifethreatening bleeding or history of severe head trauma or intracranial surgery within 8 weeks of trial entry
- Clinically significant cardiac disease; medical history of congestive heart failure (Grade III or IV as classified by the New York Heart Association, see Appendix G); medical history of decreased cardiac ejection fraction of <45%.
- Ophthalmological: Active ocular surface disease at baseline. Ocular evaluation confirmed by an ophthalmologist at screening. Patients with prior episode of cicatricial conjunctivitis or Steven Johnson syndrome (evaluated by the investigator) are ineligible. Please note that cataract is not considered active ocular surface disease for this protocol
- Other cancer: known past or current malignancy other than inclusion diagnosis. Exceptions are malignancies with negligible risk of metastasis or death (e.g., 5-year overall survival ≥90%), such as non-invasive basal cell or squamous cell skin carcinoma, non-invasive, superficial bladder cancer, and ductal carcinoma in situ.
See the full eligibility criteria
Who can join
- Relapsed, locally-advanced or metastatic colorectal or pancreatic cancer, sqNSCLC, or SCCHN that has failed prior lines of systemic treatment as specified and which are not candidates for standard therapy. o Colorectal Cancer (closed to enrollment) o NSCLC(closed to enrollment) o Exocrine pancreatic adenocarcinoma(closed to enrollment) o SCCHN: Part C(closed to enrollment) Part E: Participants with SCCHN must have experienced disease progression on or after their most recent systemic therapy. Participants should have received no more than 1 or 2 systemic lines of therapy in the recurrent/metastatic setting as specified below. Maintenance therapy should not be counted as a separate line of therapy. Participants must have received one of the following: o A platinum-based regimen in combination with a PD-1/PD-L1 inhibitor in the first-line recurrent/metastatic setting. No more than 1 prior line of therapy in the recurrent/metastatic setting. o A platinum-based regimen in the first-line setting followed by a PD 1/PD L1 inhibitor (as monotherapy or in combination) in the second-line setting. No more than 2 prior lines of therapy in the recurrent/metastatic setting. o A PD-1/PD-L1 inhibitor in the first-line setting followed by a platinum therapy in the second-line setting. No more than 2 prior lines of therapy in the recurrent/metastatic setting. o Treatment with platinum therapy given as part of a multimodal therapy in the curative setting and experienced recurrence/progression within 6 months of the last dose followed by treatment with a PD-1/PD-L1 inhibitor (as monotherapy or in combination). No other lines of therapy prior to receiving study drug. China will participate in Part E only.
- Measurable disease according to RECIST v1.1 as assessed by the investigator. o A minimum of one non-nodal lesion ≥10 mm in the longest diameter from a non-irradiated area. If target lesion(s) are located within previously irradiated area only, the patient can be enrolled only if there has been demonstrated progression in the "in field" lesion and upon approval of the sponsor's medical monitor. OR o Lymph node lesion ≥ 15mm in the shortest diameter from a non-irradiated area. o Part D, F and G: Part D is closed to enrollment. Part F and Part G will enroll only patients with SCCHN. · Patients with SCCHN must have received no previous systemic therapy for recurrent or metastatic disease with the exception of systemic therapy completed >6 months prior, if given as part of multimodal treatment for locally advanced disease in the curative setting. • Part D only: o Patients with NSCLC must have histologically or cytologically documented squamous cell NSCLC and must have received no previous systemic therapy for metastatic disease or radiation therapy to the lung that is > 30 Gy within 6 months of the first dose of study drug. o PD-L1 biomarker expression from IHC analysis should be available o Patients with SCCHN must have a CPS ≥1 to be eligible for the cohorts testing tisotumab vedotin in combination with pembrolizumab. Patients with sqNSCLC must have a TPS ≥1% to be enrolled to cohorts testing tisotumab vedotin in combination with pembrolizumab. • Part F only: o Patients must have CPS ≥1 by local PD-L1 IHC assay to be eligible for enrollment. Retrospective PD-L1 central testing is not required for enrollment. Patients must be able to submit a tissue sample for retrospective PD L1 testing. Tissue may be fresh biopsy or archival, collected within 2 years of Cycle 1 Day 1. •Part G only (cohort not opened): o Non-EU eligibility criteria: No CPS requirement for the cohort evaluating tisotumab vedotin in combination with pembrolizumab and carboplatin. o EU-specific eligibility criteria: Patients must have a CPS ≥1 by local PD L1 IHC assay. Retrospective PD-L1 central testing not required for enrollment. o Patients must be able to submit a tissue sample for retrospective PD-L1 testing. Retrospective PD-L1 central testing is not required for enrollment. Tissue may be fresh biopsy or archival, collected within 2 years of Cycle 1 Day 1. Other inclusion criteria can be found in Protocol.
What rules you out
- Primary neuroendocrine or sarcomatoid histologies. For SCCHN, participants may not have a primary site of nasopharynx (regardless of histology or salivary gland).
- Seropositivity of human immunodeficiency virus; hepatitis B (defined as Hepatitis B surface antigen detected) or known active hepatitis C virus (defined as HCV RNA [qualitative] detected) infection. Part D, F, and G Only: Received prior therapy with an anti–PD-1, anti–PD-L1, or anti–PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor Other exclusion Criteria found in Protocol
- Known past or current coagulation defects leading to an increased risk of bleeding; diffuse alveolar hemorrhage from vasculitis; known bleeding diathesis; ongoing major bleeding; trauma with increased risk of lifethreatening bleeding or history of severe head trauma or intracranial surgery within 8 weeks of trial entry
- Clinically significant cardiac disease; medical history of congestive heart failure (Grade III or IV as classified by the New York Heart Association, see Appendix G); medical history of decreased cardiac ejection fraction of <45%.
- Ophthalmological: Active ocular surface disease at baseline. Ocular evaluation confirmed by an ophthalmologist at screening. Patients with prior episode of cicatricial conjunctivitis or Steven Johnson syndrome (evaluated by the investigator) are ineligible. Please note that cataract is not considered active ocular surface disease for this protocol
- Other cancer: known past or current malignancy other than inclusion diagnosis. Exceptions are malignancies with negligible risk of metastasis or death (e.g., 5-year overall survival ≥90%), such as non-invasive basal cell or squamous cell skin carcinoma, non-invasive, superficial bladder cancer, and ductal carcinoma in situ.
- Leptomeningeal disease
- Parts A, B, C and D: Tumor lesions invading, encasing, abutting, or involving critical anatomical sites, such as major blood vessels, (such as internal carotid artery, external carotid artery, pulmonary artery, etc) and mediastinal blood vessels. Mediastinal lymphadenopathy or invasion of mediastinal connective tissue is not an exclusion
- Active inflammatory bowel disease including Crohn's disease and colitis ulcerosa
- Ongoing, acute or chronic inflammatory skin disease that requires ongoing immunosuppressive therapy or systemic steroid therapy
- Uncontrolled tumor-related pain
- Inflammatory lung disease, including moderate and severe asthma. Patients with chronic obstructive pulmonary disease are allowed if not requiring systemic steroids and long-term oxygen
- Medications or treatment regimens: o Therapeutic anti-coagulation therapy is permitted If the patient is no longer being actively titrated for anti-coagulation. For oral anticoagulation therapy, patients must be on steady doses for at least 4 weeks prior to first dose of study drug. o Chronic prophylactic treatment with ASA (e.g., aspirin) in combination with other anti-coagulation therapy is prohibited. o Cumulative dose of corticosteroid ≥150 mg (prednisone or equivalent doses of corticosteroids) within 2 weeks of first tisotumab vedotin administration is prohibited.
- Surgery/procedures: Major surgical procedure (defined as surgery requiring inpatient hospitalization of at least 48 hours) within 4 weeks or excisional biopsy within 7 days prior to first study drug administration. Patients who have planned major surgery during the treatment period must be excluded from the trial
- Received a live vaccine within 30 days prior to first dose of trial treatment. Examples include in page 57 of Protocol. Seasonal influenza vaccines for injection are generally killed virus vaccines and are allowed; however, intranasal influenza vaccines (e.g., FluMist®) are live attenuated vaccines and are not allowed
- Peripheral neuropathy Grade ≥2
- Clinical symptoms or signs of gastrointestinal obstruction and requirement for parental hydration and/or nutrition
- Prior therapy: o Prior treatment with MMAE-derived drugs. o At least 42 days must have elapsed from last administration of chemoradiotherapy or radiotherapy. Patients must have recovered from all radiation-related toxicities. Palliative radiotherapy within the previous 42 days may be allowed upon discussion with sponsor´s medical team/designee o Small molecules, chemotherapy, immunotherapy, biologics, experimental agents, or other antitumor therapy within 21 days prior to first administration of study drug. If underlying disease is progressing on treatment, patients may enroll within 21 days upon approval of sponsor's medical monitor. Participants must have recovered from all related toxicities
The study team makes the final eligibility decision.
Where it's taking place
- United States
- Canada
- Brazil
- United Kingdom
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 18-64 years, 65+ years. The study team makes the final eligibility decision.
Where is this trial taking place?
Study sites include United States; Canada; Brazil; United Kingdom. Enter your location above to see the nearest site and check your eligibility.
Explore other conditions
BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from EU CTIS; the study team decides eligibility.