ClinicalTrials.gg
CompletedNCT03438396Updated Jul 25, 2023Results posted

A Trial of Tisotumab Vedotin in Cervical Cancer

A Phase 2 interventional study of tisotumab vedotin in Cervical Cancer, sponsored by Seagen Inc.. Completed at 53 sites in 8 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-07-25.

Sponsored by Seagen Inc. (part of Pfizer) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
102
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Study summary

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

Read the detailed 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.

02

Conditions studied

  • Cervical Cancer
03

In context

Uterine Cervical Neoplasms

2,366 studies on the registry are indexed under Uterine Cervical Neoplasms; 677 are open to participants now.

This study's enrollment of 102 is close to the median of 100 across 1,738 interventional studies indexed under Uterine Cervical Neoplasms.

Browse Uterine Cervical Neoplasms studies →

Lead sponsor

Seagen Inc. is the lead sponsor of 88 studies on the registry; 1 is open to participants now.

Of its 27 completed or terminated interventional studies of FDA-regulated products, 14 (52%) have results posted.

First submitted before Seagen Inc. became part of Pfizer.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with extra-pelvic 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.
  • according to v1.1 as assessed by IRC.
  • Age ≥ 18 years.
  • Acceptable renal function
  • Acceptable liver function
  • Acceptable hematological status
  • (ECOG) performance status of 0 or 1
  • A negative serum pregnancy test for patients of .
  • All patients must provide a fresh or archival during screening.
  • Following receipt of verbal and written information about the trial, patients must provide signed before any trial-related activity is carried out.

Exclusion criteria

Exclusion Criteria

  • Have received no more than 2 prior systemic treatment regimens for recurrent or 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 other than the inclusion diagnosis.
  • Peripheral neuropathy grade ≥ 2
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
102 participants (actual)

Study arms

  • Experimental
    Single arm

    tisotumab vedotin (IV), 2.0 mg/kg, every 3 weeks (1Q3W)

    Drug: tisotumab vedotin

Interventions

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

    Also known as: TIVDAK

06

What researchers measure

Primary outcomes

  1. 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.

    Time frame: From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 20 months)

Secondary outcomes

  1. 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.

    Time frame: From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)

  2. 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.

    Time frame: From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)

  3. 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.

    Time frame: From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)

  4. 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.

    Time frame: From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)

  5. 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.

    Time frame: From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)

  6. 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.

    Time frame: From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)

  7. 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.

    Time frame: From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)

  8. 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.

    Time frame: From Day 1 until death or withdrawal from the study, whichever occurred first (approximately 49 months)

  9. 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.

    Time frame: From Day 1 through 30 days after the last dose of study drug (approximately 49 months)

  10. 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.

    Time frame: From Day 1 through 30 days after the last dose of study drug (approximately 49 months)

  11. 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.

    Time frame: Predose and end of infusion of Cycle 1 Day 1 (C1D1) and Cycle 6 Day 1 (C6D1)

  12. 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.

    Time frame: Predose of each treatment cycle (Cycle 1 to 21) and end of treatment visit (approximately 49 months)

07

Results

Posted Nov 4, 2021

Participant flow

This study was conducted in Europe and the US.

Participant flow — Overall Study
MilestoneTisotumab Vedotin
Started102
Treated101
Completed0
Not completed102
Withdrew: Reason not specified9
Withdrew: Withdrawal by subject5
Withdrew: Lost to follow-up2
Withdrew: Death85
Withdrew: Not treated1

Outcome measures

PrimaryPercentage 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.

Time frame:
From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 20 months)
Reported as:
Number · Percentage of Participants
Percentage of Participants With Confirmed Objective Response (OR) as Assessed by the Independent Review Committee (IRC)
Percentage of ParticipantsTisotumab Vedotin
Percentage of Participants With Confirmed Objective Response (OR) as Assessed by the Independent Review Committee (IRC)23.8 (15.9 to 33.3)
Statistical analysis
  • Tisotumab Vedotin · one-sided exact test · p = 0.0002
SecondaryDuration 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.

Time frame:
From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
Reported as:
Median · Months
Duration of Response (DOR) as Assessed by the IRC
MonthsTisotumab Vedotin
Duration of Response (DOR) as Assessed by the IRC8.3 (4.2 to 13.5)
SecondaryPercentage 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.

Time frame:
From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
Reported as:
Number · Percentage of Participants
Percentage of Participants With Confirmed OR as Assessed by the Investigator
Percentage of ParticipantsTisotumab Vedotin
Percentage of Participants With Confirmed OR as Assessed by the Investigator20.8 (13.4 to 30.0)
SecondaryDOR 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.

Time frame:
From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
Reported as:
Median · Months
DOR as Assessed by the Investigator
MonthsTisotumab Vedotin
DOR as Assessed by the Investigator8.2 (3.7 to 18.4)
SecondaryTime 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.

Time frame:
From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
Reported as:
Median · Months
Time to Response (TTR) as Assessed by the IRC
MonthsTisotumab Vedotin
Time to Response (TTR) as Assessed by the IRC1.4 (1.1 to 5.1)
SecondaryTTR 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.

Time frame:
From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
Reported as:
Median · Months
TTR as Assessed by the Investigator
MonthsTisotumab Vedotin
TTR as Assessed by the Investigator1.4 (1.1 to 4.5)
SecondaryProgression 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.

Time frame:
From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
Reported as:
Median · Months
Progression Free Survival (PFS) as Assessed by the IRC
MonthsTisotumab Vedotin
Progression Free Survival (PFS) as Assessed by the IRC4.2 (3.0 to 4.4)
SecondaryPFS 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.

Time frame:
From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
Reported as:
Median · Months
PFS as Assessed by the Investigator
MonthsTisotumab Vedotin
PFS as Assessed by the Investigator4.1 (3.3 to 4.6)
SecondaryOverall 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.

Time frame:
From Day 1 until death or withdrawal from the study, whichever occurred first (approximately 49 months)
Reported as:
Median · Months
Overall Survival (OS)
MonthsTisotumab Vedotin
Overall Survival (OS)12.3 (9.6 to 14.1)
SecondaryNumber 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.

Time frame:
From Day 1 through 30 days after the last dose of study drug (approximately 49 months)
Reported as:
Count of participants · Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
ParticipantsTisotumab Vedotin
Any TEAE101
Any TESAE44
SecondaryNumber 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.

Time frame:
From Day 1 through 30 days after the last dose of study drug (approximately 49 months)
Reported as:
Count of participants · Participants
Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs
ParticipantsTisotumab Vedotin
Anaemia34
Neutropenia4
Iron deficiency anaemia3
Leukocytosis1
Leukopenia1
Thrombocytopenia1
Thrombocytosis1
Hypokalaemia6
Hypomagnesaemia6
Hypocalcaemia4
Hyperglycaemia3
Hypercreatininaemia2
Hyperuricaemia2
Hypercalcaemia1
Hypernatraemia1
Hypoalbuminaemia1
Hyponatraemia1
Activated partial thromboplastin time prolonged3
Neutrophil count decreased3
Blood creatinine increased2
C-reactive protein increased2
International normalised ratio increased2
Lymphocyte count decreased2
Alanine aminotransferase increased1
Aspartate aminotransferase increased1
Blood alkaline phosphatase increased1
Blood bicarbonate decreased1
Blood creatine phosphokinase increased2
Blood potassium decreased1
Creatinine renal clearance decreased1
Platelet count decreased2
Prothrombin time prolonged1
White blood cell count decreased1
Hyperthyroidism1
Hypothyroidism1
Hypertransaminasaemia3
Hyperbilirubinaemia1
Haematuria10
SecondaryPlasma 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.

Time frame:
Predose and end of infusion of Cycle 1 Day 1 (C1D1) and Cycle 6 Day 1 (C6D1)
Reported as:
Geometric mean · ng/mL
Plasma Concentrations of Tisotumab Vedotin (HuMax-TF), Tisotumab Vedotin Antibody-drug Conjugate (HuMax-TF-ADC), and Free Monomethyl Auristatin E (MMAE)
ng/mLTisotumab Vedotin
HuMax-TF (C1D1-predose)163.48 ± 60.70
HuMax-TF (C1D1-end of infusion)41691.0 ± 68.02
HuMax-TF (C6D1-predose)150.0 ± 0.0
HuMax-TF (C6D1-end of infusion)36941 ± 25.88
HuMax-TF-ADC (C1D1-predose)30.0 ± 0.0
HuMax-TF-ADC (C1D1-end of infusion)38105 ± 92.62
HuMax-TF-ADC (C6D1-predose)30.0 ± 0.0
HuMax-TF-ADC (C6D1-end of infusion)36270.0 ± 28.29
MMAE (C1D1-predose)12.50 ± 0.0
MMAE (C1D1-end of infusion)171.27 ± 102.05
MMAE (C6D1-predose)46.71 ± 146.11
MMAE (C6D1-end of infusion)177.46 ± 82.62
SecondaryNumber 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.

Time frame:
Predose of each treatment cycle (Cycle 1 to 21) and end of treatment visit (approximately 49 months)
Reported as:
Count of participants · Participants
Number of Participants With Positive Anti-drug Antibodies (ADA) to Tisotumab Vedotin
ParticipantsTisotumab Vedotin
ADA positive at Baseline2
ADA positive at post-baseline5

Adverse events

Collected over From Day 1 through 30 days after the last dose of study drug (approximately 49 months). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Tisotumab Vedotin86/101 (85.1%)44/101 (43.6%)99/101 (98%)
Most frequent serious events
Showing 10 of 46
Most frequent serious events
EventTisotumab Vedotin
PneumoniaInfections and infestations4/101
Urinary tract infectionInfections and infestations3/101
ConstipationGastrointestinal disorders3/101
PyrexiaGeneral disorders3/101
Septic shockInfections and infestations2/101
IleusGastrointestinal disorders2/101
DeathGeneral disorders2/101
Urinary tract obstructionRenal and urinary disorders2/101
PneumonitisRespiratory, thoracic and mediastinal disorders2/101
Peripheral sensorimotor neuropathyNervous system disorders2/101
Most frequent other events
Showing 10 of 278
Most frequent other events
EventTisotumab Vedotin
NauseaGastrointestinal disorders41/101
AlopeciaSkin and subcutaneous tissue disorders39/101
EpistaxisRespiratory, thoracic and mediastinal disorders39/101
FatigueGeneral disorders35/101
AnaemiaBlood and lymphatic system disorders33/101
ConjunctivitisInfections and infestations31/101
DiarrhoeaGastrointestinal disorders25/101
Dry eyeEye disorders25/101
ConstipationGastrointestinal disorders20/101
Peripheral sensory neuropathyNervous system disorders19/101

Baseline characteristics

Full analysis set (FAS) included all participants who received at least 1 dose of tisotumab vedotin.

Age, Continuous
Age, Continuous(Years)Tisotumab Vedotin
Mean50.66 ± 10.71
Sex: Female, Male
Sex: Female, Male(Participants)Tisotumab Vedotin
Female101
Male0
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Tisotumab Vedotin
Hispanic or Latino6
Not Hispanic or Latino95
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Tisotumab Vedotin
American Indian or Alaska Native0
Asian2
Native Hawaiian or Other Pacific Islander0
Black or African American1
White95
More than one race0
Unknown or Not Reported3
08

Study locations

53 sites
  • University of Alabama
    Birmingham, Alabama 35294, United States
  • Arizona Oncology Associate - Biltmore Cancer Center
    Phoenix, Arizona 85016, United States
  • UCLA Dept. of OBGYN
    Los Angeles, California 90095, United States
  • Southern Baptist Hospital of Florida, Inc
    Jacksonville, Florida 32258, United States
  • University of Miami Miller School of Medicine
    Miami, Florida 33136, United States
  • University of Gynecologic Oncology
    Atlanta, Georgia 30342, United States
  • Community Hospital East
    Indianapolis, Indiana 46219, United States
  • Louisville Oncology
    Louisville, Kentucky 40207, United States
  • Baystate Medical Center
    Springfield, Massachusetts 01105, United States
  • Women's Cancer Center of Nevada
    Las Vegas, Nevada 89169, United States
  • MD Anderson Cancer Center at Cooper University Hospital
    Camden, New Jersey 08103, United States
  • University of New Mexico Comprehensive Cancer Center (UNMCCC)
    Albuquerque, New Mexico 87102, United States
  • University of Cincinnati
    Cincinnati, Ohio 45267, United States
  • The Ohio State University Wexner Medical Center
    Hilliard, Ohio 43210, United States
  • Stephenson Cancer Center
    Oklahoma City, Oklahoma 73104, United States
  • Oklahoma Cancer Specialists and Research Institute, LLC
    Tulsa, Oklahoma 74146, United States
  • Abington Memorial Hospital
    Willow Grove, Pennsylvania 19090, United States
  • Bon Secours Saint Francis Cancer Center
    Greenville, South Carolina 29607, United States
  • UT Health McGovern Medical School
    Houston, Texas 77030, United States
  • Froedtert & Medical College Clinics
    Milwaukee, Wisconsin 53226, United States
  • AZ Sint-Jan Brugge-Oostende av
    Brugge, 8000, Belgium
  • Cliniques universitaires Saint-Luc
    Brussels, 1200, Belgium
  • Grand Hôpital de Charleroi
    Charleroi, 6000, Belgium
  • Algemeen Ziekenhuis Maria MiddelaresMedical Oncology - IKG
    Gent, 9000, Belgium
  • Universitair Ziekenhuis Gent
    Gent, 9000, Belgium
  • UZLeuvenGynaecologische oncologie
    Leuven, 3000, Belgium
  • Centre Hospitalier de l'Ardenne
    Libramont, 6800, Belgium
  • CHU de LIEGE/ Oncologie Médicale, domaine universitaire du Sart Tilman
    Liege, 4000, Belgium
  • CHC SAINT Montlegia
    Liège, 4000, Belgium
  • CHU UCL Namur site de Sainte Elisabeth
    Namur, 5000, Belgium
  • Fakultni Nemocnice Brno
    Brno, 62500, Czechia
  • Fakultni nemocnice Olomouc Onkologic
    Olomouc, 77900, Czechia
  • Vseobecna fakultni nemocnice v Praze
    Prague, 12851, Czechia
  • Nemocnice Na Bulovce, Gynekologicko-porodnicka kl
    Prague, 18081, Czechia
  • Aalborg Universitetshospital
    Aalborg, 9000, Denmark
  • Rigshospitalet
    Copenhagen, 2100, Denmark
  • Kliniken Essen-Mitte
    Duesseldorf, 45147, Germany
  • Universitaetsklinikum Hamburg-Eppendorf
    Hamburg, 20246, Germany
  • Klinikum der Universität München
    Münich, 81377, Germany
  • Policlinico S.Orsola-Malpighi, SSD Oncologia Medica Addarii
    Bologna, 40138, Italy
  • Irst Irccs
    Meldola, Italy
  • Fondazione IRCCS Istituto Nazionale dei Tumori
    Milan, 20133, Italy
  • Istituto Nazionale Tumori Fondazione G. Pascale
    Naples, 80131, Italy
  • Policlinico Universitario Agostino Gemelli, UOC Patologia Ostetrica e Ginecologica
    Rome, 00168, Italy
  • Hospital Teresa Herrera-CHUAC
    A Coruna, 15006, Spain
  • Hospital Clinic Barcelona
    Barcelona, 08036, Spain
  • Hospital Duran I Reynals ICO Hospitalet
    Hospitalet de Llobregat, 08908, Spain
  • Clínica Universidad de Navarra (Sede Madrid)
    Madrid, 28027, Spain
  • Hospital Clínico San Carlos
    Madrid, 28040, Spain
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
  • Hospital Universitario La Paz, Edificio dotacional de Oncología
    Madrid, 28046, Spain
  • Fundacion Hospital Son Llatzer
    Palma de Mallorca, 07198, Spain
  • Skåne University Hospital
    Lund, 22185, Sweden
09

References and documents

Publications

  • Coleman RL, Lorusso D, Gennigens C, Gonzalez-Martin A, Randall L, Cibula D, Lund B, Woelber L, Pignata S, Forget F, Redondo A, Vindelov SD, Chen M, Harris JR, Smith M, Nicacio LV, Teng MSL, Laenen A, Rangwala R, Manso L, Mirza M, Monk BJ, Vergote I; innovaTV 204/GOG-3023/ENGOT-cx6 Collaborators. Efficacy and safety of tisotumab vedotin in previously treated recurrent or metastatic cervical cancer (innovaTV 204/GOG-3023/ENGOT-cx6): a multicentre, open-label, single-arm, phase 2 study. Lancet Oncol. 2021 May;22(5):609-619. doi: 10.1016/S1470-2045(21)00056-5. Epub 2021 Apr 9. PubMed 33845034 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2018 to primary completion in Feb 2020, 19 months.

Results were first posted in Nov 2021, 1 year 8 months after primary completion. A results delay was requested in Feb 2021.

Of 50 industry-sponsored phase 2 interventional studies under Uterine Cervical Neoplasms, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 46. This study's 19 months is below that.

Counting every sponsor, half of 204 studies reached it within 42 months; a quarter within 29 and three quarters within 88.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 8, 2018
First posted
Feb 19, 2018
StartActual
Jun 12, 2018
Primary completionActual
Feb 6, 2020
CompletionActual
Aug 2, 2022
Results delay requested
Feb 1, 2021
Results first posted
Nov 4, 2021
Last update
Jul 25, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 25, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03438396
Lead sponsor
Seagen Inc.
Collaborators
Genmab, European Network of Gynaecological Oncological Trial Groups (ENGOT), Belgian Gynaecological Oncology Group, Gynecologic Oncology Group
Responsible party
Sponsor
First posted
Feb 19, 2018
Start date
Jun 12, 2018
Primary completion
Feb 6, 2020
Completion
Aug 2, 2022
Results posted
Nov 4, 2021
Last update
Jul 25, 2023

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2023. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Tisotumab vedotin

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