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TerminatedNCT04893551Updated Apr 20, 2023

A Study of Tilvestamab (BGB149) in Relapsed, Platinum-resistant, High-grade Serous Ovarian Cancer (HGSOC) Participants

A Phase 1 interventional study of Tilvestamab in Ovarian Neoplasms, sponsored by BerGenBio ASA. Terminated at 9 sites in 4 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-04-20.

Sponsored by BerGenBio ASA · Phase 1, Interventional, and Treatment

Why this study was terminated
After completion of all planned dose levels in the dose escalation phase, the sponsor decision was not to continue with expanding the cohorts of any of the dose levels, using the existing study design.
Phase
Phase 1
Study type
Interventional
Enrollment
16
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
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Study summary

The primary purpose is to assess the safety and tolerability of tilvestamab following IV administration of multiple doses to participants with HGSOC who have been treated with at least 1 complete course of platinum-based chemotherapy and whose disease has relapsed with platinum resistance ([PRR]-HGSOC) and to determine the plasma pharmacokinetics (PK) exposure by comprehensive profiling (at single dose and steady-state) of multiple ascending doses of tilvestamab.

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Conditions studied

  • Ovarian Neoplasms

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03

In context

Ovarian Neoplasms

2,695 studies on the registry are indexed under Ovarian Neoplasms; 727 are open to participants now.

This study's enrollment of 16 is below the median of 60 across 2,030 interventional studies indexed under Ovarian Neoplasms.

Browse Ovarian Neoplasms studies →

Lead sponsor

BerGenBio ASA is the lead sponsor of 9 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.

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

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Who can participate

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

Inclusion criteria

  • Females of non-childbearing potential at the time of provision of informed consent
  • Ability to understand and provide written confirmation of informed consent after reading study information, discussion with the investigator, and adequate time to decide on participation
  • Consents to storage of study-related samples and data for exploratory use
  • Histologically confirmed HGSOC
  • Platinum-resistant relapsed disease; defined as progressive disease based on imaging within \<= 6 months from completion of most recent regimen

Exclusion criteria

Exclusion Criteria:

  • Primary platinum-refractory disease (ie, progression during the first platinum regimen or within 4 weeks of completion of the first platinum regimen) with rapid progression and life-threatening disease manifestation
  • Life expectancy \< 6 months
  • Concurrent anticancer therapy
  • Participants who are breastfeeding
  • Known uncontrolled central nervous system metastases. Participants without known brain metastases do not require radiological imaging prior to enrolment
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
16 participants (actual)

Study arms

  • Experimental
    Tilvestamab

    Participants will receive tilvestamab at a low starting dose level (Cohort A) given via intravenous (IV) infusion every 2 weeks. Dose escalations to subsequent cohorts (Cohort B and Cohort C) will be decided by the Protocol Steering Committee (PSC) after review of all Cycle 1 (28 days cycle) safety and pharmacokinetics (PK) data up to Cycle 1 Day 22 for all participants in the ongoing cohort.

    Biological: Tilvestamab

Interventions

  • BiologicalTilvestamab

    Tilvestamab will be administered as IV infusion.

    Also known as: BGB149

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What researchers measure

Primary outcomes

  1. Number of Participants with Adverse events (AEs) and Serious AEs (SAEs)

    An AE is any symptom, physical sign, syndrome, or disease that either emerges during the study or, if present at Screening, worsens during the study, regardless of the suspected cause of the event. A SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

    Time frame: Up to 2.5 years

  2. Number of Participants with Laboratory Abnormalities

    Number of participants with laboratory (haematology, coagulation, clinical chemistry, serum inflammatory cytokine profile, and urinalysis) abnormalities will be reported.

    Time frame: Up to 2.5 years

  3. Number of Participants with Vital Sign Abnormalities

    Number of participants with vital sign (supine blood pressure \[BP\], heart rate, oral temperature, and respiratory rate) abnormalities will be reported.

    Time frame: Up to 2.5 years

  4. Number of Participants with Electrocardiogram (ECG) Abnormalities

    Number of participants with resting triplicate 12-lead ECG abnormalities will be reported.

    Time frame: Up to 2.5 years

  5. Number of Participants with Physical Examinations Abnormalities

    Number of participants with physical examinations abnormalities will be reported.

    Time frame: Up to 2.5 years

  6. Number of Participants with Concomitant Medication Use

    Number of participants with concomitant medication use will be reported.

    Time frame: Up to 2.5 years

  7. Maximum Concentration (Cmax)

    Cmax will be determined directly from the concentration-time profile.

    Time frame: Up to 140 days

  8. Time to Cmax (Tmax)

    Time to Cmax will be determined directly from the concentration-time profile.

    Time frame: Up to 140 days

  9. Area Under the Concentration-time Curve (AUC) From Predose (Time 0) to the end of the Dosing Period (AUC0-tau)

    AUC0-tau will be calculated using the linear-log trapezoidal rule.

    Time frame: Up to 140 days

  10. AUC From Predose (Time 0) to the Time of the Last Quantifiable Concentration (AUClast)

    AUClast will be calculated using the linear-log trapezoidal rule.

    Time frame: Up to 140 days

  11. AUC From Predose (Time 0) to 168 Hours Postdose (AUC0-168 )

    AUC0-168 is AUC from predose (time 0) to 168 hours postdose.

    Time frame: Predose up to 168 hours postdose

  12. Terminal Elimination Rate Constant (Lambda[z])

    Lambda\[z\] will be determined by selection of at least 3 data points on the terminal phase of the concentration-time curve.

    Time frame: Up to 140 days

  13. Terminal Elimination Half-life

    Terminal elimination half-life calculated as: ln2/Lambda\[z\]

    Time frame: Up to 140 days

  14. Total body clearance (CL)

    CL is defined as total body clearance.

    Time frame: Up to 140 days

Secondary outcomes

  1. Number of Participants with Anti-drug Antibodies (ADAs)

    Number of participants with ADAs will be reported.

    Time frame: Up to 2.5 years

  2. Number of Participants with Neutralizing Antibodies (NAbs)

    Number of participants with NAbs will be reported.

    Time frame: Up to 2.5 years

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Study locations

9 sites
  • Samsung Medical Center
    Seoul, Korea, Republic of
  • Seoul National University Hospital
    Seoul, Korea, Republic of
  • Yonsei University Health System- Severance Hospital
    Seoul, Korea, Republic of
  • Haukeland University Hospital Bergen
    Bergen, Norway
  • National University Hospital
    Singapore, Singapore
  • Western General Hospital
    Edinburgh, United Kingdom
  • Guys and St Thomas' NHS Foundation Trust
    London, United Kingdom
  • Imperial College London, Hammersmith Hospital
    London, United Kingdom
  • Churchill Hospital
    Oxford, United Kingdom
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References and documents

Individual participant data

Plan to share: Yes — Individual participant data that underlie the results reported in the article, after deidentification \[text, tables, figures and appendices\].

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 20, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04893551
Lead sponsor
BerGenBio ASA
Responsible party
Sponsor
First posted
May 19, 2021
Start date
Feb 25, 2021
Primary completion
Jun 27, 2022
Completion
Jun 27, 2022
Last update
Apr 20, 2023

Study contacts

Akil Jackson
study director · BerGenBio ASA

Oversight

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

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

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