Study on the Effectiveness and Safety of Tisotumab Vedotin for Patients with Solid Tumors
Sponsor: Seagen Inc.
ClinicalTrials ID:NCT03485209
This clinical trial is testing the drug tisotumab vedotin, alone or with other cancer drugs, to see if it can effectively treat certain solid tumors and what side effects might occur. The study is divided into seven parts, each with different treatment schedules.
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Program Overview
The purpose of this study is to find out if the drug tisotumab vedotin, used alone or with other cancer drugs, can effectively treat certain solid tumors and what side effects might occur. The study is divided into seven parts, each with different treatment schedules. Participants will receive the drug in various cycles, either alone or combined with other drugs like pembrolizumab, carboplatin, or cisplatin, depending on the part of the study they are in.
Description
The main goal of this trial is to evaluate how well tisotumab vedotin works and how safe it is for treating certain solid tumors. Patients will receive either tisotumab vedotin alone or in combination with other cancer drugs. Participants will be grouped based on the type of tumor they have, including colorectal cancer, squamous non-small cell lung cancer (sqNSCLC), exocrine pancreatic adenocarcinoma, and head and neck squamous cell carcinoma (HNSCC).
Eligibility Criteria
Inclusion Criteria
- Parts A, B, and C
- Have relapsed, locally-advanced, or metastatic colorectal or pancreatic cancer, sqNSCLC, or HNSCC and are not candidates for standard therapy.
- Have experienced disease progression after their most recent treatment.
- For colorectal cancer (closed to enrollment): Must have had prior treatment with specific drugs and no more than 3 treatments for metastatic cancer.
- For sqNSCLC (closed to enrollment): Must have squamous histology and prior treatment with platinum-based drugs and a checkpoint inhibitor, with no more than 3 treatments for metastatic cancer.
- For exocrine pancreatic adenocarcinoma (closed to enrollment): Must have adenocarcinoma histology and prior treatment with specific regimens, with no more than 1 treatment for unresectable or metastatic cancer.
- For HNSCC (closed to enrollment): Must have had prior treatment with platinum-based drugs and/or a checkpoint inhibitor, with no more than 3 treatments for recurrent or metastatic cancer.
- Part E
- For HNSCC: Must have experienced disease progression after their most recent treatment, with no more than 1 or 2 treatments for recurrent/metastatic cancer, including a platinum-based regimen and a PD-(L)1 inhibitor.
- Parts D, F, and G
- Part D is closed to enrollment. Parts F and G will enroll only participants with HNSCC.
- For HNSCC: Must not have had previous systemic therapy for recurrent or metastatic disease.
- Part D only
- For NSCLC: Must have squamous cell NSCLC and no previous systemic therapy for metastatic disease or recent lung radiation over 30 Gy.
- Must have PD-L1 biomarker expression available.
- Part F only
- Must have CPS ≥1 by local PD-L1 test and provide a tissue sample for PD-L1 testing.
- Part G only
- Non-EU: No CPS requirement for tisotumab vedotin with pembrolizumab and carboplatin.
- EU: Must have CPS ≥1 by local PD-L1 test and provide a tissue sample for PD-L1 testing.
- Must have measurable disease by standard criteria.
- Must have a performance status score of 0 or 1.
Exclusion Criteria
- Have primary neuroendocrine or sarcomatoid tumors. For HNSCC, cannot have a primary site in the nasopharynx or salivary gland.
- Have active bleeding conditions.
- Have active eye surface disease (cataracts are not considered active for this study).
- Have another past or current cancer besides the one being studied.
- Have uncontrolled tumor-related pain.
- Have inflammatory lung disease requiring steroids or long-term oxygen.
- Have significant nerve damage (Grade 2 or higher).
- Have active brain metastasis.
- Have ongoing significant side effects from previous treatments.
- Parts D, F, and G Only: Cannot have had prior therapy with certain immune checkpoint inhibitors.
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