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Phase 2 Completed N=195 Treatment

Tisotumab Vedotin (HuMax®-TF-ADC) Safety Study in Patients With Solid Tumors

Source: ClinicalTrials.gov NCT02001623 ↗
Enrolled (actual)
195
Serious AEs
44.1%
Results posted
Dec 2021
Primary outcomePrimary: Dose Escalation Part: Evaluation of Treatment-Emergent Adverse Events — 3; 3; 3; 3 Participants

Summary

The purpose of the trial is to establish the tolerability of HuMax-TF-ADC in a mixed population of patients with specified solid tumors.

Outcome Measures

OutcomeResultp-value
PRIMARY
Dose Escalation Part: Evaluation of Treatment-Emergent Adverse Events
3; 3; 3; 3; 3; 3
PRIMARY
Dose Expansion Part: Evaluation of Treatment-Emergent Adverse Events
15; 55; 14; 15; 15; 36
SECONDARY
Dose Escalation and Expansion Part: Number of Participants With Markedly Abnormal Hematology Values
2; 1; 1; 0; 2; 2
SECONDARY
Dose Escalation and Expansion Parts: Number of Participants With Markedly Abnormal Coagulation Values
0; 0; 0; 0; 0; 0
SECONDARY
Dose Escalation and Expansion Part: Number of Participants With Markedly Abnormal Biochemistry Values
2; 1; 3; 0; 1; 0
SECONDARY
Dose Escalation and Expansion Parts: Number of Participants Who Experienced a Skin Rash
1; 0; 0; 2; 0; 2
SECONDARY
Dose Escalation and Expansion Parts: Number of Participants Who Experienced a Bleeding Event of Special Interest
0; 1; 0; 3; 3; 3
SECONDARY
Dose Escalation and Expansion Part: Number of Participants Who Experienced a Peripheral Neuropathy Event
0; 1; 1; 1; 0; 1
SECONDARY
Dose Escalation Part: Clearance of Tisotumab Vedotin and Total HuMax-TF
1.61; 1.46; 1.07; 1.84; 1.17; 1.56
SECONDARY
Dose Escalation Part: Volume of Distribution of Tisotumab Vedotin and Total HuMax-TF
68.40; 70.80; 63.46; 86.10; 81.13; 92.04
SECONDARY
Dose Escalation and Expansion Part: Area Under the Curve From Time Zero to the Last Measurable Concentration (AUC0-t) of Tisotumab Vedotin and Total HuMax-TF
2.5; 15.4; 25.1; 45.2; 33.1; 63.0
SECONDARY
Dose Escalation Part: Area Under the Curve From Time Zero Extrapolated to Infinity (AUC0-inf) of Tisotumab Vedotin and Total HuMax-TF
15.57; 25.77; 46.68; 33.95; 63.88; 53.47
SECONDARY
Dose Escalation and Expansion Part: Maximum Observed Plasma Concentration (Cmax) of Tisotumab Vedotin and Total HuMax-TF
4.78; 12.20; 19.81; 34.67; 23.12; 35.42
SECONDARY
Dose Escalation and Expansion Part: Time of Cmax (Tmax) of Tisotumab Vedotin and Total HuMax-TF
1.47; 1.18; 1.34; 1.15; 1.12; 1.18
SECONDARY
Dose Escalation Part: Half-life (t1/2) of Tisotumab Vedotin and Total HuMax-TF
12.22; 29.53; 33.72; 41.06; 32.42; 47.89
SECONDARY
Dose Escalation and Expansion Part: AUC0-t of Free Monomethyl Auristatin E (MMAE)
6.20; 12.61; 12.22; 11.63; 26.55; 22.55
SECONDARY
Dose Escalation Part: AUC0-inf of Free MMAE
12.63; 13.93; 16.32; 20.39; 27.08; 25.29
SECONDARY
Dose Escalation and Expansion Part: Cmax of Free MMAE
0.760; 1.673; 1.524; 1.410; 2.807; 2.587
SECONDARY
Dose Escalation and Expansion Part: Tmax of Free MMAE
23.88; 22.77; 24.39; 24.19; 25.07; 47.74
SECONDARY
Dose Escalation Part: PK Parameters, T 1/2 of Free MMAE
95.15; 69.34; 63.98; 62.58; 63.65; 78.90
SECONDARY
Dose Escalation and Expansion Part: Number of Participants With Positive Anti-Drug Antibodies (ADAs) to Tisotumab Vedotin
0; 0; 0; 0; 0; 0
SECONDARY
Dose Escalation Part: Anti-Tumor Activity Measured by Number of Participants Who Experienced Tumor Shrinkage
0; 0; 0; 1; 0; 2
SECONDARY
Dose Expansion Part: Anti-Tumor Activity Measured by Maximum Reduction Among Available Post-Baseline Sum of Lesion Measurements
6.00; -8.50; 1.00; -2.00; 0.00; -4.00
SECONDARY
Dose Escalation and Expansion Part: Percentage Change From Baseline in Prostate Specific Antigen (PSA)
64.35; 40.91; 3.92; 60.07
SECONDARY
Dose Escalation and Expansion Part: Percentage Change From Baseline in CA-125
18.75; -13.98; 113.71; 11.62; -25.17; 37.85
SECONDARY
Dose Escalation and Expansion Part: Objective Response Rate
0; 0; 0; 33; 0; 0
SECONDARY
Dose Escalation and Expansion Part: Disease Control Rate
0; 33; 33; 67; 33; 100
SECONDARY
Dose Escalation and Expansion Part: Progression Free Survival (PFS)
5.1; 6.0; 6.1; 27.1; 6.1; 17.1
SECONDARY
Dose Expansion Part: Duration of Response (DOR)
NA; 32.0; 18.4; NA; 18.3; NA

Eligibility Criteria

Inclusion Criteria

  • Patients with relapsed, advanced and/or metastatic cancer who have failed available standard treatments or who are not candidates for standard therapy.

Patients must have measurable disease

  • Age ≥ 18 years.
  • Acceptable renal function
  • Acceptable liver function
  • Acceptable hematological status (without hematologic support
  • Acceptable coagulation status
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Life expectancy of at least three months.
  • A negative serum pregnancy test (if female and aged between 18-55 years old).
  • Women who are pregnant or breast feeding are not to be included.
  • Patients, both females and males, of reproductive potential must agree to use adequate contraception during and for six months after the last infusion of HuMax-TF-ADC.
  • Following receipt of verbal and written information about the study, patients must provide signed informed consent before any study-related activity is carried out.

Exclusion Criteria

  • Known past or current coagulation defects.
  • Ongoing major bleeding,
  • Have clinically significant cardiac disease
  • A baseline QT interval as corrected by Fridericia's formula (QTcF) > 450 msec, a complete left bundle branch block (defined as a QRS interval ≥ 120 msec in left bundle branch block form) or an incomplete left bundle branch block.
  • Have received granulocyte colony stimulating factor (G-CSF) or granulocyte/macrophage colony stimulating factor support within one week or pegylated G-CSF within two weeks before the Screening Visit.
  • Have received a cumulative dose of corticosteroid ≥ 100 mg (prednisone or equivalent doses of corticosteroids) within two weeks before the first infusion.
  • Major surgery within six weeks or open biopsy within 14 days before drug infusion.
  • Plan for any major surgery during treatment period.
  • Any history of intracerebral arteriovenous malformation, cerebral aneurysm, brain metastases or stroke.
  • Any anticancer therapy including; small molecules, immunotherapy, chemotherapy monoclonal antibodies or any other experimental drug within four weeks or five half lives, whichever is longest, before first infusion.
  • Prior treatment with bevacizumab within twelve weeks before the first infusion.
  • Radiotherapy within 28 days prior to first dose.
  • Patients who have not recovered from symptomatic side effects of radiotherapy at the time of initiation of screening procedure.
  • Known past or current malignancy other than inclusion diagnosis, except for:
  • Cervical carcinoma of Stage 1B or less.
  • Non-invasive basal cell or squamous cell skin carcinoma.
  • Non-invasive, superficial bladder cancer.
  • Prostate cancer with a current PSA level 5 years duration.
  • Known human immunodeficiency virus seropositivity.
  • Positive serology (unless due to vaccination or passive immunization due to Ig therapy) for hepatitis B
  • Positive serology for hepatitis C based on test at screening.
  • Inflammatory bowel disease including Crohn's disease and colitis ulcerosa.
  • Inflammatory lung disease including moderate and severe asthma and chronic obstructive pulmonary disease (COPD) requiring chronic medical therapy.
  • Ongoing acute or chronic inflammatory skin disease.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02001623). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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