Safety and Efficacy of Tisotumab Vedotin Monotherapy & in Combination With Other Cancer Agents in Subjects With Cervical Cancer
Cervical Cancer
About this trial
This is an interventional treatment trial for Cervical Cancer focused on measuring cervical carcinoma
Eligibility Criteria
Inclusion Criteria:
- Must have squamous, adenosquamous, or adenocarcinoma of the cervix and progressed on or after standard of care treatments or are ineligible or intolerant to standard of care for recurrent or stage IVB cervical cancer (Arms A, B and C only).
- Must have squamous, adenosquamous, or adenocarcinoma of the cervix and must not have received prior systemic therapy for recurrent or stage IVB cervical cancer (Arms D, E, and H only).
- Must have squamous, adenosquamous, or adenocarcinoma of the cervix and progressed on or after at least one but no more than two prior systemic therapies for recurrent or stage IVB cervical cancer (Arms F and G only).
- Must have baseline measurable disease per RECIST v1.1.
- Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 (All Arms).
- Is not pregnant, breastfeeding, or expecting to conceive children within the projected duration of the trial and for at least 6 months after the last trial treatment administration
- Participants of childbearing potential must agree to use adequate contraception during and for 6 months after the last dose of trial treatment administration.
- Must sign an informed consent form (ICF) indicating the trial subject understands the purpose of and procedures required for the trial and are willing to participate in the trial (All Arms).
Exclusion Criteria:
- Has clinically relevant bilateral hydronephrosis which cannot be alleviated by ureteral stents or percutaneous drainage. (All Arms)
- Has clinical signs or symptoms of gastrointestinal obstruction and requires parenteral hydration and/or nutrition. Post-operative obstructions within 4 weeks of abdominal surgery are permitted. (All Arms)
Has clinically significant bleeding issues or risks
- Prior history (within 3 months) or current evidence of hemoptysis (1/2 teaspoon or more) (Arm A and bevacizumab-eligible participants in Arm H)
- Recent (within 4 weeks of first dose of trial treatment) clinically significant gastrointestinal or vaginal bleeding requiring PRBC transfusion (Arms A and H only)
- Recent (within 4 weeks of first dose of trial treatment) evidence of wound healing complications that require medical intervention (Arms A and H only)
- Has active ocular surface disease at baseline. Subjects with prior history of cicatricial conjunctivitis are ineligible (All Arms).
- Clinically significant cardiac disease
- Requires anti-coagulation therapy (Arms A and H only)
Sites / Locations
- Arizona Oncology Associates
- Univ California, Irvine Medical Center
- Olive View - UCLA Research and Education Institute
- Baptist MD Anderson Cancer Center
- Augusta University
- University of Chicago
- Indiana University School of Medicine
- University of Kansas Medical Center
- Oschner Clinic
- Dana-Farber Cancer Institute
- Billings Clinic Cancer Center
- Montana Cancer Consortium
- SUNY Downstate Medical Center
- Memorial Sloan Kettering Cancer Center
- University of North Carolina Chapel Hill
- University of Cincinnati Physicians Group
- Cleveland Clinic
- Cleveland Clinic
- Ohio State University Wexner Medical Center
- Fox Chase Cancer Center
- Magee-Womens Hospital of UPMC
- Brown University - Women's and Infant Hospital
- St Francis Hospital Cancer Center
- Huntsman Cancer Center
- Carilion Clinic
- AZ Sint-Jan
- Cliniques universitaires Saint-Luc
- Cliniques Universitaires Saint-Luc
- Grand Hôpital de Charleroi
- Universitair Ziekenhuis Antwerpen (UZA)
- Universitair Ziekenhuis Gent
- UZ Leuven
- Universitaire Ziekenhuizen Leuven,
- Centre Hospitalier de l'Ardenne
- Centre Hospitalier Universitaire (CHU) de Liège
- Grand Hôpital de Charleroi
- CHU UCL Namur
- Sainte-Elisabeth
- Fakultni nemocnice Olomouc
- Fakultni nemocnice Olomouc
- Fakultni nemocnice Ostrava
- Vseobecna fakultni nemocnice v Praze
- Vseobecna fakultni nemocnice v Praze
- Fakultni nemocnice Bulovka
- Nemocnice Na Bulovce
- Rigshospitalet
- Cork University Hospital
- Mater Misericordiae University Hospital
- Waterford Regional Hospital
- University Hospital Waterford
- Azienda Ospedaliera Cannizzaro
- IEO Istituto Europeo di Oncologia
- Istituto Nazionale Tumori Fondazione G. Pascale
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS
- Amsterdam UMC, Locatie AMC
- AMC Medical Research
- Universitair Medisch Centrum Groningen (UMCG)
- Radboudumc
- Erasmus Medisch Centrum
- Erasmus University Medical Center Rotterdam
- UMC Utrecht
- University Medical Center Utrecht (UMC Utrecht)
- Hospital Universitari Vall d'Hebron
- Hospital Universitario Reina Sofia
- Hospital Universitario Virgen de la Arrixaca
- Hospital 12 De Octubre
- Baskent University Adana Application and Research Center
- Baskent University Ankara Hospital
- Velindre Cancer Centre
- Beatson West of Scotland Cancer Centre
- Royal Marsden Hospital- Sutton
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
A: Tisotumab Vedotin + bevacizumab
B: Tisotumab vedotin + pembrolizumab
C: Tisotumab vedotin + carboplatin
D: Tisotumab vedotin + carboplatin
E: Tisotumab vedotin + pembrolizumab
F: Tisotumab vedotin + pembrolizumab
G: Tisotumab vedotin monotherapy
H: Tisotumab vedotin + pembrolizumab + carboplatin +/- bevacizumab
Dose escalation: Tisotumab vedotin in combination with bevacizumab once every three weeks in previously treated patients
Dose escalation: Tisotumab vedotin in combination with pembrolizumab once every three weeks in previously treated patients
Dose escalation: Tisotumab vedotin in combination with carboplatin once every three weeks in previously treated patients
Dose expansion:Tisotumab vedotin in combination with carboplatin once every three weeks in previously untreated patients
Dose expansion: Tisotumab vedotin in combination with pembrolizumab once every three weeks in previously untreated patients
Dose expansion: Tisotumab vedotin in combination with pembrolizumab once every three weeks in previously treated patients
Dose expansion: Tisotumab vedotin monotherapy weekly for three weeks and 1 week off (28 day treatment cycle) in previously treated patients.
Dose expansion: Tisotumab vedotin in combination with pembrolizumab and carboplatin with or without bevacizumab once every three weeks in previously untreated patients