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

    Summary
    EudraCT number
    2017-003413-25
    Trial protocol
    CZ   DK   BE   DE   IT   ES  
    Global end of trial date
    02 Aug 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    13 Jul 2023
    First version publication date
    13 Jul 2023
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    GCT1015-04
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03438396
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Genmab A/S
    Sponsor organisation address
    Kalvebod Brygge 43, Copenhagen V, Denmark, 1560
    Public contact
    Medical Lead, Genmab, +45 7020 2728, regulatory@genmab.com
    Scientific contact
    Medical Lead, Genmab, +45 7020 2728, regulatory@genmab.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    02 Aug 2022
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    02 Aug 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main objective of the trial is to determine the anti-tumor efficacy in subjects with cervical cancer.
    Protection of trial subjects
    All the subjects will sign the informed consent form.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    12 Jun 2018
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Belgium: 19
    Country: Number of subjects enrolled
    Czechia: 11
    Country: Number of subjects enrolled
    Germany: 5
    Country: Number of subjects enrolled
    Denmark: 9
    Country: Number of subjects enrolled
    Spain: 16
    Country: Number of subjects enrolled
    Italy: 24
    Country: Number of subjects enrolled
    Sweden: 2
    Country: Number of subjects enrolled
    United States: 15
    Worldwide total number of subjects
    101
    EEA total number of subjects
    86
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    88
    From 65 to 84 years
    13
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    This study was conducted in Europe and the US.

    Pre-assignment
    Screening details
    102 subjects with recurrent or metastatic cervical cancer were enrolled in the study out of which 101 subjects received study treatment. These subjects were assessed until they experienced IRC-verified disease progression, started new anti-cancer therapy, discontinued the trial, or died.

    Pre-assignment period milestones
    Number of subjects started
    102 [1]
    Number of subjects completed
    101

    Pre-assignment subject non-completion reasons
    Reason: Number of subjects
    Not Treated: 1
    Notes
    [1] - The number of subjects reported to have started the pre-assignment period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: 102 subjects were enrolled in the study out of which 101 received atleast one dose of treatment
    Period 1
    Period 1 title
    Overall Period
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Tisotumab Vedotin 2.0 mg/kg
    Arm description
    Participants received intravenous (IV) tisotumab vedotin 2.0 mg/kg every 3 weeks (Q3W) until radiographic disease progression verified by the Independent Review Committee (IRC), unacceptable adverse events (AEs) requiring drug discontinuation, withdrawal of consent, lost to follow up, or death, whichever occurred first.
    Arm type
    Experimental

    Investigational medicinal product name
    Tisotumab Vedotin
    Investigational medicinal product code
    Other name
    TIVDAK
    Pharmaceutical forms
    Injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    Once every 3 weeks until progression or toxicity.

    Number of subjects in period 1
    Tisotumab Vedotin 2.0 mg/kg
    Started
    101
    Treated
    101
    Completed
    0
    Not completed
    101
         Consent withdrawn by subject
    5
         Death
    85
         Lost to follow-up
    2
         Reason not Specified
    9

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Tisotumab Vedotin 2.0 mg/kg
    Reporting group description
    Participants received intravenous (IV) tisotumab vedotin 2.0 mg/kg every 3 weeks (Q3W) until radiographic disease progression verified by the Independent Review Committee (IRC), unacceptable adverse events (AEs) requiring drug discontinuation, withdrawal of consent, lost to follow up, or death, whichever occurred first.

    Reporting group values
    Tisotumab Vedotin 2.0 mg/kg Total
    Number of subjects
    101 101
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gest. age lt 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64years)
    88 88
        Elderly (65-84 years)
    13 13
        85 years and over
    0 0
    Gender categorical
    Units: Subjects
        Female
    101 101
        Male
    0 0

    End points

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    End points reporting groups
    Reporting group title
    Tisotumab Vedotin 2.0 mg/kg
    Reporting group description
    Participants received intravenous (IV) tisotumab vedotin 2.0 mg/kg every 3 weeks (Q3W) until radiographic disease progression verified by the Independent Review Committee (IRC), unacceptable adverse events (AEs) requiring drug discontinuation, withdrawal of consent, lost to follow up, or death, whichever occurred first.

    Primary: Percentage of Participants With Confirmed Objective Response (OR) as Assessed by the Independent Review Committee (IRC)

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    End point title
    Percentage of Participants With Confirmed Objective Response (OR) as Assessed by the Independent Review Committee (IRC) [1]
    End point description
    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 IRC. CR is disappearance of all target and non-target lesions and no new lesions. Confirmed CR is 2 CRs (CR-CR sequence) that were separated by at least 4 weeks with no evidence of progression in-between. PR is ≥30% decrease in sum of diameters of target lesions (compared to baseline) and no unequivocal progression of existing non-target lesions and no new lesion. Confirmed PR is PR-PR sequence or PR-CR sequence that were separated by at least 4 weeks. 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. FAS=all participants who received at least 1 dose of drug.
    End point type
    Primary
    End point timeframe
    From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 20 months)
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a single-arm study and no comparison groups could be selected for the primary endpoint. Thus, only descriptive data is provided.
    End point values
    Tisotumab Vedotin 2.0 mg/kg
    Number of subjects analysed
    101
    Units: percentage of subjects
        number (confidence interval 95%)
    23.8 (15.9 to 33.3)
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With Confirmed OR as Assessed by the Investigator

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    End point title
    Percentage of Subjects With Confirmed OR as Assessed by the Investigator
    End point description
    Confirmed OR is defined as best overall response of confirmed CR or confirmed PR based upon RECIST v1.1, assessed by investigator. CR is defined as disappearance of all target and non-target lesions and no new lesions. 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. PR is defined as ≥30% decrease in sum of diameters of target lesions (compared to baseline) and no unequivocal progression of existing non-target lesions and no new lesion. Confirmed PR is defined as PR-PR sequence or PR-CR sequence that were separated by at least 4 weeks. Intermediate missing (NE) scan evaluations between 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. FAS=all participants who received at least 1 dose of drug.
    End point type
    Secondary
    End point timeframe
    From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
    End point values
    Tisotumab Vedotin 2.0 mg/kg
    Number of subjects analysed
    101
    Units: Percentage of subjects
        number (confidence interval 95%)
    20.8 (13.4 to 30.0)
    No statistical analyses for this end point

    Secondary: Duration of Response (DOR) as Assessed by the IRC

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    End point title
    Duration of Response (DOR) as Assessed by the IRC
    End point description
    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. FAS included all subjects who received at least 1 dose of tisotumab vedotin. The DOR was analyzed for those subjects in FAS who achieved confirmed OR, as assessed by the IRC.
    End point type
    Secondary
    End point timeframe
    From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
    End point values
    Tisotumab Vedotin 2.0 mg/kg
    Number of subjects analysed
    24
    Units: Months
        median (confidence interval 95%)
    8.3 (4.2 to 13.5)
    No statistical analyses for this end point

    Secondary: DOR as Assessed by the Investigator

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    End point title
    DOR as Assessed by the Investigator
    End point description
    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. FAS included all participants who received at least 1 dose of tisotumab vedotin. The DOR was analyzed for those participants in FAS who achieved confirmed OR, as assessed by the investigator.
    End point type
    Secondary
    End point timeframe
    From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
    End point values
    Tisotumab Vedotin 2.0 mg/kg
    Number of subjects analysed
    21
    Units: Months
        median (confidence interval 95%)
    8.2 (3.7 to 18.4)
    No statistical analyses for this end point

    Secondary: Time to Response (TTR) as Assessed by the IRC

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    End point title
    Time to Response (TTR) as Assessed by the IRC
    End point description
    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. FAS included all participants who received at least 1 dose of tisotumab vedotin. The TTR was analyzed for those participants in FAS who achieved confirmed OR, as assessed by the IRC.
    End point type
    Secondary
    End point timeframe
    From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
    End point values
    Tisotumab Vedotin 2.0 mg/kg
    Number of subjects analysed
    24
    Units: Months
        median (confidence interval 95%)
    1.4 (1.1 to 5.1)
    No statistical analyses for this end point

    Secondary: TTR as Assessed by the Investigator

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    End point title
    TTR as Assessed by the Investigator
    End point description
    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. FAS included all participants who received at least 1 dose of tisotumab vedotin. The TTR was analyzed for those participants in FAS who achieved confirmed OR, as assessed by the investigator.
    End point type
    Secondary
    End point timeframe
    From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
    End point values
    Tisotumab Vedotin 2.0 mg/kg
    Number of subjects analysed
    19
    Units: Months
        median (confidence interval 95%)
    1.4 (1.1 to 4.5)
    No statistical analyses for this end point

    Secondary: Progression Free Survival (PFS) as Assessed by the IRC

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    End point title
    Progression Free Survival (PFS) as Assessed by the IRC
    End point description
    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. FAS included all participants who received at least 1 dose of tisotumab vedotin.
    End point type
    Secondary
    End point timeframe
    From Day 1 through IRC verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
    End point values
    Tisotumab Vedotin 2.0 mg/kg
    Number of subjects analysed
    101
    Units: Months
        median (confidence interval 95%)
    4.2 (3.0 to 4.4)
    No statistical analyses for this end point

    Secondary: Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs

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    End point title
    Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs
    End point description
    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. FAS included all participants who received at least 1 dose of tisotumab vedotin.
    End point type
    Secondary
    End point timeframe
    From Day 1 through 30 days after the last dose of study drug (approximately 49 months)
    End point values
    Tisotumab Vedotin 2.0 mg/kg
    Number of subjects analysed
    101
    Units: Participants
        Anaemia
    34
        Neutropenia
    4
        Iron deficiency anaemia
    3
        Leukocytosis
    1
        Leukopenia
    1
        Thrombocytopenia
    1
        Thrombocytosis
    1
        Hypokalaemia
    6
        Hypomagnesaemia
    6
        Hypocalcaemia
    4
        Hyperglycaemia
    3
        Hypercreatininaemia
    2
        Hyperuricaemia
    2
        Hypercalcaemia
    1
        Hypernatraemia
    1
        Hypoalbuminaemia
    1
        Hyponatraemia
    1
        Activated partial thromboplastin time prolonged
    3
        Neutrophil count decreased
    3
        Blood creatinine increased
    2
        C-reactive protein increased
    2
        International normalised ratio increased
    2
        Lymphocyte count decreased
    2
        Alanine aminotransferase increased
    1
        Aspartate aminotransferase increased
    1
        Blood alkaline phosphatase increased
    1
        Blood bicarbonate decreased
    1
        Blood creatine phosphokinase increased
    2
        Blood potassium decreased
    1
        Creatinine renal clearance decreased
    1
        Platelet count decreased
    2
        Prothrombin time prolonged
    1
        White blood cell count decreased
    1
        Hyperthyroidism
    1
        Hypothyroidism
    1
        Hypertransaminasaemia
    3
        Hyperbilirubinaemia
    1
        Haematuria
    10
    No statistical analyses for this end point

    Secondary: Overall Survival (OS)

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    End point title
    Overall Survival (OS)
    End point description
    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. FAS included all participants who received at least 1 dose of tisotumab vedotin.
    End point type
    Secondary
    End point timeframe
    From Day 1 until death or withdrawal from the study, whichever occurred first (approximately 49 months)
    End point values
    Tisotumab Vedotin 2.0 mg/kg
    Number of subjects analysed
    101
    Units: Months
        median (confidence interval 95%)
    12.3 (9.6 to 14.1)
    No statistical analyses for this end point

    Secondary: PFS as Assessed by the Investigator

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    End point title
    PFS as Assessed by the Investigator
    End point description
    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. FAS included all participants who received at least 1 dose of tisotumab vedotin.
    End point type
    Secondary
    End point timeframe
    From Day 1 through investigator verified disease progression, initiation of new anticancer therapy, study withdrawal, or death, whichever occurred first (approximately 49 months)
    End point values
    Tisotumab Vedotin 2.0 mg/kg
    Number of subjects analysed
    101
    Units: Months
        median (confidence interval 95%)
    4.1 (3.3 to 4.6)
    No statistical analyses for this end point

    Secondary: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)

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    End point title
    Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
    End point description
    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. FAS included all participants who received at least 1 dose of tisotumab vedotin.
    End point type
    Secondary
    End point timeframe
    From Day 1 through 30 days after the last dose of study drug (approximately 49 months)
    End point values
    Tisotumab Vedotin 2.0 mg/kg
    Number of subjects analysed
    101
    Units: Participants
        Any TEAE
    101
        Any TESAE
    44
    No statistical analyses for this end point

    Secondary: Plasma Concentrations of Tisotumab Vedotin (HuMax-TF), Tisotumab Vedotin Antibody-drug Conjugate (HuMax-TF-ADC), and Free Monomethyl Auristatin E (MMAE)

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    End point title
    Plasma Concentrations of Tisotumab Vedotin (HuMax-TF), Tisotumab Vedotin Antibody-drug Conjugate (HuMax-TF-ADC), and Free Monomethyl Auristatin E (MMAE)
    End point description
    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. FAS included all participants who received at least 1 dose of tisotumab vedotin. n indicates number analysed is the number of subjects avaialble for analysis.
    End point type
    Secondary
    End point timeframe
    Predose and end of infusion of Cycle 1 Day 1 (C1D1) and Cycle 6 Day 1 (C6D1)
    End point values
    Tisotumab Vedotin 2.0 mg/kg
    Number of subjects analysed
    101
    Units: ng/mL
    geometric mean (geometric coefficient of variation)
        HuMax-TF (C1D1-predose) [n=98]
    163.48 ( 60.70 )
        HuMax-TF (C1D1-end of infusion) [n=98]
    41691.0 ( 68.02 )
        HuMax-TF (C6D1-predose) [n=54]
    150.0 ( 0.0 )
        HuMax-TF (C6D1-end of infusion) [n=54]
    37042.0 ( 26.10 )
        HuMax-TF-ADC (C1D1-predose) [n=96]
    30.0 ( 0.0 )
        HuMax-TF-ADC (C1D1-end of infusion) [N=97]
    38105 ( 92.62 )
        HuMax-TF-ADC (C6D1-predose) [n=53]
    30.0 ( 0.0 )
        HuMax-TF-ADC (C6D1-end of infusion) [n=53]
    38105 ( 92.62 )
        MMAE (C1D1-predose) [n=96]
    12.50 ( 0.0 )
        MMAE (C1D1-end of infusion) [n=97]
    171.27 ( 102.05 )
        MMAE (C6D1-predose) [n=53
    46.71 ( 146.11 )
        MMAE (C6D1-end of infusion) [n=54]
    177.46 ( 82.62 )
    No statistical analyses for this end point

    Secondary: Number of Participants With Positive Anti-drug Antibodies (ADA) to Tisotumab Vedotin

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    End point title
    Number of Participants With Positive Anti-drug Antibodies (ADA) to Tisotumab Vedotin
    End point description
    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. Participants in FAS (received at least 1 dose of tisotumab vedotin) and who had ADA results at baseline and post-baseline are analysed for this outcome measure.
    End point type
    Secondary
    End point timeframe
    Predose of each treatment cycle (Cycle 1 to 21) and end of treatment visit (approximately 49 months)
    End point values
    Tisotumab Vedotin 2.0 mg/kg
    Number of subjects analysed
    93
    Units: Participants
        ADA positive at Baseline
    2
        ADA positive at post-baseline
    5
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From Day 1 through 30 days after the last dose of study drug (approximately 49 months)
    Adverse event reporting additional description
    The AEs were evaluated per the safety set.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    22.1
    Reporting groups
    Reporting group title
    Tisotumab Vedotin 2.0 mg/kg
    Reporting group description
    Tisotumab Vedotin 2.0 mg/kg - 1Q3W Dose Administration

    Serious adverse events
    Tisotumab Vedotin 2.0 mg/kg
    Total subjects affected by serious adverse events
         subjects affected / exposed
    44 / 101 (43.56%)
         number of deaths (all causes)
    9
         number of deaths resulting from adverse events
    2
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Bladder Cancer
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cancer Pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Lymphoedema
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences causally related to treatment / all
    2 / 3
         deaths causally related to treatment / all
    0 / 0
    Asthenia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Death
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 2
    Infusion Site Extravasation
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Non-Cardiac Chest Pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Reproductive system and breast disorders
    Vaginal Haemorrhage
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pleural Effusion
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumonitis
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Pulmonary Embolism
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Investigations
    General Physical Condition Abnormal
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Injury, poisoning and procedural complications
    Foot Fracture
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Post-Traumatic Pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Thoracic Vertebral Fracture
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Peripheral Sensorimotor Neuropathy
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 0
    Peripheral Motor Neuropathy
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Eye disorders
    Ulcerative Keratitis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Ileus
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 1
    Rectal Haemorrhage
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Abdominal Pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Constipation
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences causally related to treatment / all
    1 / 3
         deaths causally related to treatment / all
    0 / 0
    Intestinal Obstruction
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vomiting
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Subileus
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Large Intestinal Obstruction
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Urinary Tract Obstruction
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Acute Kidney Injury
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Cystitis Haemorrhagic
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal Failure
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Haematuria
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    Back Pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Fistula Discharge
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Urinary Tract Infection
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Urosepsis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Neutropenic Sepsis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Lower Respiratory Tract Infection
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infection
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Septic Shock
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    1 / 1
    Pneumonia
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences causally related to treatment / all
    1 / 4
         deaths causally related to treatment / all
    0 / 0
    Cellulitis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory Tract Infection
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Tisotumab Vedotin 2.0 mg/kg
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    99 / 101 (98.02%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Acoustic neuroma
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Tumour pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Cancer pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Vascular disorders
    Hypotension
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Venous thrombosis limb
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Thrombosis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Lymphoedema
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Aortic thrombosis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Hypertension
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Hot flush
         subjects affected / exposed
    5 / 101 (4.95%)
         occurrences all number
    6
    Deep vein thrombosis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    18 / 101 (17.82%)
         occurrences all number
    18
    Oedema
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Thirst
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Peripheral swelling
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Pain
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Oedema peripheral
         subjects affected / exposed
    8 / 101 (7.92%)
         occurrences all number
    9
    Non-cardiac chest pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Nodule
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Mucosal disorder
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Malaise
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Mucosal inflammation
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Facial pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Pyrexia
         subjects affected / exposed
    15 / 101 (14.85%)
         occurrences all number
    38
    Face oedema
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Chills
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    4
    Fatigue
         subjects affected / exposed
    35 / 101 (34.65%)
         occurrences all number
    47
    Chest pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Chest discomfort
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Influenza like illness
         subjects affected / exposed
    7 / 101 (6.93%)
         occurrences all number
    7
    Gait disturbance
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Infusion site coldness
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Localised oedema
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Immune system disorders
    Allergy to metals
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Reproductive system and breast disorders
    Vulvovaginal pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Pelvic pain
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Vaginal ulceration
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Vaginal fistula
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Vaginal discharge
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences all number
    5
    Rectocele
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Vaginal haemorrhage
         subjects affected / exposed
    10 / 101 (9.90%)
         occurrences all number
    13
    Cystocele
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Metrorrhagia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Genital swelling
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Genital prolapse
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Respiratory, thoracic and mediastinal disorders
    Rhinorrhoea
         subjects affected / exposed
    6 / 101 (5.94%)
         occurrences all number
    6
    Pulmonary embolism
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Paranasal sinus haemorrhage
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Paranasal sinus discomfort
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Oropharyngeal pain
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Nasal obstruction
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Sinus congestion
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Nasal dryness
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences all number
    4
    Nasal congestion
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Haemoptysis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Pulmonary oedema
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Epistaxis
         subjects affected / exposed
    39 / 101 (38.61%)
         occurrences all number
    49
    Dysphonia
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Cough
         subjects affected / exposed
    9 / 101 (8.91%)
         occurrences all number
    9
    Sneezing
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Dyspnoea
         subjects affected / exposed
    5 / 101 (4.95%)
         occurrences all number
    6
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    5 / 101 (4.95%)
         occurrences all number
    5
    Insomnia
         subjects affected / exposed
    10 / 101 (9.90%)
         occurrences all number
    10
    Depression
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences all number
    4
    Depressed mood
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Investigations
    White blood cell count decreased
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Weight increased
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Weight decreased
         subjects affected / exposed
    14 / 101 (13.86%)
         occurrences all number
    14
    Prothrombin time prolonged
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Platelet count decreased
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Neutrophil count decreased
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Lymphocyte count decreased
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    International normalised ratio increased
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Electrocardiogram QT prolonged
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Ejection fraction decreased
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Creatinine renal clearance decreased
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    C-reactive protein increased
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Blood potassium decreased
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Blood creatinine increased
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Blood creatine phosphokinase increased
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Blood bicarbonate decreased
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Aspartate aminotransferase increased
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Alanine aminotransferase increased
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Activated partial thromboplastin time prolonged
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Blood alkaline phosphatase increased
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Injury, poisoning and procedural complications
    Thermal burn
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    2
    Urinary tract stoma complication
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Spinal compression fracture
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Ligament sprain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Foot fracture
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Contusion
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Conjunctival scar
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Conjunctival abrasion
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Radiation proctitis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Radiation associated haemorrhage
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Procedural pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Post procedural haemorrhage
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Cardiac disorders
    Stress cardiomyopathy
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Sinus tachycardia
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Myocardial infarction
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Nervous system disorders
    Sensory loss
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Polyneuropathy
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Peripheral sensorimotor neuropathy
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences all number
    4
    Peripheral motor neuropathy
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Paraesthesia
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences all number
    6
    Neuropathy peripheral
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Neuralgia
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    3
    Sciatica
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Hypoaesthesia
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    4
    Headache
         subjects affected / exposed
    8 / 101 (7.92%)
         occurrences all number
    12
    Dysgeusia
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences all number
    4
    Dizziness
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences all number
    4
    Burning sensation
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Hyperaesthesia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Peripheral sensory neuropathy
         subjects affected / exposed
    19 / 101 (18.81%)
         occurrences all number
    24
    Blood and lymphatic system disorders
    Leukocytosis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Anaemia
         subjects affected / exposed
    33 / 101 (32.67%)
         occurrences all number
    39
    Leukopenia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Thrombocytosis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Thrombocytopenia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Iron deficiency anaemia
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Neutropenia
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences all number
    5
    Ear and labyrinth disorders
    Tinnitus
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Vertigo
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Eye disorders
    Eye irritation
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Eye discharge
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Amblyopia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Foreign body sensation in eyes
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Corneal bleeding
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Conjunctival haemorrhage
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    3
    Keratitis
         subjects affected / exposed
    11 / 101 (10.89%)
         occurrences all number
    15
    Eye inflammation
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Blepharospasm
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Ocular hyperaemia
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences all number
    4
    Chalazion
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Corneal erosion
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Eye movement disorder
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Conjunctival erosion
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Entropion
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Vision blurred
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Corneal scar
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Conjunctival hyperaemia
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Dry eye
         subjects affected / exposed
    25 / 101 (24.75%)
         occurrences all number
    30
    Punctate keratitis
         subjects affected / exposed
    6 / 101 (5.94%)
         occurrences all number
    6
    Trichiasis
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Retinal exudates
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Noninfective conjunctivitis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Keratopathy
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Lacrimation increased
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences all number
    4
    Ulcerative keratitis
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences all number
    4
    Meibomianitis
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Asthenopia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Cataract
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Photophobia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Meibomian gland dysfunction
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Ocular hypertension
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Blepharitis
         subjects affected / exposed
    7 / 101 (6.93%)
         occurrences all number
    10
    Eye pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Eye pruritus
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Gastrointestinal disorders
    Lower gastrointestinal haemorrhage
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Dyspepsia
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Dry mouth
         subjects affected / exposed
    8 / 101 (7.92%)
         occurrences all number
    8
    Constipation
         subjects affected / exposed
    20 / 101 (19.80%)
         occurrences all number
    20
    Dyschezia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Colitis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Anal incontinence
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Diarrhoea
         subjects affected / exposed
    25 / 101 (24.75%)
         occurrences all number
    29
    Anal haemorrhage
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    2
    Abdominal pain upper
         subjects affected / exposed
    6 / 101 (5.94%)
         occurrences all number
    6
    Abdominal pain lower
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Abdominal pain
         subjects affected / exposed
    13 / 101 (12.87%)
         occurrences all number
    18
    Abdominal distension
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Duodenogastric reflux
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Haematochezia
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Abdominal discomfort
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Subileus
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Stomatitis
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    4
    Retching
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Rectal haemorrhage
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Oesophagitis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Nausea
         subjects affected / exposed
    41 / 101 (40.59%)
         occurrences all number
    51
    Mouth ulceration
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Large intestinal haemorrhage
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Small intestinal stenosis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Hiatus hernia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Haemorrhoids
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Enteritis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Gastrooesophageal reflux disease
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Gastritis
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Gingival bleeding
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Flatulence
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Vomiting
         subjects affected / exposed
    17 / 101 (16.83%)
         occurrences all number
    25
    Hepatobiliary disorders
    Hyperbilirubinaemia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Hypertransaminasaemia
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Skin and subcutaneous tissue disorders
    Rash macular
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Dermatitis acneiform
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Skin hyperpigmentation
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Skin discolouration
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Rash maculo-papular
         subjects affected / exposed
    6 / 101 (5.94%)
         occurrences all number
    6
    Rash
         subjects affected / exposed
    14 / 101 (13.86%)
         occurrences all number
    16
    Pain of skin
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    2
    Hyperhidrosis
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    4
    Erythema
         subjects affected / exposed
    5 / 101 (4.95%)
         occurrences all number
    5
    Eczema
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Dry skin
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Dermatitis allergic
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Alopecia
         subjects affected / exposed
    39 / 101 (38.61%)
         occurrences all number
    39
    Pruritus
         subjects affected / exposed
    14 / 101 (13.86%)
         occurrences all number
    18
    Renal and urinary disorders
    Dysuria
         subjects affected / exposed
    5 / 101 (4.95%)
         occurrences all number
    6
    Urinary tract obstruction
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Urinary tract disorder
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Urinary incontinence
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Urinary bladder haemorrhage
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Ureteric obstruction
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Renal failure
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Hydronephrosis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Haematuria
         subjects affected / exposed
    9 / 101 (8.91%)
         occurrences all number
    11
    Chromaturia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Bladder outlet obstruction
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Endocrine disorders
    Hypothyroidism
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    2
    Hyperthyroidism
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Musculoskeletal and connective tissue disorders
    Pain in extremity
         subjects affected / exposed
    13 / 101 (12.87%)
         occurrences all number
    13
    Neck pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Myalgia
         subjects affected / exposed
    17 / 101 (16.83%)
         occurrences all number
    26
    Musculoskeletal pain
         subjects affected / exposed
    7 / 101 (6.93%)
         occurrences all number
    7
    Musculoskeletal discomfort
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Musculoskeletal chest pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Muscular weakness
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Muscle spasms
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences all number
    4
    Limb discomfort
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Joint stiffness
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Hypercreatinaemia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Groin pain
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Flank pain
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    5
    Osteoarthritis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Bone pain
         subjects affected / exposed
    5 / 101 (4.95%)
         occurrences all number
    6
    Back pain
         subjects affected / exposed
    8 / 101 (7.92%)
         occurrences all number
    8
    Arthralgia
         subjects affected / exposed
    17 / 101 (16.83%)
         occurrences all number
    25
    Infections and infestations
    Upper respiratory tract infection
         subjects affected / exposed
    6 / 101 (5.94%)
         occurrences all number
    6
    Herpes ophthalmic
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Respiratory tract infection
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Clostridium difficile colitis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Conjunctivitis
         subjects affected / exposed
    31 / 101 (30.69%)
         occurrences all number
    49
    Corona virus infection
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Device related infection
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Diverticulitis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Folliculitis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Herpes zoster oticus
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    2
    Gastroenteritis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Gingivitis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Genital herpes
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Herpes zoster
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Nasopharyngitis
         subjects affected / exposed
    7 / 101 (6.93%)
         occurrences all number
    7
    Parotitis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Pharyngitis streptococcal
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Rhinitis
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Stenotrophomonas infection
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Urinary tract infection
         subjects affected / exposed
    10 / 101 (9.90%)
         occurrences all number
    12
    Vaginal infection
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Urinary tract infection bacterial
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Cystitis
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Abscess limb
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Bronchitis
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Catheter site infection
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Tooth abscess
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Metabolism and nutrition disorders
    Hyponatraemia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Hypomagnesaemia
         subjects affected / exposed
    6 / 101 (5.94%)
         occurrences all number
    6
    Hypokalaemia
         subjects affected / exposed
    6 / 101 (5.94%)
         occurrences all number
    6
    Hypocalcaemia
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences all number
    5
    Hypoalbuminaemia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Dehydration
         subjects affected / exposed
    4 / 101 (3.96%)
         occurrences all number
    5
    Hypernatraemia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Hyperglycaemia
         subjects affected / exposed
    3 / 101 (2.97%)
         occurrences all number
    3
    Hypercreatininaemia
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    3
    Hypercalcaemia
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Diabetes mellitus
         subjects affected / exposed
    1 / 101 (0.99%)
         occurrences all number
    1
    Hyperuricaemia
         subjects affected / exposed
    2 / 101 (1.98%)
         occurrences all number
    2
    Decreased appetite
         subjects affected / exposed
    18 / 101 (17.82%)
         occurrences all number
    19

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    21 Jan 2018
    Amendment 1 – The protocol was updated to include – A justification for control group was added. • A subgroup analysis was added by region (EU/US) to assess regional consistency of treatment effects. • A third post-treatment observation period was defined. • The assumption of the 25% true objective response rate (ORR) was justified.
    08 Feb 2018
    Amendment 2 - The protocol was amended to clarify the statistical power for ORRs in the range 21% to 25%.
    11 Feb 2018
    Amendment 3 - The protocol was amended for the following updates - The frequency of survival follow-up was specified. • It was made clear that chemotherapy should not be considered a prior systemic treatment regimen if it was given in an adjuvant or neoadjuvant setting, alone or in conjunction with radiation therapy. • The duration of preservative-free lubricating eye drops' prophylactic use was indicated. • The allowed concurrent anticoagulation therapy guidance has been clarified. • The dosage delay guidelines and dose reduction methodology have been updated. • The mitigation strategy for bleeding events was changed to state that, regardless of the severity, any pulmonary or central nervous system (CNS) haemorrhage would result in a permanent end to therapy. • It was stated that no additional adverse events (AEs) should be recorded after the AE reporting period expires, which is 30 days following the final dose.
    31 Oct 2018
    Amendment 4 – The protocol was amended for the following updates - • The window for screening visit 2 was extended by 2 days, allowing for performance of this visit seven days (instead of five) before Cycle 1 (D1). • It was made clear that tisotumab vedotin had to be given over at least 30 minutes and ideally within 60 minutes. • The specifications for measuring body weight in order to calculate dose were clarified. • The tisotumab vedotin program's safety reporting standards were all aligned.
    17 Jun 2019
    Based on health authority feedback, the timing of the primary analysis of the trial was changed to ensure that all responders were followed for ≥ 6 months.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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