E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Recurrent or stage IVB cervical cancer |
Cáncer cervicouterino recurrente o metastásico |
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E.1.1.1 | Medical condition in easily understood language |
Cervical cancer |
Cáncer cervicouterino |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10008342 |
E.1.2 | Term | Cervix carcinoma |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Dose escalation: To establish the maximum tolerated dose(MTD) and RP2D of tisotumab vedotin in combination in subjects with advanced cervical cancer Dose expansion: Evaluate the antitumor activity of tisotumab vedotin monotherapy and in combination in subjects with cervical cancer |
Aumento gradual de la dosis: Establecer la dosis máxima tolerada (DMT) y la dosis recomendada para la fase II (DRF2) de tisotumab vedotina en combinación en sujetos con cáncer cervicouterino en estadio avanzado Expansión de la dosis: Evaluar la actividad antitumoral de tisotumab vedotina en monoterapia y en combinación en sujetos con cáncer cervicouterino |
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E.2.2 | Secondary objectives of the trial |
Escalation: Assess safety and tolerability of tisotumab in combination (comb); Evaluate (eval) antitumor activity; Evaluate durability of response of tisotumab in comb;Eval clinical efficacy with tisotumab in comb; To eval the PK and immunogenicity of tisotumab in comb Exploratory: Explore relationship between biomarkers and clinical response; Assess potential PD biomarkers Expansion: Assess safety and tolerability of tisotumab monotherapy and in comb; Eval durability of response of tisotumab monotherapy and in comb; Eval clinical efficacy with tisotumab monotherapy and in comb; Evalthe PK and immunogenicity of tisotumab monotherapy and in comb Exploratory: Explore relationship between biomarkers and clinical response; Assess potential PD biomarkers; Eval the antitumor activity of tisotumab vedotin in comb with pembrolizumab in subjects with advanced cervical cancer (Arms E, F and H) |
Aumento gradual: Evaluar (eval) la seguridad y tolerabilidad de tisotumab vedotina (tis ved) en combinación (comb); Eval la actividad antitumoral; Eval la durabilidad de la respuesta a tis ved en comb;Eval la eficacia clínica con tis ved en comb;Eval la farmacocinética (FC) y la inmunogenia de tis ved en comb Exploratorios: Explorar la relación entre los biomarcadores y la respuesta clínica; Eval posibles biomarcadores farmacodinámicos Expansión: Eval la seguridad y tolerabilidad de tis ved en monoterapia (mon) y en comb; Eval la durabilidad de la respuesta a tis ved en mon y en comb;Eval la eficacia clínica con tis ved en mon y en comb;Eval la FC y la inmunogenia de tis ved en mono y en comb. Exploratorios: Explorar la relación entre los biomarcadores y la respuesta clínica; Eval posibles biomarcadores farmacodinámicos; Eval la actividad antitumoral de tis ved en comb con pembrolizumab en participantes con cáncer cervicouterino avanzado (grupos E, F y H) |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Must have squamous, adenosquamous, or adenocarcinoma of the cervix and progressed on or after SOC treatments or are ineligible or intolerant to SOC for recurrent or stage IVB cervical cancer. (Arms A, B, and C only). Criterion revised per Amendment 6 Criterion revised per Amendment 7 - 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). - Must have squamous, adenosquamous, or adenocarcinoma of the cervix and progressed on or after at least one but no more than 2 prior systemic therapies for recurrent or stage IVB cervical cancer (Arms F and Arm G only). - Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. - 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. A WOCBP must agree to use adequate contraception during and for 6 months after the last dose of trial treatment administration (all arms). - 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). |
- Debe tener un carcinoma cervicouterino epidermoide o adenoescamoso o un adenocarcinoma cervicouterino y haber progresado durante o después de los tratamientos de referencia o ser intolerantes o no aptas para los tratamientos de referencia para el cáncer cervicouterino recurrente o en estadio IVB (grupos A, B y C); Criterio revisado por la Enmienda 6 Criterio revisado por la Enmienda 7 - Debe tener un carcinoma cervicouterino epidermoide o adenoescamoso o un adenocarcinoma cervicouterino y no haber recibido tratamiento sistémico previo para el cáncer cervicouterino recurrente o en estadio IVB (grupos D, E y H); - Debe tener un carcinoma cervicouterino epidermoide o adenoescamoso o un adenocarcinoma cervicouterino y haber progresado durante o después de al menos uno pero no más de 2 tratamientos sistémicos previos para el cáncer cervicouterino recurrente o en estadio IVB (grupos F y G); - Tener un estado general de 0 o 1 según la escala del Grupo Oncológico Cooperativo de la Costa Este de los EE. UU. (ECOG) - No estar embarazada, amamantando o esperando concebir hijos dentro de la duración prevista del ensayo y durante al menos 6 meses después de la última administración del tratamiento del ensayo. Una mujer potencialmente fértil debe aceptar usar un método anticonceptivo adecuado durante el ensayo y durante los 6 meses posteriores a la administración de la última dosis del tratamiento de prueba (todos los brazos). - Debe firmar un formulario de consentimiento informado (ICF) que indique que el sujeto del ensayo comprende el propósito y los procedimientos requeridos para el ensayo y está dispuesto a participar en el ensayo (All Arms). |
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E.4 | Principal 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) - Criterion revised per Amendment 6 - Criterion revised per Amendment 7 - Has clinically significant bleeding issues or risks - Prior history (within 3 months) or current evidence of hemoptysis (1/2 teaspoon or more) (Arms A and H) - Recent (within 4 weeks of first dose of trial treatment) clinically significant gastrointestinal or vaginal bleeding requiring PRBC transfusion (Arm A and bevacizumab-eligible subjects in Arm H) - Recent (within 4 weeks of first dose of trial treatment) evidence of wound healing complications that require medical intervention (Arm A and bevacizumab-eligible subjects in Arm H) Criterion revised per Amendment 6 |
- Tiene hidronefrosis bilateral clínicamente significativa que no puede aliviarse con endoprótesis ureterales o con drenaje percutáneo - Tiene signos o síntomas clínicos de obstrucción gastrointestinal y requiere hidratación o nutrición parenteral. Se permiten las obstrucciones posoperatorias en las 4 semanas previas a la intervención quirúrgica abdominal - Criterio revisado por la Enmienda 6 - Criterio revisado por Enmienda 7 - Tiene riesgos o problemas hemorrágicos clínicamente significativos - Tiene antecedentes (3 meses) o indicios actuales de cualquier hemoptisis (2.5 mL o más) (Grupos A y H) - Sangrado gastrointestinal o vaginal clínicamente significativo reciente (dentro de las 4 semanas posteriores a la primera dosis del tratamiento de prueba) que requiere transfusión de PRBC (grupo A y sujetos elegibles para bevacizumab en el grupo H) - Evidencia reciente (dentro de las 4 semanas de la primera dosis del tratamiento de prueba) de complicaciones en la cicatrización de heridas que requieren intervención médica (Brazo A y sujetos elegibles para bevacizumab en el Grupo H) Criterio revisado por la Enmienda 6 |
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E.5 End points |
E.5.1 | Primary end point(s) |
Dose escalation: AEs, SAEs, infusion-related AEs, CTCAE grade ≥ 3 AEs, and AEs related to trial treatment during the trial Dose expansion: The primary endpoint is ORR per RECIST v1.1. |
Aumento de la dosis: EA, EAG, EA relacionados con la infusión, EA de grado CTCAE ≥ 3 y EA relacionados con el tratamiento del ensayo durante el ensayo Expansión de dosis: el objetivo principal es TRO según RECIST v1.1. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
• During the trial, see protocol |
• Durante el ensayo, ver protocolo |
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E.5.2 | Secondary end point(s) |
• AEs and evaluation of safety laboratory parameters. • Objective Response Rate (ORR) per RECIST v1.1 (only dose escalation) • DOR per RECIST v1.1. • TTR per RECIST v1.1. • PFS per RECIST v1.1. • Overall Survival (OS) • PK-concentrations and anti-drug antibodies (ADAs) associated with tisotumab vedotin in combination. |
• EA y evaluación de parámetros de laboratorio de seguridad. • Tasa de respuesta objetiva (TRO) según RECIST v1.1 (solo aumento de dosis) • DOR según RECIST v1.1. • TTR según RECIST v1.1. • PFS según RECIST v1.1. • Supervivencia general (SG) • Concentraciones farmacocinéticas y anticuerpos antidrogas (ADA) asociados con tisotumab vedotina en combinación. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
• During the trial, see protocol |
• Durante el ensayo, ver protocolo |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
E.7.1.3.1 | Other trial type description |
Phase 1b (dose escalation - dose expansion) |
Fase 1b (aumento de dosis - expansión de dosis) |
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E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.2.4 | Number of treatment arms in the trial | 7 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 4 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 47 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Turkey |
United States |
Belgium |
Czechia |
Denmark |
Germany |
Ireland |
Italy |
United Kingdom |
Netherlands |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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The trial is considered completed four years after the last subject is enrolled |
El ensayo se considera completado cuatro años después de que se inscriba el último sujeto. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 7 |