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Rovalpituzumab Tesirine in Delta-Like Protein 3-Expressing Advanced Solid Tumors

An Open-Label Study of Rovalpituzumab Tesirine in Subjects With Delta-Like Protein 3-Expressing Advanced Solid Tumors

Status
Terminated
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02709889
Enrollment
200
Registered
2016-03-16
Start date
2016-09-23
Completion date
2019-08-27
Last updated
2020-10-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Malignant Melanoma, Medullary Thyroid Cancer, Glioblastoma, Large-Cell Neuroendocrine Carcinoma, Neuroendocrine Prostate Cancer, High Grade Gastroenteropancreatic Neuroendocrine Carcinoma, Other Neuroendocrine Carcinoma, Other Solid Tumors

Brief summary

The primary objective of this study is to assess the safety and tolerability of rovalpituzumab tesirine in subjects with specific delta-like protein 3-expressing advanced solid tumors.

Detailed description

This is a multicenter, open-label study involving multiple specific advanced solid tumor types, consisting of a dose escalation part A followed by an expansion part B. Cancer subtypes will be studied in separate disease-specific cohorts in both Parts. Eight separate cohorts will enroll malignant melanoma, medullary thyroid cancer (MTC), glioblastoma, large cell neuroendocrine carcinoma (LCNEC), neuroendocrine prostate cancer (NEPC), high-grade gastroenteropancreatic neuroendocrine carcinoma (GEP NEC), other NEC, and solid tumors other than the above.

Interventions

DRUGDexamethasone

Dexamethasone will be provided through a participant's local prescription by Investigator or other provider (i.e., dexamethasone will not be provided by the Sponsor).

Sponsors

AbbVie
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

* Histologically confirmed, unresectable advanced solid malignancy with documented disease progression after at least 1 prior systemic therapy * Disease is relapsed/refractory to prior standard systemic therapy or for which standard or curative therapy does not exist or is not considered appropriate by the Investigator. * Measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 * Delta-like protein 3 (DLL3)-expressing malignancy based on central immunohistochemical (IHC) testing of representative baseline tumor tissue (archived tissue or on-study biopsy). Positive is defined as staining in ≥ 1% of tumor cells. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 * Minimum life expectancy of at least 12 weeks * Subjects with a history of central nervous system (CNS) metastases must have documentation of stable or improved brain imaging for at least 2 weeks after completion of definitive treatment and within 2 weeks prior to first dose of Study Drug, off or on a stable dose of corticosteroids. Definitive treatment may include surgical resection, whole brain irradiation, and/or stereotactic radiation therapy. (Applicable to tumor types of non-CNS primary origin only) * Recovery to Grade 1 of any clinically significant toxicity (excluding alopecia) prior to initiation of study drug administration * Adequate hematologic and organ function as confirmed by laboratory values * Last dose of any prior therapy administered by the following time intervals before the first dose of study drug: 1. Chemotherapy, small molecule inhibitors, radiation, and/or other investigational anticancer agents (excluding investigational monoclonal antibodies): 2 weeks. 2. Immune-checkpoint inhibitors (e.g., anti-programmed death protein 1 \[PD-1\], anti-programmed death-ligand 1 \[PD-L1\], or anti-cytotoxic T-lymphocyte-associated protein 4 \[CTLA-4\]), monoclonal antibodies, antibody-drug conjugates, radioimmunoconjugates, or T-cell or other cell-based therapies: 4 weeks (2 weeks with documented disease progression). * Females of childbearing potential must have a negative beta human chorionic gonadotropin (β-hCG) pregnancy test result within 7 days prior to the first dose of study drug. Females of non-childbearing potential are those who are postmenopausal greater than 1 year or who have had a bilateral tubal ligation or hysterectomy.

Exclusion criteria

* Any significant medical condition, including any suggested by screening laboratory findings that, in the opinion of the investigator or sponsor, may place the subject at undue risk from the study, including but not necessarily limited to uncontrolled hypertension and/or diabetes, clinically significant pulmonary disease (e.g., chronic obstructive pulmonary disease requiring hospitalization within 3 months) or neurological disorder (e.g., seizure disorder active within 3 months). * Documented history of a cerebral vascular event (stroke or transient ischemic attack), unstable angina, myocardial infarction, or cardiac symptoms consistent with New York Heart Association (NYHA) Class III-IV within 6 months prior to their first dose of study drug. * Recent or ongoing serious infection, including: 1. Any active grade 3 or higher (per National Cancer Institute Common Terminology Criteria for Adverse Events version \[NCI CTCAE\] 4.03) viral, bacterial, or fungal infection within 2 weeks of the first dose of the study drug. Routine antimicrobial prophylaxis is permitted. 2. Known seropositivity for or active infection by human immunodeficiency virus (HIV). 3. Active Hepatitis B (by surface antigen expression or polymerase chain reaction) or C (by polymerase chain reaction) infection or on hepatitis-related antiviral therapy within 6 months of first dose of study drug. * Women who are pregnant or breastfeeding * Systemic therapy with corticosteroids at \>20 mg/day prednisone or equivalent within 1 week prior to the first dose of study drug * History of another invasive malignancy that has not been in remission for at least 3 years. Exceptions to the 3year limit include non-melanoma skin cancer, curatively treated localized prostate cancer, ductal carcinoma in situ, and cervical cancer in situ on biopsy or squamous intraepithelial lesion on pap smear. * Prior exposure to a pyrrolobenzodiazepine (PBD)-based drug, prior participation in a rovalpituzumab tesirine clinical trial, or known hypersensitivity to rovalpituzumab tesirine or excipient contained in the drug formulation, unless undergoing retreatment with rovalpituzumab tesirine in the context of this protocol

Design outcomes

Primary

MeasureTime frameDescription
Summary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease GroupsFrom first dose of study drug through 30 days after last dose. The overall mean number of 6-week treatment cycles was 1 (range 1.0, 5.0).The number of participants with TEAEs, serious TEAEs, study drug-related TEAEs, and study drug discontinuations or dose reductions due to TEAEs, summarized by dose received and neuroendocrine (NEC) or non-NEC disease groups. An adverse event (AE) is defined as any untoward medical occurrence which does not necessarily have a causal relationship with this treatment. A serious adverse event (SAE) is any untoward medical occurrence that at any dose: is fatal or life-threatening; results in death or hospitalization; is disabling/incapacitating or a congenital anomaly/birth defect; is medically significant. AE severity was graded using the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE), version 4.03 terminology: grade 1=mild; grade 2=moderate; grade 3=severe; grade 4 life-threatening; grade 5=death. TEAEs were defined as AEs that were newly occurring or worsened following study treatment.

Secondary

MeasureTime frameDescription
Clinical Benefit Rate (CBR)Baseline, every 6 weeks until 6 months, then every 12 weeks until disease progression, assessed up to 35.2 months.CBR is defined as the percentage of participants with best overall response (confirmed or unconfirmed) of CR, PR or stable disease (SD) per RECIST v1.1. CR: Disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to \<10 mm. PR: A ≥30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressed disease (PD), taking as reference the smallest sum diameters while on study. SD criteria must have met at least once after study entry at a minimum interval of 42 days (-7 days to allow for scheduled visit window per the protocol).
Duration of Response (DOR)Baseline, every 6 weeks until 6 months, then every 12 weeks until disease progression, assessed up to 35.2 months.DOR is defined as the time from the first assessment on therapy of a CR or PR response (per RECIST v1.1) to the date of progressive disease or death. CR: Disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to \<10 mm. PR: A ≥30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Participants who did not have progression were censored at the last non-missing response assessment on-therapy or baseline. Based on Kaplan-Meier estimates.
Progression Free Survival (PFS)Baseline, every 6 weeks until 6 months, then every 12 weeks until disease progression, assessed up to 35.2 months.PFS is defined as the time from the first dose date to the date of disease progression or death. Participants who did not have progression or death are censored at the last non-missing response assessment on-therapy or baseline. Based on Kaplan-Meier estimates.
Objective Response Rate (ORR)Baseline, every 6 weeks until 6 months, then every 12 weeks until disease progression, assessed up to 35.2 months.ORR is defined as percentage of participants whose best overall response was either complete response (CR) or partial response (PR), according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR: Disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to \<10 mm. PR: A ≥30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Serum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 0, 0.5, 6, 48, 168, 336, 672 hours postdose
Number of Participants With Anti-therapeutic Antibodies (ATA)Day 1 and 42 days after last dose. The overall mean number of 6-week treatment cycles was 1 (range 1.0, 5.0).Number of participants treated across each dose level reported to potentially have ATAs against rovalpituzumab tesirine at any time during the study.
Overall Survival (OS)Baseline, every 6 weeks until 6 months, then every 12 weeks until disease progression, assessed up to 35.2 months.Overall survival is defined as the time from the first dose date to death for any reason. Subjects who were alive at the clinical data cut-off are censored at the last known alive date. Based on Kaplan-Meier estimates.

Countries

United States

Participant flow

Pre-assignment details

Participants were enrolled into a standard 3+3 dose-escalation study within disease-specific cohorts in Part A, and then participants were enrolled into a disease-specific expansion cohort in Part B based on the maximum tolerated dose determined in Part A.

Participants by arm

ArmCount
Large Cell Neuroendocrine Carcinoma
Participants with large cell neuroendocrine carcinoma (LCNEC) of any origin who received rovalpituzumab tesirine 0.2-0.4 mg/kg administered intravenously on Day 1 of each 6-week cycle. Dexamethasone 8 mg administered orally twice daily on Day -1, Day 1 (the day of dosing), and Day 2 of each 6-week cycle.
13
Neuroendocrine Prostate Cancer
Participants with neuroendocrine prostate cancer (NEPC) who received rovalpituzumab tesirine 0.2-0.4 mg/kg administered intravenously on Day 1 of each 6-week cycle. Dexamethasone 8 mg administered orally twice daily on Day -1, Day 1 (the day of dosing), and Day 2 of each 6-week cycle.
21
Gastroenteropancreatic Neuroendocrine Carcinoma
Participants with high-grade gastroenteropancreatic neuroendocrine carcinoma (GEP NEC) who received rovalpituzumab tesirine 0.2-0.4 mg/kg administered intravenously on Day 1 of each 6-week cycle. Dexamethasone 8 mg administered orally twice daily on Day -1, Day 1 (the day of dosing), and Day 2 of each 6-week cycle.
36
Other Neuroendocrine Carcinoma
Participants with other neuroendocrine carcinoma (NEC), and high-grade neuroendocrine tumors who received rovalpituzumab tesirine 0.2-0.4 mg/kg administered intravenously on Day 1 of each 6-week cycle. Dexamethasone 8 mg administered orally twice daily on Day -1, Day 1 (the day of dosing), and Day 2 of each 6-week cycle.
31
Malignant Melanoma
Participants with malignant melanoma (MM) who received rovalpituzumab tesirine 0.2-0.4 mg/kg administered intravenously on Day 1 of each 6-week cycle. Dexamethasone 8 mg administered orally twice daily on Day -1, Day 1 (the day of dosing), and Day 2 of each 6-week cycle.
20
Medullary Thyroid Cancer
Participants with medullary thyroid cancer (MTC) who received rovalpituzumab tesirine 0.2-0.4 mg/kg administered intravenously on Day 1 of each 6-week cycle. Dexamethasone 8 mg administered orally twice daily on Day -1, Day 1 (the day of dosing), and Day 2 of each 6-week cycle.
13
Glioblastoma
Participants with glioblastoma (GBM) who received rovalpituzumab tesirine 0.2-0.4 mg/kg administered intravenously on Day 1 of each 6-week cycle. Dexamethasone 8 mg administered orally twice daily on Day -1, Day 1 (the day of dosing), and Day 2 of each 6-week cycle.
23
Other Solid Tumors
Participants with other solid tumors who received rovalpituzumab tesirine 0.2-0.4 mg/kg administered intravenously on Day 1 of each 6-week cycle. Dexamethasone 8 mg administered orally twice daily on Day -1, Day 1 (the day of dosing), and Day 2 of each 6-week cycle.
43
Total200

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyDeath2538444
Overall StudyLost to Follow-up2004
Overall StudyOther, Not Specified0116
Overall StudyPhysician Decision1235
Overall StudyStudy Terminated by Sponsor46217
Overall StudyWithdrawal by Subject1110212

Baseline characteristics

CharacteristicNeuroendocrine Prostate CancerGastroenteropancreatic Neuroendocrine CarcinomaOther Neuroendocrine CarcinomaMalignant MelanomaLarge Cell Neuroendocrine CarcinomaMedullary Thyroid CancerGlioblastomaOther Solid TumorsTotal
Age, Customized
< 65 years old
7 Participants25 Participants19 Participants11 Participants7 Participants11 Participants17 Participants23 Participants120 Participants
Age, Customized
>= 65 years old
14 Participants11 Participants12 Participants9 Participants6 Participants2 Participants6 Participants20 Participants80 Participants
Race/Ethnicity, Customized
Asian
0 Participants1 Participants2 Participants0 Participants2 Participants1 Participants1 Participants0 Participants7 Participants
Race/Ethnicity, Customized
Black or African American
3 Participants3 Participants2 Participants0 Participants0 Participants0 Participants0 Participants1 Participants9 Participants
Race/Ethnicity, Customized
Not Reported
0 Participants0 Participants2 Participants0 Participants0 Participants1 Participants2 Participants1 Participants6 Participants
Race/Ethnicity, Customized
Other, Not Specified
1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants1 Participants3 Participants
Race/Ethnicity, Customized
White
17 Participants32 Participants25 Participants20 Participants11 Participants10 Participants20 Participants40 Participants175 Participants
Sex: Female, Male
Female
0 Participants13 Participants17 Participants10 Participants5 Participants5 Participants4 Participants20 Participants74 Participants
Sex: Female, Male
Male
21 Participants23 Participants14 Participants10 Participants8 Participants8 Participants19 Participants23 Participants126 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
EG012
affected / at risk
EG013
affected / at risk
EG014
affected / at risk
EG015
affected / at risk
EG016
affected / at risk
EG017
affected / at risk
EG018
affected / at risk
EG019
affected / at risk
EG020
affected / at risk
EG021
affected / at risk
deaths
Total, all-cause mortality
1 / 33 / 45 / 69 / 113 / 30 / 34 / 46 / 96 / 811 / 1416 / 2812 / 1910 / 173 / 1013 / 1825 / 310 / 12 / 20 / 22 / 30 / 12 / 3
other
Total, other adverse events
3 / 34 / 46 / 611 / 113 / 33 / 34 / 48 / 98 / 814 / 1427 / 2819 / 1916 / 1710 / 1018 / 1831 / 311 / 12 / 22 / 23 / 31 / 13 / 3
serious
Total, serious adverse events
2 / 33 / 42 / 69 / 112 / 31 / 32 / 45 / 96 / 88 / 1415 / 2810 / 198 / 173 / 108 / 1819 / 310 / 12 / 21 / 22 / 30 / 13 / 3

Outcome results

Primary

Summary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups

The number of participants with TEAEs, serious TEAEs, study drug-related TEAEs, and study drug discontinuations or dose reductions due to TEAEs, summarized by dose received and neuroendocrine (NEC) or non-NEC disease groups. An adverse event (AE) is defined as any untoward medical occurrence which does not necessarily have a causal relationship with this treatment. A serious adverse event (SAE) is any untoward medical occurrence that at any dose: is fatal or life-threatening; results in death or hospitalization; is disabling/incapacitating or a congenital anomaly/birth defect; is medically significant. AE severity was graded using the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE), version 4.03 terminology: grade 1=mild; grade 2=moderate; grade 3=severe; grade 4 life-threatening; grade 5=death. TEAEs were defined as AEs that were newly occurring or worsened following study treatment.

Time frame: From first dose of study drug through 30 days after last dose. The overall mean number of 6-week treatment cycles was 1 (range 1.0, 5.0).

Population: Safety Analysis Set: participants who received any amount of study drug. Presented by NEC/Non-NEC groups, inclusive of participants in parts A and B.

ArmMeasureGroupValue (NUMBER)
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE24 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 50 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 3-40 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug DC, Grade 50 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Study Drug DC, Grade 3-42 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug Discontinuation (DC)4 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 50 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 50 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 3-42 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 3-414 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE21 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 50 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 3-46 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Drug-Related (DR) Serious TEAE6 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 50 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction0 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC4 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 3-416 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE16 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 51 participants
NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 3-420 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 3-47 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 51 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction7 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 3-45 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 50 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE69 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 3-440 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 513 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE39 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 3-424 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 513 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Drug-Related (DR) Serious TEAE20 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 3-415 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 52 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE64 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 3-443 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 52 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug Discontinuation (DC)15 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Study Drug DC, Grade 3-411 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug DC, Grade 51 participants
NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC10 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 50 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE8 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 3-43 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 52 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug DC, Grade 52 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE5 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 3-43 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction2 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE8 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 3-41 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Study Drug DC, Grade 3-42 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 52 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 3-45 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC4 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug Discontinuation (DC)5 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 52 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 3-41 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Drug-Related (DR) Serious TEAE3 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 52 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 3-41 participants
NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 52 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 3-46 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE101 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 54 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC18 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug Discontinuation (DC)24 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 516 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction9 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE60 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 50 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 3-443 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug DC, Grade 53 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 515 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Drug-Related (DR) Serious TEAE29 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 3-422 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 3-465 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 54 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 53 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE93 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Study Drug DC, Grade 3-415 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 3-410 participants
NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 3-460 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Study Drug DC, Grade 3-44 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 50 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 53 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug DC, Grade 51 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 3-42 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Drug-Related (DR) Serious TEAE3 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC2 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 3-40 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug Discontinuation (DC)5 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE16 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 3-43 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction0 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 3-46 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 50 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 50 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 3-410 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE10 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 50 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 3-46 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE18 participants
Non-NEC: 0.2 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 53 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Study Drug DC, Grade 3-44 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 50 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE68 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 58 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC10 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 3-44 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction7 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug Discontinuation (DC)10 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 3-438 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 3-44 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 3-427 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Drug-Related (DR) Serious TEAE14 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 52 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 58 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 52 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug DC, Grade 52 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE38 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE75 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 52 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 3-48 participants
Non-NEC: 0.3 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 3-425 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 50 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Study Drug DC, Grade 3-42 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE4 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 3-44 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 50 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE3 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 3-43 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 50 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction0 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Drug-Related (DR) Serious TEAE3 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 3-43 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug DC, Grade 50 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 50 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE4 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 3-44 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 50 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 3-42 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug Discontinuation (DC)2 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC2 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 3-40 participants
Non-NEC: 0.4 mg/kgSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 50 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 3-452 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 3-437 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE88 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug DC, Grade 52 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 52 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR Serious TEAE, Grade 3-414 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Drug-Related (DR) Serious TEAE20 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 511 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Study Drug DC, Grade 3-48 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 3-44 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction7 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 52 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE, Grade 3-434 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 Serious TEAE51 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC14 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE, Grade 511 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE97 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE, Grade 52 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 TEAE Leading to Dose Reduction, Grade 50 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥1 TEAE Leading to Study Drug Discontinuation (DC)14 participants
Non-NEC: Any DoseSummary of Treatment-Emergent Adverse Events (TEAEs), by Dose and Neuroendocrine (NEC) or Non-NEC Disease Groups≥ 1 DR TEAE Leading to Study Drug DC, Grade 3-48 participants
Secondary

Clinical Benefit Rate (CBR)

CBR is defined as the percentage of participants with best overall response (confirmed or unconfirmed) of CR, PR or stable disease (SD) per RECIST v1.1. CR: Disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to \<10 mm. PR: A ≥30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressed disease (PD), taking as reference the smallest sum diameters while on study. SD criteria must have met at least once after study entry at a minimum interval of 42 days (-7 days to allow for scheduled visit window per the protocol).

Time frame: Baseline, every 6 weeks until 6 months, then every 12 weeks until disease progression, assessed up to 35.2 months.

Population: Full Analysis Set: All enrolled participants who received any amount of study drug. Presented by disease-specific groups, inclusive of participants in parts A and B.

ArmMeasureValue (NUMBER)
NEC: 0.2 mg/kgClinical Benefit Rate (CBR)76.9 percentage of participants
NEC: 0.3 mg/kgClinical Benefit Rate (CBR)76.2 percentage of participants
NEC: 0.4 mg/kgClinical Benefit Rate (CBR)63.9 percentage of participants
NEC: Any DoseClinical Benefit Rate (CBR)61.3 percentage of participants
Non-NEC: 0.2 mg/kgClinical Benefit Rate (CBR)60.0 percentage of participants
Non-NEC: 0.3 mg/kgClinical Benefit Rate (CBR)76.9 percentage of participants
Non-NEC: 0.4 mg/kgClinical Benefit Rate (CBR)30.4 percentage of participants
Non-NEC: Any DoseClinical Benefit Rate (CBR)46.5 percentage of participants
Secondary

Duration of Response (DOR)

DOR is defined as the time from the first assessment on therapy of a CR or PR response (per RECIST v1.1) to the date of progressive disease or death. CR: Disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to \<10 mm. PR: A ≥30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Participants who did not have progression were censored at the last non-missing response assessment on-therapy or baseline. Based on Kaplan-Meier estimates.

Time frame: Baseline, every 6 weeks until 6 months, then every 12 weeks until disease progression, assessed up to 35.2 months.

Population: Full Analysis Set: All enrolled participants who received any amount of study drug. Responders (CR or PR response). Presented by disease-specific groups, inclusive of participants in parts A and B.

ArmMeasureValue (MEDIAN)
NEC: 0.2 mg/kgDuration of Response (DOR)NA months
NEC: 0.3 mg/kgDuration of Response (DOR)3.0 months
NEC: 0.4 mg/kgDuration of Response (DOR)2.6 months
NEC: Any DoseDuration of Response (DOR)6.7 months
Non-NEC: 0.2 mg/kgDuration of Response (DOR)NA months
Non-NEC: 0.3 mg/kgDuration of Response (DOR)NA months
Non-NEC: 0.4 mg/kgDuration of Response (DOR)4.6 months
Non-NEC: Any DoseDuration of Response (DOR)3.9 months
Secondary

Number of Participants With Anti-therapeutic Antibodies (ATA)

Number of participants treated across each dose level reported to potentially have ATAs against rovalpituzumab tesirine at any time during the study.

Time frame: Day 1 and 42 days after last dose. The overall mean number of 6-week treatment cycles was 1 (range 1.0, 5.0).

Population: Participants who received at least 1 dose of study drug with available ATA data. Presented by dose-specific groups, inclusive of participants in parts A and B.

ArmMeasureValue (NUMBER)
NEC: 0.2 mg/kgNumber of Participants With Anti-therapeutic Antibodies (ATA)5 participants
NEC: 0.3 mg/kgNumber of Participants With Anti-therapeutic Antibodies (ATA)10 participants
NEC: 0.4 mg/kgNumber of Participants With Anti-therapeutic Antibodies (ATA)1 participants
Secondary

Objective Response Rate (ORR)

ORR is defined as percentage of participants whose best overall response was either complete response (CR) or partial response (PR), according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR: Disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to \<10 mm. PR: A ≥30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Time frame: Baseline, every 6 weeks until 6 months, then every 12 weeks until disease progression, assessed up to 35.2 months.

Population: Full Analysis Set: All enrolled participants who received any amount of study drug. Presented by disease-specific groups, inclusive of participants in parts A and B.

ArmMeasureValue (NUMBER)
NEC: 0.2 mg/kgObjective Response Rate (ORR)7.7 percentage of participants
NEC: 0.3 mg/kgObjective Response Rate (ORR)4.8 percentage of participants
NEC: 0.4 mg/kgObjective Response Rate (ORR)13.9 percentage of participants
NEC: Any DoseObjective Response Rate (ORR)22.6 percentage of participants
Non-NEC: 0.2 mg/kgObjective Response Rate (ORR)10.0 percentage of participants
Non-NEC: 0.3 mg/kgObjective Response Rate (ORR)15.4 percentage of participants
Non-NEC: 0.4 mg/kgObjective Response Rate (ORR)4.3 percentage of participants
Non-NEC: Any DoseObjective Response Rate (ORR)4.7 percentage of participants
Secondary

Overall Survival (OS)

Overall survival is defined as the time from the first dose date to death for any reason. Subjects who were alive at the clinical data cut-off are censored at the last known alive date. Based on Kaplan-Meier estimates.

Time frame: Baseline, every 6 weeks until 6 months, then every 12 weeks until disease progression, assessed up to 35.2 months.

Population: Full Analysis Set: All enrolled participants who received any amount of study drug. Presented by disease-specific groups, inclusive of participants in parts A and B.

ArmMeasureValue (MEDIAN)
NEC: 0.2 mg/kgOverall Survival (OS)7.7 months
NEC: 0.3 mg/kgOverall Survival (OS)5.7 months
NEC: 0.4 mg/kgOverall Survival (OS)6.7 months
NEC: Any DoseOverall Survival (OS)6.6 months
Non-NEC: 0.2 mg/kgOverall Survival (OS)7.5 months
Non-NEC: 0.3 mg/kgOverall Survival (OS)NA months
Non-NEC: 0.4 mg/kgOverall Survival (OS)6.6 months
Non-NEC: Any DoseOverall Survival (OS)5.5 months
Secondary

Progression Free Survival (PFS)

PFS is defined as the time from the first dose date to the date of disease progression or death. Participants who did not have progression or death are censored at the last non-missing response assessment on-therapy or baseline. Based on Kaplan-Meier estimates.

Time frame: Baseline, every 6 weeks until 6 months, then every 12 weeks until disease progression, assessed up to 35.2 months.

Population: Full Analysis Set: All enrolled participants who received any amount of study drug. Presented by disease-specific groups, inclusive of participants in parts A and B.

ArmMeasureValue (MEDIAN)
NEC: 0.2 mg/kgProgression Free Survival (PFS)4.6 months
NEC: 0.3 mg/kgProgression Free Survival (PFS)4.5 months
NEC: 0.4 mg/kgProgression Free Survival (PFS)3.3 months
NEC: Any DoseProgression Free Survival (PFS)3.1 months
Non-NEC: 0.2 mg/kgProgression Free Survival (PFS)2.9 months
Non-NEC: 0.3 mg/kgProgression Free Survival (PFS)11.7 months
Non-NEC: 0.4 mg/kgProgression Free Survival (PFS)1.4 months
Non-NEC: Any DoseProgression Free Survival (PFS)2.1 months
Secondary

Serum Concentrations of Rovalpituzumab Tesirine Over Time

Time frame: Cycle 1: 0, 0.5, 6, 48, 168, 336, 672 hours postdose

Population: Participants who received at least 1 dose of study drug and had an assessment at given time point. Presented by dose-specific groups, inclusive of participants in parts A and B.

ArmMeasureGroupValue (MEAN)Dispersion
NEC: 0.2 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 0.5 hour postdose4.799 ug/mLStandard Deviation 1.474
NEC: 0.2 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 168 hours postdose1.494 ug/mLStandard Deviation 0.569
NEC: 0.2 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 48 hours postdose2.760 ug/mLStandard Deviation 0.939
NEC: 0.2 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 0 hour0.057 ug/mLStandard Deviation 0.367
NEC: 0.2 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 672 hours postdose0.515 ug/mLStandard Deviation 0.278
NEC: 0.2 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 336 hours postdose0.963 ug/mLStandard Deviation 0.47
NEC: 0.2 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 6 hours postdose4.377 ug/mLStandard Deviation 1.222
NEC: 0.3 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 48 hours postdose4.483 ug/mLStandard Deviation 1.317
NEC: 0.3 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 0 hour0.044 ug/mLStandard Deviation 0.507
NEC: 0.3 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 0.5 hour postdose7.351 ug/mLStandard Deviation 2.64
NEC: 0.3 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 6 hours postdose6.710 ug/mLStandard Deviation 1.701
NEC: 0.3 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 168 hours postdose2.392 ug/mLStandard Deviation 0.902
NEC: 0.3 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 336 hours postdose1.633 ug/mLStandard Deviation 0.71
NEC: 0.3 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 672 hours postdose0.976 ug/mLStandard Deviation 0.41
NEC: 0.4 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 168 hours postdose3.250 ug/mLStandard Deviation 0.825
NEC: 0.4 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 0.5 hour postdose10.785 ug/mLStandard Deviation 1.516
NEC: 0.4 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 672 hours postdose1.272 ug/mLStandard Deviation 0.414
NEC: 0.4 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 336 hours postdose2.302 ug/mLStandard Deviation 0.703
NEC: 0.4 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 48 hours postdose6.049 ug/mLStandard Deviation 1.171
NEC: 0.4 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 6 hours postdose9.355 ug/mLStandard Deviation 0.859
NEC: 0.4 mg/kgSerum Concentrations of Rovalpituzumab Tesirine Over TimeCycle 1: 0 hour0 ug/mLStandard Deviation 0

Source: ClinicalTrials.gov · Data processed: Feb 26, 2026