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A Randomized, Open-Label, Multicenter, Phase 3 Study of Rovalpituzumab Tesirine Compared with Topotecan for Subjects with Advanced or Metastatic DLL3high Small Cell Lung Cancer (SCLC) who have First Disease Progression During or Following Front-Line Platinum-Based Chemotherapy (TAHOE)

A Randomized, Open-Label, Multicenter, Phase 3 Study of Rovalpituzumab Tesirine Compared with Topotecan for Subjects with Advanced or Metastatic DLL3high Small Cell Lung Cancer (SCLC) who have First Disease Progression During or Following Front-Line Platinum-Based Chemotherapy (TAHOE) - M16-289

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON49877
Enrollment
9
Registered
2017-06-06
Start date
2017-08-30
Completion date
Unknown
Last updated
2025-09-08

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

Conditions

advanced or metastatic lung cancer small cell lung cancer

Interventions

Subjects in the Rova-T arm will receive Rova-T (IV) on Day 1 of each 42-day cycle, and 8 mg orally of dexamethasone twice daily on Day -1, Day 1 and Day 2 of each cycle in which Rova-T is administer

Sponsors

AbbVie
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: 1) Subjects must be an age of 18 years or older, providing written informed consent 2) Histologically or cytologically confirmed advanced or metastatic SCLC with documented first disease progression after or during front-line platinum-based systemic regimen. 3) Tumor must have high DLL3 expression (DLL3high) defined as having > 75% tumor cells staining positive according to the VENTANA DLL3 (SP347) IHC Assay. Archived or fresh tumor material can be used for the DLL3 testing. 4) Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. 5) Females of childbearing potential must have a negative serum pregnancy test result at Screening, and a negative urine pregnancy test at randomization. Females of non-childbearing potential (either postmenopausal or permanently surgically sterile) at Screening do not require pregnancy testing.

Exclusion criteria

Exclusion criteria: 1) Any significant medical condition 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 or neurological disorder (e.g., seizure disorder active within 6 months) 2) 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. 3) Subject has known leptomeningeal metastases 4) Subject has Isolated CNS disease progression with no evidence of progression outside of CNS 5) Subject has more than one prior systemic therapy regimen for SCLC (prior systemic maintenance therapy following front-line platinum based regimen, administered as part of clinical trial is allowed)

Design outcomes

Primary

MeasureTime frame
- Overall survival (OS) Timepoints of evaluation of this endpoint: - Overall Survival is defined as the time from the date of randomization to the date of death from any cause (i.e., date of subject*s death - date of randomization +1)

Secondary

MeasureTime frame
- Progression-free survival (PFS) based on the CRAC per RECIST v1.1, - Duration of objective response (DOR) based on the CRAC per RECIST v1.1, - Patient reported outcomes (PROs) Timepoint(s) of evaluation of this endpoint - PFS is based on independent review of tumor assessment, defined as the time from randomization to documented CRAC-assessed disease progression or death from any cause (whichever occurs earlier). - DOR is defined as the time between the date of the first response (CR or PR, whichever is recorded first) to the date of the first documented tumor progression (per RECIST 1.1) or death due to any cause, whichever comes first.

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)