Small Cell Lung CancerPhase 3TAHOENCT03061812
Study Comparing Rovalpituzumab Tesirine Versus Topotecan in Subjects With Advanced or Metastatic Small Cell Lung Cancer With High Levels of Delta-like Protein 3 (DLL3) and Who Have First Disease Progression During or Following Front-line Platinum-based Chemotherapy (TAHOE)
A Phase 3 study testing Rovalpituzumab tesirine, Topotecan and Dexamethasone in people with Small Cell Lung Cancer, run by AbbVie at 195 sites in 33 countries.
Trial summary
The purpose of this randomized, open-label, 2-arm, phase 3 study is to assess the efficacy, safety and tolerability of rovalpituzumab tesirine versus topotecan in participants with advanced or metastatic SCLC with high levels of DLL3, who have first disease progression during or following front-line platinum-based… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Small Cell Lung Cancer
- What is being tested?
- Rovalpituzumab tesirine, Topotecan and Dexamethasone
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 444 participants
- Where
- 195 sitesin 33 countries
- Study dates
- 11 Apr 2017to 12 Feb 2020
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participant must have histologically or cytologically confirmed advanced or metastatic Small Cell Lung Cancer (SCLC) with documented first disease progression during or following front-line platinum-based systemic regimen
- Tumor must have high Delta-like protein 3 (DLL3) expression defined as having ≥ 75% tumor cells staining positive according to the VENTANA DLL3 (SP347) IHC Assay.
- Participant must have measurable disease, as defined per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
- Participant must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Participant must have recovery to Grade 0 or 1 of any clinically significant toxicity (excluding alopecia) prior to initiation of study drug administration.
Who cannot join
- Participant has a 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 Class (NYHA) III - IV within 6 months prior to their first dose of study drug.
- Participant has known leptomeningeal metastases.
- Participant has received more than one prior systemic therapy regimen for SCLC.
- Participant had a serious infection within 2 weeks prior to randomization, including any Grade 3 or higher viral, bacterial, or fungal infection.
- Participant has a history of active malignancies other than SCLC within the past 2 years prior to study entry, with the exception of in situ cancer which was curatively treated.
- Participant had prior exposure to topotecan, irinotecan or any other topoisomerase I inhibitors.
Trial locations and contacts
195 sites in 33 countries.
195 sites in 33 countries
United States31 sites
Georgia Cancer Center /ID# 160206
Atlanta, Georgia, 30342
Univ Medical Ctr Brackenridge /ID# 156967
Austin, Texas, 78701
Ochsner Clinic Foundation /ID# 160807
Baton Rouge, Louisiana, 70836-6455
Cedars-Sinai Medical Center /ID# 157102
Beverly Hills, California, 90211
Dana-Farber Cancer Institute /ID# 160210
Boston, Massachusetts, 02215
University of Vermont Medical Center /ID# 162317
Burlington, Vermont, 05401-1473
Gabrail Cancer Center Research /ID# 155920
Canton, Ohio, 44718
UT Southwestern Medical Center /ID# 158150
Dallas, Texas, 75390-7208
NorthShore University HealthSystem - Evanston Hospital /ID# 157054
Evanston, Illinois, 60201
Goshen Center for Cancer Care /ID# 155946
Goshen, Indiana, 46526
Ingalls Memorial Hosp /ID# 155871
Harvey, Illinois, 60426
Clearview Cancer Institute /ID# 155873
Huntsville, Alabama, 35805
Cancer Specialists of North Florida - Southpoint /ID# 155828
Jacksonville, Florida, 32256
Moore UC San Diego Cancer Center /ID# 156965
La Jolla, California, 92093
Sparrow Regional Cancer Center, Sparrow Health System /ID# 157021
Lansing, Michigan, 48912
Nebraska Hematology Oncology /ID# 155900
Lincoln, Nebraska, 68506
Carti /Id# 156982
Little Rock, Arkansas, 72205
Los Angeles Hematology Oncolog /ID# 155879
Los Angeles, California, 90017
University of Louisville /ID# 155947
Louisville, Kentucky, 40202
St. Luke's Mountain States Tumor Institute - Meridian /ID# 164550
Meridian, Idaho, 83712
Mitchell Cancer Institute /ID# 158151
Mobile, Alabama, 36604
West Virginia Univ School Med /ID# 155872
Morgantown, West Virginia, 26506
Christiana Care Health Service /ID# 158171
Newark, Delaware, 19713
UPMC Hillman Cancer Ctr /ID# 164403
Pittsburgh, Pennsylvania, 15232
Oregon Health and Science University /ID# 157055
Portland, Oregon, 97239
University of California, Davis Comprehensive Cancer Center /ID# 157001
Sacramento, California, 95817
St Jude Hospital dba St Joseph /ID# 155899
Santa Rosa, California, 95403
University of Washington /ID# 162626
Seattle, Washington, 98109
Medical Oncology Associates /ID# 156856
Spokane, Washington, 99208
Highlands Oncology Group /ID# 155902
Springdale, Arkansas, 72762
Icri /Id# 157090
Whittier, California, 90603
Japan23 sites
Hyogo Cancer Center /ID# 165125
Akashi-shi, Hyōgo, 673-8558
National Cancer Center Hospital /ID# 166768
Chuo-ku, Tokyo, 104-0045
Kyushu University Hospital /ID# 165723
Fukuoka, Fukuoka, 812-8582
Himeji Medical Center /ID# 165893
Himeji-shi, Hyōgo, 670-0012
Kansai Medical University Hospital /ID# 165055
Hirakata-shi, Osaka, 573-1191
Duplicate_Kanazawa University Hospital /ID# 165129
Kanazawa, Ishikawa-ken, 920-8641
National Cancer Center Hospital East /ID# 165726
Kashiwa-shi, Chiba, 277-8577
The Cancer Institute Hospital Of JFCR /ID# 166249
Koto-ku, Tokyo, 135-8550
Kurume University Hospital /ID# 164586
Kurume-shi, Fukuoka, 830-0011
Matsusaka City Hospital /ID# 166126
Matsusaka-shi MIE, 515-8544
Aichi Cancer Center Hospital /ID# 164975
Nagoya, Aichi-ken, 464-8681
Japanese Red Cross Okayama Hospital /ID# 165156
Okayama, Okayama-ken, 700-8607
Osaka City General Hospital /ID# 165717
Osaka, Osaka, 534-0021
Kindai University Hospital /ID# 166394
Osaka-sayama-shi, Osaka, 589-8511
Hokkaido Cancer Center /ID# 165237
Sapporo, Hokkaido, 003-0804
Sendai Kousei Hospital /ID# 166061
Sendai, Miyagi, 980-0873
Duplicate_Showa University Hospital /ID# 165574
Shinagawa-ku, Tokyo, 142-0054
Shizuoka Cancer Center /ID# 166466
Sunto-gun, Shizuoka, 411-8777
Tokushima University Hospital /ID# 165812
Tokushima, Tokushima, 770-8503
Wakayama Medical University /ID# 166032
Wakayama, Wakayama, 641-8510
Yokohama City University Hospital /ID# 165748
Yokohama, Kanagawa, 236-0004
Kanagawa Cardiovascular and Respiratory Center /ID# 164374
Yokohama, Kanagawa, 236-0051
Kanagawa Cancer Center /ID# 165816
Yokohama, 241-0815
Russia9 sites
Arkhangelsk clinical oncology /ID# 159309
Arkhangelsk, 163045
Kaluga Regional Clinical Oncol /ID# 160179
Kaluga, 284007
National Medical Research Cntr /ID# 207436
Moscow, Moscow Oblast, 115478
Clinical Onco Dispensary /ID# 159307
Omsk, 644013
PMI Euromedservice /ID# 159311
Pushkin, 196603
LLC Novaya Klinika /ID# 205539
Pyatigorsk, Stavropol Kray, 357500
LLC BioEq Ltd. /ID# 159310
Saint Petersburg, 197342
N.N. Petrov Research Inst Onc /ID# 159312
Saint Petersburg, 197758
Smolensk Regional Onc Clin Dis /ID# 159314
Smolensk, 214009
South Korea8 sites
Dong-A University Hospital /ID# 159296
Busan, Busan Gwang Yeogsi, 49201
Chungbuk National University /ID# 159291
Cheongju-si, 28644
Kyungpook National University Chilgok Hospital /ID# 159292
Daegu, Seoul Teugbyeolsi, 41404
Chonnam National University Hospital /ID# 159294
Gwangju, Jeonranamdo, 61469
Yonsei University Health System, Severance Hospital /ID# 159288
Seodaemun-gu, Seoul Teugbyeolsi, 03722
CHA Bundang Medical center CHA University /ID# 204416
Seongnam-si, Gyeonggido, 13496
Korea University Guro Hospital /ID# 159293
Seoul, Seoul Teugbyeolsi, 08308
Asan Medical Center /ID# 159290
Seoul, 05505
Ukraine8 sites
Municipal institution /ID# 159867
Chernivtsi, 58013
Municipal institution Multifie /ID# 159121
Dnipro, 49102
Regional Center of Oncology /ID# 159123
Kharkiv, 61070
PE PMC Acinus, Medical and Diagnostic Center /ID# 159125
Kropyvnytskyi, 25006
ME Kryviy Rih Oncology Dispensary /ID# 159119
Kryviy RIH, 50048
Volyn Regional Medical Oncology Centre /ID# 159124
Lutsk, 43018
Communal Nonprofit Enterprise "Central City Clinical Hospital" of Uzhhorod City /ID# 159868
Uzhhorod, 88000
CI Zaporizhzhia Regional Clinical Oncological Dispensary /ID# 159122
Zaporizhzhya, Zaporizhzhia Oblast, 69040
Belgium7 sites
CHU Saint-Pierre /ID# 159521
Brussels, Brussels Capital, 1000
Cliniques universitaires Saint /ID# 158751
Brussels, 1200
Grand Hôpital de Charleroi /ID# 158748
Charleroi, Hainaut, 6000
Hopital de Jolimont /ID# 159755
Haine-Saint-Paul, 7100
UZ Leuven /ID# 158752
Leuven, 3000
CHU de Liege Sart Tilman /ID# 158753
Liège, 4000
CHU Charleroi (Vesale) /ID# 159756
Montigny-le-Tilleul, 6110
Germany7 sites
Evangelische Lungenklinik Berl /ID# 159168
Berlin, 13125
Asklepios Fachkliniken M. Gaut /ID# 158791
Gauting, 82131
Lungen Clinic Grosshansdorf /ID# 158770
Großhansdorf, 22927
KH Martha-Maria Halle Dolau /ID# 158796
Halle, Saxony-Anhalt, 06120
Thoraxklinik Heidelberg gGmbH /ID# 159169
Heidelberg, 69126
Klinikum Kassel /ID# 158788
Kassel, 34125
Klinik Loewenstein GmbH /ID# 159167
Löwenstein, 74245
Hungary7 sites
Torokbalinti Tudogyogyintezet /ID# 207053
Budapest, Pest County, 2045
Semmelweis Egyetem /ID# 161197
Budapest, 1085
Orszagos Koranyi Pulmonologiai Intezet /ID# 158967
Budapest, 1122
Dup_Debreceni Egyetem Klinikai Központ /ID# 161209
Debrecen, 4032
Veszprem Megyei Tuedoegyogyint /ID# 162607
Farkasgyepű, 8582
Petz Aladar Megyei Oktato Korh /ID# 158978
Győr, 9023
Matrai Gyogyintezet /ID# 158979
Mátraháza, 3233
Australia6 sites
Ballarat Health Service /ID# 158904
Ballarat, Victoria, 3350
Blacktown Hospital /ID# 158907
Blacktown, New South Wales, 2148
The Prince Charles Hospital /ID# 158897
Chermside, Queensland, 4032
Austin Hospital /ID# 158898
Heidelberg, Victoria, 3084
St George Hospital /ID# 158855
Kogarah, New South Wales, 2217
Southern Medical Day Care Ctr /ID# 158853
Wollongong, New South Wales, 2500
France6 sites
Centre Hosp Intercommunal de Creteil /ID# 162684
Créteil, Val-de-Marne, 94000
Centre Leon Berard /ID# 160561
Lyon, Rhone, 69373
Assis.Publique-Hopital Nord /ID# 160554
Marseille, Provence-Alpes-Côte d'Azur Region, 13105
Assistance Publique- Hopitaux /ID# 160552
Paris, 75020
Hopital Haut-Lévêque /ID# 160558
Pessac, Gironde, 33604
Hospital Pontchaillou /ID# 160555
Rennes, 35033
Portugal6 sites
Centro Hospitalar Lisboa Norte, EPE /ID# 158687
Lisbon, Lisbon District, 1769-001
IPO Lisboa FG, EPE /ID# 158995
Lisbon, 1099-023
Hospital da Luz, SA /ID# 158996
Lisbon, 1500-650
Unidade Local Saude Matosinhos /ID# 158682
Matosinhos Municipality, 4464-513
Hospital CUF Porto /ID# 158685
Porto, 4100-180
IPO Porto FG, EPE /ID# 158686
Porto, 4200-072
United Kingdom6 sites
United Lincolnshire Hospitals /ID# 159579
Boston, PE21 9QS
Guy's and St Thomas' NHS Found /ID# 159581
London, London, City of, SE1 9RT
Charing Cross Hospital /ID# 159582
London, W6 8RF
Christie NHS Foundation Trust /ID# 159099
Manchester, M20 4BX
James Cook University Hospital /ID# 159583
Middlesbrough, TS4 3BW
Royal Preston Hospital /ID# 159578
Preston, PR2 9HT
Brazil5 sites
Fundacao Pio XII - Hospital de Cancer de Barretos /ID# 159017
Barretos, São Paulo, 14784-400
Liga Norte Rio Grandense Cont. /ID# 159015
Natal, Rio Grande do Norte, 59075-740
Associação Hospital Beneficente São Vicente de Paulo - Hospital São Vicente de P /ID# 159668
Passo Fundo, Rio Grande do Sul, 99010-080
Instituto Nacional de Câncer José de Alencar Gomes da Silva (INCA) /ID# 159665
Rio de Janeiro, 20231-050
Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto /ID# 159666
São José do Rio Preto, São Paulo, 15090-000
Canada5 sites
Cross Cancer Institute /ID# 159519
Edmonton, Alberta, T6G 1Z2
Juravinski Cancer Clinic /ID# 159514
Hamilton, Ontario, L8V 1C3
Hopital du Sacre Coeur Montreal /ID# 159515
Montreal, Quebec, H4J 1C5
CHU de Quebec-Universite Laval /ID# 159093
Québec, Quebec, G1R 2J6
Cisss Du Bas-Saint-Laurent Hopital Regional de Rimouski /Id# 208931
Rimouski, Quebec, G5L 5T1
Czechia5 sites
Nemocnice Rudolfa a Stefanie /ID# 159652
Benešov, 256 01
Nemocnice Horovice a.s. /ID# 161191
Hořovice, 268 31
Krajska nemocnice Liberec a.s. /ID# 159653
Liberec, 602 00
Nemocnice Na Plesi s.r.o. /ID# 161190
Nová Ves pod Pleší, Pribram, 262 04
Thomayerova nemocnice /ID# 159061
Prague, Praha 4, 140 59
Italy5 sites
AUSL 8 Arezzo Ospedale San Don /ID# 160967
Arezzo, 52100
Istituto Europeo di Oncologia /ID# 158942
Milan, 20141
A.O.U. San Luigi Gonzaga /ID# 158945
Orbassano, 10043
Ospedale Santa Maria delle Cro /ID# 158940
Ravenna, 48121
IFO Istituto Nazionale Tumori /ID# 158941
Rome, 00144
Spain5 sites
Hospital Clinic /ID# 159031
Barcelona, 08036
Hospital Santa Creu i Sant Pau /ID# 159028
Barcelona, 08041
Hospital General Universitario Gregorio Maranon /ID# 159025
Madrid, 28007
Hospital Universitario HM Sanchinarro /ID# 159024
Madrid, 28050
Hospital Clinico Universitario de Valencia /ID# 159027
Valencia, 46010
Turkey (Türkiye)5 sites
Hacettepe University Medical Faculty /ID# 159238
Altindağ, Ankara, 06250
Inonu Universitesi Turgut Ozal /ID# 159241
Battalgazi/malatya, 44280
Ege University Medical Faculty /ID# 159239
Izmir, 35040
Dr. Suat Seren Gogus Has /ID# 159240
Izmir, 35110
Ataturk Gogus Hastaliklari ve /ID# 160056
Kecioren/ankara, 06280
Greece4 sites
General Hospital of Chest Diseases of Athens SOTIRIA /ID# 159165
Athens, 11527
Metropolitan Hospital /ID# 159162
Athens, 18547
University Hospital of Ioannin /ID# 159163
Ioannina, 45500
Euromedica General Clinic /ID# 159161
Thessaloniki, 54645
Serbia4 sites
Institut za onkologiju i radio /ID# 160058
Belgrade, 11000
Klinicki centar Srbije /ID# 160024
Belgrade, 11000
Institute For Pulmonary Diseas /ID# 158813
Kamenitz, 21204
Clinical Center of Nis /ID# 160059
Niš, Nisavski Okrug, 18000
Taiwan4 sites
Taichung Veterans General Hosp /ID# 158866
Taichung, 40705
National Cheng Kung University Hospital /ID# 158844
Tainan, Tainan, 70403
National Taiwan University Hospital /ID# 158865
Taipei City, Taipei, 100
Tri-Service General Hospital /ID# 158985
Taipei City, Taipei, 11490
Belarus3 sites
Bobruysk Interdistrict Onco. /ID# 169394
Babruysk, 213825
State Institution Republican Scientific Practical Center of Oncology and Medica /ID# 159325
Lesnoy, 223040
Mogilev Reg. Oncologic dispe /ID# 159326
Mogilev, 212018
Croatia3 sites
Klinicki bolnicki centar Rijeka /ID# 159501
Rijeka, Primorje-Gorski Kotar County, 51000
Klinicki bolnicki centar Sestre milosrdnice /ID# 158811
Zagreb, City of Zagreb, 10000
Klinika za plucne bolesti Jordanovac /ID# 159502
Zagreb, City of Zagreb, 10000
Denmark3 sites
Rigshospitalet, Finsen Centre /ID# 158051
Copenhagen, 2100
Herlev Hospital /ID# 158049
Herlev, Capital Region, 2730
Odense Universitets Hospital /ID# 158050
Odense C, Region Syddanmark, 5000
Netherlands3 sites
Universitair Medisch Centrum Groningen /ID# 158088
Groningen, 9713 GZ
Ziekenhuis St. Jansdal /ID# 158652
Harderwijk, 3844 DG
Isala /ID# 158653
Zwolle, 8025 AB
Poland3 sites
Copernicus PL Sp. z o. o., WCO /ID# 160538
Gdansk, 80-219
Szpitale Pomorskie Sp. z o.o /ID# 160536
Gdynia, 81-519
Mrukmed. Lekarz Beata Madej Mruk i Partner /ID# 160537
Rzeszów, Podkarpackie Voivodeship, 35-021
Romania3 sites
Spitalul Judetean de Urgenta A /ID# 160846
Alba, 510077
S.C. Centrul de Oncologie Sf. Nectarie S.R.L. /ID# 160847
Craiova, Dolj, 200347
Oncocenter Oncologie Clinica S /ID# 160848
Timișoara, Timiș County, 300166
Bulgaria2 sites
UMHAT Tsaritsa Joanna - ISUL /ID# 159641
Sofia, 1527
UMHAT Sv. Ivan Rilski /ID# 159642
Sofia, 1612
Latvia2 sites
Pauls Stradins Clinical /ID# 158713
Riga, LV-1002
Riga East Clinical University /ID# 158714
Riga, LV-1079
Mexico2 sites
Health Pharma Professional Research S.A de C.V /ID# 160020
Del. Benito Juárez, 03810
Centro de Investigación Clinica Chapultepec /ID# 161000
Morelia, Michoacán, 58260
Singapore2 sites
National University Hospital /ID# 158802
Singapore, 119074
National Cancer Ctr Singapore /ID# 158803
Singapore, 169610
Sweden2 sites
Sahlgrenska US Gbg /ID# 159534
Gothenburg, Västra Götaland County, 413 46
Uppsala University Hospital /ID# 159050
Uppsala, 75185
About this study
Official title: 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)
The purpose of this randomized, open-label, 2-arm, phase 3 study is to assess the efficacy, safety and tolerability of rovalpituzumab tesirine versus topotecan in participants with advanced or metastatic SCLC with high levels of DLL3, who have first disease progression during or following front-line platinum-based chemotherapy.
- Conditions
- Small Cell Lung Cancer
- Being tested
- Rovalpituzumab tesirine, Topotecan, Dexamethasone
- Keywords
- Small cell lung cancer (SCLC), Delta-like protein 3 (DLL3), rovalpituzumab tesirine, topotecan, metastatic
- Medical subject headings
- Small Cell Lung Carcinoma, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rovalpituzumab tesirineDrug
Also called Rova-T
Powder for solution for infusion in vials.
TopotecanDrug
Powder or solution for infusion in vials. Topotecan is commercially available as both a powder and solution for infusion. Availability will vary by region.
DexamethasoneDrug
Oral tablet.
| Study group | Role | What they receive |
|---|---|---|
| Rovalpituzumab tesirine | Experimental | Rovalpituzumab tesirine IV administration (dosing based on actual body weight) on Day 1 of a 42-day cycle for 2 cycles, with up to 2 additional cycles permitted.
Dexamethasone coadministered orally (PO) twice daily at a dose of 8 mg on Day -1, Day 1, and Day 2 of each 42-day cycle in which rovalpituzumab tesirine is administered. Receives: Drug: Rovalpituzumab tesirine; Drug: Dexamethasone |
| Topotecan | Active comparator | Topotecan given as an intravenous (IV) infusion over 30 minutes at a dose of 1.5 mg/m^2 on Days 1 to 5 of each 21-day cycle. Receives: Drug: Topotecan |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
OS is defined as the time from the date of randomization to the date of death from any cause. Participants were censored at the last date they were documented alive. After the End of treatment, survival information was collected at approximately 6-week intervals (or as requested by sponsor to support data analysis) continuing until the endpoint of death, the participant became lost to follow-up, AbbVie terminated the study, or until 12 February 2020. Calculated using the Kaplan-Meier product-limit method.
Measured: From randomization until the end of study; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.
Secondary outcomes (5)
Progression Free Survival (PFS)
PFS is defined as the number of months from the date of randomization until the date of first progression or the date of a participant's death, whichever occurs first. If a participant neither experienced disease progression nor died, then the participant's data were censored at the last date of radiographic assessment that they were documented to be progression free. Calculated using the Kaplan-Meier product-limit method.
Radiographic tumor assessments for response were conducted by CT scanning according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1. Progressive Disease (PD) was defined as at least a 20% increase in the size of target lesions and an absolute increase of at least 5 mm taking as reference the smallest lesion size recorded since the treatment started (baseline or after), or the appearance of one or more new lesions.
Measured: From randomization until the end of study; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.
Change From Baseline of the Physical Functioning Scale Score in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15-Palliative Care (EORTC QLQ-C15-PAL) at Week 7
The EORTC QLQ-C15-PAL is an abbreviated 15-item version of the EORTC core quality of life questionnaire (EORTC QLQ-C30) developed for use in palliative care. The score of 'physical functioning scale' score ranges from 0 (very poor) to 100 (excellent).
Measured: Baseline, Week 7
Objective Response Rate (ORR)
ORR is defined as the percentage of participants whose best overall response is either complete response (CR) or partial response (PR) according to RECIST version 1.1. Radiographic tumor assessments for response were conducted by CT scanning, and assessed from the date of randomization until disease progression or death, whichever came first. Any participant who did not meet CR or PR, including those who did not have post-baseline radiological assessments were considered non-responders.
CR: Disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Measured: Radiographic tumor assessments were conducted at baseline, every 6 weeks for 30 weeks, then every 9 weeks until progression or death; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.
Clinical Benefit Rate (CBR)
CBR is defined as percentage of participants whose best overall response is CR, PR, or stable disease (SD) according to RECIST version 1.1. Radiographic tumor assessments for response were conducted by CT scanning, and assessed from the date of randomization until disease progression or death, whichever came first. Any participant who did not meet CR, PR, or SD, including those who did not have post-baseline radiological assessments were considered as experiencing no clinical benefit.
CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: at least 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 PD, taking as reference the smallest sum diameters while on study.
Measured: Radiographic tumor assessments were conducted at baseline, every 6 weeks for 30 weeks, then every 9 weeks until progression or death; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.
Duration of Objective Response (DOR)
DOR is defined as the time between the date of first response (CR or PR, whichever is recorded first) to the date of the first documented tumor progression (per RECIST version 1.1) or death due to any cause, whichever comes first. Radiographic tumor assessments for response were conducted by CT scanning, and assessed from the date of randomization until disease progression or death, whichever came first. Any participant who did not meet CR or PR, including those who did not have post-baseline radiological assessments were considered non-responders.
CR: Disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Measured: Radiographic tumor assessments were conducted at baseline, every 6 weeks for 30 weeks, then every 9 weeks until progression or death; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Feb 2017
- Study start11 Apr 2017
- Primary completion12 Feb 2020
- Study completion12 Feb 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by AbbVieThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 444 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- AbbVie Inc., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03061812
- Sponsor's protocol ID
- M16-289
- Other IDs
- 2016-003726-17, 2016
- Acronym
- TAHOE
- Status last verified
- Feb 2021
- First submitted
- 20 Feb 2017
- Last updated
- 23 Feb 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
- Expanded access
- Available
Publications
Morgensztern D, Besse B, Greillier L, Santana-Davila R, Ready N, Hann CL, Glisson BS, Farago AF, Dowlati A, Rudin CM, Le Moulec S, Lally S, Yalamanchili S, Wolf J, Govindan R, Carbone DP. Efficacy and Safety of Rovalpituzumab Tesirine in Third-Line and Beyond Patients with DLL3-Expressing, Relapsed/Refractory Small-Cell Lung Cancer: Results From the Phase II TRINITY Study. Clin Cancer Res. 2019 Dec 1;25(23):6958-6966. doi: 10.1158/1078-0432.CCR-19-1133. Epub 2019 Sep 10.
PubMed 31506387Tanaka K, Isse K, Fujihira T, Takenoyama M, Saunders L, Bheddah S, Nakanishi Y, Okamoto I. Prevalence of Delta-like protein 3 expression in patients with small cell lung cancer. Lung Cancer. 2018 Jan;115:116-120. doi: 10.1016/j.lungcan.2017.11.018. Epub 2017 Nov 22.
PubMed 29290251
Study at a glance
From the registry record, last updated by the sponsor on 23 Feb 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- 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)
- ClinicalTrials.gov ID
- NCT03061812
- Acronym / sponsor ID
- TAHOE / M16-289
- Conditions
- Small Cell Lung Cancer
- Keywords
- Small cell lung cancer (SCLC), Delta-like protein 3 (DLL3), rovalpituzumab tesirine, topotecan, metastatic
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 444 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 11 Apr 2017 (actual)
- Primary completion
- 12 Feb 2020 (actual)
- Study completion
- 12 Feb 2020 (actual)
- First posted
- 23 Feb 2017 (actual)
- Results
- Posted 23 Feb 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this randomized, open-label, 2-arm, phase 3 study is to assess the efficacy, safety and tolerability of rovalpituzumab tesirine versus topotecan in participants with advanced or metastatic SCLC with high levels of DLL3, who have first disease progression during or following front-line platinum-based chemotherapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Rovalpituzumab tesirine | Experimental | Drug: Rovalpituzumab tesirine, Drug: DexamethasoneRovalpituzumab tesirine IV administration (dosing based on actual body weight) on Day 1 of a 42-day cycle for 2 cycles, with up to 2 additional cycles permitted. Dexamethasone coadministered orally (PO) twice daily at a dose of 8 mg on Day -1, Day 1, and Day 2 of each 42-day cycle in which rovalpituzumab tesirine is administered. |
| Topotecan | Active comparator | Drug: TopotecanTopotecan given as an intravenous (IV) infusion over 30 minutes at a dose of 1.5 mg/m^2 on Days 1 to 5 of each 21-day cycle. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Participant must have histologically or cytologically confirmed advanced or metastatic Small Cell Lung Cancer (SCLC) with documented first disease progression during or following front-line platinum-based systemic regimen
- Tumor must have high Delta-like protein 3 (DLL3) expression defined as having ≥ 75% tumor cells staining positive according to the VENTANA DLL3 (SP347) IHC Assay.
- Participant must have measurable disease, as defined per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
- Participant must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Participant must have recovery to Grade 0 or 1 of any clinically significant toxicity (excluding alopecia) prior to initiation of study drug administration.
Key exclusion criteria (6 listed)
- Participant has a 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 Class (NYHA) III - IV within 6 months prior to their first dose of study drug.
- Participant has known leptomeningeal metastases.
- Participant has received more than one prior systemic therapy regimen for SCLC.
- Participant had a serious infection within 2 weeks prior to randomization, including any Grade 3 or higher viral, bacterial, or fungal infection.
- Participant has a history of active malignancies other than SCLC within the past 2 years prior to study entry, with the exception of in situ cancer which was curatively treated.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Rovalpituzumab tesirineAlso: Rova-TPowder for solution for infusion in vials. | Drug | Rovalpituzumab tesirine |
| TopotecanPowder or solution for infusion in vials. Topotecan is commercially available as both a powder and solution for infusion. Availability will vary by region. | Drug | Topotecan |
| DexamethasoneOral tablet. | Drug | Rovalpituzumab tesirine |
Primary outcome
Overall Survival (OS)
Time frame: From randomization until the end of study; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.
OS is defined as the time from the date of randomization to the date of death from any cause. Participants were censored at the last date they were documented alive. After the End of treatment, survival information was collected at approximately 6-week intervals (or as requested by sponsor to support data analysis) continuing until the endpoint of death, the participant became lost to follow-up, AbbVie terminated the study, or until 12 February 2020. Calculated using the Kaplan-Meier product-limit method.
5 secondary outcomes
Progression Free Survival (PFS)
Time frame: From randomization until the end of study; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.
Change From Baseline of the Physical Functioning Scale Score in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15-Palliative Care (EORTC QLQ-C15-PAL) at Week 7
Time frame: Baseline, Week 7
Objective Response Rate (ORR)
Time frame: Radiographic tumor assessments were conducted at baseline, every 6 weeks for 30 weeks, then every 9 weeks until progression or death; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.
Clinical Benefit Rate (CBR)
Time frame: Radiographic tumor assessments were conducted at baseline, every 6 weeks for 30 weeks, then every 9 weeks until progression or death; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.
Duration of Objective Response (DOR)
Time frame: Radiographic tumor assessments were conducted at baseline, every 6 weeks for 30 weeks, then every 9 weeks until progression or death; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Feb 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 31506387Morgensztern D, Besse B, Greillier L, Santana-Davila R, Ready N, Hann CL, Glisson BS, Farago AF, Dowlati A, Rudin CM, Le Moulec S, Lally S, Yalamanchili S, Wolf J, Govindan R, Carbone DP. Efficacy and Safety of Rovalpituzumab Tesirine in Third-Line and Beyond Patients with DLL3-Expressing, Relapsed/Refractory Small-Cell Lung Cancer: Results From the Phase II TRINITY Study. Clin Cancer Res. 2019 Dec 1;25(23):6958-6966. doi: 10.1158/1078-0432.CCR-19-1133. Epub 2019 Sep 10.
- Derived from this study: PubMed 29290251Tanaka K, Isse K, Fujihira T, Takenoyama M, Saunders L, Bheddah S, Nakanishi Y, Okamoto I. Prevalence of Delta-like protein 3 expression in patients with small cell lung cancer. Lung Cancer. 2018 Jan;115:116-120. doi: 10.1016/j.lungcan.2017.11.018. Epub 2017 Nov 22.
- Individual participant dataSharing planned: Yes. AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
AbbVie Inc. study director
AbbVie
195 sites in 33 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Rovalpituzumab tesirine, Topotecan and Dexamethasone in people with Small Cell Lung Cancer, run by AbbVie at 195 sites in 33 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 23 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 195 sites in United States, Japan, Russia, South Korea, Ukraine and 28 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 23 Feb 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (OS) (time frame: From randomization until the end of study; median time on follow-up was 20 and 20.6 months for the topotecan and rovalpituzumab tesirine arms, respectively.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03061812, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Feb 2021.