TY - JOUR T1 - EPV255/#120 Tisotumab vedotin vs investigator’s choice chemotherapy in second- or third-line recurrent or metastatic cervical cancer (innovatv 301/ENGOT-CX12/GOG-3057, trial in progress) JF - International Journal of Gynecologic Cancer JO - Int J Gynecol Cancer SP - A129 LP - A130 DO - 10.1136/ijgc-2021-IGCS.326 VL - 31 IS - Suppl 4 AU - I Vergote AU - LM Randall AU - E Kalbacher AU - K Madsen AU - E Van Nieuwenhuysen AU - A González-Martín AU - D Cibula AU - B Monk AU - L Woelber AU - S Banerjee AU - A Westermann AU - N Colombo AU - D Lorusso AU - P Calvert AU - RL Coleman AU - C Marth AU - I Soumaoro AU - S Jain AU - B Slomovitz Y1 - 2021/11/01 UR - http://ijgc.bmj.com/content/31/Suppl_4/A129.2.abstract N2 - Objectives Doublet chemotherapy (paclitaxel plus either platinum or topotecan) with bevacizumab (if eligible) is recommended for first–line treatment of recurrent/metastatic cervical cancer (r/mCC; Tewari 2014). In the second–line setting, there are limited data for available treatment options. Tisotumab vedotin (TV) is an investigational antibody–drug conjugate directed to tissue factor. In the phase 2 pivotal trial (innovaTV 204/ENGOT-cx6/GOG-3023) in r/mCC patients with disease progression on or after chemotherapy, TV demonstrated clinically meaningful and durable activity (objective response rate [ORR]: 24%; median duration of response [DOR]: 8.3 months) with a manageable and tolerable safety profile. Most adverse events associated with TV were mild to moderate. These findings support further investigation of TV in patients with r/mCC who progress on first–line treatment.Methods innovaTV 301/ENGOT-cx12/GOG-3057 (NCT04697628) is a global, randomized, open-label, phase 3 trial evaluating efficacy and safety of TV in patients with previously treated r/mCC. Eligible patients are ≥18 years, have r/mCC, and have progressed after 1–2 prior lines of therapy (either standard of care systemic chemotherapy doublet or platinum-based therapy with bevacizumab, if eligible). Approximately 482 patients will be randomized 1:1 to receive 21–day cycles of TV (2.0 mg/kg IV once every 3 weeks) or investigator’s choice of chemotherapy: topotecan, vinorelbine, gemcitabine, irinotecan, or pemetrexed. The primary endpoint is overall survival. Key secondary endpoints are progression-free survival, ORR, time to response, DOR, safety, and quality of life outcomes. The study is enrolling and will have sites in the USA, Europe, Japan, Latin America, Taiwan, Singapore, and South Korea.Results Not applicable.Conclusions Not applicable. ER -