FDA Approves Tivdak for Cervical Cancer

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FDA has granted Genmab and Seagen accelerated approval for their BLA for Tivdak (tisotumab vedotin-tftv), an antibody-drug conjugate (ADC) for treating adult patients with recurrent or metastatic cervical cancer with disease progression on or after chemotherapy. Approval was based on data from the innovaTV 204 clinical trial that evaluated 101 patients with recurrent or metastatic cervical cancer who had received no more than two prior systemic regimens in the recurrent or metastatic setting, including at least one prior platinum-based chemotherapy regimen, according to the companies. Results from the trial showed a 24% confirmed objective response rate, and the median duration of response was 8.3 months, they say.

 

FDA’s approval also requires a Boxed Warning in Tidvak’s prescribing information for ocular toxicity, and Warnings for peripheral neuropathy, hemorrhage, pneumonitis, and embryo-fetal toxicity.

 

Tidvak is an ADC comprising Genmab’s human monoclonal antibody directed to tissue factor (TF) and Seagen’s ADC technology that utilizes a protease-cleavable linker that covalently attaches the microtubule-disrupting agent monomethyl auristatin E (MMAE) to the antibody, according to the companies. “Nonclinical data suggests that the anticancer activity of Tivdak is due to the binding of the ADC to TF expressing cancer cells, followed by internalization of the ADC-TF complex, and release of MMAE via proteolytic cleavage,” they say. “MMAE disrupts the microtubule network of actively dividing cells, leading to cell cycle arrest and apoptotic cell death.”

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