ROMVIMZA was studied inMOTION: A global multicenter, randomized, double‑blind, placebo‑controlled, phase 3 study in 123 patients with symptomatic TGCT1,2
*After the double‑blind period, patients had the option to continue on ROMVIMZA, and patients receiving placebo had the option to cross over and receive ROMVIMZA.2
Key eligibility criteria3
Patients 18 years or older
Confirmed diagnosis of symptomatic TGCT for which surgical resection would potentially cause worsening functional limitation or severe morbidity
Key exclusion criteria3
Previous use of systemic therapy (investigational or approved) targeting CSF1 or CSF1R
Previous treatment with imatinib or nilotinib was allowed
Tumor response at 25 weeks (6 months)1
- Primary endpoint: Objective response rate (ORR) in tumor length by
RECIST v1.1 by IRR - Key secondary endpoint: ORR in tumor volume by tumor volume score (TVS)
by IRR
Symptomatic and functional outcomes at 25 weeks (6 months)1
Additional key secondary endpoints:
- Range of motion (ROM):change from baseline in active ROM
- Physical function:change from baseline
in PROMIS‑PF - Pain:patient-reported BPI-30 worst pain response rate
BPI=Brief Pain Inventory; CSF1=colony‑stimulating factor 1; CSF1R=colony‑stimulating factor 1 receptor; IRR=independent radiologic review; PROMIS‑PF=Patient‑Reported Outcomes Measurement Information System Physical Function (TGCT‑specific); RECIST v1.1=Response Evaluation Criteria in Solid Tumors version 1.1; TGCT=tenosynovial giant cell tumor.
The MOTION study included
a broad range of patients1,2
ROMVIMZA n=83 | Placebo n=40 | |
---|---|---|
Median (IQR) age, years | 45 (33-53) | 43 (31-53) |
Sex | ||
Female | 46 (55%) | 27 (68%) |
Male | 37 (45%) | 13 (33%) |
Affected Joint | ||
Knee | 56 (67%) | 27 (68%) |
Ankle | 9 (11%) | 6 (15%) |
Hip | 11 (13%) | 1 (3%) |
Other† | 7 (8%) | 6 (15%) |
Prior TGCT surgery or procedure‡ | 64 (77%) | 27 (68%) |
0 surgeries | 19 (23%) | 13 (33%) |
1 surgery | 28 (34%) | 14 (35%) |
2-3 surgeries | 26 (31%) | 11 (28%) |
≥4 surgeries | 10 (12%) | 2 (5%) |
Prior TGCT systemic therapy | 19 (23%) | 9 (23%)§ |
Imatinib | 16 (19%) | 7 (18%) |
Nilotinib | 2 (2%) | 4 (10%) |
Other‖ | 1 (1%) | 0 |
†Includes foot, wrist, hand, shoulder, elbow, and temporomandibular joint.
‡All patients had histologically confirmed TGCT per diagnostic biopsy or existing pathology report; diagnostic biopsies were not recorded as a prior surgery or procedure.
§Two patients in the placebo arm received both imatinib and nilotinib.
‖Includes an investigational agent (BP 27 672).
IQR=interquartile range; TGCT=tenosynovial giant cell tumor.