The primary purpose is to assess the safety and tolerability of tilvestamab following IV administration of multiple doses to participants with HGSOC who have been treated with at least 1 complete course of platinum-based chemotherapy and whose disease has relapsed with platinum resistance (\[PRR\]-HGSOC) and to determine the plasma pharmacokinetics (PK) exposure by comprehensive profiling (at single dose and steady-state) of multiple ascending doses of tilvestamab.
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Inclusion Criteria: * Females of non-childbearing potential at the time of provision of informed consent * Ability to understand and provide written confirmation of informed consent after reading study information, discussion with the investigator, and adequate time to decide on participation * Consents to storage of study-related samples and data for exploratory use * Histologically confirmed HGSOC * Platinum-resistant relapsed disease; defined as progressive disease based on imaging within \<= 6 months from completion of most recent regimen Exclusion Criteria: * Primary platinum-refractory disease (ie, progression during the first platinum regimen or within 4 weeks of completion of the first platinum regimen) with rapid progression and life-threatening disease manifestation * Life expectancy \< 6 months * Concurrent anticancer therapy * Participants who are breastfeeding * Known uncontrolled central nervous system metastases. Participants without known brain metastases do not require radiological imaging prior to enrolment