Clinical Trials for Ovarian Cancer

Phase II Clinical Trial Combining the Hedgehog Inhibitor Vismodegib With the PD-L1 Inhibitor Atezolizumab in Patients With Platinum Resistant Ovarian, Fallopian Tube, and Primary Peritoneal Cancer

Moderate burden on patient

The trial has a moderate burden on patients. An example would be a trial testing an IV drug, with scans every 8 weeks which would be more frequent than standard of care.

HealthScout AI summary: Adults with platinum-resistant epithelial ovarian, fallopian tube, or primary peritoneal cancer (ECOG 0–1) receive vismodegib 150 mg PO daily (SMO/Hedgehog inhibitor) plus atezolizumab 1200 mg IV q3w (PD-L1 inhibitor). Single-arm study assessing safety and antitumor activity with RECIST/iRECIST; excludes active autoimmune disease and other major comorbidities.

ClinicalTrials.gov ID: NCT05538091

Randomized Phase 2 Trial of Maintenance Oral Etoposide or Observation Following High-dose Chemotherapy for Relapsed Metastatic Germ-Cell Tumor

Low burden on patient

The trial has a low burden on patients. An example would be a trial testing an oral drug, with scans every 12 weeks which would be similar to standard of care.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

HealthScout AI summary: Adults with relapsed non-seminomatous germ-cell tumor (including ovarian GCT) who completed two tandem cycles of high-dose chemotherapy with peripheral-blood stem-cell transplant and have nonrising AFP/hCG are randomized to maintenance oral etoposide 50 mg daily versus observation. Etoposide is a cytotoxic topoisomerase II inhibitor used here as low-dose maintenance to reduce micrometastatic relapse risk.

ClinicalTrials.gov ID: NCT04804007

A Phase II Trial of Belzutifan in Patients With Recurrent or Persistent Clear Cell Carcinoma of the Ovary

Moderate burden on patient

The trial has a moderate burden on patients. An example would be a trial testing an IV drug, with scans every 8 weeks which would be more frequent than standard of care.

HealthScout AI summary: Single-arm study of oral belzutifan, a selective HIF-2α inhibitor, for adults with recurrent or persistent clear cell ovarian carcinoma (≥50% clear cell if mixed) with measurable disease after at least one prior platinum regimen; prior bevacizumab and immunotherapy allowed and treated/stable brain metastases permitted. Patients receive daily belzutifan in 28-day cycles until progression/toxicity, with primary endpoints of ORR and 6-month PFS; class-toxicities include anemia and hypoxia.

ClinicalTrials.gov ID: NCT06677190

Phase I/Ib Trial Evaluating the Safety and Efficacy of BET Inhibitor, ZEN003694 With PD-1 Inhibitor, Nivolumab With or Without CTLA-4 Inhibitor, Ipilimumab in Solid Tumors

Active drug

Investigational drug(s) in this trial have shown anticancer activity in clinical trials

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

HealthScout AI summary: Adults with metastatic or recurrent solid tumors lacking effective options (dose escalation) and an expansion cohort of recurrent, platinum‑resistant BRCA‑wild‑type epithelial ovarian cancer receive the oral pan‑BET inhibitor ZEN003694 (targets BRD2/3/4/BRDT; suppresses MYC and HR gene expression) combined with nivolumab, with or without low‑dose ipilimumab. Prior PD‑1/PD‑L1/CTLA‑4 therapy is generally excluded, ECOG 0–1 and measurable/biopsiable disease required.

ClinicalTrials.gov ID: NCT04840589

A Phase 2, Open-label, Single-arm Study Of Autologous Memory Cytokine Enriched Natural Killer (M-CENK) Adoptive Cell Therapy And N-803 (IL-15 Superagonist) In Combination With Gemcitabine In Participants With Recurrent Platinum-Resistant High-Grade Ovarian Cancer

Investigational drug late phase

The trial is testing an investigational drug and is at least phase 2, suggesting that the drug has shown promise in phase 1 studies and might have a high chance of working well compared to other investigational drugs.

No known activity

No investigational drug(s) in this trial have shown anticancer activity yet in clinical trials

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

HealthScout AI summary: Adults with recurrent, platinum‑resistant high‑grade epithelial ovarian, primary peritoneal, or fallopian tube cancer (ECOG 0–1; prior bevacizumab required and PARP inhibitor if BRCA+) receive gemcitabine plus autologous memory‑like NK cell therapy (M‑CENK) with N‑803, an IL‑15 superagonist that expands NK and CD8 T cells. The regimen starts with gemcitabine, then adds repeated M‑CENK infusions and subcutaneous N‑803 from cycle 2 until cell product exhaustion or progression.

ClinicalTrials.gov ID: NCT06710288

A Phase 1/2, Open-label, Dose-escalation Trial of Tumor Necrosis Factor Alpha and Interleukin-2 Coding Oncolytic Adenovirus (TILT-123) in Combination With Pembrolizumab (Phase 1 and Phase 2) and Pembrolizumab and Pegylated Liposomal Doxorubicin (Phase 1b) in Patients With Platinum Resistant or Refractory Ovarian Cancer

Active drug

Investigational drug(s) in this trial have shown anticancer activity in clinical trials

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

HealthScout AI summary: Adults with platinum-resistant or -refractory recurrent ovarian, fallopian tube, or primary peritoneal cancer with a lesion amenable to intratumoral/intraperitoneal injection receive the oncolytic adenovirus TILT-123 (igrelimogene litadenorepvec; tumor-selective adenovirus expressing TNFα and IL-2 to inflame TME and recruit/activate T cells) plus pembrolizumab, with a cohort also adding pegylated liposomal doxorubicin. Suitable for ECOG 0–1 patients without active autoimmune disease; Phase 1/1b defines dose and evaluates the triplet, and Phase 2 expands TILT-123 + pembrolizumab.

ClinicalTrials.gov ID: NCT05271318

Randomized, Multicenter, Open-label, Phase 3 Study of Mirvetuximab Soravtansine in Combination With Bevacizumab Versus Bevacizumab Alone as Maintenance Therapy for Patients With FRα-high Recurrent Platinum-sensitive Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancers Who Have Not Progressed After Second Line Platinum-based Chemotherapy Plus Bevacizumab

Moderate burden on patient

The trial has a moderate burden on patients. An example would be a trial testing an IV drug, with scans every 8 weeks which would be more frequent than standard of care.

HealthScout AI summary: Maintenance trial for adult women with FRα-high, platinum-sensitive recurrent high-grade serous ovarian/fallopian tube/primary peritoneal cancer who have not progressed after second-line platinum plus bevacizumab, randomized to bevacizumab alone vs bevacizumab plus mirvetuximab soravtansine (an FRα-targeted antibody–drug conjugate delivering the microtubule-disrupting payload DM4). Excludes non–high-grade serous histologies, progression on platinum, prior FRα-targeted therapy, significant ocular disease, and untreated/symptomatic CNS metastases.

ClinicalTrials.gov ID: NCT05445778

A Phase 1b Study of ZN-c3 in Combination With Chemotherapy or Bevacizumab in Subjects With Ovarian, Peritoneal, or Fallopian Tube Cancer

Active drug

Investigational drug(s) in this trial have shown anticancer activity in clinical trials

High burden on patient

The trial has a high burden on patients. An example would be a phase 1 trial with extra tumor biopsies and frequent pharmacokinetic blood draws.

Started >3 years ago

The trial was activated more than 3 years ago. This is not always bad but can indicate that the trial has less current treatments, or has had trouble getting enough patients to enroll due to other issues.

HealthScout AI summary: Recurrent high‑grade serous epithelial ovarian, fallopian tube, or primary peritoneal cancer after 1–2 prior lines, measurable disease, enrolling to receive the oral WEE1 kinase inhibitor azenosertib (ZN‑c3) combined with standard relapse regimens (carboplatin, PLD, paclitaxel, gemcitabine) or bevacizumab. WEE1 inhibition abrogates G2/M and intra‑S checkpoints to force mitotic catastrophe; study is multi‑arm dose‑escalation/expansion to define safe doses and assess preliminary activity.

ClinicalTrials.gov ID: NCT04516447

A Phase III Trial of One vs. Two Years of Maintenance Olaparib, With or Without Bevacizumab, in Patients With BRCA1/2 Mutated or Homologous Recombination Deficient (HRD+) Ovarian Cancer Following Response to First Line Platinum-Based Chemotherapy

Moderate burden on patient

The trial has a moderate burden on patients. An example would be a trial testing an IV drug, with scans every 8 weeks which would be more frequent than standard of care.

HealthScout AI summary: Adults with newly diagnosed FIGO stage III–IV high‑grade serous/endometrioid ovarian, fallopian tube, or primary peritoneal cancer with pathogenic BRCA1/2 mutation or HRD+ status after response to first‑line platinum are randomized to maintenance olaparib for 1 year vs 2 years, with optional bevacizumab. Olaparib is an oral PARP1/2 inhibitor exploiting HRD via synthetic lethality; bevacizumab is an anti‑VEGF monoclonal antibody given at physician discretion for up to 1 year.

ClinicalTrials.gov ID: NCT06580314

A Phase II Evaluation of Sacituzumab Govitecan (IMMU-132), an Anti-Trop-2-SN-38 Antibody-drug Conjugate in Recurrent or Persistent Platinum-resistant Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancers

Moderate burden on patient

The trial has a moderate burden on patients. An example would be a trial testing an IV drug, with scans every 8 weeks which would be more frequent than standard of care.

HealthScout AI summary: Adults with platinum-resistant recurrent or persistent non-mucinous epithelial ovarian, fallopian tube, or primary peritoneal cancer (≤2 prior relapse lines, measurable disease, ECOG 0–1) receive sacituzumab govitecan 10 mg/kg IV D1/D8 q21d. Sacituzumab govitecan is a TROP‑2–targeting antibody–drug conjugate delivering SN‑38 (topoisomerase I inhibitor); key exclusions include bulky disease >7 cm without PI approval, prior topo I inhibitors/irinotecan intolerance, active CNS disease, and uncontrolled infections or GI complications.

ClinicalTrials.gov ID: NCT06028932