INCB123667 for platinum-resistant ovarian cancer with Cyclin E1 overexpression
A Phase 2, Single-Arm Study of INCB123667 in Participants With Platinum-Resistant Ovarian Cancer With Cyclin E1 Overexpression (MAESTRA 1)
This study tests whether INCB123667 can help people with platinum-resistant high-grade serous ovarian, fallopian tube, or primary peritoneal cancer whose tumors overexpress Cyclin E1.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Enrollment | 160 (estimated) |
| Ages | 18 Years to 99 Years |
| Sex | Female |
| Sponsor | Incyte Corporation Industry-sponsored |
| Drugs / interventions | bevacizumab, mirvetuximab |
| Locations | 82 sites (Mobile, Alabama and 81 other locations) |
| Trial ID | NCT07023627 on ClinicalTrials.gov |
What this trial studies
This is a Phase 2 interventional trial giving INCB123667 to participants with platinum-resistant high-grade serous ovarian, fallopian tube, or primary peritoneal cancer that shows Cyclin E1 overexpression. Eligible participants must have had 1–4 prior lines of systemic therapy, meet the study definition of platinum resistance, and provide a pretreatment biopsy or an archival tumor sample no older than five years. Participants are expected to have received bevacizumab unless it was contraindicated, and treatment will occur at multiple U.S. cancer centers under Incyte sponsorship with ENGOT and GOG collaboration. The protocol focuses on safety and signs of anti-tumor activity in this molecularly selected population.
Who should consider this trial
Good fit: Ideal candidates are adults with high-grade serous epithelial ovarian, fallopian tube, or primary peritoneal cancer that is platinum-resistant, have 1–4 prior lines of systemic therapy, tumors that overexpress Cyclin E1, and are willing to provide a pretreatment biopsy (or archival tissue ≤5 years).
Not a fit: Patients whose tumors do not overexpress Cyclin E1, who are platinum-sensitive, have had more than four prior systemic lines, or who cannot provide suitable tissue are unlikely to benefit from this study.
Why it matters
Potential benefit: If successful, this approach could provide a targeted treatment option for patients with platinum-resistant ovarian cancers driven by Cyclin E1 overexpression.
How similar studies have performed: Targeting Cyclin E1 is a relatively novel strategy with limited published clinical data to date and mixed early‑phase results for related approaches.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Histological diagnosis of a high-grade serous epithelial ovarian, fallopian tube, or primary peritoneal cancer. * Have platinum-resistant disease: * Participants who have only had 1 line of platinum-based therapy must have received at least 4 cycles of a platinum-containing regimen. * Participants who have received 2 to 4 lines of platinum-based therapy must have progressed on or within 6 months after the last dose of platinum. * Willingness to undergo a pretreatment biopsy. Note: Tissue from a fresh pretreatment biopsy is preferred, however an archival sample is acceptable as long as the sample is no older than 5 years. * Received at least 1 and no more than 4 prior lines of systemic therapy following the initial diagnosis, after which single-agent therapy is considered an appropriate next therapeutic option. * Must have received bevacizumab unless there was a contraindication for its use. * If the tumor tests positive for FRα, participants must have received mirvetuximab soravtansine unless there is an exception for its use on medical grounds. Exclusion Criteria: * Have endometrioid, clear cell, mucinous, or sarcomatous histology, mixed tumors containing any of these histologies, or low-grade/borderline ovarian cancer. * Have primary platinum-refractory disease: either did not respond (CR or PR) to first-line platinum-containing therapy or progressed on or within 3 months after the last dose of the first line platinum-containing therapy. * The tumor tests positive for FRα but the participant has not received mirvetuximab soravtansine for any reason other than medical contraindication. * Clinically significant or uncontrolled cardiac disease within 6 months before the first dose of study drug. * Known active CNS metastases and/or carcinomatous meningitis. * Known additional malignancy that is progressing or requires active treatment. Other protocol-defined Inclusion/Exclusion Criteria may apply.
Where this trial is running
Mobile, Alabama and 81 other locations
- Usa Health Mitchell Cancer Institute — Mobile, Alabama, United States (Not_yet_recruiting)
- Uams Winthrop P Rockefeller Cancer Institute — Little Rock, Arkansas, United States (Not_yet_recruiting)
- University of California, Los Angeles Medical Center — Los Angeles, California, United States (Recruiting)
- Scripps Healthscripps Mercy Hospital Prebys Cancer Center — San Diego, California, United States (Recruiting)
- Medstar Georgetown University Hospital — Washington D.C., District of Columbia, United States (Recruiting)
- Florida Cancer Specialists & Research Institute — Fort Myers, Florida, United States (Recruiting)
- Mayo Clinic — Jacksonville, Florida, United States (Withdrawn)
- Sylvester Comprehensive Cancer Center — Miami, Florida, United States (Not_yet_recruiting)
- Mount Sinai Comprehensive Cancer Center — Miami Beach, Florida, United States (Recruiting)
- Florida Cancer Specialists & Research Institute — West Palm Beach, Florida, United States (Recruiting)
- Northeast Georgia Medical Center Gainesville — Gainesville, Georgia, United States (Recruiting)
- Parkview Research Center — Fort Wayne, Indiana, United States (Recruiting)
- University of Iowa Hospital and Clinics — Iowa City, Iowa, United States (Not_yet_recruiting)
- Norton Cancer Institute — Louisville, Kentucky, United States (Recruiting)
- Trials365, Llc — Shreveport, Louisiana, United States (Recruiting)
- Greater Baltimore Medical Center — Baltimore, Maryland, United States (Recruiting)
- Massachusetts General Hospital — Boston, Massachusetts, United States (Recruiting)
- Umass Memorial Medical Center, Inc. — Worcester, Massachusetts, United States (Not_yet_recruiting)
- University of Michigan Cancer Center — Ann Arbor, Michigan, United States (Withdrawn)
- University of Michigan Health System — Ann Arbor, Michigan, United States (Not_yet_recruiting)
- Minnesota Oncology-Minneapolis — Minneapolis, Minnesota, United States (Recruiting)
- University of Mississippi Medical Center — Jackson, Mississippi, United States (Not_yet_recruiting)
- Washington University — St Louis, Missouri, United States (Recruiting)
- St. Vincent Regional Hospital - West End Clinic — Billings, Montana, United States (Recruiting)
- Nebraska Methodist Hospital — Omaha, Nebraska, United States (Recruiting)
- John Theurer Cancer Center, Hackensack University Medical Center — Hackensack, New Jersey, United States (Recruiting)
- Laura and Isaac Perlmutter Cancer Center — New York, New York, United States (Recruiting)
- University of Rochester, James P. Wilmot Cancer Center — Rochester, New York, United States (Withdrawn)
- State University of New York Upstate Medical Unive — Syracuse, New York, United States (Not_yet_recruiting)
- Oncology Hematology Care, Inc — Cincinnati, Ohio, United States (Recruiting)
- The Mark H Zangmeister Cancer Center Ohio — Columbus, Ohio, United States (Recruiting)
- The Ohio State University Wexner Medical Center Division of Gynecologic Oncology — Hilliard, Ohio, United States (Not_yet_recruiting)
- Penn State College of Medicine — Hershey, Pennsylvania, United States (Not_yet_recruiting)
- Asplundh Cancer Pavilion - Thomas Jefferson — Willow Grove, Pennsylvania, United States (Withdrawn)
- Medical University of South Carolina — Charleston, South Carolina, United States (Not_yet_recruiting)
- Texas Oncology-Austin Center — Austin, Texas, United States (Recruiting)
- Houston Methodist Cancer Center — Houston, Texas, United States (Withdrawn)
- Texas Oncology-San Antonio Medical Center Pharmacy — San Antonio, Texas, United States (Recruiting)
- Texas Oncology-Tyler — Tyler, Texas, United States (Recruiting)
- Utah Cancer Specialists — Salt Lake City, Utah, United States (Recruiting)
- Virginia Cancer Specialists — Fairfax, Virginia, United States (Recruiting)
- Carilion Clinic — Roanoke, Virginia, United States (Recruiting)
- West Virginia University — Morgantown, West Virginia, United States (Recruiting)
- Froedtert & the Medical College of Wisconsin — Milwaukee, Wisconsin, United States (Not_yet_recruiting)
- Blacktown Cancer & Haematology Centre-Blacktown Hospital — Blacktown, New South Wales, Australia (Not_yet_recruiting)
- Concord General Repatriation Hospital — Concord, New South Wales, Australia (Not_yet_recruiting)
- Burnside War Memorial Hospital - the Brian Fricker Oncology Centre — Adelaide, South Australia, Australia (Not_yet_recruiting)
- Hobart Hospital-Royal Hobart Hospital — Hobart, Tasmania, Australia (Recruiting)
- Cancer Research Sa (Crsa) — Adelaide, Australia (Recruiting)
- Southern Oncology Clinical Research Unit — South Australia, Australia (Withdrawn)
+32 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Incyte Corporation Call Center (US)
- Email: medinfo@incyte.com
- Phone: 1.855.463.3463
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.