Rina-S plus standard care versus standard care as maintenance after second-line platinum chemotherapy for recurrent platinum-sensitive ovarian cancer
Official title: A Randomized, Open-Label, Phase 3 Study of Rinatabart Sesutecan (Rina-S) Plus Standard of Care Versus Standard of Care as Maintenance Treatment After 2L Platinum-Based Doublet Chemotherapy in Participants With Recurrent Platinum-Sensitive Ovarian Cancer (PSOC)
Run by Genmab · NCT07225270 · Data updated 2026-11-12
This trial will test whether adding Rina-S to standard maintenance care helps people with recurrent platinum-sensitive ovarian cancer stay cancer-free longer after second-line platinum chemotherapy.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 544 (estimated) |
| Sponsor | Genmab Industry-sponsored |
| Drugs / interventions | bevacizumab, chemotherapy |
| Locations | 34 sites (Miami, Florida and 33 other locations) |
| Status | Recruiting |
| Started | April 3, 2026 |
| Main results expected | October 2028 |
| Study ends | May 2030 |
| Registry record updated | October 6, 2026 |
| Trial ID | NCT07225270 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with histologically confirmed high-grade serous or endometrioid ovarian, primary peritoneal, or fallopian tube cancer that is platinum-sensitive (progression >6 months after prior platinum) who have completed second-line platinum doublet chemotherapy and are randomized within 8 weeks of their last dose are the intended participants.
✕Probably not a fit
Patients with platinum-resistant disease (progression ≤6 months after prior platinum), non-qualifying tumor histologies, or those who are medically unfit for maintenance therapy are unlikely to receive benefit from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a randomized, open-label Phase 3 trial comparing Rina-S combined with standard of care versus standard of care alone as maintenance treatment after second-line platinum-based doublet chemotherapy in recurrent platinum-sensitive ovarian cancer. Standard of care may include bevacizumab or monitoring only, and no placebo is used. Up to about 528 participants will be enrolled across multiple countries, with randomization occurring within 8 weeks of the last dose of second-line platinum therapy. Treatment is given in 3-week cycles and can continue while the cancer remains controlled and side effects are acceptable, with regular clinic visits for monitoring and tests.
Why it matters
Potential benefit: If successful, adding Rina-S could delay cancer recurrence and extend progression-free survival for people with recurrent platinum-sensitive ovarian cancer.
How similar studies have gone: Prior maintenance approaches using PARP inhibitors or bevacizumab have shown benefit in platinum-sensitive ovarian cancer, but Rina-S is a novel agent and has not yet been proven in phase 3.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * Must have histologically or cytologically confirmed high-grade serous or endometrioid epithelial ovarian cancer (EOC), primary peritoneal cancer, or fallopian tube cancer. * Must have PSOC defined as progressive disease \> 6 months (ie, 183 days) from the last dose of primary (first-line \[1L\]) platinum therapy. * Participants with known breast cancer (BRCA)-mutated (somatic or germline) or homologous recombination deficiency (HRD)-positive ovarian cancer who achieved complete response (CR)/no clinical evidence of disease (NED) or partial response (PR) following 1L platinum-based chemotherapy regimen must have previously received PARPi maintenance therapy as part of their 1L treatment. * Must have completed platinum-based chemotherapy in the 2L treatment for recurrent PSOC. * Must be randomized no later than 8 weeks from the last dose of the 2L platinum-based therapy. * Participants must have achieved a CR/NED, PR; or SD permitted only if bevacizumab was given in 2L in combination with platinum-based chemotherapy, as assessed by the investigator, following completion of 2L platinum-based chemotherapy. Key Exclusion Criteria: * Participants with clear cell, mucinous, or sarcomatous histology, mixed tumors containing any of the above histologies, or low-grade/borderline ovarian tumors * More than 2 prior lines of systemic therapy. * Progression while on or following 2L platinum-based regimen prior to randomization. * Participants who receive an intervening systemic anticancer treatment (excluding bevacizumab) after the last dose of 2L platinum-based chemotherapy and prior to randomization. Note: Other protocol-defined Inclusion and Exclusion criteria may apply.
Where it's running
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Mt. Sinai Comprehensive Cancer Center
Miami, Florida, United States Recruiting -
Sarasota Memorial Health Care System
Sarasota, Florida, United States Recruiting -
Greater Baltimore Medical Center
Towson, Maryland, United States Recruiting -
Missouri Cancer Associates
Columbia, Missouri, United States Recruiting -
Methodist Estabrook Cancer Center
Omaha, Nebraska, United States Recruiting -
Novant Health Presbyterian Medical Center
Charlotte, North Carolina, United States Recruiting
Show 28 more locations
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Miami Valley Hospital South
Centerville, Ohio, United States Recruiting -
Zangmeister Cancer Center
Columbus, Ohio, United States Recruiting -
Alliance Cancer Specialists - Abington Hematology Oncology Associates - Horsham
Horsham, Pennsylvania, United States Recruiting -
UZ Leuven - Gasthuisberg Campus
Leuven, Belgium Recruiting -
AZ Delta - Uw Ziekenhuis
Roeselare, Belgium Recruiting -
AZ Nikolaas
Sint-Niklaas, Belgium Recruiting -
Kuopion Yliopistollinen Sairaala
Kuopio, Finland Recruiting -
Hôpital Privé du Confluent
Nantes, France Recruiting -
Hôpital René Huguenin
Saint-Cloud, France Recruiting -
National Hospital Organization Hokkaido Cancer Center
Sapporo, Hokkaido, Japan Recruiting -
Sapporo Medical University Hospital
Sapporo, Hokkaido, Japan Recruiting -
Hyogo Cancer Center
Akashi, Hyōgo, Japan Recruiting -
Mie University Graduate School Of Medicine
Tsu, Mie-ken, Japan Recruiting -
Osaka Medical and Pharmaceutical University Hospital
Takatsuki, Osaka, Japan Recruiting -
Saitama Medical University International Medical Center
Hidaka, Saitama, Japan Recruiting -
The Jikei University Kashiwa Hospital
Kashiwa, Japan Recruiting -
St Marianna University School of Medicine
Kawasaki, Japan Recruiting -
Kurume University Hospital
Kurume, Japan Recruiting -
Shizuoka Cancer Center
Nagaizumi-chō, Japan Recruiting -
Niigata University Medical & Dental Hospital
Niigata, Japan Recruiting -
Okayama University Hospital
Okayama, Japan Recruiting -
Kitasato University Hospital
Sagamihara, Japan Recruiting -
Tohoku University Hospital
Sendai, Japan Recruiting -
The Cancer Institute Hospital of JFCR
Tokyo, Japan Recruiting -
Kanagawa Prefectural Cancer Center
Yokohama, Japan Recruiting -
Haukeland University Hospital
Bergen, Norway Recruiting -
Białostockie Centrum Onkologii im. M. Skłodowskiej-Curie w Białymstoku
Bialystok, Poland Recruiting -
Complejo Hospitalario Universitario A Coruña
A Coruña, Spain Recruiting
Study contacts
- Study coordinator: Genmab Trial Information
- Email: clinicaltrials@genmab.com
- Phone: +4570202728
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.