Sac-TMT maintenance for people with non-HRD advanced ovarian cancer
Official title: A Phase 3, Randomized, Open-label, Multicenter Study of Sacituzumab Tirumotecan (Sac-TMT, MK-2870) Maintenance Treatment With or Without Bevacizumab Versus Standard of Care in Participants With Newly Diagnosed Advanced Non-HRD Positive Ovarian Cancer Following First-line Platinum-based Chemotherapy (TroFuse-021/ENGOTov85/GOG-3102)
Run by Merck Sharp & Dohme LLC · NCT07318558 · Data updated 2026-11-12
This trial sees if sacituzumab tirumotecan (sac‑TMT), given with or without bevacizumab, can keep cancer from getting worse after surgery and first‑line platinum chemotherapy in people with non‑HRD advanced ovarian cancer.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 900 (estimated) |
| Sponsor | Merck Sharp & Dohme LLC Industry-sponsored |
| Drugs / interventions | chemotherapy, Bevacizumab, sacituzumab |
| Locations | 177 sites (Birmingham, Alabama and 176 other locations) |
| Status | Recruiting |
| Started | February 16, 2026 |
| Main results expected | February 25, 2033 |
| Study ends | February 25, 2033 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07318558 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with histologically confirmed epithelial ovarian, primary peritoneal, or fallopian tube carcinoma who are non‑HRD positive, have completed primary or interval debulking surgery and first‑line platinum chemotherapy with at least stable disease, and can provide tumor tissue and attend participating U.S. sites.
✕Probably not a fit
People with nonepithelial tumors, certain low‑grade histologies (for example low‑grade serous or low‑grade endometrioid tumors), those who have not completed standard surgery or first‑line platinum chemotherapy, or who meet other exclusion criteria are unlikely to be eligible or benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase 3 trial enrolls people with epithelial ovarian, primary peritoneal, or fallopian tube carcinoma who have completed primary or interval debulking surgery and first‑line platinum‑based chemotherapy with at least stable disease. Eligible participants provide tumor tissue and are assigned to receive sac‑TMT maintenance with or without bevacizumab or to standard care (bevacizumab maintenance or observation) per protocol. The main outcome is how long participants live without their cancer getting worse (progression‑free survival), along with safety monitoring. The trial is sponsored by Merck and is conducted at multiple U.S. cancer centers.
Why it matters
Potential benefit: If successful, this approach could extend the time without disease progression and offer a new maintenance option for people with non‑HRD advanced ovarian cancer.
How similar studies have gone: Antibody–drug conjugates and bevacizumab have shown activity in ovarian and other cancers, but sac‑TMT as maintenance specifically for non‑HRD advanced ovarian cancer is a newer approach without established phase 3 results to date.
Who can join: the full rules
Show full inclusion / exclusion criteria
The main inclusion criteria include but are not limited to the following: * Has diagnosis of FIGO 2014 Stage III or Stage IV, histologically confirmed epithelial ovarian, primary peritoneal, or fallopian tube carcinoma with one of the following histologies: high-grade serous, high-grade endometrioid, clear cell carcinoma, or malignant mixed Müllerian tumour with a high-grade serous component. Tumors reported as Grade 2 may be enrolled only if predominately (\>50%) Grade 3 features are present. * Has completed primary debulking surgery or interval debulking surgery. * Has completed first-line (1L) platinum-based chemotherapy, with a response of stable disease, partial response, complete response or no evidence of disease per protocol. * Has provided tumor tissue that is not previously irradiated. * Has well-controlled human immunodeficiency virus (HIV) on antiretroviral therapy if diagnosed with HIV * Has undetectable hepatitis B virus (HBV) viral load and received HBV antiviral therapy if hepatitis B surface antigen (HBsAg)-positive. * Has undetectable hepatitis C virus (HCV) viral load if has a history of HCV infection. The main exclusion criteria include but are not limited to the following: * Has nonepithelial cancers, low-grade serous tumors, low-grade endometrioid tumors, borderline tumors mucinous, seromucinous that is predominantly mucinous, malignant Brenner's tumor, and undifferentiated carcinoma. * Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis. * Has a history of severe eye disease. * Has active inflammatory bowel disease requiring immunosuppressive medication or a previous history of inflammatory bowel disease. * Has uncontrolled, significant cardiovascular disease or cerebrovascular disease. * Has a history of (noninfectious) pneumonitis/interstitial lung disease (ILD), which required steroids, has current pneumonitis/ILD, or has suspected ILD, or pneumonitis that cannot be ruled out by standard diagnostic assessments at Screening. * Received prior systemic anticancer therapy, with the exception of the first-line platinum-based chemotherapy required by the inclusion criteria. * Had a live or live-attenuated vaccine within 30 days of randomization. * Has a known additional malignancy that is progressing or required active treatment within the past 3 years. * Has active infection requiring systemic therapy. * Has concurrent and active HBV and HCV infections. * Has HIV infection and a history of Kaposi's sarcoma and/or multicentric Castleman's disease. * Has not recovered from major surgery or has ongoing surgical complications. * Has a homologous recombination deficiency (HRD)-positive, unknown, or inconclusive tumor status as determined by the central laboratory. * Active or ongoing stomatitis of any grade.
Where it's running
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University of Alabama - Birmingham ( Site 0058)
Birmingham, Alabama, United States Recruiting -
UCSD Moores Cancer Center ( Site 0038)
La Jolla, California, United States Recruiting -
John Muir Health Cancer Center ( Site 0069)
Walnut Creek, California, United States Recruiting -
Anschutz Cancer Pavilion ( Site 0049)
Aurora, Colorado, United States Recruiting -
University of Colorado Health - Highlands Ranch Hospital ( Site 0094)
Highlands Ranch, Colorado, United States Recruiting -
Mount Sinai Cancer Center ( Site 0029)
Miami Beach, Florida, United States Recruiting
Show 44 more locations
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Orlando Health Winnie Palmer Hospital for Women and Babies ( Site 0085)
Orlando, Florida, United States Recruiting -
Winship Cancer Institute of Emory University ( Site 0037)
Atlanta, Georgia, United States Recruiting -
Illinois Cancer Specialists (ICS) ( Site 8009)
Arlington Heights, Illinois, United States Recruiting -
Parkview Research Center at Parkview Regional Medical Center ( Site 0055)
Fort Wayne, Indiana, United States Recruiting -
Franciscan Health Indianapolis ( Site 0081)
Indianapolis, Indiana, United States Recruiting -
Women's Cancer Care ( Site 0018)
Covington, Louisiana, United States Recruiting -
Maine Medical Center Research Institute-MaineHealth/Maine Medical Partners - GynOnc ( Site 0060)
Scarborough, Maine, United States Recruiting -
Maryland Oncology Hematology (MOH) ( Site 8002)
Columbia, Maryland, United States Recruiting -
Nebraska Methodist Hospital ( Site 0004)
Omaha, Nebraska, United States Recruiting -
University Of Nebraska Medical Center ( Site 0035)
Omaha, Nebraska, United States Recruiting -
The Center of Hope ( Site 0025)
Reno, Nevada, United States Recruiting -
Womens Cancer Care Associates, LLC ( Site 0023)
Albany, New York, United States Recruiting -
Memorial Sloan Kettering Cancer Center ( Site 0072)
New York, New York, United States Recruiting -
Duke Cancer Center ( Site 0012)
Durham, North Carolina, United States Recruiting -
University of Cincinnati Medical Center ( Site 0042)
Cincinnati, Ohio, United States Recruiting -
The Ohio State University ( Site 0005)
Hilliard, Ohio, United States Recruiting -
Oklahoma Cancer Specialists and Research Institute, LLC ( Site 0007)
Tulsa, Oklahoma, United States Recruiting -
Kaiser Permanente Interstate Medical Office - Central ( Site 0089)
Portland, Oregon, United States Recruiting -
Hospital of the University of Pennsylvania ( Site 0071)
Philadelphia, Pennsylvania, United States Recruiting -
AHN West Penn Hospital ( Site 0051)
Pittsburgh, Pennsylvania, United States Recruiting -
Women & Infants Hospital ( Site 0001)
Providence, Rhode Island, United States Recruiting -
West Cancer Center and Research Institute ( Site 0013)
Germantown, Tennessee, United States Recruiting -
University of Tennessee Medical Center ( Site 0087)
Knoxville, Tennessee, United States Recruiting -
Henry-Joyce Cancer Clinic ( Site 0011)
Nashville, Tennessee, United States Recruiting -
JPS Health Network ( Site 0084)
Fort Worth, Texas, United States Recruiting -
Virginia Cancer Specialists (VCS) ( Site 8012)
Fairfax, Virginia, United States Recruiting -
Virginia Oncology Associates (VOA) ( Site 8013)
Norfolk, Virginia, United States Recruiting -
Hospital Aleman ( Site 2903)
Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina Recruiting -
Instituto Alexander Fleming ( Site 2902)
Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina Recruiting -
Instituto de Investigaciones Clinicas Mar del Plata ( Site 2901)
Mar del Plata, Buenos Aires, Argentina Recruiting -
Fundación Respirar ( Site 2912)
Buenos Aires, Buenos Aires F.D., Argentina Recruiting -
Sanatorio Parque - Oncología ( Site 2911)
Rosario, Santa Fe Province, Argentina Recruiting -
Instituto de Oncologia de Rosario ( Site 2909)
Rosario, Santa Fe Province, Argentina Recruiting -
Hospital Britanico de Buenos Aires ( Site 2905)
Caba, Argentina Recruiting -
Fundación CORI para la Investigación y Prevención del Cáncer ( Site 2907)
La Rioja, Argentina Recruiting -
Westmead Hospital ( Site 0201)
Westmead, New South Wales, Australia Recruiting -
Gallipoli Medical Research Ltd ( Site 0204)
Brisbane, Queensland, Australia Recruiting -
Epworth Freemasons ( Site 0207)
East Melbourne, Victoria, Australia Recruiting -
Medizinische Universitat Wien ( Site 0102)
Vienna, State of Vienna, Austria Recruiting -
Medizinische Universitaet Innsbruck-Univ.-Klinik f. Gynäkologie und Geburtshilfe ( Site 0101)
Innsbruck, Tyrol, Austria Recruiting -
Keppler Universitatsklinikum ( Site 0103)
Linz, Upper Austria, Austria Recruiting -
Grand Hopital de Charleroi ( Site 0303)
Charleroi, Hainaut, Belgium Recruiting -
AZ Maria Middelares ( Site 0302)
Ghent, Oost-Vlaanderen, Belgium Recruiting -
UZ Leuven ( Site 0301)
Leuven, Vlaams-Brabant, Belgium Recruiting
+127 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Toll Free Number
- Email: Trialsites@msd.com
- Phone: 1-888-577-8839
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Raludotatug Deruxtecan with or without Bevacizumab for advanced ovarian, peritoneal, or fallopian tube cancer
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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.