Torvutatug samrotecan plus bevacizumab as first-line maintenance in non-HRD advanced epithelial ovarian cancer
Official title: A Randomised, Open-label, Phase III Study of Torvutatug Samrotecan in Combination With Bevacizumab Versus Bevacizumab Monotherapy as First-line Maintenance Treatment in Participants With Non-HRD Positive Advanced Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (TREVI-OC-02)
Run by AstraZeneca · NCT07851025 · Data updated 2026-11-12
This trial tests whether adding torvu-samrotecan to bevacizumab after standard chemotherapy helps people with non-HRD advanced epithelial ovarian cancer live longer without the cancer worsening compared with bevacizumab alone.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 950 (estimated) |
| Sponsor | AstraZeneca Industry-sponsored |
| Drugs / interventions | bevacizumab, chemotherapy |
| Locations | 220 sites (Tamarac, Florida and 219 other locations) |
| Status | Recruiting |
| Started | September 16, 2026 |
| Main results expected | June 28, 2030 |
| Study ends | August 29, 2033 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07851025 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with newly diagnosed FIGO stage III/IV epithelial ovarian, fallopian tube, or primary peritoneal cancer who completed 6–8 cycles of first-line platinum chemotherapy and at least 3 bevacizumab-containing cycles, with non-progressive disease and available archival tumor tissue.
✕Probably not a fit
Patients with BRCA1/2 mutations or HRD-positive tumors, non-epithelial or low-grade tumors, or those with certain interstitial lung disease histories may not benefit.
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 Phase 3 interventional study comparing torvu-samrotecan plus bevacizumab versus bevacizumab alone as maintenance therapy after first-line platinum-based chemotherapy in non-HRD advanced epithelial ovarian cancer. Eligible participants have completed induction therapy with no progression and have received prior bevacizumab. The study will assess efficacy, safety, and tolerability, focusing on progression-free survival and related outcomes. Tumor samples must be available, and participants should have non-HRD status confirmed. Sites are in Florida and Louisiana, sponsored by AstraZeneca with ENGOT and GOG Foundation collaboration.
Why it matters
Potential benefit: If successful, participants may experience longer periods without cancer progression and improved overall outcomes during maintenance therapy.
How similar studies have gone: Previous studies in antibody-drug conjugates and anti-angiogenic combinations have shown activity in ovarian cancer, but this specific combination in non-HRD maintenance is innovative and its success remains to be proven.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * Participants with newly diagnosed FIGO Stage III/IV, histologically confirmed epithelial high-grade ovarian, fallopian tube or primary peritoneal carcinoma * Provision of an archival FFPE tumour sample * Participants who have completed at least 6 cycles and a maximum of 8 cycles of first-line Platinum-based chemotherapy (PBC) prior to randomisation * Participants must have received a minimum of 3 cycles of bevacizumab in combination with the 3 last cycles of PBC, prior to randomisation * Participants who have completed cytoreductive surgery or have inoperable disease * Participants with non-progressive disease upon completion of front-line induction therapy Key Exclusion Criteria: * Participants with tumours of non-epithelial origin, borderline tumours, or low-grade epithelial tumours * BRCA1/2 mutation (germline or somatic) or HRD positive, unknown, or inconclusive tumour status * Participants with history of (non-infectious) ILD/pneumonitis that required steroids or supplemental oxygen, or has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at Screening * Participants with non-healing wound, active ulcer, or bone fracture * Participants with evidence of active or ongoing bowel obstruction * Prior exposure to any FRα-targeted therapy, including MIRV, or any TOP1i Antibody-drug Conjugate (ADC)
Where it's running
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Auchenflower, Australia Recruiting -
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Hadera, Israel Recruiting -
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Haifa, Israel Recruiting -
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Jerusalem, Israel Recruiting -
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Tamarac, Florida, United States Not yet recruiting -
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Tampa, Florida, United States Not yet recruiting
Show 44 more locations
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Baton Rouge, Louisiana, United States Not yet recruiting -
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Baltimore, Maryland, United States Not yet recruiting -
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Billings, Montana, United States Not yet recruiting -
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Cleveland, Ohio, United States Not yet recruiting -
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Buenos Aires, Argentina Not yet recruiting -
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Buenos Aires, Argentina Not yet recruiting -
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Capital Federal, Argentina Not yet recruiting -
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Ciudad de Buenos Aires, Argentina Not yet recruiting -
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Ciudad de Buenos Aires, Argentina Not yet recruiting -
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Córdoba, Argentina Not yet recruiting -
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Córdoba, Argentina Not yet recruiting -
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Córdoba, Argentina Not yet recruiting -
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Rosario, Argentina Not yet recruiting -
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Salta, Argentina Not yet recruiting -
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Santa Fe, Argentina Not yet recruiting -
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Viedma, Argentina Not yet recruiting -
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Benowa, Australia Not yet recruiting -
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Hobart, Australia Not yet recruiting -
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Kingswood, Australia Not yet recruiting -
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Nedlands, Australia Not yet recruiting -
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Port Macquarie, Australia Not yet recruiting -
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Randwick, Australia Not yet recruiting -
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Richmond, Australia Not yet recruiting -
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Toorak Gardens, Australia Not yet recruiting -
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Wollongong, Australia Not yet recruiting -
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Woodville, Australia Not yet recruiting -
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Fortaleza, Brazil Not yet recruiting -
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Itajaí, Brazil Not yet recruiting -
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Jaú, Brazil Not yet recruiting -
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Natal, Brazil Not yet recruiting -
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Porto Alegre, Brazil Not yet recruiting -
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Rio de Janeiro, Brazil Not yet recruiting -
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Salvador, Brazil Not yet recruiting -
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São Paulo, Brazil Not yet recruiting -
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São Paulo, Brazil Not yet recruiting -
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São Paulo, Brazil Not yet recruiting -
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Dobrich, Bulgaria Not yet recruiting -
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Plovdiv, Bulgaria Not yet recruiting -
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Shumen, Bulgaria Not yet recruiting -
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Sofia, Bulgaria Not yet recruiting -
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Sofia, Bulgaria Not yet recruiting -
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Sofia, Bulgaria Not yet recruiting -
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Toronto, Ontario, Canada Not yet recruiting -
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Montreal, Quebec, Canada Not yet recruiting
+170 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: AstraZeneca Clinical Study Information Center
- Email: information.center@astrazeneca.com
- Phone: 1-877-240-9479
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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.