Clinical trial Recruiting at 4 sites Phase 3 Interventional Ages 18 and up Women only

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

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment950 (estimated)
SponsorAstraZeneca
Industry-sponsored
Drugs / interventionsbevacizumab, chemotherapy
Locations220 sites (Tamarac, Florida and 219 other locations)
StatusRecruiting
StartedSeptember 16, 2026
Main results expectedJune 28, 2030
Study endsAugust 29, 2033
Registry record updatedNovember 6, 2026
Trial IDNCT07851025 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

  • Research Site
    Auchenflower, Australia
    Recruiting
  • Research Site
    Hadera, Israel
    Recruiting
  • Research Site
    Haifa, Israel
    Recruiting
  • Research Site
    Jerusalem, Israel
    Recruiting
  • Research Site
    Tamarac, Florida, United States
    Not yet recruiting
  • Research Site
    Tampa, Florida, United States
    Not yet recruiting
Show 44 more locations
  • Research Site
    Baton Rouge, Louisiana, United States
    Not yet recruiting
  • Research Site
    Baltimore, Maryland, United States
    Not yet recruiting
  • Research Site
    Billings, Montana, United States
    Not yet recruiting
  • Research Site
    Cleveland, Ohio, United States
    Not yet recruiting
  • Research Site
    Buenos Aires, Argentina
    Not yet recruiting
  • Research Site
    Buenos Aires, Argentina
    Not yet recruiting
  • Research Site
    Capital Federal, Argentina
    Not yet recruiting
  • Research Site
    Ciudad de Buenos Aires, Argentina
    Not yet recruiting
  • Research Site
    Ciudad de Buenos Aires, Argentina
    Not yet recruiting
  • Research Site
    Córdoba, Argentina
    Not yet recruiting
  • Research Site
    Córdoba, Argentina
    Not yet recruiting
  • Research Site
    Córdoba, Argentina
    Not yet recruiting
  • Research Site
    Rosario, Argentina
    Not yet recruiting
  • Research Site
    Salta, Argentina
    Not yet recruiting
  • Research Site
    Santa Fe, Argentina
    Not yet recruiting
  • Research Site
    Viedma, Argentina
    Not yet recruiting
  • Research Site
    Benowa, Australia
    Not yet recruiting
  • Research Site
    Hobart, Australia
    Not yet recruiting
  • Research Site
    Kingswood, Australia
    Not yet recruiting
  • Research Site
    Nedlands, Australia
    Not yet recruiting
  • Research Site
    Port Macquarie, Australia
    Not yet recruiting
  • Research Site
    Randwick, Australia
    Not yet recruiting
  • Research Site
    Richmond, Australia
    Not yet recruiting
  • Research Site
    Toorak Gardens, Australia
    Not yet recruiting
  • Research Site
    Wollongong, Australia
    Not yet recruiting
  • Research Site
    Woodville, Australia
    Not yet recruiting
  • Research Site
    Fortaleza, Brazil
    Not yet recruiting
  • Research Site
    Itajaí, Brazil
    Not yet recruiting
  • Research Site
    Jaú, Brazil
    Not yet recruiting
  • Research Site
    Natal, Brazil
    Not yet recruiting
  • Research Site
    Porto Alegre, Brazil
    Not yet recruiting
  • Research Site
    Rio de Janeiro, Brazil
    Not yet recruiting
  • Research Site
    Salvador, Brazil
    Not yet recruiting
  • Research Site
    São Paulo, Brazil
    Not yet recruiting
  • Research Site
    São Paulo, Brazil
    Not yet recruiting
  • Research Site
    São Paulo, Brazil
    Not yet recruiting
  • Research Site
    Dobrich, Bulgaria
    Not yet recruiting
  • Research Site
    Plovdiv, Bulgaria
    Not yet recruiting
  • Research Site
    Shumen, Bulgaria
    Not yet recruiting
  • Research Site
    Sofia, Bulgaria
    Not yet recruiting
  • Research Site
    Sofia, Bulgaria
    Not yet recruiting
  • Research Site
    Sofia, Bulgaria
    Not yet recruiting
  • Research Site
    Toronto, Ontario, Canada
    Not yet recruiting
  • Research Site
    Montreal, Quebec, Canada
    Not yet recruiting

+170 more sites. See ClinicalTrials.gov for the full list.

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.