Could a common breast cancer drug keep ovarian cancer at bay?
NCT ID NCT04111978
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This Phase 3 trial is testing whether adding letrozole (a hormone-blocking drug) to standard maintenance therapy can delay cancer recurrence in people with estrogen-receptor-positive ovarian cancer. About 540 participants who have completed initial surgery and chemotherapy will receive either letrozole or a placebo. The study aims to see if letrozole improves the time before the cancer comes back.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Letrozole (Femara)
- What this could lead to
- If it works, this could provide a new maintenance option to delay ovarian cancer recurrence after standard treatment.
- What could go wrong
- This is a Phase 3 trial, but it is still recruiting and results are not yet known. Letrozole may not improve progression-free survival compared to placebo, and side effects like bone thinning or hot flashes are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 540 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2020
- Expected to finish
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Jul 2032
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients must be ≥ 18 years of age * Willing and able to attend the visits and to understand all study-related procedures. * Primary, newly diagnosed FIGO Stage II to IV and histologically confirmed low or high grade serous or endometrioid epithelial ovarian/fallopian tube/peritoneal cancer * (Interval-) debulking performed ECOG-Performance Status 0-2 * Signed informed consents (ICF-1; ICF-2) * Paraffin-embedded tissue or paraffin-embedded cell block (from ascites) available * Positivity (≥ 1%) for ER expression (only determined by Histopathology Core Facility of MATAO trial) * At least 4 cycles of platinum-based chemotherapy (neoadjuvant allowed) * Negative serum pregnancy test in women of childbearing potential who will get/have gotten a surgical resection or radiation sterilization, prior to the intervention in the therapeutical maintenance setting. Exclusion Criteria: * Progressive disease at the end of adjuvant treatment as defined in chapter 9.2.1 of protocol * Women of childbearing potential (not having undergone a surgical or radiation sterilization and not getting a surgical resection, prior to the intervention in the therapeutical maintenance setting) * Pregnant or lactating women * Any other malignancy within the last 5 years which has impact on the prognosis of the patient * \< 4 cycles of chemotherapy in total * Contraindications to endocrine therapy * Inability or unwillingness to swallow tablets * Patients with a known intolerance to galactose, lactase deficiency and glucose-galactose malabsorption
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Get notified about this study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
51 sites in 3 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AMO Wolfsburg / AMO MVZ GmbH
RECRUITINGWolfsburg, 38440, Germany
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Agaplesion Diakonieklinikum Hamburg
RECRUITINGHamburg, 20259, Germany
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Basel Claraspital AG
RECRUITINGBasel, 4002, Switzerland
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Centre Hospitalier du Valais Romand
RECRUITINGSion, Valais, Switzerland
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Charité - Universitätsmedizin Berlin Campus Virchow Klinikum
RECRUITINGBerlin, 13353, Germany
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Donauisar Klinikum
RECRUITINGDeggendorf, 94469, Germany
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Evangelische Kliniken Essen Mitte GmbH
RECRUITINGEssen, 45136, Germany
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Evangelisches Krankenhaus Düsseldorf
RECRUITINGDüsseldorf, 40217, Germany
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Frauenklinik Spital Grabs
RECRUITINGGrabs, 9472, Switzerland
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Gynäkologisch-Onkologische Gemeinschaftspraxis Dres. med. C.Uleer/J.Y.Pourfard
RECRUITINGHildesheim, 31134, Germany
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Helios Dr. Horst Schmidt Kliniken Wiesbaden
RECRUITINGWiesbaden, 65199, Germany
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Helios Universitätsklinikum Wuppertal
RECRUITINGWuppertal, 42117, Germany
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Hôpitaux Universitaires de Genève
RECRUITINGGeneva, 1205, Switzerland
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Kantonspital Graubünden (KSGR),
RECRUITINGChur, 7000, Switzerland
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Kantonsspital Aarau AG
RECRUITINGAarau, Canton of Aargau, 5001, Switzerland
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Kantonsspital Baden AG
RECRUITINGBaden, 5404, Switzerland
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Kantonsspital Baselland
RECRUITINGLiestal, 4410, Switzerland
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Kantonsspital Frauenfeld
RECRUITINGFrauenfeld, 8501, Switzerland
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Kantonsspital Münsterlingen
RECRUITINGMünsterlingen, 8596, Switzerland
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Kantonsspital St. Gallen
RECRUITINGSankt Gallen, 9007, Switzerland
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Kantonsspital Winterthur
RECRUITINGWinterthur, 8401, Switzerland
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Klinik Hietzing Wien
RECRUITINGVienna, 1130, Austria
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Klinik für Onkologie und Hämatologie Hirslanden Zürich AG
RECRUITINGZurich, 8032, Switzerland
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Klinikum Esslingen
RECRUITINGEsslingen am Neckar, 73730, Germany
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Klinikum Konstanz
RECRUITINGKonstanz, 78464, Germany
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Krankenhaus der Barmherzigen Brüder Graz
RECRUITINGGraz, 8020, Austria
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Landeskrankenhaus Hochsteiermark Leoben
RECRUITINGLeoben, 8700, Austria
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Leopoldina Krankenhaus der Stadt Schweinfurt
RECRUITINGSchweinfurt, 97422, Germany
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Luzerner Kantonsspital
RECRUITINGLucerne, 6000, Switzerland
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Medizinische Universität Graz
RECRUITINGGraz, 8036, Austria
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Medizinische Universität Innsbruck
RECRUITINGInnsbruck, 6020, Austria
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Medizinische Universität Wien
RECRUITINGVienna, 1090, Austria
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Oncology Institute of Southern Switzerland (IOSI)-Ente Ospedaliero Cantonale (EOC)
RECRUITINGBellinzona, Canton Ticino, 6500, Switzerland
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Ordensklinikum Linz Barmherzige Schwestern
RECRUITINGLinz, 4010, Austria
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Praxis im Frauenzentrum Lindenhofspital
RECRUITINGBern, 3012, Switzerland
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SL Klinikum Rosenheim
ACTIVE_NOT_RECRUITINGRosenheim, 83022, Germany
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St. Elisabeth-Krankenhaus
RECRUITINGCologne, 50935, Germany
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Stadtspital Triemli
RECRUITINGZurich, 8063, Switzerland
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Studienzentrum Onkologie Ravensburg
RECRUITINGRavensburg, 88212, Germany
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The University Medical Center Hamburg-Eppendorf
RECRUITINGHamburg, 20251, Germany
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Tumorzentrum Hirslanden Klinik St. Anna
RECRUITINGLucerne, 6006, Switzerland
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Unispital Zürich
RECRUITINGZurich, 8091, Switzerland
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University Hospital Freiburg
RECRUITINGFreiburg im Breisgau, 79106, Germany
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University Hospital Münster
RECRUITINGMünster, 48149, Germany
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Universitätsklinik Ulm
RECRUITINGUlm, 89075, Germany
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Universitätsklinik für Medizinische Onkologie, Inselspital
RECRUITINGBern, 3010, Switzerland
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Universitätsklinikum Carl Gustav Carus Dresden
ACTIVE_NOT_RECRUITINGDresden, 01307, Germany
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Universitätsklinikum Düsseldorf
RECRUITINGDüsseldorf, 40225, Germany
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Universitätsklinikum Mannheim
RECRUITINGMannheim, 68167, Germany
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Universitätsklinikum Salzburg
RECRUITINGSalzburg, 5020, Austria
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Universitätsmedizin Mainz
RECRUITINGMainz, 55131, Germany
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Universitätsspital Basel
RECRUITINGBasel, Canton of Basel-City, 4031, Switzerland
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Universitätsspital Waadt/ CHUV
RECRUITINGLausanne, 1011, Switzerland
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Other studies related to the condition(s) this trial covers.
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