New drug shows promise for rare ovarian cancer in early trial
NCT ID NCT05348356
First seen Jun 25, 2026 · Last updated Aug 26, 2026 · Updated 3 times
Summary
This phase 2 trial tested the drug nirogacestat in 53 people with recurrent ovarian granulosa cell tumors, a rare type of ovarian cancer. The goal was to see if the drug could shrink tumors or slow the disease. Participants took nirogacestat orally, and researchers measured how many responded to treatment and how long they lived without the cancer getting worse.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- nirogacestat (a gamma secretase inhibitor oral tablet)
- What this could lead to
- If it works, this could offer a new treatment option for people with recurrent ovarian granulosa cell tumors, potentially shrinking tumors or delaying progression.
- What could go wrong
- This is a small phase 2 trial with only 53 participants, so results may not apply to everyone. The drug may not work as hoped, and side effects 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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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53 people
The number who actually took part.
- Started
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Aug 2022
- Finished
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Jul 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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.
Key Inclusion Criteria: * Has histologically confirmed recurrent adult-type granulosa cell tumor of the ovary prior to first dose of study treatment * Have documented radiological evidence of relapse after at least one systemic therapy that is not amenable to surgery, or radiation and have measurable disease by RECIST v1.1 criteria * Have adequate bone marrow, renal and hepatic function as defined by screening visit laboratory values Key Exclusion Criteria: * Has signs of bowel obstruction requiring parenteral nutrition, malabsorption syndrome or preexisting gastrointestinal conditions that may impair absorption of nirogacestat * Has had a major cardiac or thrombo-embolic event within 6 months of signing informed consent * Has abnormal QT interval at Screening, or has congenital or acquired long QT syndrome or a history of additional risk factors for Torsades de Pointes * Has current or chronic history of liver disease or known hepatic or biliary abnormalities * Has received bevacizumab treatment or other monoclonal antibody therapy with targeted anti-angiogenic activity for OvGCT within 28 days (or 5 half-lives, whichever is shorter) prior to the first dose of study treatment; * Has received treatment for OvGCT including but not limited to the following within 28 days (or 5 half-lives, whichever is longer) prior to the first dose of study treatment: hormonal therapy, chemotherapy, immunotherapy, targeted therapy or any investigational treatment
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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.
Contacts and locations
Locations
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AdventHealth Orlando
Orlando, Florida, 32804, United States
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Columbia University Medical Center
New York, New York, 10032, United States
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Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2, Canada
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Dana-Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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David C. Pratt Cancer Center
St Louis, Missouri, 63141, United States
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Froedtert and Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Greater Baltimore Medical Center
Baltimore, Maryland, 21204, United States
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H. Lee Moffitt Cancer Center and Research Institute
Tampa, Florida, 33612, United States
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Jagiellonian Innovation Centre Clinical Research Centre
Krakow, 30-348, Poland
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Maria Sklodowska-Curie Bialystok Oncology Center
Bialystok, 15-027, Poland
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Maria Sklodowska-Curie National Institute of Oncology-National Research Institute, Clinic of Oncological Gynecology
Warsaw, 02-781, Poland
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Memorial Sloan Kettering Cancer Institute
New York, New York, 10065, United States
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OU Health Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104, United States
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Orlando Health Cancer Institute
Orlando, Florida, 32806, United States
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UCLA-JCCC Dept. of OBGYN - Women's Health Clinical Research Unit
Los Angeles, California, 90095, United States
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USC/Norris Comprehensive Cancer Center
Los Angeles, California, 90033, United States
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UW/Fred Hutch Cancer Center
Seattle, Washington, 98109, United States
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University Teaching Hospital Poznan, Department of Oncological Gynaecology
Poznan, 60-569, Poland
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University of New Mexico Comprehensive Cancer Center
Albuquerque, New Mexico, 87102, United States
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Women's Cancer Care
Covington, Louisiana, 70433, United States
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Women's Cancer Center at Kettering
Kettering, Ohio, 45429, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a Patient's own immune cells fight ovarian cancer?
- Ovarian Cancer's spread: scientists probe abdominal fluid for clues
- New PET tracer aims to light up hidden cancer targets
- Can inhaled manganese make ovarian cancer immunotherapy hit harder?
- Can a pill shrink Hard-to-Treat ovarian tumors?
- New antibody aims to preserve immune checkpoint while fighting cancer