New hope for rare ovarian tumors: targeted drugs under study
NCT ID NCT04931342
First seen Jun 25, 2026 · Last updated Sep 11, 2026 · Updated 3 times
Summary
This phase 2 trial is testing several targeted drugs in people with rare types of ovarian cancer that have come back or not gone away. The drugs are chosen based on specific biomarkers in each patient's tumor. The goal is to see if these treatments can shrink or control the cancer. About 176 participants will receive one of four drugs: ipatasertib, cobimetinib, trastuzumab emtansine, or atezolizumab.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ipatasertib, Cobimetinib, Trastuzumab Emtansine, Atezolizumab
- What this could lead to
- If successful, this could provide effective treatment options for people with rare ovarian cancers that have returned or not responded to standard therapy.
- What could go wrong
- This is an early-phase study with a small number of participants. The drugs may not work for all tumor types, and side effects could limit their use.
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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176 people
The number who actually took part.
- Started
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Oct 2021
- Expected to finish
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May 2028
An estimate. End dates often move.
- 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.
Inclusion Criteria: * Persistent or recurrent EOC that meets the following criteria: Histologically confirmed non-high-grade serous, non-high-grade endometrioid epithelial ovarian, fallopian tube, or primary peritoneal cancer, including but not limited to low-grade serous ovarian carcinoma, clear cell carcinoma, mucinous carcinoma, carcinosarcoma, undifferentiated carcinoma, seromucinous carcinoma, malignant Brenner tumors, Grades 1 or 2 endometrioid carcinoma, mesonephric-like adenocarcinoma and small cell carcinoma of the ovary, hypercalcemic type (SCCOHT). Disease that is not amenable to curative surgery * Measurable disease (at least one target lesion) according to RECIST v1.1 * Previous treatment with one to four lines of therapy, at least one of which was platinum-based. Hormonal therapy does not count as a line of therapy. * Platinum-resistant disease, defined as disease progression during or within 6 months of last platinum therapy, with the following exception: Participants with primary platinum-refractory disease are excluded. * Submission of a representative tumor specimen that is suitable for next-generation sequencing (NGS) testing and estrogen receptor immunohistochemistry (ER IHC) to determine treatment arm assignment and for central pathology review. * Submission of the local pathology report and, if available, any associated stained slides that supported the local diagnosis of the histology (to be used for central pathology review) * Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 * Adequate hematologic and end-organ function * For women of childbearing potential: agreement to remain abstinent or use contraception, and agreement to refrain from donating eggs (if applicable) * In addition to the general inclusion criteria above, participants must meet all of the arm-specific inclusion criteria for the respective arm General Exclusion Criteria: * Pregnant or breastfeeding, or intending to become pregnant or breastfeed during the study * Primary platinum-refractory disease, defined as progression during or within 4 weeks after the last dose of the first-line platinum treatment * Histologic diagnosis of high-grade serous or high-grade endometrioid ovarian, fallopian tube, or primary peritoneal cancer * Current diagnosis of solely borderline epithelial ovarian tumor * Current diagnosis of non-epithelial ovarian tumors * Current diagnosis of synchronous primary endometrial cancer * Prior history of primary endometrial cancer, with the following exception: a prior diagnosis of primary endometrial cancer is permitted if it meets all of the following conditions: Stage IA, no lymphovascular invasion, International Federation of Gynecology and Obstetrics Grade 1 or 2, not a high-grade subtype. * Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures * Symptomatic, untreated, or actively progressing CNS metastases * Severe infection within 4 weeks prior to initiation of study treatment * Treatment with chemotherapy, radiotherapy, antibody therapy or other immunotherapy, gene therapy, vaccine therapy, or investigational therapy within 28 days prior to initiation of study treatment * Treatment with hormonal therapy within 14 days prior to initiation of study treatment * In addition to the general exclusion criteria above, participants can not meet any of the arm-specific exclusion criteria for the respective arm
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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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A.O. U. Consorziale Policlinico di Bari
Bari, Apulia, 70124, Italy
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Adana Baskent University Medical Faculty; Oncology
Adana, 01220, Turkey (Türkiye)
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Asan Medical Center
Seoul, 05505, South Korea
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Baskent Universitesi Ankara Hastanesi; Tıbbi Onkoloji Bölümü
Ankara, 06490, Turkey (Türkiye)
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CHU Besançon - Hôpital Jean Minjoz
Besançon, 25030, France
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Cabrini Hospital
Malvern, Victoria, 3144, Australia
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Centre Eugène Marquis
Rennes, 35042, France
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Centre Francois Baclesse
Caen, 14076, France
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Centre Leon Berard
Lyon, 69373, France
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Groupe Hospitalier Diaconesses
Paris, 75020, France
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Gustave Roussy
Villejuif, 94800, France
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Gynekologicko-porodnicka klinika
Prague, 120 00, Czechia
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Hospital Clinico Universitario Virgen de la Victoria
Málaga, 29010, Spain
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Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitario La Paz
Madrid, 28046, Spain
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Hôpitaux Universitaires de Genève
Geneva, 1205, Switzerland
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ICO - Site René Gauducheau
Saint-Herblain, 44805, France
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IRCCS S. Raffaele
Milan, Lombardy, 20132, Italy
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Institut Claudius Regaud
Toulouse, 31059, France
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Institutio Catalan De Oncologia
Barcelona, 08908, Spain
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Istituto Tumori Napoli
Naples, Campania, 80131, Italy
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Kliniken Essen-Mitte Evang. Huyssens-Stiftung, Klinik für Gynäkologie und gynäkologische Onkologie
Essen, 45136, Germany
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Koc University Medical Faculty; Department of Gynecology & Obstetrics
Istanbul, 34010, Turkey (Türkiye)
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LLC Medscan
Moskva, Moscow Oblast, 119421, Russia
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Levine Cancer Institute
Charlotte, North Carolina, 28204, United States
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McGill University Health Centre - Glen Site
Montreal, Quebec, H4A 3J1, Canada
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Ohio State University
Columbus, Ohio, 43210, United States
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Policlinico Universitario Agostino Gemelli
Rome, Lazio, 00168, Italy
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Princess Margaret Cancer Center
Toronto, Ontario, M5G 1Z5, Canada
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Samsung Medical Center
Seoul, (0)6351, South Korea
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Seoul National University Hospital
Seoul, 03080, South Korea
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Severance Hospital, Yonsei University Health System
Seoul, 03722, South Korea
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Texas Oncology - Gulf Coast
The Woodlands, Texas, 77380, United States
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UCSF Helen Diller Family CCC
San Francisco, California, 94158, United States
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University College London Hospitals NHS Foundation Trust - University College Hospital
London, NW1 2PG, United Kingdom
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University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104, United States
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University of Washington - Seattle Cancer Care Alliance
Seattle, Washington, 98109, United States
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Universitätsklinikum Mannheim
Mannheim, 68167, Germany
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Virginia Oncology Associates
Norfolk, Virginia, 23502, United States
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Washington University School of Medicine
St Louis, Missouri, 63108, United States
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Western General Hospital
Edinburgh, EH4 2XU, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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