Platinum-resistant Ovarian CancerPhase 3RAINFOL-02NCT06619236
Study to Assess the Efficacy of Rina-S Compared to Treatment of Investigator's Choice in Participants With Platinum Resistant Ovarian Cancer
A Phase 3 study testing Rina-S, Paclitaxel and Topotecan in people with Platinum-resistant Ovarian Cancer, run by Genmab at 177 sites in 18 countries.
Trial summary
This phase 3 study will be conducted in different countries all over the world. The purpose of this study is to compare how well Rina-S works against platinum-resistant ovarian cancer compared to chemotherapy drugs that are already approved and used for platinum-resistant ovarian cancer. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Platinum-resistant Ovarian Cancer
- What is being tested?
- Rina-S, Paclitaxel and Topotecan
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 584 participants
- Where
- 177 sitesin 18 countries
- Study dates
- 7 Feb 2025to Oct 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participants must have histologically or cytologically confirmed high grade serous or endometrioid epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer.
- Participants may be enrolled regardless of FRα expression level.
- Participants must have received 1 to 4 prior lines of therapy. Participants must have progressed radiographically on or after their most recent line of therapy.
- Participants must have received prior treatment with the following therapies:
- Platinum chemotherapy
- Prior bevacizumab (or biosimilar) treatment is required, if labeled and available as standard of care per institutional guidelines, unless the participant has a documented contraindication or unless the participant is not eligible for treatment with bevacizumab (or biosimilar) due to precautions/intolerance
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- Participants with known or suspected deleterious germline or somatic breast cancer gene (BRCA) mutations and who achieved a complete or partial response to platinum-based chemotherapy must have been treated with a poly ADP-ribose polymerase (PARP) inhibitor as maintenance treatment unless the participant is not eligible for treatment with PARP inhibitor
- Mirvetuximab soravtansine, if:
- Mirvetuximab soravtansine is available in the enrollment region, and
- The participant is eligible, and
- The participant does not have a documented medical exception, including chronic corneal disorders, history of corneal transplantation, or active ocular conditions requiring ongoing treatment/monitoring, such as uncontrolled glaucoma, wet age-related macular degeneration requiring intravitreal injections, active diabetic retinopathy with macular edema, macular degeneration, presence of papilledema, and /or monocular vision.
- Participants must have platinum-resistant disease:
- Participants who have only had 1 line of platinum-based therapy must have received at least 4 cycles of platinum therapy, and must have either had a response (CR or PR) or had non-measurable disease at the start of adjuvant platinum-based therapy, and then progressed between > 91 days and ≤ 183 days after the date of the last dose of platinum.
- Participants who have received a protocol defined number of lines of platinum-based therapy must have progressed on or within 183 days after the date of the last dose of platinum.
Who cannot join
- Prior therapy with an antibody-drug conjugate containing a topoisomerase 1 inhibitor.
- Have primary platinum-refractory disease, defined as ovarian cancer that did not respond (CR or PR) to or progressed ≤ 91 days after the last dose of a first-line platinum-containing regimen.
- History of another malignancy within 3 years before the first dose of study drug, or any evidence of residual disease from a previously diagnosed malignancy. Exceptions are malignancies with a negligible risk of metastasis or death (e.g., 5-year OS ≥90%), including, but not limited to, adequately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, ductal carcinoma in situ, or Stage I uterine cancer.
- Known active central nervous system metastases or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are clinically stable for at least 4 weeks prior to study entry after brain metastasis treatment, they have no new or enlarging brain metastases, and are off corticosteroids and anticonvulsants prescribed for symptoms associated with brain metastases for at least 7 days prior to the first dose of study drug. Participants with suspected brain metastases at screening should undergo a computed tomography (CT)/magnetic resonance imaging (MRI) of the brain prior to study entry.
- Hospitalization or clinical symptoms due to gastrointestinal obstruction within the past 91 days or radiographic evidence of gastrointestinal obstruction at the time of screening. Enrollment of participants who currently require parenteral nutrition must be discussed with the study medical monitor to determine eligibility.
- Participant has clinically significant ascites/pleural effusion. Enrollment of participants with an indwelling catheter flush/drain is not allowed. Note: Clinically significant is defined as (1) symptomatic, or (2) requires therapeutic paracentesis/thoracentesis within 8 weeks of the first dose, or (3) recurrent ascites/pleural effusion that necessitates multiple paracentesis/thoracocentesis procedures more often than approximately every 4 weeks.
- NOTE: Other protocol-defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
177 sites in 18 countries.
177 sites in 18 countries
United States72 sites
USOR - Texas Oncology - Dallas Fort Worth (DFW) - Abilene
Abilene, Texas, 79606
University of New Mexico Comprehensive Cancer Center
Albuquerque, New Mexico, 87131
Alaska Women's Cancer Care
Anchorage, Alaska, 99508
Winship Cancer Institute of Emory University
Atlanta, Georgia, 30322
Northside Hospital Atlanta
Atlanta, Georgia, 30342
Augusta University Georgia Cancer Center
Augusta, Georgia, 30912
UCHealth Cancer Care - Anschutz Medical Campus - University of Colorado Cancer Center
Aurora, Colorado, 80045
USOR - Texas Oncology - Dallas Fort Worth (DFW) - Austin Central
Austin, Texas, 78731
St. Luke's University Health Network
Bethlehem, Pennsylvania, 18015
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
Roswell Park Comprehensive Cancer Center
Buffalo, New York, 14203
Providence Saint Joseph Medical Center - Roy and Patricia Disney Family Cancer Center
Burbank, California, 91505
University of Cincinnati Medical Center
Cincinnati, Ohio, 45219
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
MetroHealth Medical Center
Cleveland, Ohio, 44109
Cleveland Clinic Main Campus
Cleveland, Ohio, 44195
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201
Duke Cancer Institute
Durham, North Carolina, 27705
Northwest Cancer Center - Dyer
Dyer, Indiana, 46311
St. Elizabeth Healthcare - Edgewood
Edgewood, Kentucky, 41017
Inova Schar Cancer Institute
Fairfax, Virginia, 22031
SCRI - Florida Cancer Specialists - South Region Research Office
Fort Myers, Florida, 33901-8108
USOR - Texas Oncology - Dallas Fort Worth (DFW) - Fort Worth
Fort Worth, Texas, 76104
Corewell Health (Spectrum Health)
Grand Rapids, Michigan, 49503
Hartford Hospital
Hartford, Connecticut, 06106
Penn State Health Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033
JamesCare Gynecologic Oncology at Mill Run
Hilliard, Ohio, 43026
Kapi'olani Medical Center for Women and Children
Honolulu, Hawaii, 96826
University of Kansas Cancer Center
Kansas City, Kansas, 66160
Kadlec Clinic - Hematology and Oncology
Kennewick, Washington, 99336
University of California San Diego Moores Cancer Center
La Jolla, California, 92093
Baptist Health Lexington
Lexington, Kentucky, 40503
University of Wisconsin - Madison
Madison, Wisconsin, 53706
Mount Sinai Comprehensive Cancer Center
Miami Beach, Florida, 33140
West Virginia University Cancer Institute
Morgantown, West Virginia, 26506-9600
SCRI Oncology Partners
Nashville, Tennessee, 37203
Yale School of Medicine
New Haven, Connecticut, 06510
Louisiana State University Health Sciences Center (LSU Health) - New Orleans
New Orleans, Louisiana, 70112
Perlmutter Cancer Center - 38th Street
New York, New York, 10016
Perlmutter Cancer Center at NYU Langone Hospital - Long Island
New York, New York, 10016
Herbert Irving Comprehensive Cancer Center
New York, New York, 10032
New York-Presbyterian - Weill Cornell Medical Center
New York, New York, 10065
USOR - Virginia Oncology Associates - Norfolk
Norfolk, Virginia, 23502
Norwalk Hospital
Norwalk, Connecticut, 06850
University of Nebraska Medical Center
Omaha, Nebraska, 68105
Orlando Health Cancer Institute - Downtown Orlando
Orlando, Florida, 32806
HCA Midwest Health
Overland Park, Kansas, 66211
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
FirstHealth Outpatient Cancer Center
Pinehurst, North Carolina, 28374
Allegheny Health Network - West Penn Hospital
Pittsburgh, Pennsylvania, 15224
Legacy Good Samaritan Medical Center
Portland, Oregon, 97210
USOR - Northwest Cancer Specialists, P.C. dba Compass Oncology - Rose Quarter Cancer Center
Portland, Oregon, 97227
Oregon Health and Science University
Portland, Oregon, 97239
Center of Hope
Reno, Nevada, 89511
James P. Wilmot Cancer Center
Rochester, New York, 14642
USCF Mission Bay
San Francisco, California, 94158
Sarasota Memorial Hospital
Sarasota, Florida, 34239
Maine Medical Center Cancer Institute- Scarborough
Scarborough, Maine, 04074-7172
Arizona Center for Cancer Care (ACCC) - Biltmore
Scottsdale, Arizona, 85251
Fred Hutchinson Cancer Research Center
Seattle, Washington, 98109
Trials365, LLC (Gynecologic Oncology Associates-Shreveport)
Shreveport, Louisiana, 71103
Holy Cross Health - Holy Cross Hospital
Silver Spring, Maryland, 20910
Avera Cancer Institute
Sioux Falls, South Dakota, 57105
Providence Sacred Heart Medical Center
Spokane, Washington, 99204
Holy Name Medical Center
Teaneck, New Jersey, 07666
University of Arizona Cancer Center - Research and Administration at Main Campus
Tucson, Arizona, 85724
Kaiser Permanente - Vallejo Medical Center
Vallejo, California, 94589
SCRI - Florida Cancer Specialists - West Palm Beach
West Palm Beach, Florida, 33401
Jefferson Health - Asplundh Cancer Pavilion
Willow Grove, Pennsylvania, 19090
Saint Joseph Mercy Ann Arbor Hospital
Ypsilanti, Michigan, 48197
Germany14 sites
Helios Klinikum Berlin-Buch
Berlin, 13125
University Hospital Bonn
Bonn, 53127
University Hospital Carl Gustav Carus Dresden
Dresden, 01307
University Hospital of Düsseldorf
Düsseldorf, 40225
Kliniken Essen-Mitte - Evangelische Huyssens-Stiftung
Essen, 45136
Klinikum der Johann Wolfgang Goethe-Universität
Frankfurt, 60596
Universitätsklinikum Gießen und Marburg - Gießen (UKGM)
Giessen, 35392
Mammazentrum Hamburg am Krankenhaus Jerusalem
Hamburg, 20357
MVZ Onko Medical GmbH Hanover
Hanover, 30449
University Hospital Heidelberg /Universitätsklinikum Heidelberg
Heidelberg, 69120
UniversitY Hospital of Saarland
Homburg, 66421
Red Cross Hospital Munich
Munich, 80634
Universitätsklinikum Münster/University Clinic Muenster
Münster, 48149
Helios Dr. Horst Schmidt Kliniken Wiesbaden
Wiesbaden, 65199
Japan14 sites
Saitama Medical University - International Medical Center
Hidaka, Saitama Pref., 350-1298
St. Marianna University Hospital
Kawasaki, Kanagawa Pref, 2160015
Kurume University Hospital
Kurume, Fukuoka Pref, 8300011
The Jikei University Hospital
Minato, Tokyo, 105-0003
Shizuoka Cancer Center
Nagaizumi-chō, Shizuoka Pref., 4118777
Aichi Cancer Center
Nagoya, Aichi Pref, 4648681
Niigata University Medical and Dental Hospital
Niigata, Niigata Pref, 9518520
Okayama University Hospital
Okayama, Okayama Pref., 7008558
Jichi Medical University Hospital
Saitama, Tochigi Pref., 329-0498
Hokkaido Cancer Center
Sapporo, Hokkaido, 0300804
Tohoku University Hospital
Sendai, Miyagi Pref, 9808574
Ehime University Hospital
Shibukawa, Toon City, Ehime Pref, 791-0295
National Cancer Center Hospital
Tokyo, 104-0045
Cancer Institute Hospital of JFCR
Tokyo, 135-8550
Spain8 sites
Hospital Universitario de A Coruña
A Coruña, 15006
Hospital Universitario DE Donostia
Donostia / San Sebastian, 20014
Hospital Clínico Universitario Virgen de la Arrixaca
El Palmar, 30120
Hospital Universitario La Paz
Madrid, 28029
MD Anderson Cancer Center Madrid
Madrid, 28033
Virgen del Rocío University Hospital
Seville, 41013
IVO - Valencian Institute of Oncology Foundation
Valencia, 46009
Miguel Servet Hospital
Zaragoza, 50009
Belgium7 sites
AZORG - Onze-Lieve-Vrouwziekenhuis - Campus Aalst
Aalst, 9300
Centre Hospitalier Universitaire Saint-Pierre
Brussels, 1000
Grand Hôpital de Charleroi - Site Les Viviers
Charleroi, 6000
Universitair Ziekenhuis (UZ) Leuven - Campus Gasthuisberg
Leuven, 3000
Centre Hospitalier Chretien - Clinique MontLégia
Liège, 4000
Algemeen Ziekenhuis Delta - Campus Rumbeke
Roeselare, 051237111
Algemeen Ziekenhuis Turnhout - Campus Sint-Elisabeth
Turnhout, Antwerp, 2300
China7 sites
The First Hospital of Jilin University
Changchun, 130021
Sun Yat-Sen University Cancer Center
Guangzhou, Guangdong, 510060
Zhejiang Cancer Hospital
Hanzhou
Fudan University Shanghai Cancer Center
Shanghai, 200032
Tianjin Medical University Cancer Institute & Hospital
Tianjin, 300060
The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an, Shaanxi, 710049
Henan Cancer Hospital - Zhengzhou University
Zhengzhou
Czechia7 sites
Masaryk Memorial Cancer Institute
Brno, 60200
Fakultní Nemocnice Hradec Králové
Hradec Králové, 50005
Nemocnice AGEL Nový Jičín a.s.
Nový Jičín, 74101
University Hospital Královské Vinohrady
Prague, Prague
Vseobecna Fakultni Nemocnice v Praze
Prague, 12808
Fakultni nemocnice v Motole
Prague, 15000
Bulovka University Hospital
Prague, 18000
France7 sites
Centre Antoine Lacassagne
Nice, 6189
Hôpital Européen Georges-Pompidou
Paris, 75015
Hospital Lyon-Sud (HCL)
Pierre-Bénite, 69310
Centre Eugène Marquis
Rennes, 35042
Western Cancer Institute - Saint-Herblain - René Gauducheau Site
Saint-Herblain, 44800
Institut Universitaire du Cancer de Toulouse (IUCT) Oncopole
Toulouse, 31059
Gustave Roussy
Villejuif, 94805
Italy7 sites
Azienda Sanitaria Locale Brindisi
Brindisi, Apulia, 72100
Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale San Raffaele
Milan, 20132
Istituto Europeo di Oncologia/ European Institute of Oncology
Milan, 20141
Humanitas San Pio X
Milan, 20159
Local Health Authority of Biella - Nuovo Ospedale degli Infermi
Ponderano, 13875
Agostino Gemelli University Hospital Foundation IRCCS
Roma, 00168
Centre Antoine Lacassagne/Azienda Ospedaliera Ordine Mau
Torino, 10128
Poland7 sites
Białostockie Centrum Onkologii im. Marii Skłodowskiej- Curie w Białymstoku
Bialystok, 15-027
Uniwersyteckie Centrum Kliniczne w Gdańsku
Gdansk, 80-211
Jagiellońskie Centrum Innowacj
Krakow, Lesser Poland (Małopolskie), 30-348
Instytut Centrum Zdrowia Matki Polki
Lodz, 93-338
Wielkopolskie Centrum Onkologii im. Marii Sklodowskiej-Curie
Poznan, 61-867
Mazowiecki Szpital Wojewódzki im. św. Jana Pawła II w Siedlcach
Siedlce, 08-110
Uniwersytecki Szpital Kliniczny Nr 2 PUM w Szczecinie
Szczecin, 70-111
Austria5 sites
Medizinische Universität Graz
Graz, 8036
Medizinische Universität Innsbruck
Innsbruck, Tyrol, 6020
Ordensklinikum Linz GmbH Barmherzige Schwestern
Linz, Upper Austria (Oberösterreich), 4010
Krankenhaus Hietzing
Vienna, State of Vienna, 1130
Medizinische Universität Wien
Vienna, 1090
Netherlands5 sites
Amsterdam UMC, location VUmc
Amsterdam, 1081 HV
Medisch Spectrum Twente - Enschede Koningsplein
Enschede, 7512 AV
Leids Universitair Medisch Centrum (LUMC)
Leiden, 2333
Maastricht (UMC) Universitair Medisch Centrum
Maastricht, 6229
Erasmus MC/ Erasmus Medisch Centrum
Rotterdam, 3015 GD
Australia4 sites
Newcastle Private Hospital
New Lambton Heights, New South Wales
Icon Cancer Centre
South Brisbane, Queensland (qld), 4101
Mater Misericordiae - Mater Hospital Brisbane
South Brisbane
Saint John of God - Subiaco Hospital
Subiaco, 6008
Greece4 sites
General Hospital of Athens
Athens, 11527
Attikon University General Hospital/General Hospital of West Attica
Chaïdári, 12462
Aretaieio Hospital
Léfkos, 2024
Saint Luke's Hospital
Panórama
Canada3 sites
Centre Hospitalier de l'Université de Montréal (CHUM)
Montreal, Quebec, H2X0C1
Princess Margaret Cancer Centre
Toronto, Ontario, M5G2M9
Sunnybrook Health Sciences Centre - Bayview Campus
Toronto, M4Y 3M5
Denmark3 sites
Aalborg Universitetshospital
Aalborg, 9000
The Royal Hospital (Rigshospitalet)
Copenhagen
Odense Universitets Hospital
Odense, 5000
Norway2 sites
Oslo Universitetssykehus - Radiumhospitalet
Oslo, 0379
University Hospital of North Norway/Universitetssykehuset Nord-Norge - Tromsø
Tromsø, 9019
Puerto Rico1 site
UPR Comprehensive Cancer Center Hospital
Monacillo, San Juan, 00927
About this study
Official title: A Phase 3 Randomized, Open-label Study of Rinatabart Sesutecan (Rina-S) Versus Treatment of Investigator's Choice (IC) in Patients With Platinum Resistant Ovarian Cancer
This phase 3 study will be conducted in different countries all over the world.
The purpose of this study is to compare how well Rina-S works against platinum-resistant ovarian cancer compared to chemotherapy drugs that are already approved and used for platinum-resistant ovarian cancer.
Treatment in this study could be Rina-S or it could be 1 of 4 indicated chemotherapy agents that are considered standard medical care. There is an equal (50:50) chance of getting Rina-S or an approved chemotherapy agent as treatment in this study. No one will know what treatment they are assigned to until the first dose.
All participants will receive active drug; no one will be given placebo.
Read the detailed description
The China extension-study of GCT1184-02 is registered under NCT07604766.
- Conditions
- Platinum-resistant Ovarian Cancer
- Being tested
- Rina-S, Paclitaxel, Topotecan, Pegylated liposomal doxorubicin (PLD), Gemcitabine
- Keywords
- antibody-drug conjugate, folate receptor alpha (FRα), ovarian cancer, fallopian tube cancer, primary peritoneal cancer, folate receptor, platinum-resistant ovarian cancer (PROC), rinatabart sesutecan, Topoisomerase 1 inhibitor, PRO1184, GEN1184
- Medical subject headings
- Ovarian Neoplasms, Fallopian Tube Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rina-SDrug
Also called PRO1184, Rinatabart Sesutecan, GEN1184
Intravenous (IV) infusion
PaclitaxelDrug
IV infusion
TopotecanDrug
IV infusion
Pegylated liposomal doxorubicin (PLD)Drug
IV infusion
GemcitabineDrug
IV infusion
| Study group | Role | What they receive |
|---|---|---|
| Rina-S | Experimental | Not described Receives: Drug: Rina-S |
| Investigator's Choice | Active comparator | Not described Receives: Drug: Paclitaxel; Drug: Topotecan; Drug: Pegylated liposomal doxorubicin (PLD); Drug: Gemcitabine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS)
PFS is defined as the time from the date of randomization to the date of the first documented progression or death (PD) due to any cause, whichever occurs first based on response evaluation criteria in solid tumors (RECIST) version 1.1 as assessed by the investigator.
Measured: Up to approximately 1.5 years
Secondary outcomes (10)
Overall Survival (OS)
OS is defined as the time from date of randomization to date of death due to any cause.
Measured: Up to approximately 1.5 years
Objective Response Rate (ORR)
ORR is defined as the percentage of participants with best overall response (BOR) of complete response (CR) or partial response (PR) based on RECIST v1.1 as assessed by the investigator.
Measured: Up to approximately 1.5 years
PFS as Determined by BICR
PFS is defined as the time from the date of randomization to the date of the first documented progression or death (PD) due to any cause, whichever occurs first based on RECIST version 1.1 as determined by BICR.
Measured: Up to approximately 1.5 years
ORR as Determined by BICR
ORR is defined as the percentage of participants with BOR of CR or PR based on RECIST v1.1 as determined by BICR.
Measured: Up to approximately 1.5 years
Duration of Response (DOR)
DOR is defined as the time from the onset date of response to the date of the first documented progression or death due to any cause based on RECIST v1.1 as assessed by the investigator and by blinded independent central review (BICR).
Measured: Up to approximately 1.5 years
Percentage of Participants Who Achieved Cancer Antigen-125 (CA-125) Response per Gynecologic Cancer Intergroup (GCIG) Criteria
A CA-125 response per the GCIG criteria is defined as a ≥ 50% reduction in CA-125 levels from baseline.
Measured: Up to approximately 1.5 years
Time to Second Disease Progression or Death From any Cause (PFS2)
PFS2 is defined as the time from randomization to the date of the second PD (i.e., the first PD reported in subsequent anti-cancer therapies, or long-term follow up) or death.
Measured: Up to approximately 1.5 years
Overall Change From Baseline in Global Health Status/Quality of Life (GHS/Qol)
Overall change from baseline in GHS/Qol score (items 29 and 30) will be calculated using the European Organization for Research and Treatment of Cancer Quality of Life Core 30 (EORTC-QLQ-C30) questionnaire. The score ranges from 0 to 100. A high scale score represents a higher response level.
Measured: Baseline, up to approximately 1.5 years
Time to Deterioration (TTD) in the GHS/Qol Score
TTD in the GHS/Qol score is defined as the time from baseline to the first onset of a ≥10-point negative change (decrease) in GHS/QoL score. A longer TTD indicates a better outcome.
Measured: Up to approximately 1.5 years
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Measured: Up to approximately 1.5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Oct 2024
- Study start7 Feb 2025
- Primary completion18 Aug 2026
- Study completionOct 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Platinum-resistant Ovarian CancerStudies of the same condition, open and under way.
- More trials run by GenmabThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 584 participants (actual)
Sponsor and investigators
- Lead sponsor
- Genmab
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Official, Study director, Genmab
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06619236
- Sponsor's protocol ID
- GCT1184-02
- Other IDs
- jRCT2031250064, CTR20253987, PRO1184-002, GOG-3107, ENGOT-OV86, 2024-514822-21
- Acronym
- RAINFOL-02
- Status last verified
- Sep 2026
- First submitted
- 20 Sep 2024
- Last updated
- 3 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized, Open-label Study of Rinatabart Sesutecan (Rina-S) Versus Treatment of Investigator's Choice (IC) in Patients With Platinum Resistant Ovarian Cancer
- ClinicalTrials.gov ID
- NCT06619236
- Acronym / sponsor ID
- RAINFOL-02 / GCT1184-02
- Conditions
- Platinum-resistant Ovarian Cancer
- Keywords
- antibody-drug conjugate, folate receptor alpha (FRα), ovarian cancer, fallopian tube cancer, primary peritoneal cancer, folate receptor, platinum-resistant ovarian cancer (PROC), rinatabart sesutecan
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 584 participants (actual)
- Lead sponsor
- GenmabIndustry (pharma, biotech, devices)
- Study start
- 7 Feb 2025 (actual)
- Primary completion
- 18 Aug 2026 (actual)
- Study completion
- Oct 2027 (estimated)
- First posted
- 1 Oct 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This phase 3 study will be conducted in different countries all over the world.
The purpose of this study is to compare how well Rina-S works against platinum-resistant ovarian cancer compared to chemotherapy drugs that are already approved and used for platinum-resistant ovarian cancer.
Treatment in this study could be Rina-S or it could be 1 of 4 indicated chemotherapy agents that are considered standard medical care. There is an equal (50:50) chance of getting Rina-S or an approved chemotherapy agent as treatment in this study. No one will know what treatment they are assigned to until the first dose.
All participants will receive active drug; no one will be given placebo.
Detailed description
The China extension-study of GCT1184-02 is registered under NCT07604766.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Rina-S | Experimental | Drug: Rina-S |
| Investigator's Choice | Active comparator | Drug: Paclitaxel, Drug: Topotecan, Drug: Pegylated liposomal doxorubicin (PLD), Drug: Gemcitabine |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Participants must have histologically or cytologically confirmed high grade serous or endometrioid epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer.
- Participants may be enrolled regardless of FRα expression level.
- Participants must have received 1 to 4 prior lines of therapy. Participants must have progressed radiographically on or after their most recent line of therapy.
- Participants must have received prior treatment with the following therapies:
- Participants must have platinum-resistant disease:
Key exclusion criteria (7 listed)
- Prior therapy with an antibody-drug conjugate containing a topoisomerase 1 inhibitor.
- Have primary platinum-refractory disease, defined as ovarian cancer that did not respond (CR or PR) to or progressed ≤ 91 days after the last dose of a first-line platinum-containing regimen.
- History of another malignancy within 3 years before the first dose of study drug, or any evidence of residual disease from a previously diagnosed malignancy. Exceptions are malignancies with a negligible risk of metastasis or death (e.g., 5-year OS ≥90%), including, but not limited to, adequately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, ductal carcinoma in situ, or Stage I uterine cancer.
- Known active central nervous system metastases or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are clinically stable for at least 4 weeks prior to study entry after brain metastasis treatment, they have no new or enlarging brain metastases, and are off corticosteroids and anticonvulsants prescribed for symptoms associated with brain metastases for at least 7 days prior to the first dose of study drug. Participants with suspected brain metastases at screening should undergo a computed tomography (CT)/magnetic resonance imaging (MRI) of the brain prior to study entry.
- Hospitalization or clinical symptoms due to gastrointestinal obstruction within the past 91 days or radiographic evidence of gastrointestinal obstruction at the time of screening. Enrollment of participants who currently require parenteral nutrition must be discussed with the study medical monitor to determine eligibility.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Rina-SAlso: PRO1184, Rinatabart Sesutecan, GEN1184Intravenous (IV) infusion | Drug | Rina-S |
| PaclitaxelIV infusion | Drug | Investigator's Choice |
| TopotecanIV infusion | Drug | Investigator's Choice |
| Pegylated liposomal doxorubicin (PLD)IV infusion | Drug | Investigator's Choice |
| GemcitabineIV infusion | Drug | Investigator's Choice |
Primary outcome
Progression-Free Survival (PFS)
Time frame: Up to approximately 1.5 years
PFS is defined as the time from the date of randomization to the date of the first documented progression or death (PD) due to any cause, whichever occurs first based on response evaluation criteria in solid tumors (RECIST) version 1.1 as assessed by the investigator.
10 secondary outcomes
Overall Survival (OS)
Time frame: Up to approximately 1.5 years
Objective Response Rate (ORR)
Time frame: Up to approximately 1.5 years
PFS as Determined by BICR
Time frame: Up to approximately 1.5 years
ORR as Determined by BICR
Time frame: Up to approximately 1.5 years
Duration of Response (DOR)
Time frame: Up to approximately 1.5 years
Percentage of Participants Who Achieved Cancer Antigen-125 (CA-125) Response per Gynecologic Cancer Intergroup (GCIG) Criteria
Time frame: Up to approximately 1.5 years
Time to Second Disease Progression or Death From any Cause (PFS2)
Time frame: Up to approximately 1.5 years
Overall Change From Baseline in Global Health Status/Quality of Life (GHS/Qol)
Time frame: Baseline, up to approximately 1.5 years
Time to Deterioration (TTD) in the GHS/Qol Score
Time frame: Up to approximately 1.5 years
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Time frame: Up to approximately 1.5 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Study Official study director
Genmab
177 sites in 18 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Rina-S, Paclitaxel and Topotecan in people with Platinum-resistant Ovarian Cancer, run by Genmab at 177 sites in 18 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 14 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 177 sites in United States, Germany, Japan, Spain, Belgium and 13 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival (PFS) (time frame: Up to approximately 1.5 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2026.