Platinum-resistant Ovarian CancerPhase 2NCT06730347
A Study of Lorigerlimab in Participants With Advanced Solid Tumors
A Phase 2 study testing Lorigerlimab in people with Platinum-resistant Ovarian Cancer and Platinum-Resistant Fallopian Tube Carcinoma, run by MacroGenics at 16 sites in 3 countries.
Trial summary
Study CP-MGD019-03 is an open-label study of lorigerlimab in participants with platinum-resistant ovarian cancer (PROC) or clear cell gynecologic cancer (CCGC). Approximately 80 participants will be enrolled. The study will assess the efficacy and safety of lorigerlimab in participants with PROC or CCGC. 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, Platinum-Resistant Fallopian Tube Carcinoma, Platinum-Resistant Primary Peritoneal Carcinoma
- What is being tested?
- Lorigerlimab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 80 participants
- Where
- 16 sitesin 3 countries
- Study dates
- 1 May 2025to Dec 2027
- Phase
- Phase 2
- 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
- Histologically confirmed high-grade serous epithelial ovarian cancer, including primary peritoneal, or fallopian tube cancer, resistant to platinum based chemotherapy. OR
- Histologically confirmed clear cell carcinoma of the ovary (including primary peritoneal and fallopian tube), endometrium, vagina, vulva, or cervix.
- Persistent or recurrent disease with documented disease progression.
- Participants with PROC must have received at least 1 but not more than 3 prior lines of therapy for PROC.
- Participants with CCGC must have received at least 1 prior line of therapy for CCGC.
- Participants with a known breast cancer (BRCA) mutation (germline or somatic) must have received a Poly ADP-ribose polymerase (PARP) inhibitor, if locally approved and available, and experienced disease progression or intolerance on the PARP inhibitor.
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- Participants must have at least one lesion that meets the definition of measurable disease by RECIST v1.1.
- Participants must have an available archival or formalin-fixed paraffin-embedded tumor tissue, or be willing to undergo a biopsy procedure to obtain a fresh tumor sample.
- Participants have acceptable physical condition and laboratory values.
- Participants of childbearing potential must agree to use highly effective methods of birth control.
- Participants must not be pregnant, planning to be pregnant, or breastfeeding.
Who cannot join
- Any underlying medical or psychiatric condition impairing participant's ability to receive, tolerate, or comply with the planned treatment or study procedures.
- Primary platinum-refractory disease, defined as disease that did not respond to (CR or PR) or has progressed within 3 months of the last dose of first-line platinum- containing chemotherapy.
- Prior treatment with a checkpoint inhibitor (e.g., anti-PD-1/PD-L1, anti-PD-L2, anti-CTLA-4). Prior use of immune checkpoint inhibitors (e.g., anti-PD-1, anti-PD-L1, anti-CTLA-4) is allowed for clear cell endometrial and clear cell cervical cancer.
- Active brain metastases or leptomeningeal metastases.
- Prior stem cell, tissue, or solid organ transplant.
- Paracentesis (removal of fluid from the abdomen) within 4 weeks prior to initiation of study treatment.
- Another hematologic or solid tumor ≥ stage 1 malignancy that completed surgery, last dose of radiotherapy, or last dose of systemic anti-cancer therapy ≤ 3 years from first dose of study treatment. Participants with another tumor that has a negligible risk for metastasis or death such as, adequately controlled basal-cell carcinoma or squamous-cell carcinoma of the skin, or carcinoma in situ of the cervix or breast are eligible.
Trial locations and contacts
16 sites in 3 countries. Contact the study team or a site near you to ask about taking part.
16 sites in 3 countries
United States7 sites, 7 recruiting
- Recruiting
START Midwest
Grand Rapids, Michigan, 49546
Judy Phan
Manish Sharma, MD
- Recruiting
The University of Texas MD Anderson Cancer Center, Gynecologic Oncology Center
Houston, Texas, 77030
Mariana Gallardo
Amir Jazaeri, MD
- Recruiting
UCLA
Los Angeles, California, 90095
Surya Nagesh
Salani Ritu, MD
- Recruiting
Wisconsin Institute Medical Research- UW Cancer Connect
Madison, Wisconsin, 53705
Claire Kostechka
Janelle Sobecki, MD
- Recruiting
Ochsner MD Anderson Cancer Center
New Orleans, Louisiana, 70115
Chad Hamilton
Chad Hamilton, MD
- Recruiting
West Penn Allegheny Health
Pittsburgh, Pennsylvania, 15224
Sarah Crafton
Sarah Crafton, MD
- Recruiting
START San Antonio
San Antonio, Texas, 78229
Alison Procter
Drew Rasco, MD
South Korea7 sites, 7 recruiting
- Recruiting
National Cancer Center
Goyang-si, Gyeonggi-do, 410-763
Myong Cheol Lim
Myong Cheol Lim, MD
- Recruiting
Seoul National University Hospital Bundang Hospital
Seongnam-si, Gyeonnggi-Do, 463-707
Yong Beom Kim
Yong Beom Kim, MD
- Recruiting
Yonsei University Health System Severance Hospital
Seoul, 03722
Yujeong Huh
Jung Yun Lee, MD
- Recruiting
Gangnam Severance Hospital
Seoul, 06273
Mina Jang
Jae-Hoon Kim, MD
- Recruiting
Korea University Guro Hospital
Seoul, 08308
Jin Hwa Hong
Jin Hwa Hong, MD
- Recruiting
Seoul National University Hospital
Seoul, 110-74
Jae-Weon Kim
Jae-Weon Kim, MD
- Recruiting
Samsung Medical Center
Seoul, 135-710
Jeong-Won Lee
Jeong-Won Lee, MD
Canada2 sites, 2 recruiting
- Recruiting
McGill University
Montreal, Quebec, H4A3J1
Phuong Nam Natalie Nguyen
Lucy Gilbert, MD
- Recruiting
Princess Margaret Cancer Center
Toronto, Ontario, M5G 2M9
Stephanie Lheureux
Stephanie Lheureux, MD
About this study
Official title: A Phase 2 Multicohort Study to Evaluate Lorigerlimab in Participants With Advanced Solid Tumors
Study CP-MGD019-03 is an open-label study of lorigerlimab in participants with platinum-resistant ovarian cancer (PROC) or clear cell gynecologic cancer (CCGC). Approximately 80 participants will be enrolled. The study will assess the efficacy and safety of lorigerlimab in participants with PROC or CCGC.
Participants will receive lorigerlimab by intravenous (IV) infusion on Day 1 of every 21-day treatment cycle. Treatment cycles will continue until progression of cancer, unacceptable side effects, withdrawal of consent by the participant, or the study ends.
Participants will be monitored closely for side effects by physical exam and routine laboratory tests every cycle. Tumor status will be checked approximately every 9 weeks for the first year, then every 12 weeks for the duration of treatment. Participants will have a safety followup performed within 30 days after treatment discontinuation. Participants who discontinue study treatment for reasons other than progression of cancer, will continue CA-125 and tumor assessments every 12 weeks. Participants who discontinue study treatment for progression of cancer will enter the 6-month survival follow up portion of the study.
- Conditions
- Platinum-resistant Ovarian Cancer, Platinum-Resistant Fallopian Tube Carcinoma, Platinum-Resistant Primary Peritoneal Carcinoma, Clear Cell Adenocarcinoma of Ovary, Clear Cell Adenocarcinoma of Vulva, Clear Cell Adenocarcinoma of Vagina
- Being tested
- Lorigerlimab
- Medical subject headings
- Endometrial Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LorigerlimabBiological
Also called MGD019
Bispecific DART protein binding PD-1 and CTLA-4
| Study group | Role | What they receive |
|---|---|---|
| Cohort A (PROC) high dose | Experimental | Lorigerlimab 6 mg/kg IV every 21 days Receives: Biological: Lorigerlimab |
| Cohort A (PROC) low dose | Experimental | Lorigerlimab 3 mg/kg IV every 21 days Receives: Biological: Lorigerlimab |
| Cohort B (CCGC) | Experimental | Lorigerlimab 6 mg/kg IV every 21 days Receives: Biological: Lorigerlimab |
| Cohort C (CCGC) | Experimental | Lorigerlimab 3 mg/kg IV every 21 days Receives: Biological: Lorigerlimab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria as determined by the investigator
The ORR, is defined as the percentage of patients in the response evaluable population who achieve a best overall response of complete response (CR) or partial response (PR), per RECIST, version 1.1 criteria.
CR is defined as disappearance of all target and non-target lesions. PR is defined as at least a 30% decrease from baseline in the sum of diameters of target lesions.
Measured: Throughout the study up to approximately 2 years
Secondary outcomes (6)
Frequency and severity of adverse events (AEs), serious AEs (SAEs), immune-related AEs (irAEs), and AEs leading to dose modifications or treatment discontinuation.
Measured: Throughout the study, up to approximately 2 years
Median duration of response (DoR) per RECIST 1.1 criteria
The DoR will be calculated per RECIST v1.1 criteria, as determined by the investigator, from the date of initial tumor response (CR or PR) to the date of first documented progressive disease (PD) or death from any cause, whichever occurs first.
Measured: Throughout the study, up to approximately 2.5 years
Median progression free survival (PFS) per RECIST 1.1 criteria
PFS is defined as the time from the first dose of study treatment to the date of documented PD or death from any cause, whichever occurs first.
Measured: Throughout the study, up to 2.5 years
Percent change from baseline in tumor size
Tumor size is defined as the sum of diameters of the target lesions.
Measured: Throughout the study, up to 2.5 years
Best percent change from baseline in tumor size
Tumor size is defined as the sum of diameters of the target lesions.
Measured: Throughout the study, up to 2.5 years
Disease control rate (DCR)
DCR, per RECIST v1.1 criteria, as determined by the investigator, is defined as the proportion of participants in the response evaluable population who achieve a CR, PR or stable disease for at least 3 months.
Measured: Throughout the study, up to 2.5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Dec 2024
- Study start1 May 2025
- Primary completionJul 2027 (estimated)
- Study completionDec 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.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 80 participants (estimated)
Sponsor and investigators
- Lead sponsor
- MacroGenics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pepi Pencheva, Study director, MacroGenics
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06730347
- Sponsor's protocol ID
- CP-MGD019-03
- Status last verified
- May 2026
- First submitted
- 9 Dec 2024
- Last updated
- 2 Jun 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 2 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Multicohort Study to Evaluate Lorigerlimab in Participants With Advanced Solid Tumors
- ClinicalTrials.gov ID
- NCT06730347
- Acronym / sponsor ID
- CP-MGD019-03
- Conditions
- Platinum-resistant Ovarian Cancer, Platinum-Resistant Fallopian Tube Carcinoma, Platinum-Resistant Primary Peritoneal Carcinoma, Clear Cell Adenocarcinoma of Ovary, Clear Cell Adenocarcinoma of Vulva, Clear Cell Adenocarcinoma of Vagina
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 80 participants (estimated)
- Lead sponsor
- MacroGenicsIndustry (pharma, biotech, devices)
- Study start
- 1 May 2025 (actual)
- Primary completion
- Jul 2027 (estimated)
- Study completion
- Dec 2027 (estimated)
- First posted
- 12 Dec 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.
Study CP-MGD019-03 is an open-label study of lorigerlimab in participants with platinum-resistant ovarian cancer (PROC) or clear cell gynecologic cancer (CCGC). Approximately 80 participants will be enrolled. The study will assess the efficacy and safety of lorigerlimab in participants with PROC or CCGC.
Participants will receive lorigerlimab by intravenous (IV) infusion on Day 1 of every 21-day treatment cycle. Treatment cycles will continue until progression of cancer, unacceptable side effects, withdrawal of consent by the participant, or the study ends.
Participants will be monitored closely for side effects by physical exam and routine laboratory tests every cycle. Tumor status will be checked approximately every 9 weeks for the first year, then every 12 weeks for the duration of treatment. Participants will have a safety followup performed within 30 days after treatment discontinuation. Participants who discontinue study treatment for reasons other than progression of cancer, will continue CA-125 and tumor assessments every 12 weeks. Participants who discontinue study treatment for progression of cancer will enter the 6-month survival follow up portion of the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Cohort A (PROC) high dose | Experimental | Biological: LorigerlimabLorigerlimab 6 mg/kg IV every 21 days |
| Cohort A (PROC) low dose | Experimental | Biological: LorigerlimabLorigerlimab 3 mg/kg IV every 21 days |
| Cohort B (CCGC) | Experimental | Biological: LorigerlimabLorigerlimab 6 mg/kg IV every 21 days |
| Cohort C (CCGC) | Experimental | Biological: LorigerlimabLorigerlimab 3 mg/kg IV every 21 days |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Histologically confirmed high-grade serous epithelial ovarian cancer, including primary peritoneal, or fallopian tube cancer, resistant to platinum based chemotherapy. OR
- Histologically confirmed clear cell carcinoma of the ovary (including primary peritoneal and fallopian tube), endometrium, vagina, vulva, or cervix.
- Persistent or recurrent disease with documented disease progression.
- Participants with PROC must have received at least 1 but not more than 3 prior lines of therapy for PROC.
- Participants with CCGC must have received at least 1 prior line of therapy for CCGC.
Key exclusion criteria (7 listed)
- Any underlying medical or psychiatric condition impairing participant's ability to receive, tolerate, or comply with the planned treatment or study procedures.
- Primary platinum-refractory disease, defined as disease that did not respond to (CR or PR) or has progressed within 3 months of the last dose of first-line platinum- containing chemotherapy.
- Prior treatment with a checkpoint inhibitor (e.g., anti-PD-1/PD-L1, anti-PD-L2, anti-CTLA-4). Prior use of immune checkpoint inhibitors (e.g., anti-PD-1, anti-PD-L1, anti-CTLA-4) is allowed for clear cell endometrial and clear cell cervical cancer.
- Active brain metastases or leptomeningeal metastases.
- Prior stem cell, tissue, or solid organ transplant.
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 |
|---|---|---|
| LorigerlimabAlso: MGD019Bispecific DART protein binding PD-1 and CTLA-4 | Biological | Cohort A (PROC) high dose, Cohort A (PROC) low dose, Cohort B (CCGC), Cohort C (CCGC) |
Primary outcome
Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria as determined by the investigator
Time frame: Throughout the study up to approximately 2 years
The ORR, is defined as the percentage of patients in the response evaluable population who achieve a best overall response of complete response (CR) or partial response (PR), per RECIST, version 1.1 criteria. CR is defined as disappearance of all target and non-target lesions. PR is defined as at least a 30% decrease from baseline in the sum of diameters of target lesions.
6 secondary outcomes
Frequency and severity of adverse events (AEs), serious AEs (SAEs), immune-related AEs (irAEs), and AEs leading to dose modifications or treatment discontinuation.
Time frame: Throughout the study, up to approximately 2 years
Median duration of response (DoR) per RECIST 1.1 criteria
Time frame: Throughout the study, up to approximately 2.5 years
Median progression free survival (PFS) per RECIST 1.1 criteria
Time frame: Throughout the study, up to 2.5 years
Percent change from baseline in tumor size
Time frame: Throughout the study, up to 2.5 years
Best percent change from baseline in tumor size
Time frame: Throughout the study, up to 2.5 years
Disease control rate (DCR)
Time frame: Throughout the study, up to 2.5 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 2 Jun 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.
Pepi Pencheva study director
MacroGenics
16 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Lorigerlimab in people with Platinum-resistant Ovarian Cancer and Platinum-Resistant Fallopian Tube Carcinoma, run by MacroGenics at 16 sites in 3 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 11 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: looking for participants now, as of the sponsor's last update on 2 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 16 sites in United States, South Korea, Canada. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
Contact Global Trial Manager (301-251-5172, info@macrogenics.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria as determined by the investigator (time frame: Throughout the study up to approximately 2 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 2 Jun 2026.