High Grade Epithelial Ovarian CancerPhase 1/2RAINFOL-01NCT05579366
Rinatabart Sesutecan (Rina-S, PRO1184, GEN1184) for Advanced Solid Tumors (GCT1184-01/ PRO1184-001)
A Phase 1/2 study testing Rina-S, Carboplatin and Bevacizumab in people with High Grade Epithelial Ovarian Cancer and High Grade Serous Ovarian Cancer, run by Genmab at 66 sites in 3 countries.
Trial summary
This study will test the safety, including side effects, and determine the characteristics of a drug called Rina-S in participants with solid tumors. Participants will have solid tumor cancer that has spread through the body (metastatic) or cannot be removed with surgery (unresectable). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- High Grade Epithelial Ovarian Cancer, High Grade Serous Ovarian Cancer, Primary Peritoneal Carcinoma
- What is being tested?
- Rina-S, Carboplatin and Bevacizumab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 952 participants
- Where
- 66 sitesin 3 countries
- Study dates
- 7 Dec 2022to Oct 2027
- Phase
- Phase 1/2
- 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
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Part A and B:
- Histologically or cytologically confirmed metastatic or unresectable solid malignancy including ovarian cancer (must have epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer), endometrial cancer, non-small cell lung cancer (Part A), EGFR-mutated NSCLC (Part B), breast cancer (hormone receptor positive, HER2-negative and triple-negative) (Part A), mesothelioma or cervical cancer (Part B).
- Previously received therapies known to confer clinical benefit.
- Measurable disease per RECIST v1.1 for all tumor types other than pleural mesothelioma which will use mRECIST v1.1 at baseline.
- Part C, E, and H:
- Participants must have histologically or cytologically confirmed metastatic or unresectable epithelial ovarian cancer as specified below.
Show all 53Show fewer
- High grade serous ovarian cancer, primary peritoneal cancer, or fallopian tube cancer (excluding endometrioid, clear cell carcinomas, mucinous, low grade, and those with a sarcomatous or neuroendocrine element)
- Participants must have received up to 3 prior lines of therapy. Participants may have had up to to 4 prior lines of therapy are allowed if MIRV is locally approved and was used as the last line of therapy. Participants must have progressed radiographically on or after their most recent line of therapy.
- Participants must have platinum-resistant ovarian cancer.
- Participants must have received prior bevacizumab or approved biosimilar.
- Participants with known or suspected deleterious germline or somatic BRCA mutations (as determined by Food and Drug Administration [FDA]-approved test in a Clinical Laboratory Improvement Amendments [CLIA]-certified laboratory; or locally approved equivalent) 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.
- Measurable disease per the RECIST v1.1 at baseline.
- Part D:
- Cohort D1:
- Participants must have platinum-sensitive ovarian cancer.
- Participants must have received 1 to 3 prior lines of therapy.
- Cohort D2:
- Participants must have primary platinum-refractory, platinum-resistant, or platinum-sensitive ovarian cancer.
- Participants with primary platinum-refractory ovarian cancer must have received ≤2 prior lines of therapy. Primary platinum-refractory ovarian cancer is defined as a lack of response or by progression within 91 days after completing front-line platinum containing therapy.
- Participants must have received 1 to 3 prior lines of therapy for platinum-resistant ovarian cancer (PROC), and up to 4 prior lines of therapy for platinum-sensitive ovarian cancer (PSOC). Prior treatments may have included bevacizumab, PARP inhibitor, and MIRV.
- Participants with PSOC must have disease progression on or after maintenance treatment, or at least 6 months (>183 days) or more from the last dose of platinum-based therapy.
- Cohort D3:
- Endometrial cancer (any subtype excluding sarcoma).
- Cohort D4:
- Primary advanced or recurrent endometrial cancer (any subtype excluding sarcoma and neuroendocrine tumors).
- Cohort D5
- Primary advanced or recurrent endometrial cancer (any subtype excluding sarcoma and neuroendocrine tumors).
- Part F and G:
- Participants must have histologically or cytologically confirmed EC.
- Recurrent progressive EC (any subtype excluding neuroendocrine tumors, carcinosarcoma, or endometrial sarcoma) following prior therapy.
- Participants must have received 1 to 3 prior lines of therapy, and must have progressed radiographically on or after their most recent line of therapy:
- Participants must have received prior platinum-based chemotherapy and a programmed death-ligand 1 (PD-[L])1 inhibitor.
- Participants who progress >12 months after completion of prior adjuvant or neoadjuvant platinum-based chemotherapy must receive 1 additional cytotoxic systemic treatment prior to enrollment in this study.
- Hormonal therapy alone (i.e., without chemotherapy) will not be counted as a separate line of therapy.
- Measurable disease per the RECIST Version 1.1 at baseline.
- Part I:
- Participants must have histologically or cytologically confirmed high grade serous or endometrioid epithelial ovarian cancer, fallopian tube cancer and primary peritoneal cancer (excluding clear cell, mucinous, or sarcomatous histology, mixed tumors containing any of the above histologies or low grade/borderline ovarian tumors).
- Participants must have platinum sensitive ovarian cancer.
- Measurable disease per the RECIST Version 1.1 at baseline.
- Part J:
- Participants must have high grade epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer including serous, endometrioid, and clear cell carcinomas, and excluding mucinous, low grade, and those with a sarcomatous or neuroendocrine element.
- Measurable disease per the RECIST Version 1.1 at baseline.
- Part K:
- Participants must have histologically or cytologically confirmed metastatic or unresectable ovarian cancer (must have high grade epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer including serous, endometrioid, and clear cell carcinomas, and excluding mucinous, low grade, and those with a sarcomatous or neuroendocrine element).
- Participants must have primary platinum-refractory, platinum-resistant, or platinum-sensitive ovarian cancer.
- Measurable disease per the RECIST Version 1.1 at baseline.
- Part L:
- Participants must have a histologically or cytologically confirmed metastatic or unresectable solid malignancy. Participants must have previously received all therapies known to confer clinical benefit (unless ineligible to receive or refused to receive or therapy is unavailable in the region). If a standard-of-care therapy is available that has not been administered, the reason that the therapy is not appropriate must be documented.
- Participants must either have ovarian cancer (must have high grade epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer including serous, endometrioid, and clear cell carcinomas, and excluding mucinous, low grade, and those with a sarcomatous or neuroendocrine element), or
- NSCLC.
- Age 18 to 65 years (inclusive).
- An Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1.
- Measurable disease per the RECIST version 1.1 at baseline.
Who cannot join
- History of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids within the past 2 years, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening.
- Prior therapy with a topoisomerase 1 inhibitor-based antibody drug conjugate.
- Note: Other protocol-defined inclusion/exclusion may apply.
Trial locations and contacts
66 sites in 3 countries. Contact the study team or a site near you to ask about taking part.
66 sites in 3 countries
United States37 sites, 37 recruiting
- Recruiting
USOR Texas Oncology
Abilene, Texas, 79606
- Recruiting
Augusta University Georgia Cancer Center
Augusta, Georgia, 30912
- Recruiting
Texas Oncology - Central / South Texas
Austin, Texas, 78758
- Recruiting
Massachusetts General Hospital
Boston, Massachusetts, 02114
- Recruiting
Dana Farber Cancer Institute
Boston, Massachusetts, 02215
- Recruiting
MD Anderson Cancer Center at Cooper- Two Cooper Plaza
Camden, New Jersey, 08103
- Recruiting
Ohio State University Comprehensive Cancer Center (OSUCCC)- The James Cancer Hospital and Solove Research Institute
Columbus, Ohio, 43210
- Recruiting
Mary Crowley Cancer Research
Dallas, Texas, 75521
- Recruiting
Karmanos Cancer Institute
Detroit, Michigan, 48085
- Recruiting
USOR Alliance Cancer Specialist
Doylestown, Pennsylvania, 18901
- Recruiting
USOR Oncology Associates of Oregon, P.C.
Eugene, Oregon, 97401
- Recruiting
Swedish Cancer Institute
Everett, Washington, 98104
- Recruiting
USOR Virginia Cancer Specialists
Fairfax, Virginia, 22031
- Recruiting
USOR Florida Cancer Specialists South
Fort Myers, Florida, 33908
- Recruiting
USOR Texas Oncology
Fort Worth, Texas, 76104
- Recruiting
START Midwest
Grand Rapids, Michigan, 49503
- Recruiting
University of California Los Angeles Medical Center
Los Angeles, California, 90095
- Recruiting
USOR Minnesota Oncology Hematology
Maplewood, Minnesota, 55109
- Recruiting
Sarah Cannon Research Institute at Tennessee Oncology
Nashville, Tennessee, 37203
- Recruiting
Tennessee Oncology
Nashville, Tennessee, 37203
- Recruiting
USOR Virginia Oncology Associates
Norfolk, Virginia, 23502
- Recruiting
University of Oklahoma - Health Sciences Center
Oklahoma City, Oklahoma, 73104
- Recruiting
USOR HonorHealth
Phoenix, Arizona, 85016
- Recruiting
Allegheny Health Network
Pittsburgh, Pennsylvania, 15224
- Recruiting
Compass Oncology - Rose Quarter
Portland, Oregon, 97227
- Recruiting
Women and Infants Hospital of Rhode Island
Providence, Rhode Island, 02905
- Recruiting
USOR Maryland Oncology Hematology
Rockville, Maryland, 20850
- Recruiting
University of California, San Diego; Moores Cancer Center
San Diego, California, 92093
- Recruiting
USOR Sansum Clinic
Santa Barbara, California, 93105
- Recruiting
Providence Medical Foundation
Santa Rosa, California, 95403
- Recruiting
USOR Florida Cancer Specialists North
St. Petersburg, Florida, 33709
- Recruiting
USOR Arizona Oncology Associates
Tucson, Arizona, 85711
- Recruiting
Texas Oncology - Northeast TX
Tyler, Texas, 75702
- Recruiting
USOR Florida Cancer Specialists East
West Palm Beach, Florida, 33401
- Recruiting
START Mountain Region
West Valley City, Utah, 84119
- Recruiting
University of Kansas Medical Center (KUMC)
Westwood, Kansas, 66205
- Recruiting
USOR Texas Oncology Gulf Coast
Woodland, Texas, 77380
China20 sites, 20 recruiting
- Recruiting
Cancer hospital, Chinese Academy of Medical Sciences
Beijing, Beijing Municipality
- Recruiting
Jilin Cancer Hospital
Changchun, Jilin
- Recruiting
Hunan Cancer Hospital - Phase 1
Changsha, Hunan
- Recruiting
Hunan Cancer Hospital - Thoracic Medicine Dept II
Changsha, Hunan
- Recruiting
Obstetrics & Gynecology Hospital of Fudan University
Chengdu, Shanghai Municipality
- Recruiting
Chongqing University Cancer Hospital
Chongqing, Chongqing Municipality
- Recruiting
Fujian Cancer Hospital
Fujian, China
- Recruiting
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangdong, China
- Recruiting
Zhejiang Cancer Hospital
Hangzhou, Zhejiang
- Recruiting
Second Affiliated Hospital of Zhengzhou University
Henan, China
- Recruiting
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
Hubei, China
- Recruiting
Jiangxi Maternal and Child Health Hospital
Nanchang, Jiangxi
- Recruiting
Fudan University Shanghai Cancer Center - Gynecologic Oncology
Shanghai, Shanghai Municipality
- Recruiting
Fudan University Shanghai Cancer Center- Phase 1
Shanghai, Shanghai Municipality
- Recruiting
Shanghai East Hospital
Shanghai, Shanghai Municipality
- Recruiting
Sichuan Cancer Hospital
Shanghai, Sichuan
- Recruiting
Second Hospital of Shanxi Medical University
Shanxi, China
- Recruiting
Shanxi Cancer Hospital
Shanxi, China
- Recruiting
Liaoning Cancer Hospital & Institute
Shengyang, China
- Recruiting
Tianjin Cancer Hospital
Tianjin, China
Japan9 sites, 9 recruiting
- Recruiting
Hyogo Cancer Center
Akashi, Hyōgo
- Recruiting
Fukushima Medical University Hospital
Fukushima, Fukushima
- Recruiting
Saitama Medical University-International Medical Center
Hidaka, Saitama
- Recruiting
Cancer Institute Hospital of JFCR
Koto, Tokyo
- Recruiting
Shizuoka Cancer Center
Nagaizumi-chō, Shizuoka
- Recruiting
Gunma Prefectural Cancer Center
Ōta, Gunma
- Recruiting
Sapporo Medical University Hospital
Sapporo, Hokkaido
- Recruiting
Keio University Hospital
Shinjuku-ku, Tokyo
- Recruiting
Yamagata University Hospital
Yamagata, Yamagata
About this study
Official title: Phase 1/2 Study of Rina-S in Patients With Locally Advanced and/or Metastatic Solid Tumors
This study will test the safety, including side effects, and determine the characteristics of a drug called Rina-S in participants with solid tumors.
Participants will have solid tumor cancer that has spread through the body (metastatic) or cannot be removed with surgery (unresectable).
Read the detailed description
This is a Phase 1/2 study of Rina-S; also known as GEN1184, formerly known as PRO1184, a folate receptor alpha (FRα) targeted antibody-drug conjugate, to evaluate the safety, tolerability, pharmacokinetics (PK), and antitumor activity of Rina-S in participants with selected locally advanced and/or metastatic solid tumors, including epithelial ovarian cancer, endometrial cancer, breast cancer, non-small cell lung cancer, and mesothelioma.
The study consists of multiple parts:
Part A: monotherapy cohorts
Part B: tumor-specific monotherapy dose-expansion cohorts
Part C: platinum-resistant ovarian cancer (PROC) monotherapy cohort
Part D: combination therapy cohorts
Part E: a monotherapy PROC cohort
Parts F and G: a monotherapy endometrial cancer (EC) cohort
Part H: a monotherapy PROC cohort
Part I: platinum-sensitive ovarian cancer (PSOC) cohort
Part J: a monotherapy PROC cohort
Part K: a monotherapy high-grade ovarian cancer cohort
Part L: a drug-drug interaction substudy
Participants will continue to receive study treatment until the first instance of disease progression, unacceptable toxicity, investigator decision, consent withdrawal, study termination by the Sponsor, pregnancy, or death.
- Conditions
- High Grade Epithelial Ovarian Cancer, High Grade Serous Ovarian Cancer, Primary Peritoneal Carcinoma, Fallopian Tube Cancer, Endometrial Cancer, Non-small Cell Lung Cancer
- Being tested
- Rina-S, Carboplatin, Bevacizumab, Pembrolizumab, Erythromycin
- Keywords
- antibody-drug conjugate, folate receptor alpha, folate receptor, solid tumor, ovarian cancer, primary peritoneal carcinoma, fallopian tube cancer, endometrial cancer, non-small cell lung cancer, mesothelioma, breast cancer, triple negative breast cancer, hormone receptor-positive (HR+)/human epidermal growth factor receptor 2 negative (HER2-) breast cancer, topoisomerase I inhibitor, PROC, epidermal growth factor receptor (EGFR)-mutated NSCLC, pMMR
- Medical subject headings
- Fallopian Tube Neoplasms, Endometrial Neoplasms, Carcinoma, Non-Small-Cell Lung, Mesothelioma, Triple Negative Breast Neoplasms, Uterine Neoplasms, Uterine Cervical Neoplasms, Ovarian 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 infusion of Rina-S
CarboplatinDrug
Carboplatin intravenous infusion
BevacizumabDrug
Bevacizumab intravenous infusion
PembrolizumabDrug
Pembrolizumab intravenous infusion
ErythromycinDrug
Erythromycin oral administration
ItraconazoleDrug
Itraconazole oral administration
| Study group | Role | What they receive |
|---|---|---|
| Part A, B, C, E, F, G, H, I, J and K | Experimental | Rina-S monotherapy in Part A and at the recommended dose in Parts B, C, E, F, G, H, I, J and K. Receives: Drug: Rina-S |
| Part D1 | Experimental | Rina-S in combination with carboplatin Receives: Drug: Rina-S; Drug: Carboplatin |
| Part D2 and I | Experimental | Rina-S in combination with bevacizumab Receives: Drug: Rina-S; Drug: Bevacizumab |
| Part D3, D4 and D5 | Experimental | Rina-S in combination with pembrolizumab Receives: Drug: Rina-S; Drug: Pembrolizumab |
| Part L | Experimental | Rina-S in combination with CYP3A4 inhibitors erythromycin or itraconazole. Receives: Drug: Rina-S; Drug: Erythromycin; Drug: Itraconazole |
What is being measured
The primary outcome is the main question the study is designed to answer.
Parts A, B, and D - Incidence of Treatment-Emergent Adverse Events (TEAEs) [Safety and Tolerability]
Measured: Through end of treatment, up to approximately 1 year.
Parts A, and D - Number of Participants with Dose Limiting Toxicity (DLT)
Measured: At the end of Cycle 1 (each cycle is 21 days)
Parts C, E, F, G, H, I, and J- Objective Response Rate (ORR) as Assessed by Blinded Independent Central Review (BICR, Parts C and F) or Investigator (Part E, G, I, and J) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Participants who achieve partial response (PR) or complete response (CR) per RECIST v1.1 criteria.
Measured: Through end of treatment, up to approximately 1 year.
Part K (US Participants Only) - Number of Participants with Clinically Significant Changes in Electrocardiogram (ECG) Findings by Holter
Measured: Cycles 1 to 3 (each cycle is 21 days)
Part L - Peak Plasma Concentration (Cmax) of Rina-S
Measurement of maximum plasma concentration after the administration of Rina-S.[
Measured: Cycles 1 and 2 (each cycle is 21 days)
Part L - Area Under the Plasma Concentration Versus Time Curve (AUC) of Rina-S
Measurement of AUC after the administration of Rina-S.
Measured: Cycles 1 and 2 (each cycle is 21 days)
Secondary outcomes (15)
Parts A, B, and D - Best Overall Response (BOR)
Participants who achieve CR or PR. Best response as assessed by the investigator per RECIST v1.1 criteria for all tumor types other than pleural mesothelioma which will use modified RECIST (mRECIST) v1.1.
Measured: Up to approximately 1 year.
Parts A, B, D, and E - ORR
Participants who achieve PR or CR per RECIST v1.1 criteria.
Measured: Up to approximately 1 year.
Parts A, B, and D - Disease Control Rate (DCR)
Participants who achieve stable disease, PR or CR per RECIST v1.1 criteria.
Measured: Up to approximately 1 year.
Parts A, B, C, D, E, F, G, H, I, and J - Progression-Free Survival (PFS)
Time from start of treatment to first documented disease progression or death
Measured: Through end of treatment, up to approximately 1 year.
Parts C, E, F, G, H, I and J - Overall survival (OS)
Time from the start of study treatment to the date of death from any cause
Measured: Up to approximately 2 years.
Parts A, B, C, D, E, F, G, H, I and J - Duration of Objective Response (DOR)
Time from the first documentation of an objective tumor response (CR or PR) to the first documented tumor progression or death
Measured: From date of enrollment until the date of first documented disease progression or date of study withdrawal, whichever came first, assessed up to 12 months.
Parts A, B, D, and E - Cmax for Rina-S
Measurement of maximum plasma concentration after the administration of Rina-S.
Measured: Through end of treatment, up to approximately 1 year.
Parts A, B, D, and E - AUC for Rina-S
Measurement of AUC after the administration of Rina-S.
Measured: Through end of treatment, up to approximately 1 year.
Parts A, B, D, and E -Time to Reach Cmax (Tmax) for Rina-S
Measured: Through end of treatment, up to approximately 1 year
Parts A, B, D, and E - Trough Concentrations (Ctrough) for Rina-S
Measured: Through end of treatment, up to approximately 1 year
Parts A, B, D, and E- Apparent Terminal Half-life (t1/2) for Rina-S
Measured: Through end of treatment, up to approximately 1 year
Parts C, D, E, H and J - CA-125 Response Determined Using the Gynecologic Cancer Intergroup (GCIG) Criteria
Measured: Through end of treatment, up to approximately 1 year
Parts C, E, F, G, H, I, J, K and L - Number of Participants with Type, Incidence, Severity, Seriousness as per Common Terminology Criteria for Adverse Events (CTCAE) v5.0, and Relatedness of Adverse Events (AEs)
Measured: Through end of treatment, up to approximately 1 year
Part E - Number of Participants With Antidrug Antibodies (ADA)
Measured: Through end of treatment, up to approximately 1 year
Part L - Number of Participants with DLT
Measured: At the end of Cycle 1 (each cycle is 21 days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Oct 2022
- Study start7 Dec 2022
- Primary completionJul 2027 (estimated)
- 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 High Grade Epithelial 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 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 952 participants (estimated)
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
- NCT05579366
- Sponsor's protocol ID
- GCT1184-01
- Other IDs
- CTR20230813, jRCT2051250094, PRO1184-001
- Acronym
- RAINFOL-01
- Status last verified
- Oct 2026
- First submitted
- 4 Oct 2022
- Last updated
- 7 Oct 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 7 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase 1/2 Study of Rina-S in Patients With Locally Advanced and/or Metastatic Solid Tumors
- ClinicalTrials.gov ID
- NCT05579366
- Acronym / sponsor ID
- RAINFOL-01 / GCT1184-01
- Conditions
- High Grade Epithelial Ovarian Cancer, High Grade Serous Ovarian Cancer, Primary Peritoneal Carcinoma, Fallopian Tube Cancer, Endometrial Cancer, Non-small Cell Lung Cancer
- Keywords
- antibody-drug conjugate, folate receptor alpha, folate receptor, solid tumor, ovarian cancer, primary peritoneal carcinoma, fallopian tube cancer, endometrial cancer
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 952 participants (estimated)
- Lead sponsor
- GenmabIndustry (pharma, biotech, devices)
- Study start
- 7 Dec 2022 (actual)
- Primary completion
- Jul 2027 (estimated)
- Study completion
- Oct 2027 (estimated)
- First posted
- 13 Oct 2022 (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 study will test the safety, including side effects, and determine the characteristics of a drug called Rina-S in participants with solid tumors.
Participants will have solid tumor cancer that has spread through the body (metastatic) or cannot be removed with surgery (unresectable).
Detailed description
This is a Phase 1/2 study of Rina-S; also known as GEN1184, formerly known as PRO1184, a folate receptor alpha (FRα) targeted antibody-drug conjugate, to evaluate the safety, tolerability, pharmacokinetics (PK), and antitumor activity of Rina-S in participants with selected locally advanced and/or metastatic solid tumors, including epithelial ovarian cancer, endometrial cancer, breast cancer, non-small cell lung cancer, and mesothelioma.
The study consists of multiple parts:
Part A: monotherapy cohorts
Part B: tumor-specific monotherapy dose-expansion cohorts
Part C: platinum-resistant ovarian cancer (PROC) monotherapy cohort
Part D: combination therapy cohorts
Part E: a monotherapy PROC cohort
Parts F and G: a monotherapy endometrial cancer (EC) cohort
Part H: a monotherapy PROC cohort
Part I: platinum-sensitive ovarian cancer (PSOC) cohort
Part J: a monotherapy PROC cohort
Part K: a monotherapy high-grade ovarian cancer cohort
Part L: a drug-drug interaction substudy
Participants will continue to receive study treatment until the first instance of disease progression, unacceptable toxicity, investigator decision, consent withdrawal, study termination by the Sponsor, pregnancy, or death.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Part A, B, C, E, F, G, H, I, J and K | Experimental | Drug: Rina-SRina-S monotherapy in Part A and at the recommended dose in Parts B, C, E, F, G, H, I, J and K. |
| Part D1 | Experimental | Drug: Rina-S, Drug: CarboplatinRina-S in combination with carboplatin |
| Part D2 and I | Experimental | Drug: Rina-S, Drug: BevacizumabRina-S in combination with bevacizumab |
| Part D3, D4 and D5 | Experimental | Drug: Rina-S, Drug: PembrolizumabRina-S in combination with pembrolizumab |
| Part L | Experimental | Drug: Rina-S, Drug: Erythromycin, Drug: ItraconazoleRina-S in combination with CYP3A4 inhibitors erythromycin or itraconazole. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (53 listed)
- Histologically or cytologically confirmed metastatic or unresectable solid malignancy including ovarian cancer (must have epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer), endometrial cancer, non-small cell lung cancer (Part A), EGFR-mutated NSCLC (Part B), breast cancer (hormone receptor positive, HER2-negative and triple-negative) (Part A), mesothelioma or cervical cancer (Part B).
- Previously received therapies known to confer clinical benefit.
- Measurable disease per RECIST v1.1 for all tumor types other than pleural mesothelioma which will use mRECIST v1.1 at baseline.
- Participants must have histologically or cytologically confirmed metastatic or unresectable epithelial ovarian cancer as specified below.
- High grade serous ovarian cancer, primary peritoneal cancer, or fallopian tube cancer (excluding endometrioid, clear cell carcinomas, mucinous, low grade, and those with a sarcomatous or neuroendocrine element)
Key exclusion criteria (3 listed)
- History of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids within the past 2 years, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening.
- Prior therapy with a topoisomerase 1 inhibitor-based antibody drug conjugate.
- Note: Other protocol-defined inclusion/exclusion may apply.
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 infusion of Rina-S | Drug | Part A, B, C, E, F, G, H, I, J and K, Part D1, Part D2 and I, Part D3, D4 and D5, Part L |
| CarboplatinCarboplatin intravenous infusion | Drug | Part D1 |
| BevacizumabBevacizumab intravenous infusion | Drug | Part D2 and I |
| PembrolizumabPembrolizumab intravenous infusion | Drug | Part D3, D4 and D5 |
| ErythromycinErythromycin oral administration | Drug | Part L |
| ItraconazoleItraconazole oral administration | Drug | Part L |
Primary outcome
Parts A, B, and D - Incidence of Treatment-Emergent Adverse Events (TEAEs) [Safety and Tolerability]
Time frame: Through end of treatment, up to approximately 1 year.
Parts A, and D - Number of Participants with Dose Limiting Toxicity (DLT)
Time frame: At the end of Cycle 1 (each cycle is 21 days)
Parts C, E, F, G, H, I, and J- Objective Response Rate (ORR) as Assessed by Blinded Independent Central Review (BICR, Parts C and F) or Investigator (Part E, G, I, and J) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Time frame: Through end of treatment, up to approximately 1 year.
Participants who achieve partial response (PR) or complete response (CR) per RECIST v1.1 criteria.
Part K (US Participants Only) - Number of Participants with Clinically Significant Changes in Electrocardiogram (ECG) Findings by Holter
Time frame: Cycles 1 to 3 (each cycle is 21 days)
Part L - Peak Plasma Concentration (Cmax) of Rina-S
Time frame: Cycles 1 and 2 (each cycle is 21 days)
Measurement of maximum plasma concentration after the administration of Rina-S.[
Part L - Area Under the Plasma Concentration Versus Time Curve (AUC) of Rina-S
Time frame: Cycles 1 and 2 (each cycle is 21 days)
Measurement of AUC after the administration of Rina-S.
15 secondary outcomes
Parts A, B, and D - Best Overall Response (BOR)
Time frame: Up to approximately 1 year.
Parts A, B, D, and E - ORR
Time frame: Up to approximately 1 year.
Parts A, B, and D - Disease Control Rate (DCR)
Time frame: Up to approximately 1 year.
Parts A, B, C, D, E, F, G, H, I, and J - Progression-Free Survival (PFS)
Time frame: Through end of treatment, up to approximately 1 year.
Parts C, E, F, G, H, I and J - Overall survival (OS)
Time frame: Up to approximately 2 years.
Parts A, B, C, D, E, F, G, H, I and J - Duration of Objective Response (DOR)
Time frame: From date of enrollment until the date of first documented disease progression or date of study withdrawal, whichever came first, assessed up to 12 months.
Parts A, B, D, and E - Cmax for Rina-S
Time frame: Through end of treatment, up to approximately 1 year.
Parts A, B, D, and E - AUC for Rina-S
Time frame: Through end of treatment, up to approximately 1 year.
Parts A, B, D, and E -Time to Reach Cmax (Tmax) for Rina-S
Time frame: Through end of treatment, up to approximately 1 year
Parts A, B, D, and E - Trough Concentrations (Ctrough) for Rina-S
Time frame: Through end of treatment, up to approximately 1 year
Parts A, B, D, and E- Apparent Terminal Half-life (t1/2) for Rina-S
Time frame: Through end of treatment, up to approximately 1 year
Parts C, D, E, H and J - CA-125 Response Determined Using the Gynecologic Cancer Intergroup (GCIG) Criteria
Time frame: Through end of treatment, up to approximately 1 year
Parts C, E, F, G, H, I, J, K and L - Number of Participants with Type, Incidence, Severity, Seriousness as per Common Terminology Criteria for Adverse Events (CTCAE) v5.0, and Relatedness of Adverse Events (AEs)
Time frame: Through end of treatment, up to approximately 1 year
Part E - Number of Participants With Antidrug Antibodies (ADA)
Time frame: Through end of treatment, up to approximately 1 year
Part L - Number of Participants with DLT
Time frame: At the end of Cycle 1 (each cycle is 21 days)
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 7 Oct 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.
Study Official study director
Genmab
66 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Rina-S, Carboplatin and Bevacizumab in people with High Grade Epithelial Ovarian Cancer and High Grade Serous Ovarian Cancer, run by Genmab at 66 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 53 inclusion and 3 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 7 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 66 sites in United States, China, Japan. 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 combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
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 Genmab Trial Information (+4570202728, clinicaltrials@genmab.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Parts A, B, and D - Incidence of Treatment-Emergent Adverse Events (TEAEs) [Safety and Tolerability] (time frame: Through end of treatment, up to approximately 1 year.). The study lists 6 primary outcomes in all. 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 7 Oct 2026; AzTrials last refreshed its copy on 26 Oct 2026.