Low Grade Serous Ovarian CancerPhase 3RAMP 301NCT06072781
A Study of Avutometinib (VS-6766) + Defactinib (VS-6063) in Recurrent Low-Grade Serous Ovarian Cancer
A Phase 3 study testing avutometinib, Defactinib and Pegylated liposomal doxorubicin in people with Low Grade Serous Ovarian Cancer, run by Verastem, Inc. at 105 sites in 16 countries.
Trial summary
This study will assess the safety and efficacy of avutometinib (VS-6766) in combination with defactinib versus Investigator's choice of treatments (ICT) in subjects with recurrent LGSOC who have progressed on a prior platinum-based therapy. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Low Grade Serous Ovarian Cancer
- What is being tested?
- avutometinib, Defactinib and Pegylated liposomal doxorubicin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 270 participants
- Where
- 105 sitesin 16 countries
- Study dates
- 18 Mar 2024to 9 Feb 2031
- 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
- Patients may be eligible for inclusion in the study if they meet the following criteria:
- Histologically proven LGSOC (ovarian, fallopian, peritoneal)
- Documented mutational status of KRAS by a validated tumor-tissue based diagnostic test.
- Suitable for treatment with at least one of the Investigator's Choice of Treatments:pegylated liposomal doxorubicin, paclitaxel, letrozole, anastrozole.
- Progression or recurrence of LGSOC after at least one prior systemic therapy for metastatic disease.
- Measurable disease according to RECIST v1.1.
Show all 11Show fewer
- An Eastern Cooperative Group (ECOG) performance status ≤ 1.
- Adequate organ function.
- Adequate recovery from toxicities related to prior treatments.
- For patients with reproductive potential, a negative pregnancy test must be confirmed and agreement to use highly effective method of contraceptive.
- Willingness to comply with the scheduled visits, treatment plan, laboratory tests and other study procedures.
Who cannot join
- Patients will be excluded from the study if they meet any of the following criteria:
- Systemic anti-cancer therapy within 4 weeks of the first dose of study therapy.
- Co-existing high-grade serous ovarian cancer or mixed histology.
- Prior treatment with avutometinib, defactinib, or other FAK inhibitors.
- History of prior malignancy with recurrence <3 years from the time of enrollment.
- Major surgery within 4 weeks, minor surgery within 1 week, or palliative radiotherapy within 1 week of the first dose of study intervention.
Show all 18Show fewer
- Symptomatic brain metastases requiring steroids or other interventions, known leptomeningeal metastases, or spinal cord compression.
- An active skin disorder that has required systemic therapy within one year of the first dose of study intervention.
- History of medically significant rhabdomyolysis.
- For subjects with prior MEK or RAF exposure, Grade 4 toxicity is deemed related to the MEK inhibitor.
- Symptomatic bowel obstruction within 3 months of the first dose of study intervention
- Concurrent ocular disorders.
- Concurrent heart disease or severe obstructive pulmonary disease.
- Active or past medical history of interstitial lung disease/pneumonitis, including drug-induced or radiation pneumonitis, pulmonary fibrosis, or adult respiratory distress syndrome (ARDS).
- Subjects with the inability to swallow oral medications.
- History of hypersensitivity to any of the active agents or ingredients of study intervention: peanut, soya, polyoxyl castor oil, etcetc.). Prior hypersensitivity to anthracyclines or anthracenediones if the use of pegylated liposomal doxorubicin (PLD) is planned.
- Pregnant or breastfeeding.
- Active, uncontrolled infection (bacterial, viral, or fungal) requiring systemic therapy.
Trial locations and contacts
105 sites in 16 countries. Contact the study team or a site near you to ask about taking part.
105 sites in 16 countries
United States38 sites, 36 recruiting
- Recruiting
Winship Cancer Institute at Emory University
Atlanta, Georgia, 30322
Syed Ahsan, syed.atif.ahsan@emory.edu
Susan Modesitt, MD
- Recruiting
Texas Oncology Central
Austin, Texas, 78731
Michelle Owens, michelle.owens@usoncology.com
Lynn Knowles, MD
- Recruiting
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, 21287
Faith Too, ftoo1@jhmi.edu
HopkinsGynTrials@jhmi.edu
- Active, not recruiting
Roswell Park Cancer Institute
Buffalo, New York, 14263
- Recruiting
Atrium Health
Charlotte, North Carolina, 28203
Melani Terry, Melani.Terry@atriumhealth.org
Erin Crane, MD
- Recruiting
University of Virginia Health System
Charlottesville, Virginia, 22908
Alexa Pittaro, AMP7BSH@uvahealth.org
Kari Ring, MD
- Recruiting
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Jacqueline Ludwig, ludwigj@ccf.org
Peter Rose, MD
- Recruiting
Karmanos Cancer Center
Detroit, Michigan, 48201
Elizabeth Linnik, linnike@karmanos.org
Robert Morris, MD
- Recruiting
Willamette Valley Cancer Institute
Eugene, Oregon, 97401
Jeanne Scahffer, jeanne.schaffer@usoncology.com
Charles Anderson, MD
- Recruiting
NorthShore University HealthSystem
Evanston, Illinois, 60201
Michele Britto, mbritto@northshore.org
Mary Tilley Jenkins-Vogel, MD
- Recruiting
Florida Cancer Specialists - South
Fort Myers, Florida, 33901
Christina Caruso, clinicaltrials@flcancer.com
Elizabeth Guancial, MD
- Recruiting
Texas Oncology-Fort Worth Cancer Center
Fort Worth, Texas, 76104
Nori Sullivan, nori.sullivan@usoncology.com
Noelle Cloven, MD
- Recruiting
Virginia Cancer Specialists, PC
Gainesville, Virginia, 20155
Monica Cochrane, monica.cochrane@usoncology.com
Robert Marsh, MD
- Recruiting
Ohio State
Hilliard, Ohio, 43026
Jordyn Burks, Jordyn.Burks@osumc.edu
Christa Nagel, MD
- Recruiting
Houston Methodist
Houston, Texas, 77030
Konny Chan Fong, 346-238-5815, klchanfong@houstonmethodist.org
Aparna Kamat, MD
- Recruiting
MD Anderson Cancer Center
Houston, Texas, 77030
Kelly Rangel, (713) 745-2553, kshea@mdanderson.org
Lauren Cobb, MD
- Recruiting
University of Arkansas
Little Rock, Arkansas, 72205
Kathryn Allen, KGAllen@uams.edu
Heather Williams, MD
- Recruiting
UCLA Health
Los Angeles, California, 90095
Chika Obiora, CObiora@mednet.ucla.edu
Ritu Salani, MD
- Recruiting
Mount Sinai
Miami Beach, Florida, 33140
Antonio Ramirez Riderelli, Antonio.RamirezRiderelli@msmc.com
Brian Slomovitz, MD
- Recruiting
Minnesota Oncology Hematology
Minneapolis, Minnesota, 55404
Kayla McDonald, kayla.mcdonald1@usoncology.com
Lauren Bollinger, MD
- Recruiting
Intermountain Medical Center
Murray, Utah, 84107
Stacy Howard, stacy.howard@imail.org
Ying Ning, MD
- Recruiting
Yale University
New Haven, Connecticut, 06520
Lisa Baker, lisa.baker@yale.edu
Alessandro Santin, MD
- Recruiting
Louisiana State University
New Orleans, Louisiana, 70112
Alex Yates, ayate2@lsuhsc.edu
Amelia Jernigan, MD
- Recruiting
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Rachel Grisham, 6468884653
Rachel Grisham, MD
- Recruiting
University of Oklahoma Medical Center
Oklahoma City, Oklahoma, 73104
Liz Barrett, Elizabeth-Barrett@ouhsc.edu
Christina Washington, MD
- Recruiting
AdventHealth
Orlando, Florida, 32804
Karla Hernandez-Cruz, Karla.Hernandez-Cruz@AdventHealth.com
Robert Holloway, MD
- Recruiting
Asplundh Cancer Pavilion | Jefferson Health
Philadelphia, Pennsylvania, 19090
Ashley Douglas, ashley.douglas.2@jefferson.edu
Mitchell Edelson, MD
- Recruiting
HonorHealth
Phoenix, Arizona, 85016
Nathan Solod, nsolod@honorhealth.com
Lyndsay Willmott, MD
- Recruiting
Allegheny Health Network
Pittsburgh, Pennsylvania, 15224
Thomas Krivak, 412-578-1116 ext. 2, thomas.krivak@ahn.org
Thomas Krivak, MD
- Recruiting
Northwest Cancer Specialists
Portland, Oregon, 97227
Jennifer Thompson, Jennifer.Thompson@usoncology.com
Erin Salinas, MD
- Recruiting
UC Davis
Sacramento, California, 95817
Leslie Garcia, lesgarcia@ucdavis.edu
Hui Amy Chen, MD
- Recruiting
Texas Oncology
San Antonio, Texas, 78229
Shannon Syring, shannon.syring@usoncology.com
Antonio Santillan Gomez, MD
- Active, not recruiting
University of California, San Francisco
San Francisco, California, 94143
- Recruiting
Washington University School of Medicine
St Louis, Missouri, 63110
Linda Odibo, odibol@wustl.edu
Premal Thaker, MD
- Recruiting
Moffitt Cancer Center
Tampa, Florida, 33612
Tiffany Shiles, tiffany.shiles@moffitt.org
Jenny Newman, jennifer.newman@moffitt.org
- Recruiting
Texas Oncology
The Woodlands, Texas, 77380
Christina Genthon, Christina.Genthon@usoncology.com
Sandra Thornton, Sandra.Thornton@usoncology.com
- Recruiting
Texas Oncology
Tyler, Texas, 75702
Shelly Maxfield, shelly.maxfield@usoncology.com
Anna M Priebe, MD
- Recruiting
Florida Cancer Specialists Research East
West Palm Beach, Florida, 33401
Mary Jo Luser, clinicaltrials@flcancer.com
Bradley Monk, MD
Italy11 sites, 11 recruiting
- Recruiting
Centro di Riferimento Oncologico (CRO)
Aviano, 33081
Serena Corsetti, +390434399077, serena.corsetti@cro.it
Michelle Bartoletti, MD
- Recruiting
AO Cannizzaro
Catania, 95126
Francesca Salanitro, +39 0957262165, fra.salanitro@gmail.com
Alessandra Paggin, alepaggin@hotmail.com
- Recruiting
San Raffaele Hospital
Milan, 20132
Silvia Pagani, pagani.silvia@hsr.it
Giorgia Mangili, MD
- Recruiting
Humanitas San Pio X
Milan, 20159
Ilaria Sabatucci, ilaria.sabatucci@sanpiox.humanitas.it
Domenica Lorusso, MD
- Recruiting
European Institute of Oncology (IEO)
Milan
Giovanna Spano, giovanna.spano@ieo.it
Nicoletta Columbo, MD
- Recruiting
Istituto Nazionale dei Tumori
Milan, 20133
Barbara Montesanto, 39 0223903619, barbara.montesanto@istitutotumori.mi.it
Mara Mantiero, MD
- Recruiting
INT Napoli Hospital
Naples
Margherita Tambaro, m.tambaro@istitutotumori.na.it
Sabrina Cecere, MD
- Recruiting
Istituto Oncologico Veneto (IOV)
Padova, 35128
Giulia Doria, giulia.doria@iov.veneto.it
Valentina Guarneri, MD
- Recruiting
IRCCS Gemelli
Roma, 00168
Giulia Ponti, 630158545, giulia.ponti@policlinicogemelli.it
Vanda Salutari, MD
- Recruiting
Istituti Fisioterapici Ospitalieri
Rome, 00144
Agnese Provenziani, agnese.provenziani@ifo.it
Savarese Antonella, MD
- Recruiting
S.C.D.U. Oncologia
Torino, 10128
Giorgio Valabrega, 115085529, giorgio.valabrega@unito.it
Giorgio Valabrega, MD
United Kingdom8 sites, 8 recruiting
- Recruiting
Cambridge University Hospital
Cambridge, CB2 0QQ
Regulatory Team, cuh.research@nhs.net
Joo Ern Ang, MD
- Recruiting
University of Edinburgh Cancer Research Centre
Edinburgh
Olga Demyanov, olga.demyanov@nhs.scot
Charlie Gourley, MD
- Recruiting
Greater Glasgow and Clyde (GGC)
Glasgow, Scotland, G120YN
Ros Glasspool, MD, ros.glasspool@ggc.scot.nhs.uk
Ros Glasspool, MD
- Recruiting
Hope Cancer Trials Centre
Leicester, LE2 7LX
Joey Wood, MD, 0116 258 5750, joey.wood@uhl-tr.nhs.uk
Joey Wood, MD
- Recruiting
University College London Hospitals NHS Foundation Trust
London, NW1 2PG
Christian Paul Medina, christianpaul.medina@nhs.net
Shibani Nicum, MD, snicum@nhs.net
- Recruiting
Royal Marsden Hospital
London, SW7 3RP
Kylie Fitch, Kylie.Fitch@rmh.nhs.uk
Susana Banerjee, MD
- Recruiting
The Christie NHS Foundation Trust
Manchester
Linzi Davies, linzi.davies@nhs.net
Andrew Clamp, MD
- Recruiting
Royal Marsden Hospital
Sutton, SM2 5PT
Kylie Fitch, Kylie.Fitch@rmh.nhs.uk
Susana Banerjee, MD
Germany7 sites, 7 recruiting
- Recruiting
Charité - Universitätsmedizin Berlin
Berlin, 13353
Radoslav Chekerov, MD, radoslav.chekerov@charite.de
Elena Ioana Braicu, MD, elena.braicu@charite.de
- Recruiting
Universitätsklinikum Carl Gustav Carus
Dresden, 01307
Theresa Link, Theresa.link@uniklinikum-dresden.de
Pauline Wimberger, MD
- Recruiting
Kliniken Essen-Mitte
Essen, 45136
Anna Kasperek, A.Kasperek@kem-med.com
Philipp Harter, MD
- Recruiting
Agaplesion Markus Krankenhaus
Frankfurt am Main, Hesse, 60431
Madeleine Modrow, 0049 9533 66754, madeleine.modrow@agaplesion.de
Marc Thill, MD
- Recruiting
UMC Hamburg-Eppendorf
Hamburg, 20246
Juliane Granzow, 040 7410 - 52396, j.granzow@uke.de
Barbara Schmalfeldt, MD
- Recruiting
Universitätsklinikum Mannheim GmbH
Mannheim, 68167
Melanie Breitbarth, Melanie.Breitbarth@umm.de
Frederik Marmé, MD
- Recruiting
Universitätsfrauenkinik Ulm
Ulm, 89075
Wolfgang Janni, 004973150058520, Janni_Studien.UFK@uniklinik-ulm.de
Fabienne Schochter, MD
Spain7 sites, 7 recruiting
- Recruiting
H. Vall d´ Hebron
Barcelona
Olga Padros, opadros@vhio.net
Ana Oaknin, MD
- Recruiting
Hospital Universitario Reina Sofía
Córdoba
Asuncion Aranda, asuncion.aranda21@gmail.com
Maria Jesus Rubio, MD
- Recruiting
H. de Donostia
Donostia / San Sebastian, San Sebastian, 20014
Cristina Maria Churruca Galaz, 34 943 32 81 51, cristinamaria.churrucagalaz@osakidetza.eus
Cristina Maria Churruca Galaz, MD
- Recruiting
Clínico Virgen de La Arrixaca
El Palmar, Murcia, 30120
Ana Puertes Boix, 34 968 369 516, ana.puertes@carm.es
Ana Puertes Boix, MD
- Recruiting
H.U. Ramón y Cajal
Madrid
María Cantón Navarro, (+34) 91 336 82 63 ext. 91 336 91, maria.canton@salud.madrid.org
Rosa María Aras López, (+34) 91 336 82 63 ext. 91 336 91, rosam.aras@salud.madrid.org
- Recruiting
Hospital Clínico Universitario de Santiago
Santiago de Compostela, 15706
Iria Portos Conde, +34981 950 511, iriaportos.onco@gmail.com
Juan Cueva Bañuelos, MD
- Recruiting
Hospital Clínico Universitario de Valencia
Valencia, 46010
Paloma Campos Bañegil, infopacientesonceecc@incliva.es
Alejandro Perez Fidalgo, MD
Australia5 sites, 5 recruiting
- Recruiting
Cancer Research South Australia
Adelaide, South Australia, 5000
Vineet Kwatra, MD, vkwatra@crsa.au
Meena Okera, MD
- Recruiting
Icon Cancer Centre Wesley
Auchenflower, Queensland, 4066
Amy Morrow, researchwesley@icon.team
Jeffrey Goh, MD
- Recruiting
Peter MacCallum Cancer Centre
Melbourne, Victoria, 3000
Nicole Marsh, nicole.marsh@petermac.org
Sumitra Ananda, MD
- Recruiting
Sir Charles Gairdner Hospital
Nedlands, Western Australia, 6009
Jolanta Damas, Jolanta.Damas1@health.wa.gov.au
Tarek Meniawy, MD
- Recruiting
Prince of Wales Hospital
Randwick, New South Wales, 2031
Kaye Kongrak, Kamonwan.Kongrak@health.nsw.gov.au
Yeh Chen Lee, MD
France5 sites, 5 recruiting
- Recruiting
Centre Hospitalier de Besançon
Besançon, 25000
Ophélie Sivignon, osivignon@chu-besancon.fr
Laura Mansi, MD
- Recruiting
Site Georges François Leclerc
Dijon, 21079
Kevin Le Berre, kleberre@cgfl.fr
Jean-David Fumet, MD
- Recruiting
Centre Oscar Lambret
Lille, 59020
Clémence Goetz, c-goetz@o-lambret.fr
Cyril Abdeddaim, MD
- Recruiting
Centre Léon Bérard
Lyon, 69373
Emilie Repetto, MD, Emilie.REPETTO@lyon.unicancer.fr
Isabelle Ray-Coquard, MD
- Recruiting
Institut Curie
Paris
Manuel Rodrigues, MD, 0033 1 56 24 56 42, manuel.rodrigues@curie.fr
Japan5 sites, 5 recruiting
- Recruiting
Aichi Cancer Center Hospital
Aichi, Nagoya, 464-8681
Shiro Suzuki, +81-52-762-6111, s.suzuki@aichi-cc.jp
Shiro Suzuki, MD
- Recruiting
Tohoku University Hospital
Miyagi, 980-8574
Shogo Shigeta, shogo.shigeta.a4@tohoku.ac.jp
Shogo Shigeta
- Recruiting
Osaka Medical Center
Osaka
Satoe Fujiwara, satoe.fujiwara@ompu.ac.jp
Satoe Fujiwara, MD
- Recruiting
The Jikei University Hospital
Tokyo, 3-19-18
Nozomu Yanaihara, yanazou@outlook.com
Nozomu Yanaihara, MD
- Recruiting
The Mie University Hospital
Tsu, Mie-ken, 514-8507
Eiji Kondo, eijikon@clin.medic.mie-u.ac.jp
Eiji Kondo, MD
South Korea5 sites, 5 recruiting
- Recruiting
Seoul National University Bundang Hospital
Seongnam, 13620
Kidong Kim, 010-6275-7691; 82-31-787-7262, kidong.kim.md@gmail.com
Kidong Kim, MD
- Recruiting
Yonsei University Severance Hospital
Seoul, 03722
Sang Wun Kim, 010-7209-8433; 02-2228-2230, san1@yuhs.ac
Sang Wun Kim, MD
- Recruiting
Asan Medical Center
Seoul, 05505
Geum Hee Na, goldnah@naver.com
Shin Wah Lee, MD
- Recruiting
Gangnam Severance Hospital
Seoul, 06273
Mina Jang, 82-10-8737-0811, MNJ2023SC@yuhs.ac
Jae-Hoon Kim, 010-5276-2742; 02-2019-3436, jaehoonkim@yuhs.ac
- Recruiting
Samsung Medical Center
Seoul, 06351
Jung Eun Park, 82-10-6264-6923, jjjeun.park@sbri.co.kr
Chel Hun Choi, 010-9933-5151, chelhun.choi@samsung.com
Canada4 sites, 4 recruiting
- Recruiting
Centre Hospitalier de l'Universite de Montreal (CHUM)
Montreal, Quebec, H2X 0C1
Nathalie Grenier, nathalie.grenier.chum@ssss.gouv.qc.ca
Diane Provencher, MD
- Recruiting
McGill University Health Centre
Montreal, Quebec, H4A 3J1
Phuong Nam Nathalie Nguyen, phuong-nam.nguyen@muhc.mcgill.ca
Lucy Gilbert, MD
- Recruiting
Princess Margaret Cancer Center
Toronto, Ontario, M5G 1X6
Valerie Bowering, valerie.bowering@uhn.ca
Amit Oza, MD
- Recruiting
British of Columbia
Vancouver, V5Z 4E6
Fran Topp, RN, ftopp@bccancer.bc.ca
Anna Tinker, MD
Poland3 sites, 3 recruiting
- Recruiting
Białostockie Centrum Onkologii
Bialystok, 15-027
Justyna Sławińska, 573 424 968, jslawinska@onkologia.bialystok.pl
Beata Maćkowiak-Matejczyk, MD
- Recruiting
Gdański Uniwersytet Medyczny
Gdansk, 80-214
Łukasz Jędrzejewski, 48585846103, ljedrzejewski@uck.gda.pl
Dagmara Klasa-Mazurkiewicz, MD
- Recruiting
Siedleckie Centrum Onkologii
Siedlce, 98-110
Tomasz Milewski, tmilewski@szpital.siedlce.pl
Małgorzata Będkowska, mbedkowska@szpital.siedlce.pl
Belgium2 sites, 2 recruiting
- Recruiting
UZA
Edegem, 2650
Griet Wyers, + 32 3 821 57 43, griet.wyers@uza.be
Konstantinos Papadimitriou, MD
- Recruiting
University Hospital Ghent
Ghent, 9000
Hannelore Denys, MD, +32 9 332 26 92, Hannelore.denys@ugent.be
Hannelore Denys, MD
Netherlands2 sites, 2 recruiting
- Recruiting
Netherlands Cancer Insitute
Amsterdam, 1066
Geesje Feingold - van Olst, g.v.olst@nki.nl
Frans Opdam
- Recruiting
Radboud UMC
Nijmegen, 6525 GA
Daphne van Dijk, daphne.vandijk@radboudumc.nl
Nelleke Ottevanger, MD
Denmark1 site, 1 recruiting
- Recruiting
Aalborg U.H
Aalborg, 9000
Mette Raaschou, 4597661291, mera@rn.dk
Charlotte A Haslund, MD
Ireland1 site, 1 recruiting
- Recruiting
St. James's Hospital
Dublin, 08
Lauren Murphy, +353 (01) 428 4934, LaurMurphy@stjames.ie
Karen Cadoo, MD
New Zealand1 site, 1 recruiting
- Recruiting
Auckland City Hospital
Auckland, 1023
Merina Mathews, MerinaM@adhb.govt.nz
Michelle Wilson, MD
About this study
Official title: A Phase 3, Randomized, Open-Label Study of Combination Therapy With Avutometinib Plus Defactinib Versus Investigator's Choice of Treatment in Patients With Recurrent Low-Grade Serous Ovarian Cancer (LGSOC) (RAMP 301)
This study will assess the safety and efficacy of avutometinib (VS-6766) in combination with defactinib versus Investigator's choice of treatments (ICT) in subjects with recurrent LGSOC who have progressed on a prior platinum-based therapy.
Read the detailed description
This international, randomized, open-label, Phase 3 study will compare the investigational combination of avutometinib plus defactinib versus Investigator's Choice of Treatments (ICT) in patients with recurrent LGSOC who have progressed on a prior platinum-based therapy. Avutometinib and defactinib are both types of drugs called kinase inhibitors. Kinase inhibitors block cancer cell growth. The study will compare the progression-free survival (PFS) of the combination of avutometinib plus defactinib versus ICT. The study will also evaluate the effect of the combination on safety, overall survival, other efficacy endpoints, and health-related quality of life and disease related symptoms. The study is being conducted by gynecological cancer specialists. Patients who are eligible and agree to participate in this study will be treated with either a combination of avutometinib with defactinib, or with one of four standard of care NCCN and ESMO treatment recommendations for recurrent LGSOC, and then with subsequent follow up appointments. Patients who originally received one of the standards of care treatments who are determined to have progressive disease may be eligible to crossover to receive the investigational combination avutometinib plus defactinib.Avutometinib and defactinib are investigational drugs that have not been approved by the U.S. Food and Drug Administration (FDA)
- Conditions
- Low Grade Serous Ovarian Cancer
- Being tested
- avutometinib, Defactinib, Pegylated liposomal doxorubicin, Paclitaxel, Letrozole
- Keywords
- Low Grade Serous Ovarian Cancer, KRAS, KRAS wt, KRAS mt
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
avutometinibDrug
Also called avutometinib (VS-6766)
Avutometinib: administered orally
DefactinibDrug
Also called defactinib (VS-6063)
Defactinib: administered orally
Pegylated liposomal doxorubicinDrug
Also called Caelyx, Doxil, Lipodox
administered intravenously
PaclitaxelDrug
Also called Nov-Onxol, Onxol, Navaplus, Taxol
administered intravenously
LetrozoleDrug
Also called Femara
administered orally
AnastrozoleDrug
Also called Arimidex
administered orally
| Study group | Role | What they receive |
|---|---|---|
| avutometinib + defactinib | Experimental | Avutometinib 3.2 mg, PO, twice weekly for 21 days on, 7 days off in a 28-day (4 weeks) cycle in combination with defactinib 200 mg, PO, twice daily for 21 days on, 7 days off in a 28-day(4 week) cycle. Receives: Drug: avutometinib; Drug: Defactinib |
| Investigator Choice of Treatment (ICT) | Active comparator | Patients will receive one of the following therapies as determined by the Investigator:
* Pegylated liposomal doxorubicin: 40 mg/m2 IV on Day 1 of each 28-day (4 week) cycle.
* Paclitaxel: 80 mg/m2 IV on Days 1, 8, and 15 of each 28-day (4 week) cycle.
* Anastrozole: 1 mg, PO, once daily of each 28-day (4 week) cycle.
* Letrozole: 2.5 mg, PO, once daily of each 28-day (4 week) cycle. Receives: Drug: Pegylated liposomal doxorubicin; Drug: Paclitaxel; Drug: Letrozole; Drug: Anastrozole |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS) per blinded independent central review (BICR)
Progression-free survival (PFS) according to RECIST version 1.1, per blinded independent central review (BICR)
Measured: Up to 24 months
Secondary outcomes (11)
Overall Survival (OS)
From the time of first dose of study intervention to PD as assessed per RECIST 1.1 or death from any cause
Measured: Up to 5 years
Progression Free Survival (PFS) per investigator assessment
Progression-free survival (PFS) according to RECIST version 1.1, per blinded independent central review (BICR)
Measured: 24 months
Objective response rate (ORR)
From the time of first dose of study intervention to PD as assessed per RECIST 1.1 by Investigator or death from any cause
Measured: 12 months
Duration of Response (DOR)
From the time of first dose of study intervention to PD as assessed per RECIST 1.1 by Investigator or death from any cause
Measured: 12 months
Disease Control Rate (DCR)
CR+PR+Stable disease
Measured: 6 months
Frequency and severity adverse events (AEs) and Serious Adverse Events (SAEs)
Count of AE and SAEs by grade, based on the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) grading scale
Measured: 25 months
Area under the plasma concentration-time curve (AUC) of avutometinib, defactinib and relative metabolites
Area under plasma Concentration (AUC) 0 to t
Measured: 5 months
Maximum plasma concentration (Cmax) of avutometinib, defactinib and relative metabolites
maximum plasma concentration
Measured: 5 months
To assess the health-related quality of life and disease based on European Organization for Research and Treatment of Cancer (EORTC) Quality of life Questionnaire Core module C30 (QLQ-C30).
The EORTC QLQ-C30 is a validated questionnaire to assess the quality of life of ovarian cancer patients.
Measured: 24 months
To assess the health-related quality of life and disease based on European Organization for Research and Treatment of Cancer (EORTC) Quality of life Questionnaire Ovarian Cancer module OV28 (QLQ-OV28).
The EORTC QLQ-OV28 is a validated questionnaire to assess the quality of life of ovarian cancer patients.
Measured: 24 months
To assess the health-related quality of life and disease based on EuroQol-5 Dimension 5-level (EQ-5D-5L)
The EuroQol-5 Dimension 5-level (EQ-5D-5L) is a validated questionnaire used to measure a patient's overall health.
Measured: 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Oct 2023
- Study start18 Mar 2024
- Primary completion15 Oct 2028 (estimated)
- Study completion9 Feb 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Low Grade Serous Ovarian CancerStudies of the same condition, open and under way.
- More trials run by Verastem, Inc.The 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
- Crossover
- Masking
- None (open label)
- Enrolment
- 270 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Verastem, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GOG Foundation, European Network of Gynaecological Oncological Trial Groups (ENGOT), Australia New Zealand Gynaecological Oncology Group, Korean Gynecologic Oncology Group
- Responsible party
- Sponsor
- Investigators
- Rachel Grisham, MD, Principal investigator, GOG FoundationSusana Banerjee, MBBS, MA, PhD, Principal investigator, European Network of Gynaecological Oncological Trial Groups (ENGOT)Yang Liu Verastem Medical Monitor, Study director, RAMP301@verastem.com
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06072781
- Sponsor's protocol ID
- VS-6766-301
- Other IDs
- GOG-3097, ENGOT-ov81
- Acronym
- RAMP 301
- Status last verified
- Oct 2026
- First submitted
- 2 Oct 2023
- Last updated
- 2 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Banerjee SN, Van Nieuwenhuysen E, Aghajanian C, D'Hondt V, Monk BJ, Clamp A, Prendergast E, Oaknin A, Ring K, Colombo N, Holloway RW, Rodrigues M, Chon HS, Gourley C, Santin AD, Thaker PH, Gennigens C, Newman G, Salinas E, Youssoufian H, Moore KN, Lustgarten S, O'Malley DM, Van Gorp T, Grisham RN. The combination of avutometinib and defactinib in treating recurrent low-grade serous ovarian cancer: a plain language summary of the Phase II clinical trial ENGOT-OV60/GOG-3052/RAMP 201. Future Oncol. 2025 Dec;21(30):3859-3871. doi: 10.1080/14796694.2025.2595130. Epub 2025 Dec 12.
PubMed 41384753Banerjee SN, Van Nieuwenhuysen E, Aghajanian C, D'Hondt V, Monk BJ, Clamp A, Prendergast E, Oaknin A, Ring K, Colombo N, Holloway RW, Rodrigues M, Chon HS, Gourley C, Santin AD, Thaker PH, Gennigens C, Newman G, Salinas E, Youssoufian H, Moore KN, Lustgarten S, O'Malley DM, Van Gorp T, Grisham RN. Efficacy and Safety of Avutometinib +/- Defactinib in Recurrent Low-Grade Serous Ovarian Cancer: Primary Analysis of ENGOT-OV60/GOG-3052/RAMP 201. J Clin Oncol. 2025 Sep;43(25):2782-2792. doi: 10.1200/JCO-25-00112. Epub 2025 Jul 11.
PubMed 40644648Grisham R, Monk BJ, Van Nieuwenhuysen E, Moore KN, Fabbro M, O'Malley DM, Oaknin A, Thaker P, Oza AM, Colombo N, Gershenson D, Aghajanian CA, Choi CH, Lee YC, Mirza MR, Coleman RL, Cobb L, Harter P, Lustgarten S, Youssoufian H, Banerjee S. GOG-3097/ENGOT-ov81/GTG-UK/RAMP 301: a phase 3, randomized trial evaluating avutometinib plus defactinib compared with investigator's choice of treatment in patients with recurrent low grade serous ovarian cancer. Int J Gynecol Cancer. 2025 Nov;35(11):101832. doi: 10.1136/ijgc-2024-005919. Epub 2025 Apr 19.
PubMed 39375168
Study at a glance
From the registry record, last updated by the sponsor on 2 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 Combination Therapy With Avutometinib Plus Defactinib Versus Investigator's Choice of Treatment in Patients With Recurrent Low-Grade Serous Ovarian Cancer (LGSOC) (RAMP 301)
- ClinicalTrials.gov ID
- NCT06072781
- Acronym / sponsor ID
- RAMP 301 / VS-6766-301
- Conditions
- Low Grade Serous Ovarian Cancer
- Keywords
- Low Grade Serous Ovarian Cancer, KRAS, KRAS wt, KRAS mt
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 270 participants (estimated)
- Lead sponsor
- Verastem, Inc.Industry (pharma, biotech, devices)
- Collaborators
- GOG Foundation, European Network of Gynaecological Oncological Trial Groups (ENGOT), Australia New Zealand Gynaecological Oncology Group, Korean Gynecologic Oncology Group
- Study start
- 18 Mar 2024 (actual)
- Primary completion
- 15 Oct 2028 (estimated)
- Study completion
- 9 Feb 2031 (estimated)
- First posted
- 10 Oct 2023 (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 assess the safety and efficacy of avutometinib (VS-6766) in combination with defactinib versus Investigator's choice of treatments (ICT) in subjects with recurrent LGSOC who have progressed on a prior platinum-based therapy.
Detailed description
This international, randomized, open-label, Phase 3 study will compare the investigational combination of avutometinib plus defactinib versus Investigator's Choice of Treatments (ICT) in patients with recurrent LGSOC who have progressed on a prior platinum-based therapy. Avutometinib and defactinib are both types of drugs called kinase inhibitors. Kinase inhibitors block cancer cell growth. The study will compare the progression-free survival (PFS) of the combination of avutometinib plus defactinib versus ICT. The study will also evaluate the effect of the combination on safety, overall survival, other efficacy endpoints, and health-related quality of life and disease related symptoms. The study is being conducted by gynecological cancer specialists. Patients who are eligible and agree to participate in this study will be treated with either a combination of avutometinib with defactinib, or with one of four standard of care NCCN and ESMO treatment recommendations for recurrent LGSOC, and then with subsequent follow up appointments. Patients who originally received one of the standards of care treatments who are determined to have progressive disease may be eligible to crossover to receive the investigational combination avutometinib plus defactinib.Avutometinib and defactinib are investigational drugs that have not been approved by the U.S. Food and Drug Administration (FDA)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| avutometinib + defactinib | Experimental | Drug: avutometinib, Drug: DefactinibAvutometinib 3.2 mg, PO, twice weekly for 21 days on, 7 days off in a 28-day (4 weeks) cycle in combination with defactinib 200 mg, PO, twice daily for 21 days on, 7 days off in a 28-day(4 week) cycle. |
| Investigator Choice of Treatment (ICT) | Active comparator | Drug: Pegylated liposomal doxorubicin, Drug: Paclitaxel, Drug: Letrozole, Drug: AnastrozolePatients will receive one of the following therapies as determined by the Investigator: * Pegylated liposomal doxorubicin: 40 mg/m2 IV on Day 1 of each 28-day (4 week) cycle. * Paclitaxel: 80 mg/m2 IV on Days 1, 8, and 15 of each 28-day (4 week) cycle. * Anastrozole: 1 mg, PO, once daily of each 28-day (4 week) cycle. * Letrozole: 2.5 mg, PO, once daily of each 28-day (4 week) cycle. |
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 proven LGSOC (ovarian, fallopian, peritoneal)
- Documented mutational status of KRAS by a validated tumor-tissue based diagnostic test.
- Suitable for treatment with at least one of the Investigator's Choice of Treatments:pegylated liposomal doxorubicin, paclitaxel, letrozole, anastrozole.
- Progression or recurrence of LGSOC after at least one prior systemic therapy for metastatic disease.
- Measurable disease according to RECIST v1.1.
Key exclusion criteria (18 listed)
- Systemic anti-cancer therapy within 4 weeks of the first dose of study therapy.
- Co-existing high-grade serous ovarian cancer or mixed histology.
- Prior treatment with avutometinib, defactinib, or other FAK inhibitors.
- History of prior malignancy with recurrence <3 years from the time of enrollment.
- Major surgery within 4 weeks, minor surgery within 1 week, or palliative radiotherapy within 1 week of the first dose of study intervention.
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 |
|---|---|---|
| avutometinibAlso: avutometinib (VS-6766)Avutometinib: administered orally | Drug | avutometinib + defactinib |
| DefactinibAlso: defactinib (VS-6063)Defactinib: administered orally | Drug | avutometinib + defactinib |
| Pegylated liposomal doxorubicinAlso: Caelyx, Doxil, Lipodoxadministered intravenously | Drug | Investigator Choice of Treatment (ICT) |
| PaclitaxelAlso: Nov-Onxol, Onxol, Navaplus, Taxoladministered intravenously | Drug | Investigator Choice of Treatment (ICT) |
| LetrozoleAlso: Femaraadministered orally | Drug | Investigator Choice of Treatment (ICT) |
| AnastrozoleAlso: Arimidexadministered orally | Drug | Investigator Choice of Treatment (ICT) |
Primary outcome
Progression Free Survival (PFS) per blinded independent central review (BICR)
Time frame: Up to 24 months
Progression-free survival (PFS) according to RECIST version 1.1, per blinded independent central review (BICR)
11 secondary outcomes
Overall Survival (OS)
Time frame: Up to 5 years
Progression Free Survival (PFS) per investigator assessment
Time frame: 24 months
Objective response rate (ORR)
Time frame: 12 months
Duration of Response (DOR)
Time frame: 12 months
Disease Control Rate (DCR)
Time frame: 6 months
Frequency and severity adverse events (AEs) and Serious Adverse Events (SAEs)
Time frame: 25 months
Area under the plasma concentration-time curve (AUC) of avutometinib, defactinib and relative metabolites
Time frame: 5 months
Maximum plasma concentration (Cmax) of avutometinib, defactinib and relative metabolites
Time frame: 5 months
To assess the health-related quality of life and disease based on European Organization for Research and Treatment of Cancer (EORTC) Quality of life Questionnaire Core module C30 (QLQ-C30).
Time frame: 24 months
To assess the health-related quality of life and disease based on European Organization for Research and Treatment of Cancer (EORTC) Quality of life Questionnaire Ovarian Cancer module OV28 (QLQ-OV28).
Time frame: 24 months
To assess the health-related quality of life and disease based on EuroQol-5 Dimension 5-level (EQ-5D-5L)
Time frame: 24 months
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 Nov 2026.
- Derived from this study: PubMed 41384753Banerjee SN, Van Nieuwenhuysen E, Aghajanian C, D'Hondt V, Monk BJ, Clamp A, Prendergast E, Oaknin A, Ring K, Colombo N, Holloway RW, Rodrigues M, Chon HS, Gourley C, Santin AD, Thaker PH, Gennigens C, Newman G, Salinas E, Youssoufian H, Moore KN, Lustgarten S, O'Malley DM, Van Gorp T, Grisham RN. The combination of avutometinib and defactinib in treating recurrent low-grade serous ovarian cancer: a plain language summary of the Phase II clinical trial ENGOT-OV60/GOG-3052/RAMP 201. Future Oncol. 2025 Dec;21(30):3859-3871. doi: 10.1080/14796694.2025.2595130. Epub 2025 Dec 12.
- Derived from this study: PubMed 40644648Banerjee SN, Van Nieuwenhuysen E, Aghajanian C, D'Hondt V, Monk BJ, Clamp A, Prendergast E, Oaknin A, Ring K, Colombo N, Holloway RW, Rodrigues M, Chon HS, Gourley C, Santin AD, Thaker PH, Gennigens C, Newman G, Salinas E, Youssoufian H, Moore KN, Lustgarten S, O'Malley DM, Van Gorp T, Grisham RN. Efficacy and Safety of Avutometinib +/- Defactinib in Recurrent Low-Grade Serous Ovarian Cancer: Primary Analysis of ENGOT-OV60/GOG-3052/RAMP 201. J Clin Oncol. 2025 Sep;43(25):2782-2792. doi: 10.1200/JCO-25-00112. Epub 2025 Jul 11.
- Derived from this study: PubMed 39375168Grisham R, Monk BJ, Van Nieuwenhuysen E, Moore KN, Fabbro M, O'Malley DM, Oaknin A, Thaker P, Oza AM, Colombo N, Gershenson D, Aghajanian CA, Choi CH, Lee YC, Mirza MR, Coleman RL, Cobb L, Harter P, Lustgarten S, Youssoufian H, Banerjee S. GOG-3097/ENGOT-ov81/GTG-UK/RAMP 301: a phase 3, randomized trial evaluating avutometinib plus defactinib compared with investigator's choice of treatment in patients with recurrent low grade serous ovarian cancer. Int J Gynecol Cancer. 2025 Nov;35(11):101832. doi: 10.1136/ijgc-2024-005919. Epub 2025 Apr 19.
Related trials for Low Grade Serous Ovarian Cancer
RecruitingPhase 1
Testing Different Amounts of the Combination of Drugs M1774 and ZEN-3694 for the Treatment of Recurrent Ovarian and Endometrial Cancer
Recurrent Endometrial Carcinoma, Recurrent Endometrial Clear Cell Adenocarcinoma
RecruitingPhase 2
A Study of Avutometinib, Defactinib, and Letrozole in People With Low-Grade Serous Ovarian Cancer
Low-Grade Serous Ovarian Cancer
Active, not recruitingPhase 2
Comparison of Standard of Care Treatment With a Triplet Combination of Targeted Immunotherapeutic Agents
Fallopian Tube Mucinous Adenocarcinoma, Ovarian Seromucinous Carcinoma
Active, not recruitingPhase 2
Study of Pembrolizumab Combination With Chemotherapy in Platinum-sensitive Recurrent Low-grade Serous Ovarian Cancer
Ovarian Cancer, Low Grade Serous Carcinoma
RecruitingPhase 1/2
Study of REGN4018 (Ubamatamab) Administered Alone or in Combination With Cemiplimab in Adult Patients With Recurrent Ovarian Cancer or Other Recurrent Mucin-16 Expressing (MUC16+) Cancers
Recurrent Ovarian Cancer, Recurrent Fallopian Tube Cancer
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.
Rachel Grisham, MD principal investigator
GOG Foundation
Susana Banerjee, MBBS, MA, PhD principal investigator
European Network of Gynaecological Oncological Trial Groups (ENGOT)
Yang Liu Verastem Medical Monitor study director
RAMP301@verastem.com
105 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing avutometinib, Defactinib and Pegylated liposomal doxorubicin in people with Low Grade Serous Ovarian Cancer, run by Verastem, Inc. at 105 sites in 16 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 18 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 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 105 sites in United States, Italy, United Kingdom, Germany, Spain and 11 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?
Contact Verastem Call Center (781-292-4204, RAMP301TrialSupport@verastem.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression Free Survival (PFS) per blinded independent central review (BICR) (time frame: Up to 24 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06072781, which also lists 3 linked publications.
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 Nov 2026.