Platinum-Sensitive Ovarian CancerPhase 3RAINFOL™-07NCT07564141
Study to Assess the Efficacy and Safety of Rina-S With or Without Bevacizumab Compared to Investigator's Choice of Platinum-based Chemotherapy With or Without Bevacizumab as Second-line Treatment in Participants With Recurrent Platinum-sensitive Ovarian Cancer
A Phase 3 study testing Rina-S, Bevacizumab and Carboplatin in people with Platinum-Sensitive Ovarian Cancer and Ovarian Cancer, run by Genmab at 9 sites in 2 countries.
Trial summary
This Phase 3 study will be conducted in different countries around the world with up to about 688 participants. The purpose of this study is to evaluate how well Rina-S works against ovarian cancer in combination with or without bevacizumab and how it compares to an investigator's choice of platinum-based chemotherapy… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Platinum-Sensitive Ovarian Cancer, Ovarian Cancer
- What is being tested?
- Rina-S, Bevacizumab and Carboplatin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 688 participants
- Where
- 9 sitesin 2 countries
- Study dates
- 28 Aug 2026to Nov 2031
- Phase
- Phase 3
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
- Participant must have histologically confirmed high-grade serous or endometrioid epithelial ovarian cancer (EOC), including primary peritoneal or fallopian tube cancer.
- Participant must have documented recurrence or progression after first-line (1L) platinum-based chemotherapy regimen (carboplatin + paclitaxel ≥ 4 cycles) with or without bevacizumab and have platinum-sensitive disease defined as radiographic progression at least 6 months (ie, >183 days) after their last dose administration of platinum-based therapy.
- Prior poly (ADP-ribose) polymerase inhibitor(s) (PARPi) maintenance therapy (alone or in combination with bevacizumab) is required for participants with breast cancer susceptibility gene (BRCA 1- and BRCA 2)-mutated (germline or somatic) or homologous recombination deficiency (HRD)-positive disease.
- Participants must have measurable disease per RECIST v1.1 by investigator at baseline.
- All participants must provide a tumor specimen.
- Participants must have Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at baseline.
Who cannot join
- Participants with clear cell, mucinous, or sarcomatous histology, mixed tumors containing any of the above histologies, or low-grade/borderline ovarian tumors.
- Participant has received previous therapy with other anti-angiogenetic agents different from bevacizumab or biosimilar.
- Participant has received prior therapy with an antibody-drug conjugate (ADC) containing a topoisomerase-1 inhibitor.
- Participant has received prior therapy with an ADC targeting folate receptor alpha (FRα).
- Note: Other protocol-defined Inclusion and Exclusion criteria may apply.
Trial locations and contacts
9 sites in 2 countries. Contact the study team or a site near you to ask about taking part.
9 sites in 2 countries
United States6 sites, 6 recruiting
- Recruiting
Alliance Cancer Specialists, PC
Bensalem, Pennsylvania, 19020
- Recruiting
Danbury Hospital
Danbury, Connecticut, 06810
- Recruiting
City of Hope
Duarte, California, 91010
- Recruiting
West Virginia University
Morgantown, West Virginia, 26506
- Recruiting
Compass Oncology - West Cancer Center (Northwest Cancer Specialists, P.C.)
Tigard, Oregon, 97223
- Recruiting
ProHealth Care Inc
Waukesha, Wisconsin, 53188
Japan3 sites, 3 recruiting
- Recruiting
Niigata Cancer Center Hospital
Chuo Ku Niigata, Niigata, 951-8566
- Recruiting
The Cancer Institute Hospital of JFCR
Tokyo, Koto City, 135-8550
- Recruiting
Yamagata University Hospital
Yamagata, Yamagata, 990-9585
About this study
Official title: A Randomized, Open-label, Phase 3 Study of Rina-S ± Bevacizumab Versus Investigator's Choice of Platinum-Based Chemotherapy ± Bevacizumab as 2L Treatment in Participants With Recurrent Platinum-Sensitive Ovarian Cancer
This Phase 3 study will be conducted in different countries around the world with up to about 688 participants.
The purpose of this study is to evaluate how well Rina-S works against ovarian cancer in combination with or without bevacizumab and how it compares to an investigator's choice of platinum-based chemotherapy with or without bevacizumab.
Read more
Participants will receive either:
- Rina-S monotherapy (by itself),
- Rina-S plus bevacizumab,
- investigator's choice chemotherapy (by itself) (standard of care), or
- investigator's choice chemotherapy plus bevacizumab (standard of care).
No participants will be given placebo. Participants will participate in 1 of 2 arms.
The treatment duration will be different for every participant. If a participant's cancer stays the same or gets better, and there are not any serious problems, participants can keep getting study treatment for as long as the study is open.
Participants will be asked to attend 1 to 3 visits at the study clinic for each cycle (duration of cycle is 3 or 4 weeks, depending on medication received). During visits, there will be various tests (such as blood draws) and procedures (such as recording of heart activity and imaging) to monitor whether the study treatment is safe and effective.
The overall study duration (including screening, treatment, and follow-up) will be different for every participant.
Read the detailed description
This is a global, open-label, randomized, Phase 3 study of Rina-S ± bevacizumab versus investigator's choice (IC) ± bevacizumab as second-line (2L) treatment in participants with recurrent platinum-sensitive ovarian cancer (PSOC).
- Conditions
- Platinum-Sensitive Ovarian Cancer, Ovarian Cancer
- Being tested
- Rina-S, Bevacizumab, Carboplatin, Gemcitabine, Paclitaxel
- Medical subject headings
- Ovarian Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rina-SBiological
Also called Rinatabart Sesutecan, GEN1184, PRO1184
Intravenous (IV) infusion
BevacizumabDrug
IV infusion
CarboplatinDrug
IV infusion
GemcitabineDrug
IV infusion
PaclitaxelDrug
IV infusion
PLDDrug
IV infusion
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: Rina-S ± Bevacizumab | Experimental | Participants will receive Rina-S ± bevacizumab once every 3 weeks (Q3W). Receives: Biological: Rina-S; Drug: Bevacizumab |
| Arm 2: Investigator Choice of Chemotherapy ± Bevacizumab | Active comparator | Participants will receive carboplatin plus gemcitabine ± bevacizumab, carboplatin plus paclitaxel ± bevacizumab, or carboplatin plus pegylated liposomal doxorubicin (PLD) ± bevacizumab. Receives: Drug: Bevacizumab; Drug: Carboplatin; Drug: Gemcitabine; Drug: Paclitaxel; Drug: PLD |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumours (RECIST) v1.1, as Determined by Blinded Independent Central Review (BICR)
Measured: Up to approximately 3 years
Secondary outcomes (10)
Overall Survival (OS)
Measured: Up to approximately 5 years
PFS per RECIST v1.1, as Determined by Investigator
Measured: Up to approximately 3 years
Objective Response Rate (ORR) per RECIST v1.1
Measured: Up to approximately 3 years
Duration of Response (DOR) per RECIST v1.1
Measured: Up to approximately 3 years
Progression-free Survival on the Next Line of Therapy After the First Progression (PFS2)
Measured: Up to approximately 3 years
Time to First Subsequent Therapy (TFST)
Measured: Up to approximately 3 years
Cancer Antigen 125 (CA-125) Response per Gynecologic Cancer Intergroup (GCIG) Criteria
Measured: Up to approximately 3 years
Number of Participants with Treatment-emergent Adverse Events (TEAEs)
Measured: Up to approximately 3 years
Overall Change from Baseline in Global Health Status (GHS)/Quality of Life (QoL) Score Using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ C30)
Measured: Baseline up to approximately 3 years
Time to Deterioration (TTD) in the GHS/QoL Score Using the EORTC QLQ C30 Questionnaire
Measured: Up to approximately 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 May 2026
- Study start28 Aug 2026
- Primary completionDec 2029 (estimated)
- Study completionNov 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Platinum-Sensitive Ovarian CancerStudies of the same condition, open and under way.
- More trials run by GenmabThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 688 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
- NCT07564141
- Sponsor's protocol ID
- GCT1184-07
- Other IDs
- 2025-524202-15-00, jRCT2021260025, GOG-3143, ENGOT-ov103, GEICO-177-O, APGOT-ov21, LACOG 0126-EVA, 2025
- Acronym
- RAINFOL™-07
- Status last verified
- Oct 2026
- First submitted
- 27 Apr 2026
- Last updated
- 7 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No