Study of Trastuzumab Deruxtecan with Bevacizumab vs. Bevacizumab Alone for First-line Maintenance in HER2-Expressing Ovarian Cancer

Sponsor: Daiichi Sankyo

Sponsor score: 40

ClinicalTrials ID:NCT06819007

This clinical trial is testing whether a combination of two drugs, Trastuzumab Deruxtecan and Bevacizumab, is more effective and safe compared to Bevacizumab alone for maintaining treatment in patients with advanced ovarian cancer that shows HER2 protein expression.

Patient Parameters

Program Overview

The purpose of this study is to evaluate if using Trastuzumab Deruxtecan together with Bevacizumab can better control advanced ovarian cancer that expresses the HER2 protein, compared to using Bevacizumab alone. The trial will first conduct a safety phase to ensure the combination is safe before moving to the main study phase.

Description

Before the main part of the study begins, there will be an initial phase to check the safety of using Trastuzumab Deruxtecan with Bevacizumab. This is to make sure the combination is safe for patients before comparing it to Bevacizumab alone in the main study.

Eligibility Criteria

Inclusion Criteria

  • Must sign consent forms before any trial-specific procedures.
  • Adults aged 18 or older.
  • Diagnosed with high-grade ovarian, fallopian tube, or primary peritoneal cancer.
  • Newly diagnosed with advanced stage (FIGO Stage III or IV) cancer.
  • Cancer must show HER2 protein expression based on specific testing guidelines.
  • Must have enough tumor tissue available for HER2 testing.
  • Must have results from local genetic tests for HRD or BRCA.
  • Must have received standard treatment with Bevacizumab and platinum-based chemotherapy and be eligible to continue Bevacizumab alone.

Exclusion Criteria

  • Cancer of non-epithelial origin.
  • Has a BRCA mutation.
  • Planned to receive a PARP inhibitor as maintenance treatment.
  • Severe allergic reactions to study drugs or similar medications.
  • Recent history of certain serious brain or bleeding conditions.
  • Active or recent bowel obstruction.
  • Significant lung or breathing issues, including recent pulmonary embolism or severe lung diseases.
  • History of lung inflammation requiring steroids or current lung issues.

Locations

FACILITYZIPCITYSTATE
Scripps Clinic92037La JollaCalifornia
Broward Health Medical Center33316Fort LauderdaleFlorida
Jupiter Medical Center33458JupiterFlorida
Mount Sinai Medical Center33140Miami BeachFlorida
AdventHealth Cancer Institute32804OrlandoFlorida
Nancy N. & J.C Lewis Cancer & Research Pavillion- St. Josephs/ Candler Health System31405SavannahGeorgia
Indiana University46202IndianapolisIndiana
Trials365 LLC71103ShreveportLouisiana
Greater Baltimore Medical Center21204TowsonMaryland
Dana-Farber Cancer Institute02215BostonMassachusetts

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