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临床试验/NCT07797283
NCT07797283尚未招募3 期

A Phase 3, Double-Blind, Randomized, Controlled Study of INCB123667 in Combination With Bevacizumab Versus Bevacizumab Alone as First-Line Maintenance Therapy in Participants With Advanced Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer Overexpressing Cyclin E1 (MAESTRA 3)

Incyte Corporation0 个研究点目标入组 590 人开始时间: 2026年12月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
尚未招募
入组人数
590
主要终点
Progression-Free Survival (PFS) by BICR

研究概览

简要总结

The purpose of this study is to evaluate INCB123667 in Combination With Bevacizumab Versus Bevacizumab Alone as First-Line Maintenance Therapy in Participants With Advanced Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer Overexpressing Cyclin E1.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • Newly diagnosed, histologically confirmed, FIGO Stage III or IV, high-grade serous, high-grade endometrioid, or clear cell ovarian, fallopian tube, or primary peritoneal cancer.
  • Underwent debulking surgery prior to randomization (either PDS or IDS).
  • Completed first-line platinum-based chemotherapy in combination with bevacizumab prior to randomization.
  • Received a minimum of 6 cycles (and no more than 8 cycles) of platinum-taxane chemotherapy.
  • Received at least 2 infusions of bevacizumab concurrently with the last 2 to 3 cycles of chemotherapy.
  • No clinical evidence of disease recurrence (ie, NED following surgery) or progression (ie, CR/PR/SD per RECIST v1.1) on completion of platinum-based chemotherapy.
  • Tumor overexpresses cyclin E
  • Has a local HRD (positive or negative) or BRCA test result available. Participants with BRCA wild-type must have a local HRD result based on a validated test.
  • ECOG performance status of 0 or 1.

排除标准

  • Ovarian, fallopian tube, or peritoneal cancer of nonepithelial origin or low-grade ovarian cancer.
  • Deleterious tumor BRCA mutation per local test.
  • Eligible for treatment with a PARPi as maintenance therapy.
  • Known additional malignancy that progressed or requires active treatment, or history of other malignancy within 3 years prior to randomization.
  • History of any clinically significant or uncontrolled cardiovascular disease within 6 months prior to randomization.
  • Clinically significant gastrointestinal abnormality.
  • History of thromboembolism and having been on therapeutic anticoagulation for less than 2 weeks prior to randomization.
  • Current treatment with any strong CYP3A4/CYP3A5 inhibitor or inducer or treatment with a strong CYP3A4/CYP3A5 inhibitor or inducer within 5 half-lives or 28 days (whichever is shorter) prior to randomization.
  • Exclusionary Laboratory Values:
  • Platelets: < 100 × 109/L
  • Hemoglobin: < 9 g/dL or < 5.6 mmol/L
  • ANC: < 1.5 × 109/L
  • ALT: ≥ 2.5 × ULN or ≥ 5 × ULN for participants with liver metastases
  • AST: ≥ 2.5 × ULN or ≥ 5 × ULN for participants with liver metastases
  • Total bilirubin: ≥ 1.5 × ULN
  • Albumin: < 2.5 g/dL
  • Calculated CrCl: < 45 mL/min
  • Protein in urine: Urine dipstick for proteinuria ≥ 2+
  • Other protocol-defined Inclusion/Exclusion Criteria may apply.

研究组 & 干预措施

Treatment Group A (TGA)

Experimental

Bevacizumab plus INCB123667 at the protocol defined dose.

干预措施: INCB123667 (Drug)

Treatment Group A (TGA)

Experimental

Bevacizumab plus INCB123667 at the protocol defined dose.

干预措施: Bevacizumab (Drug)

Treatment Group B (TGB)

Experimental

Bevacizumab plus matching placebo at the protocol defined dose.

干预措施: Placebo (Drug)

Treatment Group B (TGB)

Experimental

Bevacizumab plus matching placebo at the protocol defined dose.

干预措施: Bevacizumab (Drug)

结局指标

主要结局

Progression-Free Survival (PFS) by BICR

时间窗: Up to approximately 5 years

Defined as the time from randomization until the first documented disease progression or disease recurrence as determined by blinded independent central review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, or death due to any cause, whichever occurs first.

次要结局

  • Overall Survival (OS)(Up to approximately 7 years)
  • Progression-Free Survival (PFS) by investigator(Up to approximately 5 years)
  • Progression-Free Survival on the First Subsequent Therapy (PFS2)(Up to approximately 7 years)
  • Second Progression-Free Survival (PFS)(Up to approximately 7 years)
  • Time to First Subsequent Therapy (TFST)(Up to approximately 7 years)
  • Time to Second Subsequent Therapy (TSST)(Up to approximately 7 years)
  • Treatment Emergent Adverse Events (TEAEs)(Up to approximately 13 months)
  • TEAEs leading to dose interruptions, dose reductions or discontinuation of study treatment(Up to approximately 13 months)
  • Change from baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ)-Core 30 (C30) at each postbaseline visit(Up to approximately 5 years)
  • Change from baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) -Ovarian Cancer 28 (OV28) score at each postbaseline visit(Up to approximately 5 years)
  • Change from baseline in EQ-5D-5L score at each postbaseline visit(Up to approximately 5 years)

研究者

申办方类型
Industry
责任方
Sponsor

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