ClinicalTrials.gg
RecruitingNCT07166094RAINFOL-03Updated Nov 3, 2026

Study to Assess the Efficacy and Safety of Rina-S Compared to Treatment of Investigator's Choice in Participants With Endometrial Cancer

A Phase 3 interventional study of Rina-S and IC in Endometrial Cancer and Recurrent or Progressive Endometrial Cancer, sponsored by Genmab. Recruiting at 178 sites in 19 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Genmab · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2025; still recruiting 11 months later.
Updated Nov 3, 20267 sites addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
660
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The purpose of this study is to compare how well Rina-S (GEN1184) works compared to treatment of physician's choice (paclitaxel or doxorubicin) that are considered standard medical care for the treatment of recurrent or progressive endometrial cancer (EC) following prior therapy. There is an equal (50:50) chance of getting either Rina-S or a chemotherapy agent as treatment in this study.

The study duration will be approximately 3 years. The treatment duration will be different for every participant, but an average of 4 to 6 months is expected.

All participants will receive active drug; no one will be given placebo. Participation in the study will require visits to the study site(s).

Read the detailed description

This is a global, open-label, randomized Phase 3 study in approximately 660 participants with recurrent or progressive EC following prior therapy.

Participants will be randomized in a 1:1 ratio to receive treatment with Rina-S vs investigator's choice (IC) (paclitaxel or doxorubicin). Investigators must select one of the IC treatment options for each participant prior to randomization so that this may be used for treatment assignment if the participant is randomized to the IC arm.

02

Conditions studied

  • Endometrial Cancer
  • Recurrent or Progressive Endometrial Cancer
03

In context

Endometrial Neoplasms

1,425 studies on the registry are indexed under Endometrial Neoplasms; 473 are open to participants now.

This study's planned enrollment of 660 is above the median of 71 across 1,026 interventional studies indexed under Endometrial Neoplasms.

Browse Endometrial Neoplasms studies →

Lead sponsor

Genmab is the lead sponsor of 72 studies on the registry; 15 are open to participants now.

Of its 23 completed or terminated interventional studies of FDA-regulated products, 13 (57%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria

  • Participants must have or cytologically confirmed recurrent or progressive endometrial cancer (EC; any subtype excluding neuroendocrine tumors, carcinosarcoma, or endometrial sarcoma) following prior therapy.
  • Participants must have received at least 1, but not more than 3, :

    • Participants must have received prior platinum-based chemotherapy and a programmed death (ligand)-1 (PD(L)-1) inhibitor, either separately or in combination
    • If the tumor recurred more than 12 months after completion of platinum-based chemotherapy, additional platinum-based chemotherapy must be administered for recurrent disease unless the participant is ineligible for further platinum-based chemotherapy, in which case the reason for ineligibility must be documented.

      • Note: If Immunotherapy-based treatment is administered in the advanced/recurrent setting, then platinum rechallenge is not required, regardless of the duration of the platinum-free interval from prior platinum-based chemotherapy. In such cases, the reason for ineligibility for platinum-based chemotherapy must be documented.
    • Prior induction plus maintenance is considered 1 line of therapy
    • Hormonal therapy alone (i.e., without chemotherapy) will not be counted as a separate line of therapy.
    • Therapy changed due to toxicity in the absence of progression will be considered part of the same line of therapy (i.e., will not be counted independently as a separate line of therapy)
  • Participants must have progressed radiographically on or after their most recent line of therapy

Key Exclusion Criteria

  • Prior therapy with an antibody-drug conjugate containing a topoisomerase 1 inhibitor.
  • Has a past or current other than the inclusion diagnosis before the planned first dose of study drug, or any evidence of residual disease from a previously diagnosed malignancy. Exceptions are malignancies with a negligible risk of or death (e.g., 5-year OS ≥90%), including, but not limited to, adequately treated cervical carcinoma of Stage 1B or less, noninvasive basal cell or squamous cell skin carcinoma, noninvasive superficial bladder cancer, ductal carcinoma in situ, or any past malignancy considered cured for ≥3 years (i.e., eligible participants must have complete response of ≥3 years duration).
  • Known active central nervous system metastases or carcinomatous meningitis. Participants with previously treated may participate provided they are clinically stable for at least 4 weeks prior to study entry after completion of brain metastasis treatment, they have no new or enlarging brain metastases, and are off and anticonvulsants prescribed for symptoms associated with brain metastases for at least 7 days prior to the planned first dose of study drug. Participants with suspected brain metastases at screening should undergo a computed tomography (CT)/magnetic resonance imaging (MRI) of the brain prior to study entry.
  • Hospitalization or clinical symptoms due to gastrointestinal obstruction within the past or radiographic evidence of gastrointestinal obstruction at the time of screening. Enrollment of participants who currently require parenteral nutrition must be discussed with the study medical monitor to determine eligibility.

Note: Other protocol-defined Inclusion and Exclusion criteria may apply.

Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
660 participants (estimated)

Study arms

  • Experimental
    Rina-S

    Participants will receive Rina-S on Day 1 once every 3 weeks (Q3W).

    Drug: Rina-S

  • Active comparator
    IC

    Participants will receive one of the following chemotherapies at the discretion of the investigator: * Paclitaxel on Days 1, 8, and 15 every 4 weeks (Q4W). * Doxorubicin on Day 1 Q3W.

    Drug: IC

Interventions

  • DrugRina-S

    Intravenous (IV) infusion.

    Also known as: Rinatabart Sesutecan, PRO1184, GEN1184

  • DrugIC

    * Paclitaxel: IV infusion * Doxorubicin: IV bolus injection/infusion

06

What researchers measure

Primary outcomes

  1. Progression-free Survival (PFS) per Response Criteria in Solid Tumors (RECIST) v1.1, as Determined by Blinded Independent Central Review (BICR)

    Time frame: Up to approximately 3 years

  2. Overall Survival (OS)

    Time frame: Up to approximately 3 years

Secondary outcomes

  1. Objective Response Rate (ORR), per RECIST v1.1, as Determined by BICR

    Time frame: Up to approximately 3 years

  2. PFS, per RECIST v1.1, as Determined by Investigator Assessment

    Time frame: Up to approximately 3 years

  3. ORR, per RECIST v1.1, as Determined by Investigator Assessment

    Time frame: Up to approximately 3 years

  4. Duration of Objective Response (DOR), per RECIST v1.1, as Determined by Investigator Assessment

    Time frame: Up to approximately 3 years

  5. DOR, per RECIST v1.1, as Determined by BICR

    Time frame: Up to approximately 3 years

  6. Number of Participants with Treatment-emergent Adverse Events (TEAEs)

    Time frame: Up to approximately 3 years

  7. Change from Baseline in Global Health Status/Quality of Life (GHS/Qol)

    Time frame: Baseline up to approximately 3 years

  8. Time to Deterioration (TTD) in GHS/Qol

    Time frame: Up to approximately 3 years

07

Study locations

178 of 178 sites recruiting
  • USAH Mitchell Cancer Inst
    Mobile, Alabama 36604, United States
    Recruiting
  • HonorHealth Research Inst
    Phoenix, Arizona 85016, United States
    Recruiting
  • Kaiser Permanente SoCal
    Irvine, California 92618, United States
    Recruiting
  • CPMC Research Institute
    San Francisco, California 94109, United States
    Recruiting
  • Norwalk Hospital
    Danbury, Connecticut 06810, United States
    Recruiting
  • Hartford Hospital
    Hartford, Connecticut 06102, United States
    Recruiting
  • Norwalk Hospital
    Norwalk, Connecticut 06856, United States
    Recruiting
  • MedStar Washington Hospital
    Washington D.C., District of Columbia 20010, United States
    Recruiting
  • SMH - Sarasota - Main Campus
    Sarasota, Florida 34239, United States
    Recruiting
  • Women's Care - 9th Ave
    St. Petersburg, Florida 33713, United States
    Recruiting
  • Women's Care - Armenia Ave
    Tampa, Florida 33603, United States
    Recruiting
  • Emory Winship Cancer Inst.
    Atlanta, Georgia 30308, United States
    Recruiting
  • Emory Winship Cancer Inst.
    Atlanta, Georgia 30322, United States
    Recruiting
  • Northside Hospital Atlanta
    Atlanta, Georgia 30342, United States
    Recruiting
  • Emory Winship Cancer Inst./Emory Decatur Hospital
    Decatur, Georgia 30033, United States
    Recruiting
  • Endeavor Health NorthShore
    Evanston, Illinois 60201, United States
    Recruiting
  • OLOL Cancer Institute
    Baton Rouge, Louisiana 70808, United States
    Recruiting
  • LSU Health New Orleans
    New Orleans, Louisiana 70112, United States
    Recruiting
  • Trials365, LLC
    Shreveport, Louisiana 71103, United States
    Recruiting
  • Sinai Hospital
    Baltimore, Maryland 21215, United States
    Recruiting
  • William Kahlert Reg. Can. Ctr
    Westminster, Maryland 21157, United States
    Recruiting
  • UMass Memorial Medical Ctr
    Worcester, Massachusetts 01605, United States
    Recruiting
  • Corewell Health
    Grand Rapids, Michigan 49503, United States
    Recruiting
  • USOR - Minnesota Oncology-Coon Rapids Clinic
    Coon Rapids, Minnesota 55433, United States
    Recruiting
  • USOR - Minnesota Oncology/ Coon Rapids Clinic
    Coon Rapids, Minnesota 55433, United States
    Recruiting
  • USOR - Minnesota Oncology - Edina Clinic
    Edina, Minnesota 55435, United States
    Recruiting
  • USOR - Minnesota Oncology/Edina Clinic
    Edina, Minnesota 55435, United States
    Recruiting
  • USOR - Minnesota Oncology/ Maple Grove Clinic
    Maple Grove, Minnesota 55369, United States
    Recruiting
  • USOR - Minnesota Oncology-Maplewood Clinic
    Maplewood, Minnesota 55109, United States
    Recruiting
  • USOR - Minnesota Oncology/ Maplewood Clinic
    Maplewood, Minnesota 55109, United States
    Recruiting
  • USOR - Minnesota Oncology/ Minneapolis Clinic
    Minneapolis, Minnesota 55404, United States
    Recruiting
  • USOR - Minnesota Oncology
    Minneapolis, Minnesota 55404, United States
    Recruiting
  • USOR - Minnesota Oncology/ Woodbury Clinic
    Woodbury, Minnesota 55125, United States
    Recruiting
  • Washington University School of Medicine
    St Louis, Missouri 63110, United States
    Recruiting
  • Morristown Medical Center
    Morristown, New Jersey 07960, United States
    Recruiting
  • Atlantic Health - Overlook MC
    Summit, New Jersey 07901, United States
    Recruiting
  • Holy Name Medical Center
    Teaneck, New Jersey 07666, United States
    Recruiting
  • NYU Laura and Isaac Perlmutter Cancer Center - 34th Street
    New York, New York 10016, United States
    Recruiting
  • Perlmutter CC NYU Langone LI
    New York, New York 11501, United States
    Recruiting
  • Atrium Health LCI - Morehead
    Charlotte, North Carolina 28204, United States
    Recruiting
  • Atrium Health LCI - Ballantyne
    Charlotte, North Carolina 28277, United States
    Recruiting
  • Atrium Health LCI - Concord
    Concord, North Carolina 28025, United States
    Recruiting
  • Duke Cancer Institute
    Durham, North Carolina 27710, United States
    Recruiting
  • Atrium Health LCI - Gaston
    Gastonia, North Carolina 28054, United States
    Recruiting
  • Wake Forest University
    Winston-Salem, North Carolina 27517, United States
    Recruiting
  • University of Cincinnati Medical Center
    Cincinnati, Ohio 45219, United States
    Recruiting
  • Willamette Valley Cancer Institute and Research Center - Eugene
    Eugene, Oregon 97401, United States
    Recruiting
  • NW Cancer Specs. P.C.
    Happy Valley, Oregon 97015, United States
    Recruiting
  • USOR - NW Cancer Specs P.C.
    Portland, Oregon 97227, United States
    Recruiting
  • USOR - NW Cancer Specs. P.C.
    Tigard, Oregon 97223, United States
    Recruiting
  • TX Onc - Arlington North
    Arlington, Texas 76012, United States
    Recruiting
  • USOR - Texas Oncology
    Austin, Texas 78731, United States
    Recruiting
  • USOR - Texas Oncology
    Austin, Texas 78745, United States
    Recruiting
  • USOR - Texas Oncology- Austin North
    Austin, Texas 78758, United States
    Recruiting
  • TX Onc - Bedford
    Bedford, Texas 76022, United States
    Recruiting
  • TX Onc - Methodist Dallas
    Dallas, Texas 75203, United States
    Recruiting
  • TX Onc - Presbyterian Dallas
    Dallas, Texas 75231, United States
    Recruiting
  • TX Onc - Methodist Charlton
    Dallas, Texas 75237, United States
    Recruiting
  • TX Onc - Sammons
    Dallas, Texas 75246, United States
    Recruiting
  • USOR - Texas Oncology - Dallas Fort Worth (DFW)
    Fort Worth, Texas 76104, United States
    Recruiting
  • USOR - Texas Oncology
    Harlingen, Texas 78550, United States
    Recruiting
  • USOR - Texas Oncology
    McAllen, Texas 78503, United States
    Recruiting
  • USOR - TX Oncology - SA NE
    San Antonio, Texas 78217, United States
    Recruiting
  • NEXT San Antonio
    San Antonio, Texas 78240, United States
    Recruiting
  • USOR - Texas Oncology- Horizon Circle
    Waco, Texas 76712, United States
    Recruiting
  • USOR - Texas Oncology- Waco
    Waco, Texas 76712, United States
    Recruiting
  • USOR - Texas Oncology
    Weslaco, Texas 78596, United States
    Recruiting
  • University of Virginia
    Charlottesville, Virginia 22908, United States
    Recruiting
  • USOR - NW Cancer Specs P.C.
    Vancouver, Washington 98684, United States
    Recruiting
  • Austin Health
    Heidelberg, Heidelberg 3084, Australia
    Recruiting
  • GenesisCare Campbelltown
    Campbelltown, New South Wales 2560, Australia
    Recruiting
  • Chris O'Brien Lifehouse
    Camperdown, New South Wales 2050, Australia
    Recruiting
  • Gosford Hospital
    Gosford, New South Wales 02250, Australia
    Recruiting
  • Nepean Cancer & Wellness Ctr
    Kingswood, New South Wales 2747, Australia
    Recruiting
  • Calvary Mater Newcastle
    Waratah, New South Wales 2298, Australia
    Recruiting
  • Joondalup Health Campus
    Joondalup, Western Australia 6027, Australia
    Recruiting
  • Antwerp University Hospital
    Edegem, Antwerp 2650, Belgium
    Recruiting
  • Saint-Luc University Clinics
    Brussels, Brussels Capital 1200, Belgium
    Recruiting
  • Universitair Ziekenhuis Leuven
    Leuven, Flanders 3000, Belgium
    Recruiting
  • Grand Hôpital de Charleroi
    Gilly, Hainaut 6060, Belgium
    Recruiting
  • VITAZ
    Sint-Niklaas, Sint-Niklaas 9100, Belgium
    Recruiting
  • CHU UCL Namur/Ste Elisabeth
    Namur, Wallonia 5000, Belgium
    Recruiting
  • Oncoclinicas RJ S.A.
    Rio de Janeiro, Rio de Janeiro 2250-905, Brazil
    Recruiting
  • Futtura Oncologia - Hub Pesq
    Porto Alegre, Rio Grande do Sul 90470-340, Brazil
    Recruiting
  • Hospital São Lucas da PUCRS
    Porto Alegre, Rio Grande do Sul 90610-000, Brazil
    Recruiting
  • Hospital Nove de Julho
    São Paulo, São Paulo 01308-070, Brazil
    Recruiting
  • Arthur J E Child Cancer Comp
    Calgary, Alberta T2N 5G2, Canada
    Recruiting
  • BC Cancer - Vancouver
    Vancouver, British Columbia V5Z 4E6, Canada
    Recruiting
  • MUHC - Glen Site
    Montreal, Quebec H4A 3J1, Canada
    Recruiting
  • Aalborg University Hospital
    Aalborg, 9000, Denmark
    Recruiting
  • Hus Ccc/Ctu
    Helsinki, Helsinki 00250, Finland
    Recruiting
  • Oulu University Hospital
    Oulu, North Ostrobothnia 90220, Finland
    Recruiting
  • Kuopio Univ. Hospital, PSHVA
    Kuopio, Northern Savonia 70210, Finland
    Recruiting
  • Tampere University Hospital
    Tampere, Pirkanmaa 33520, Finland
    Recruiting
  • Centre Jean Perrin
    Clermont-Ferrand, Auvergne-Rhône-Alpes 63011, France
    Recruiting
  • GHM Grenoble
    Grenoble, Auvergne-Rhône-Alpes 38028, France
    Recruiting
  • HUS Strasbourg
    Strasbourg, Bas-Rhin 67200, France
    Recruiting
  • CGFL Dijon
    Dijon, Bourgogne-Franche-Comté 21079, France
    Recruiting
  • CHU Brest - Cavale Blanche
    Brest, Brittany Region 29609, France
    Recruiting
  • Clinique Tivoli Ducos
    Bordeaux, Gironde 33000, France
    Recruiting

Showing the first 100 of 178 sites across 19 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Sites
7 sites added
Show 7 added (2 Australia, 2 Germany, 2 Italy, 1 United States)
  • LSU Health New Orleans · New Orleans, United States
  • Gosford Hospital · Gosford, Australia
  • Nepean Cancer & Wellness Ctr · Kingswood, Australia
  • Central Whse (Zentrallager) · Wiesbaden, Germany
  • Bonn University Hospital · Bonn, Germany
  • AOU Sant Orsola Malpighi · Bologna, Italy
  • Cannizzaro Hospital Authority · Catania, Italy
across 2 updates, Oct 6, 2026 – Nov 3, 2026
Show all 2 updates
  1. Nov 3, 2026
    1 site added
    Show site
    • Cannizzaro Hospital Authority · Catania, Italy
  2. Oct 6, 2026
    6 sites added
    Show 6 added (2 Australia, 2 Germany, 1 United States, 1 Italy)
    • LSU Health New Orleans · New Orleans, United States
    • Gosford Hospital · Gosford, Australia
    • Nepean Cancer & Wellness Ctr · Kingswood, Australia
    • Central Whse (Zentrallager) · Wiesbaden, Germany
    • Bonn University Hospital · Bonn, Germany
    • AOU Sant Orsola Malpighi · Bologna, Italy
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07166094
Lead sponsor
Genmab
Responsible party
Sponsor
First posted
Sep 10, 2025
Start date
Nov 28, 2025
Primary completion
Aug 2029 (estimated)
Completion
Nov 2029 (estimated)
Last update
Nov 3, 2026

Study contacts

Genmab Trial Information
Contact
clinicaltrials@genmab.com
+4570202728
Study Official
study director · Genmab

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Rinatabart sesutecan

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