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Not yet recruitingNCT07859215RAINFOL™-10Updated Oct 5, 2026

Study to Assess the Efficacy and Safety of Rina-S Plus Standard of Care Compared to Standard of Care Maintenance Treatment After First-line (1L) Platinum-based Chemotherapy in Participants With Ovarian Cancer

A Phase 3 interventional study of Rina-S and Bevacizumab in Ovarian Cancer, sponsored by Genmab. Not yet recruiting. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-05.

Sponsored by Genmab · Phase 3, Interventional, and Treatment

Updated Oct 5, 2026Newly registeredGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
602
Allocation
Randomized
Ages
18 Years and older
Sex
Female
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Study summary

This Phase 3 study will be conducted in different countries around the world with up to approximately 602 participants.

The purpose of this study is to evaluate how well Rina-S alone or in combination with an approved, standard of care (SOC) treatment works against ovarian cancer (including primary peritoneal or fallopian tube cancer) compared to the same available SOC therapy by itself, or no treatment (only monitoring).

On average, the expected trial duration for an individual participant will be approximately 4 years (depending on treatment received). The treatment length and follow-up duration will be different for every participant, but an average of 16 months of treatment is expected, followed by an estimated 29-month post treatment follow up period.

Participation in the study will require visits to the study site(s). Participants will be asked to attend 1 to 3 visits at the study clinic for each cycle (duration of cycle is 3 weeks). During site visits, there will be various tests (such as blood draws) and procedures (such as recording of heart activity, imaging/X-rays) to monitor whether the trial treatment is safe and effective. If a participant's cancer stays the same or gets better, and there are not any serious problems, participants can keep receiving trial treatment for the protocol-defined study duration.

Read the detailed description

This is a global, randomized, open-label, Phase 3 study of Rina-S + SOC (defined as either bevacizumab maintenance or no maintenance treatment [observation]) versus SOC as maintenance treatment in participants with newly diagnosed high-grade epithelial ovarian cancer who are not considered to be a candidate for poly (ADP-ribose) polymerase (PARP) inhibitor(s) (PARPi) maintenance therapy according to local SOC.

02

Conditions studied

  • Ovarian Cancer

Keywords

  • Ovarian Cancer
  • Epithelial Ovarian Cancer
  • Primary Peritoneal Cancer
  • Fallopian Tube Cancer
  • Rinatabart Sesutecan
  • Rina-S
  • Antibody-drug Conjugate
  • Maintenance Treatment
  • Bevacizumab
  • Folate Receptor Alpha
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In context

Ovarian Neoplasms

2,695 studies on the registry are indexed under Ovarian Neoplasms; 727 are open to participants now.

This study's planned enrollment of 602 is above the median of 60 across 2,030 interventional studies indexed under Ovarian Neoplasms.

Browse Ovarian Neoplasms studies →

Lead sponsor

Genmab is the lead sponsor of 67 studies on the registry; 14 are open to participants now.

Of its 23 completed or terminated interventional studies of FDA-regulated products, 12 (52%) 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:

  • Newly diagnosed, histologically confirmed International Federation of Gynecology and Obstetrics (FIGO) Stage III, or IV high-grade serous or endometrioid epithelial ovarian cancer (EOC), including primary peritoneal or fallopian tube carcinoma.
  • Participants must have received 6 cycles of 1L-platinum-based chemotherapy, in accordance with applicable clinical guidelines. Up to 8 cycles are permitted based on local clinical practice.
  • Participants not deemed candidates for surgery or who have completed planned cytoreductive surgery (either primary debulking surgery [PDS] or IDS) are eligible.
  • Participants must meet one of the following criteria after completion of 1L platinum-based chemotherapy:

    • Participants who received platinum-based chemotherapy with bevacizumab must have achieved complete response (CR)/no clinical evidence of disease (NED), partial response (PR), or stable disease (SD), as assessed by the investigator, and be eligible to continue bevacizumab maintenance.
    • Participants who received platinum-based chemotherapy without bevacizumab must have achieved CR/NED or PR, as assessed by the investigator, and be considered appropriate for observation.
  • Trial intervention must start within 3 to 12 weeks of the last dose of front-line chemotherapy. To avoid a treatment-free interval, bevacizumab administration should continue following the final platinum dose, provided the participant remains eligible through screening and up to the point of randomization, and no contraindications exist.

Key Exclusion Criteria:

  • Participant has clear cell, mucinous, or sarcomatous histology, mixed tumors containing any of the above histologies, or low-grade/borderline ovarian tumors.
  • Participant has received any intervening systemic anticancer treatment excluding bevacizumab or a biosimilar administered as part of 1L treatment after the last dose of 1L platinum-based chemotherapy and before randomization.
  • Participant with any previous treatment with PARPi.
  • Participants with previous therapy with other anti-angiogenic 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 ADC targeting folate receptor alpha (FRα).

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

05

Study design

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

Study arms

  • Experimental
    Rina-S + SOC

    Participants will receive Rina-S + SOC. SOC consists of either bevacizumab maintenance or no maintenance treatment (observation).

    Drug: Rina-S · Drug: Bevacizumab

  • Active comparator
    SOC

    Participants will receive SOC alone. SOC consists of either bevacizumab maintenance or no maintenance treatment (observation).

    Drug: Bevacizumab

Interventions

  • DrugRina-S

    Intravenous (IV) infusion.

    Also known as: Rinatabart sesutecan, GEN1184, PRO1184

  • DrugBevacizumab

    IV infusion.

06

What researchers measure

Primary outcomes

  1. Progression-free Survival (PFS), per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1, as Determined by Blinded Independent Central Review (BICR)

    Time frame: Approximately 2 years

Secondary outcomes

  1. Overall Survival (OS)

    Time frame: Approximately 4 years

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

    Time frame: Approximately 4 years

  3. Progression-free Survival on the Next Line of Therapy after the First Progression (PFS2)

    Time frame: Approximately 4 years

  4. Time to First Subsequent Therapy (TFST)

    Time frame: Approximately 4 years

  5. Time to Second Subsequent Therapy (TSST)

    Time frame: Approximately 4 years

  6. Number of Participants with Cancer Antigen 125 (CA-125) Response per Gynecologic Cancer Intergroup (GCIG) Criteria

    Time frame: Approximately 4 years

  7. Number of Participants with Treatment-emergent Adverse Events (TEAEs) Including Serious Adverse Events (SAEs) and Deaths

    Time frame: Approximately 4 years

  8. Overall Change from Baseline in Global Health Status/Quality of Life (GHS/QoL) using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Questionnaire

    Time frame: Baseline up to approximately 4 years

  9. Time to Deterioration (TTD) in the GHS/QoL Score using the EORTC QLQ C30 Questionnaire

    Time frame: Baseline up to approximately 4 years

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Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 5, 2026
Show all 1 update
  1. Oct 5, 2026
    First appeared on the registry

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
NCT07859215
Lead sponsor
Genmab
Responsible party
Sponsor
First posted
Oct 5, 2026
Start date
Nov 2026 (estimated)
Primary completion
Mar 2030 (estimated)
Completion
Jul 2034 (estimated)
Last update
Oct 5, 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 ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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