- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06843447
A Clinical Study of Raludotatug Deruxtecan in People With Ovarian Cancer (MK-5909-003)
A Phase 1b/2 Open-label, Multicenter Study to Evaluate the Safety and Efficacy of Raludotatug Deruxtecan With or Without Other Anticancer Investigational Agents in Participants With High-grade Serous Epithelial Ovarian, Primary Peritoneal, or Fallopian Tube Cancer Who Have Relapsed After Prior Platinum-based Chemotherapy
Researchers are looking for other ways to treat relapsed high-grade serous ovarian cancer. Relapsed means the cancer came back after treatment. High-grade means the cancer cells grow and spread quickly. Serous means the cancer started in the cells that cover the ovaries, the lining of the belly, or in the fallopian tubes.
Standard treatment (usual treatment) for people with relapsed high-grade serous ovarian cancer may include:
- Chemotherapy, which is a treatment that uses medicine to destroy cancer cells or stop them from growing
- Targeted therapy, which is a treatment that works to control how specific types of cancer cells grow and spread
Raludotatug deruxtecan (R-DXd) is a study treatment that is an antibody drug conjugate (ADC). An ADC attaches to a protein on cancer cells and delivers treatment to destroy those cells. Researchers want to know if R-DXd is safe to take with other treatments and if people tolerate them together. They also want to learn how many people have the cancer respond (gets smaller or goes away) to the treatments.
Study Overview
Status
Conditions
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
- Name: Toll Free Number
- Phone Number: 1-888-577-8839
- Email: Trialsites@msd.com
Study Locations
-
-
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Haifa, Israel, 3109601
- Recruiting
- Rambam Health Care Campus ( Site 0202)
-
Contact:
- Study Coordinator
- Phone Number: 972-4-7776234
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Jerusalem, Israel, 9103102
- Recruiting
- Shaare Zedek Medical Center ( Site 0201)
-
Contact:
- Study Coordinator
- Phone Number: +972-(0)2-6555424
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Ramat Gan, Israel, 5265601
- Recruiting
- Sheba Medical Center ( Site 0200)
-
Contact:
- Study Coordinator
- Phone Number: 972-3-5304498
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-
-
-
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Barcelona, Spain, 08035
- Recruiting
- Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 0300)
-
Contact:
- Study Coordinator
- Phone Number: +349325434528607
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Madrid, Spain, 28041
- Recruiting
- Hospital Universitario 12 de Octubre ( Site 0304)
-
Contact:
- Study Coordinator
- Phone Number: +34913908626
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Madrid, Spain, 28040
- Recruiting
- Hospital Universitario Fundación Jiménez Díaz-START Madrid-FJD ( Site 0303)
-
Contact:
- Study Coordinator
- Phone Number: 34915504800 x2805
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Málaga, Spain, 29010
- Recruiting
- Hospital Universitario Virgen de la Victoria ( Site 0306)
-
Contact:
- Study Coordinator
- Phone Number: +34951032508
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Barcelona
-
L'Hospitalet de Llobregat, Barcelona, Spain, 08908
- Recruiting
- Institut Català d'Oncologia - L'Hospitalet ( Site 0302)
-
Contact:
- Study Coordinator
- Phone Number: +34932607744
-
-
Madrid
-
Majadhonda, Madrid, Spain, 28222
- Recruiting
- HOSPITAL UNIVERSITARIO PUERTA DE HIERRO MAJADAHONDA ( Site 0307)
-
Contact:
- Study Coordinator
- Phone Number: +34 911917358
-
-
Madrid, Comunidad de
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Madrid, Madrid, Comunidad de, Spain, 28027
- Recruiting
- Clinica Universidad de Navarra ( Site 0301)
-
Contact:
- Study Coordinator
- Phone Number: +349135319207513
-
-
Valenciana, Comunitat
-
Valencia, Valenciana, Comunitat, Spain, 46014
- Recruiting
- Hospital General Universitario de Valencia ( Site 0305)
-
Contact:
- Study Coordinator
- Phone Number: +34 963187527
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-
-
-
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Manchester, United Kingdom, M20 4BX
- Recruiting
- The Christie NHS Foundation Trust ( Site 0405)
-
Contact:
- Study Coordinator
- Phone Number: +441619187689
-
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England
-
Fulham, England, United Kingdom, SW3 6JJ
- Recruiting
- Royal Marsden Hospital ( Site 0402)
-
Contact:
- Study Coordinator
- Phone Number: +442078118084
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Sutton, England, United Kingdom, SM2 5PT
- Recruiting
- The Royal Marsden NHS Foundation Trust. ( Site 0403)
-
Contact:
- Study Coordinator
- Phone Number: +442078118084
-
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London, City of
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London, London, City of, United Kingdom, E1 1RD
- Recruiting
- Barts Health NHS Trust ( Site 0401)
-
Contact:
- Study Coordinator
- Phone Number: 020 7377 7000
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-
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Connecticut
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New Haven, Connecticut, United States, 06510
- Recruiting
- Yale-New Haven Hospital-Smilow Cancer Hospital at Yale-New Haven ( Site 0019)
-
Contact:
- Study Coordinator
- Phone Number: 203-785-2404
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Kentucky
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Louisville, Kentucky, United States, 40202
- Recruiting
- The University of Louisville, James Graham Brown Cancer Center ( Site 0009)
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Contact:
- Study Coordinator
- Phone Number: 502-562-3429
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Recruiting
- Dana-Farber Cancer Institute ( Site 0015)
-
Contact:
- Study Coordinator
- Phone Number: 877-338-7425
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New York
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New York, New York, United States, 10065
- Recruiting
- Memorial Sloan Kettering Cancer Center ( Site 0003)
-
Contact:
- Study Coordinator
- Phone Number: 212-639-2000
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73104
- Recruiting
- OU Health University of Oklahoma Medical Center ( Site 7000)
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Contact:
- Study Coordinator
- Phone Number: 405-271-1112
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Texas
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Houston, Texas, United States, 77030
- Recruiting
- Houston Methodist Hospital ( Site 0010)
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Contact:
- Study Coordinator
- Phone Number: 713-441-6616
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Utah
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West Valley City, Utah, United States, 84119
- Recruiting
- START Mountain Region ( Site 0008)
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Contact:
- Study Coordinator
- Phone Number: 801-907-4750
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Virginia
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Charlottesville, Virginia, United States, 22908
- Recruiting
- University of Virginia Health System ( Site 0011)
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Contact:
- Study Coordinator
- Phone Number: 434-924-9333
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Has pathologically documented diagnosis of high-grade serous epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer
- Has measurable disease per Response Evaluation Criteria In Solid Tumors 1.1
- Participants in Cohort A-1 Arms 2 and 3: Has relapsed disease after 1 to 3 prior lines of therapy and radiographic evidence of disease progression ≥6 months (≥180 days) after the last dose of platinum-based therapy (ie, platinum-sensitive disease)
- Participants in Cohort B-1 and Cohort B-2: Has relapsed disease after 1 to 3 prior lines of therapy and radiographic evidence of disease progression <6 months (<180 days) after the last dose of platinum-based therapy (ie, platinum-resistant disease). Participants must have received no more than 1 prior bevacizumab-containing systemic treatment regimen
- Participants in Cohort B-1 and Cohort B-2: Is a candidate for bevacizumab treatment
- Has provided tumor tissue from a core or excisional biopsy of a tumor lesion not previously irradiated
- Has an Eastern Cooperative Oncology Group performance status of 0 to 1 assessed within 7 days before allocation/randomization
- Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on anti-retroviral therapy
- Participants who are hepatitis B surface antigen positive are eligible if they have received hepatitis B virus (HBV) antiviral therapy for at least 4 weeks, and have undetectable HBV viral load prior to allocation/randomization
- Participants with a history of hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable at screening
- Participants in Cohort C-1 and Cohort D: Has relapsed disease after 1 prior line of therapy, radiographic evidence of disease progression ≥6 months (≥180 days) after the last dose of platinum-based therapy (ie, platinum-sensitive disease) and progressed during prior treatment with PARPi in the first-line setting
- Cohort A-2 Arms 1, 2, and 3: Has relapsed disease after 1 prior line of therapy and radiographic evidence of disease progression ≥6 months (≥180 days) after the last dose of platinum-based therapy (ie, platinum-sensitive disease)
Exclusion Criteria:
- Has any of the following within 6 months before allocation/randomization: cerebrovascular accident, transient ischemic attack, or other arterial thromboembolic event
- Has uncontrolled or significant cardiovascular disease
- Has clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses including, but not limited to, any underlying pulmonary disorder, and any autoimmune, connective tissue, or inflammatory disorders with potential pulmonary involvement, or prior pneumonectomy
- Has ≥Grade 2 peripheral neuropathy
- Has received prior treatment with cadherin-6-targeted agents
- Has received prior systemic anticancer therapy including investigational agents within 4 weeks or 5 half-lives (whichever is shorter) before allocation
- Has received prior radiotherapy within 2 weeks of the start of study intervention, or has radiation-related toxicities, requiring corticosteroids
- Receives chronic steroid treatment
- Has known additional malignancy that is progressing or has required active treatment within the past 3 years
- Has known active CNS metastases and/or carcinomatous meningitis
- Has any history of interstitial lung disease (ILD)/pneumonitis irrespective of prior steroid use, current ILD, or suspected ILD, or ILD that cannot be ruled out by imaging at screening
- Has active infection requiring systemic therapy
- HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Cohort A-1 Arm 1 (R-DXd + Carboplatin Dose 1)
Participants receive escalating doses of intravenous (IV) raludotatug deruxtecan (R-DXd) in combination with carboplatin at Dose 1. Participants can receive up to a maximum of six 3-week cycles of carboplatin (approximately 4 months) and will receive raludotatug deruxtecan until disease progression or discontinuation.
|
IV infusion on Day 1 of every 3-week cycle.
Other Names:
IV infusion on Day 1 of every 3-week cycle for a maximum of 6 cycles.
Includes 5-HT3 Serotonin Receptor Antagonist, NK-1 receptor antagonist, and corticosteroid, administered per protocol.
|
|
Experimental: Cohort A-1 Arm 2 (R-DXd + Paclitaxel)
Participants receive escalating doses of IV R-DXd in combination with paclitaxel.
Participants can receive up to a maximum of six 3-week cycles of paclitaxel (approximately 4 months) and will receive R-DXd until disease progression or discontinuation.
|
IV infusion on Day 1 of every 3-week cycle.
Other Names:
IV infusion on Day 1 of every 3-week cycle for a maximum of 6 cycles.
Includes 5-HT3 Serotonin Receptor Antagonist, NK-1 receptor antagonist, and corticosteroid, administered per protocol.
|
|
Experimental: Cohort A-1 Arm 3 (R-DXd + Carboplatin Dose 2)
Participants receive escalating doses of intravenous (IV) R-DXd in combination with carboplatin at Dose 2. Participants can receive up to a maximum of six 3-week cycles of carboplatin (approximately 4 months) and will receive R-DXd until disease progression or discontinuation.
|
IV infusion on Day 1 of every 3-week cycle.
Other Names:
IV infusion on Day 1 of every 3-week cycle for a maximum of 6 cycles.
Includes 5-HT3 Serotonin Receptor Antagonist, NK-1 receptor antagonist, and corticosteroid, administered per protocol.
|
|
Experimental: Cohort B-1 (R-DXd + Bevacizumab)
Participants receive escalating doses of IV R-DXd in combination with bevacizumab until disease progression or discontinuation.
|
IV infusion on Day 1 of every 3-week cycle.
Other Names:
IV infusion on Day 1 of every 3-week cycle.
Other Names:
Includes 5-HT3 Serotonin Receptor Antagonist, NK-1 receptor antagonist, and corticosteroid, administered per protocol.
|
|
Experimental: Cohort B-2 (R-DXd RP2D + Bevacizumab)
Participants with platinum-resistant recurrent ovarian cancer (PRROC) receive recommended Phase 2 dose (RP2D) of IV R-DXd in combination with bevacizumab until disease progression or discontinuation.
|
IV infusion on Day 1 of every 3-week cycle.
Other Names:
IV infusion on Day 1 of every 3-week cycle.
Other Names:
Includes 5-HT3 Serotonin Receptor Antagonist, NK-1 receptor antagonist, and corticosteroid, administered per protocol.
|
|
Experimental: Cohort C-1 (R-DXd + Pembrolizumab)
Participants receive escalating doses of IV R-DXd in combination with pembrolizumab.
Participants can receive up to a maximum of thirty-five 3-week cycles of pembrolizumab (approximately 2 years) and will receive R-DXd until disease progression or discontinuation.
|
IV infusion on Day 1 of every 3-week cycle.
Other Names:
Includes 5-HT3 Serotonin Receptor Antagonist, NK-1 receptor antagonist, and corticosteroid, administered per protocol.
IV infusion on Day 1 of every 3-week cycle for a maximum of 35 cycles.
|
|
Experimental: Cohort D (R-DXd RP2D +/- Bevacizumab)
Participants with platinum-sensitive recurrent ovarian cancer (PSROC) receive RP2D of IV R-DXd in combination with or without bevacizumab until disease progression or discontinuation.
|
IV infusion on Day 1 of every 3-week cycle.
Other Names:
IV infusion on Day 1 of every 3-week cycle.
Other Names:
Includes 5-HT3 Serotonin Receptor Antagonist, NK-1 receptor antagonist, and corticosteroid, administered per protocol.
|
|
Experimental: Cohort A-2 Arm 1 (R-DXd RP2D + Carboplatin +/- Bevacizumab)
Participants with PSROC will receive the RP2D of R-DXd in combination with a maximum of 6 cycles of carboplatin with or without bevacizumab, until disease progression or discontinuation.
|
IV infusion on Day 1 of every 3-week cycle.
Other Names:
IV infusion on Day 1 of every 3-week cycle for a maximum of 6 cycles.
IV infusion on Day 1 of every 3-week cycle.
Other Names:
Includes 5-HT3 Serotonin Receptor Antagonist, NK-1 receptor antagonist, and corticosteroid, administered per protocol.
|
|
Experimental: Cohort A-2 Arm 2 (R-DXd RP2D + Paclitaxel +/- Bevacizumab)
Participants with PSROC will receive the RP2D of R-DXd in combination with a maximum of 6 cycles of paclitaxel with or without bevacizumab, until disease progression or discontinuation.
|
IV infusion on Day 1 of every 3-week cycle.
Other Names:
IV infusion on Day 1 of every 3-week cycle for a maximum of 6 cycles.
IV infusion on Day 1 of every 3-week cycle.
Other Names:
Includes 5-HT3 Serotonin Receptor Antagonist, NK-1 receptor antagonist, and corticosteroid, administered per protocol.
|
|
Active Comparator: Cohort A-2 Arm 3 (Platinum-Based Doublet Chemotherapy +/- Bevacizumab)
Participants with PSROC will receive one of 3 regimens of investigator's choice of platinum-based doublet chemotherapy with or without bevacizumab.
Platinum-based doublet chemotherapy will be administered for maximum of 8 cycles.
Bevacizumab can be administered until disease progression or discontinuation.
|
IV infusion on Day 1 of every 3-week cycle for a maximum of 6 cycles.
IV infusion on Day 1 of every 3-week cycle for a maximum of 6 cycles.
IV infusion on Day 1 of every 3-week cycle.
Other Names:
IV injection on days 1 and 8 of each 3-week Cycle
IV injection administered on Day 1 of each 4-week cycle
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Part 1: Number of Participants Who Experience a Dose-limiting Toxicity (DLT) Per Common Terminology Criteria for Adverse Events, Version 5.0 (CTCAE v5.0)
Time Frame: Up to 21 days
|
DLTs are defined as toxicities during the DLT evaluation period that are assessed by the investigator to be possibly, probably, or definitely related to study treatment and include: Grade 4 thrombocytopenia of any duration or Grade 3 thrombocytopenia lasting ≥7 days; Grade 3 or higher thrombocytopenia associated with clinically significant bleeding; Grade 4 lymphocytopenia lasting ≥14 days; Grade 4 anemia of any duration; any other Grade 4 hematologic toxicity lasting ≥7 days; febrile neutropenia Grade 3 or Grade 4 meeting pre-specifications; pre-specified hepatic organ toxicities; all Grade 3 or higher other nonhematologic toxicities except those pre-specified; other pre-specified nonhematologic toxicities; any delay in treatment with the planned dose of ≥21 days or discontinuation of treatment due to a toxicity during the DLT evaluation period, or Grade 5 toxicity.
The number of participants with DLTs will be reported.
|
Up to 21 days
|
|
Part 1: Number of Participants with One or More Adverse Events (AEs)
Time Frame: Up to approximately 3 years
|
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
The number of participants with one or more AEs will be reported.
|
Up to approximately 3 years
|
|
Part 1: Number of Participants who Discontinue Study Intervention Due to an AE
Time Frame: Up to approximately 3 years
|
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
The number of participants who discontinue study intervention due to an AE will be reported.
|
Up to approximately 3 years
|
|
Part 2: Objective Response Rate (ORR)
Time Frame: Up to approximately 3 years
|
ORR is defined as the percentage of participants with Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1).
The percentage of participants who experience CR or PR as assessed by Blinded Independent Central Review (BICR) will be presented.
|
Up to approximately 3 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Part 1: Objective Response Rate (ORR)
Time Frame: Up to approximately 3 years
|
ORR is defined as the percentage of participants who have a confirmed Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria In Solid Tumours version 1.1 (RECIST 1.1).
ORR will be assessed by blinded independent central review (BICR).
|
Up to approximately 3 years
|
|
Part 2: Duration of Response (DOR)
Time Frame: Up to approximately 3 years
|
For participants who demonstrate a confirmed Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1), DOR is defined as the time from first documented evidence of CR or PR until progressive disease (PD) or death.
Per RECIST 1.1, PD is defined as at least a 20% increase in the sum of diameters of target lesions.
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
The appearance of one or more new lesions is also considered PD.
DOR as assessed by Blinded Independent Central Review (BICR) will be presented.
|
Up to approximately 3 years
|
|
Part 2: Progression-free Survival (PFS)
Time Frame: Up to approximately 3 years
|
PFS is defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurs first as assessed by Response Criteria in Solid Tumors Version 1.1 (RECIST 1.1).
PD is defined as ≥20% increase in the sum of diameters of target lesions.
In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm.
The appearance of one or more new lesions is also considered PD.
PFS as assessed by blinded independent central review (BICR) will be presented.
|
Up to approximately 3 years
|
|
Part 2: Overall Survival (OS)
Time Frame: Up to approximately 3 years
|
OS is defined as the time from the first dose of study treatment to death due to any cause.
|
Up to approximately 3 years
|
|
Part 2: Number of Participants with One or More AEs
Time Frame: Up to approximately 3 years
|
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
The number of participants who discontinue study intervention due to an AE will be reported.
|
Up to approximately 3 years
|
|
Part 2: Number of Participants who Discontinue Study Intervention Due to an AE
Time Frame: Up to approximately 3 years
|
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
The number of participants who discontinue study intervention due to an AE will be reported.
|
Up to approximately 3 years
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Medical Director, Merck Sharp & Dohme LLC
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Endocrine System Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Neoplasms by Histologic Type
- Genital Diseases, Female
- Endocrine Gland Neoplasms
- Neoplasms, Glandular and Epithelial
- Ovarian Diseases
- Adnexal Diseases
- Genital Neoplasms, Female
- Gonadal Disorders
- Carcinoma
- Carcinoma, Ovarian Epithelial
- Ovarian Neoplasms
- Amino Acids, Peptides, and Proteins
- Proteins
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Hydrocarbons
- Cycloparaffins
- Hydrocarbons, Alicyclic
- Hydrocarbons, Cyclic
- Terpenes
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Coordination Complexes
- Taxoids
- Cyclodecanes
- Diterpenes
- Deoxycytidine
- Cytidine
- Pyrimidine Nucleosides
- Pyrimidines
- Bevacizumab
- Gemcitabine
- Carboplatin
- Paclitaxel
- pembrolizumab
- liposomal doxorubicin
- 1-dodecylpyridoxal
Other Study ID Numbers
- 5909-003
- MK-5909-003 (Other Identifier: MSD)
- U1111-1308-2821 (Registry Identifier: UTN)
- 2024-514674-47-00 (Registry Identifier: EU CT)
- REJOICE-Ovarian02 (Other Identifier: MSD)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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