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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03522246
Registration number
NCT03522246
Ethics application status
Date submitted
9/04/2018
Date registered
11/05/2018
Date last updated
12/07/2024
Titles & IDs
Public title
A Study in Ovarian Cancer Patients Evaluating Rucaparib and Nivolumab as Maintenance Treatment Following Response to Front-Line Platinum-Based Chemotherapy
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Scientific title
ATHENA (A Multicenter, Randomized, Double-Blind, Placebo- Controlled Phase 3 Study in Ovarian Cancer Patients Evaluating Rucaparib and Nivolumab as Maintenance Treatment Following Response to Front-Line Platinum-Based Chemotherapy)
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Secondary ID [1]
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2017-004557-17
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Secondary ID [2]
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CO-338-087/GOG-3020/ENGOT-ov45
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Universal Trial Number (UTN)
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Trial acronym
ATHENA
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Epithelial Ovarian Cancer
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Primary Peritoneal
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Fallopian Tube Cancer
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Newly Diagnosed
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FIGO Stage III-IV
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Partial Response
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Complete Response
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Condition category
Condition code
Cancer
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Ovarian and primary peritoneal
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Cancer
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Womb (Uterine or endometrial cancer)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Rucaparib
Treatment: Drugs - Nivolumab
Treatment: Drugs - Placebo Oral Tablet
Treatment: Drugs - Placebo IV Infusion
Experimental: Arm A - oral rucaparib + intravenous (IV) nivolumab
Experimental: Arm B - oral rucaparib+IV placebo
Experimental: Arm C - oral placebo+ IV nivolumab
Placebo comparator: Arm D - Oral placebo + IV placebo
Treatment: Drugs: Rucaparib
Oral rucaparib will be administered twice daily
Treatment: Drugs: Nivolumab
IV nivolumab will be administered once every 4 weeks
Treatment: Drugs: Placebo Oral Tablet
Placebo tablets will be administered twice daily
Treatment: Drugs: Placebo IV Infusion
IV placebo will be administered once every 4 weeks
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Investigator assessed Progression-free survival (PFS)
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Assessment method [1]
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Timepoint [1]
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From randomization until disease progression (up to approximately 7 years)
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Secondary outcome [1]
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Blinded independent central review (BICR) PFS
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Assessment method [1]
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Timepoint [1]
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Every ~12 weeks after the start of combination treatment for ~3 years, then every ~24 weeks thereafter until disease progression. Study data collection expected to last for ~7 years
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Secondary outcome [2]
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Overall Survival (OS)
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Assessment method [2]
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Timepoint [2]
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From enrollment to primary study completion of study (up to approximately 10 years)
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Secondary outcome [3]
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Objective response rate (ORR)
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Assessment method [3]
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Timepoint [3]
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For patients with measurable disease, every ~12 weeks after the start of combination treatment for ~3 years, then every ~24 weeks thereafter until disease progression. Study data collection expected to last for ~7 years
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Secondary outcome [4]
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Duration of response (DOR)
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Assessment method [4]
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Timepoint [4]
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For patients with measurable disease, every ~12 weeks after the start of combination treatment for ~3 years, then every ~24 weeks thereafter until disease progression. Study data collection expected to last for ~7 years
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Secondary outcome [5]
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Number of participants with treatment-emergent Adverse Events (AEs) as assessed by CTCAE v4 (or higher) as a measure of safety and tolerability
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Assessment method [5]
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Timepoint [5]
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Collected from the time patient receives first dose of study drug until post treatment safety follow-up period (up to approximately 10 years)
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Secondary outcome [6]
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Number of participants with serious AEs as a measure of safety and tolerability
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Assessment method [6]
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Timepoint [6]
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Collected from the time patient receives first dose of study drug until post treatment safety follow-up period (up to approximately 10 years)
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Secondary outcome [7]
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Number of participants with laboratory abnormalities as a measure of safety and tolerability
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Assessment method [7]
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Timepoint [7]
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Collected from the time patient receives first dose of study drug until post treatment safety follow-up period (up to approximately 10 years)
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Eligibility
Key inclusion criteria
* Newly diagnosed advanced (FIGO stage III-IV) epithelial ovarian, fallopian tube, or primary peritoneal cancer.
* Completed cytoreductive surgery, including at least a bilateral salpingo-oophorectomy and partial omentectomy, either prior to chemotherapy (primary surgery) or following neoadjuvant chemotherapy (interval debulking)
* Completed first-line platinum-based chemotherapy and surgery with a response, in the opinion of the Investigator
* Sufficient tumor tissue for planned analysis
* ECOG performance status of 0 or 1
* Patients must be 20 years of age to consent in Japan, Taiwan and South Korea; in all other participating countries patients must be 18 years of age to consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Pure sarcomas or borderline tumors or mucinous tumors
* Active second malignancy
* Known central nervous system brain metastases
* Any prior treatment for ovarian cancer, other than the first-line platinum regimen
* Evidence of interstitial lung disease or active pneumonitis
* Active, known or suspected autoimmune disease
* Condition requiring active systemic treatment with either corticosteroids (>10 mg daily prednisone equivalent) or other immunosuppressive medications
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
14/05/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
30/12/2030
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Actual
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Sample size
Target
1000
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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Newcastle Private Hospital - New Lambton Heights
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Recruitment hospital [2]
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Northern Cancer Institute St Leonards - Saint Leonards
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Prince of Wales Hospital - Sydney
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Westmead Hospital - Westmead
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Royal Brisbane and Women's Hospital - Brisbane
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Brian Fricker Oncology Centre, Burnside Hospital - Toorak Gardens
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Peter MacCallum Cancer Center - Melbourne
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Recruitment hospital [8]
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St John of God Subiaco Hospital - Subiaco
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2145 - New Lambton Heights
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Recruitment postcode(s) [2]
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2065 - Saint Leonards
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Recruitment postcode(s) [3]
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2031 - Sydney
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Recruitment postcode(s) [4]
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2145 - Westmead
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Recruitment postcode(s) [5]
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4020 - Brisbane
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Recruitment postcode(s) [6]
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5065 - Toorak Gardens
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Recruitment postcode(s) [7]
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3000 - Melbourne
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Recruitment postcode(s) [8]
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6005 - Subiaco
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Recruitment outside Australia
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El Palmar
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Madrid
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Oviedo
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Palma De Mallorca
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Sevilla
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Sweden
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Linköping
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Lund
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Stockholm
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New Taipei City
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Taichung
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Tainan
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Taipei
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Taoyuan
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Turkey
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Ankara
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Istanbul
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Manisa
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Yuregir
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United Kingdom
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Kent
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United Kingdom
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Northampton
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United Kingdom
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Brighton
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United Kingdom
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Bristol
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Cambridge
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Edinburgh
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Lancaster
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Leeds
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London
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Middlesbrough
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Poole
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Swansea
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Taunton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
pharmaand GmbH
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Commercial sector/industry
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Bristol-Myers Squibb
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Other
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Gynecologic Oncology Group
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Other
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European Network of Gynaecological Oncological Trial Groups (ENGOT)
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Foundation Medicine
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Ethics approval
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Summary
Brief summary
This is a Phase 3, randomized, multinational, double-blind, dual placebo-controlled, 4-arm study evaluating rucaparib and nivolumab as maintenance treatment following response to front-line treatment in newly diagnosed ovarian cancer patients. Response to treatment will be analyzed based on homologous recombination (HR) status of tumor samples.
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Trial website
https://clinicaltrials.gov/study/NCT03522246
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Trial related presentations / publications
Monk BJ, Parkinson C, Lim MC, O'Malley DM, Oaknin A, Wilson MK, Coleman RL, Lorusso D, Bessette P, Ghamande S, Christopoulou A, Provencher D, Prendergast E, Demirkiran F, Mikheeva O, Yeku O, Chudecka-Glaz A, Schenker M, Littell RD, Safra T, Chou HH, Morgan MA, Drochytek V, Barlin JN, Van Gorp T, Ueland F, Lindahl G, Anderson C, Collins DC, Moore K, Marme F, Westin SN, McNeish IA, Shih D, Lin KK, Goble S, Hume S, Fujiwara K, Kristeleit RS. A Randomized, Phase III Trial to Evaluate Rucaparib Monotherapy as Maintenance Treatment in Patients With Newly Diagnosed Ovarian Cancer (ATHENA-MONO/GOG-3020/ENGOT-ov45). J Clin Oncol. 2022 Dec 1;40(34):3952-3964. doi: 10.1200/JCO.22.01003. Epub 2022 Jun 6. Monk BJ, Coleman RL, Fujiwara K, Wilson MK, Oza AM, Oaknin A, O'Malley DM, Lorusso D, Westin SN, Safra T, Herzog TJ, Marme F, N Eskander R, Lin KK, Shih D, Goble S, Grechko N, Hume S, Maloney L, McNeish IA, Kristeleit RS. ATHENA (GOG-3020/ENGOT-ov45): a randomized, phase III trial to evaluate rucaparib as monotherapy (ATHENA-MONO) and rucaparib in combination with nivolumab (ATHENA-COMBO) as maintenance treatment following frontline platinum-based chemotherapy in ovarian cancer. Int J Gynecol Cancer. 2021 Dec;31(12):1589-1594. doi: 10.1136/ijgc-2021-002933. Epub 2021 Sep 30.
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Public notes
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Contacts
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
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Results not provided in
https://clinicaltrials.gov/study/NCT03522246
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