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Not yet recruitingLast updated: 10 April 2026

MAESTRA 2: Evaluating a new treatment (called INCB123667) versus chemotherapy in people with platinum-resistant ovarian cancer with cyclin E1 overexpressionA Phase 3, Randomized, Open-Label Study of INCB123667 Versus Investigator's Choice of Chemotherapy in Participants With Platinum-Resistant Ovarian Cancer With Cyclin E1 Overexpression

Trial purpose

Medical clipboardCancer treatment

Tumor type

Female Reproductive System Cancers Gynaecological

Age

People18+

Trial acronym

MAESTRA 2

Clinical summary

Summary

The purpose of this study is to evaluate a new treatment called INCB123667 versus investigator's choice of chemotherapy in peoplewith platinum-resistant ovarian cancer with cyclin E1 overexpression.

You may be eligible for the study if you have high-grade serous epithelial ovarian, fallopian tube, or primary peritoneal cancer. You must have platinum-resistant disease.

Eligible participants will be randomly allocated (by chance) into one of two treatment arms.

  • Treatment group A will receive INCB123667 as an oral tablet.
  • Treatment group B will receive the investigator's choice of chemotherapy, which could be paclitaxel, PLD, gemcitabine or topotecan.

Conditions

This trial is treating people with platinum-resistant ovarian cancer with cyclin E1 overexpression, including fallopian tube or primary peritoneal cancer

Eligibility

Inclusion

  • Histological diagnosis of high-grade serous epithelial ovarian, fallopian tube, or primary peritoneal cancer.
  • Have platinum-resistant disease.

    • Participants who have only had 1 line of platinum-based therapy must have received at least 4 cycles of platinum containing regimen.
    • Participants who have received 2 to 4 lines of platinum-based therapy must have progressed on or within 6 months after the last dose of platinum.
  • Archival FFPE tumor tissue block or slides from a specimen no older than 5 years must be available. If not available, participant must be willing to undergo a pretreatment tumor biopsy.
  • Received at least 1 and no more than 4 prior lines of systemic therapy following the initial diagnosis, after which single-agent chemotherapy is considered an appropriate next therapeutic option.
  • Should have received prior treatment with bevacizumab unless there was a contraindication for its use.
  • Should have received prior treatment with mirvetuximab soravtansine if the tumor is positive for FRα, unless there is an exception for its use on medical grounds.
  • Measurable disease per RECIST v1.1.

Exclusion

  • Have endometrioid, clear cell, mucinous, or sarcomatous histology, mixed tumors containing any of these histologies, or low-grade/borderline ovarian cancer.
  • Have primary platinum-refractory disease, defined as progression on or within 3 months after the last dose of first line platinum-containing therapy.
  • Clinically significant or uncontrolled cardiac disease within 6 months before the first dose of study treatment.
  • Known active CNS metastases and/or carcinomatous meningitis.
  • Known additional malignancy that is progressing or requires active treatment, or history of other malignancy within 3 years before the first dose of study treatment.
  • Clinically significant gastrointestinal abnormalities.

Other protocol-defined Inclusion/Exclusion Criteria may apply.

Inclusion

  • You have had treatment but your cancer has gotten worse or has not responded to the treatment you have been given.
  • You are able to swallow medication by mouth.
  • You have had a certain type of treatment or surgical procedure.
  • You have the type of cancer, symptoms, or health risks that this clinical trial is focused on.

Exclusion

  • You have been diagnosed with a prior or secondary type of cancer.
  • You have certain types of non-cancer medical conditions.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

Participating hospitals

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov, EU Clinical Trials Register *. View further details about this trial on the registry via the links below:

  • NCT07214779 *
  • 2025-522748-42-00 *
  • INCB123667-305; GOG-3137; ENGOT-OV95

Trial sponsor

Incyte Corporation

Scientific Title

A Phase 3, Randomized, Open-Label Study of INCB123667 Versus Investigator's Choice of Chemotherapy in Participants With Platinum-Resistant Ovarian Cancer With Cyclin E1 Overexpression

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