Trastuzumab Deruxtecan with Bevacizumab for HER2-Expressing Ovarian Cancer
Tests trastuzumab deruxtecan with bevacizumab in adults with HER2-expressing advanced ovarian cancer.
Key facts
- Who runs it
- Daiichi Sankyo
- Where
- Singapore, SingaporeSee the 2 sitesAlso in 25 other countries, 243 sites
- Trial code
- Registry title
- Study of Trastuzumab Deruxtecan With Bevacizumab Versus Bevacizumab Monotherapy for First-line Maintenance in HER2-Expressing Ovarian Cancer (DESTINY-Ovarian01)
- Status
- Recruiting
- Phase
- Phase 3
- People taking part
- 582 people, planned
- Started
- 19 Mar 2025
- Expected to end
- 31 Jan 2032
- Type of study
- Interventional, 2 groupsOne group gets an existing treatment, for comparison.
- Treatments tested
- Trastuzumab Deruxtecan
- Bevacizumab
- Record updated
- 28 October 2026
Who can take part
AI summary
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for adult women with newly diagnosed advanced high-grade epithelial ovarian cancer whose tumor shows HER2 expression. It tests trastuzumab deruxtecan with bevacizumab against bevacizumab alone as first maintenance treatment.
- Age
- 18 years or older
- Sex
- Women only
- Disease stage
- Newly diagnosed high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer, FIGO Stage III or IV
- Earlier treatment
- Newly diagnosed; the trial gives first-line maintenance treatment
- Biomarker or test result
- The tumor must show HER2 expression (IHC 3+/2+/1+)
Main reasons for not taking part
- Cancer that is not of epithelial origin
- Known or suspected harmful BRCA change that makes a person able to take a PARP inhibitor
- Planned PARP inhibitor as maintenance treatment
- Stroke, transient ischemic attack or brain-surface bleeding in the 6 months before randomization
- Bleeding disorder or significant clotting problem, or a history of bleeding disorders
The registry criteria, word for word
Show all 11 criteriaShow less
Who can take part
- Sign and date the tissue prescreening informed consent form (ICF), prior to HER2 central testing. Sign and date the Main ICF prior to the start of any trial- specific qualification procedures. Consent to optional PGx prior to any PGx procedures; *For participants in the safety run-in phase, a safety run-in ICF needs to be signed and dated prior to the start of any trial-specific qualification procedures
- Adults ≥18 years of age on the day of signing the ICF. Follow local regulatory requirements if the legal age of consent for trial participation is >18 years old
- Has histologically confirmed diagnosis of epithelial high-grade ovarian, fallopian tube, or primary peritoneal carcinoma per local assessment (including but not limiting to serous, endometrioid, clear cell, carcinosarcoma, mucinous)
- Is newly diagnosed International Federation of Gynecology and Obstetrics (FIGO) Stage III or IV
- Has HER2 expression
Who cannot take part
- Has a known or suspected deleterious BRCA alteration as per local test that makes the participant eligible for poly (ADP-ribose) polymerase (PARP) inhibitor
- Participant to receive PARP inhibitor as maintenance per standard of care and investigator discretion
- Previous cerebral-vascular accident, transient ischemic attack or subarachnoid hemorrhage within 6 months prior to randomization; *Note: For participants enrolled from the Republic of Korea, country-specific requirements are applicable
- Has ovarian, fallopian tube, or peritoneal cancer of non-epithelial origin
- Has evidence of bleeding diathesis or significant coagulopathy (in the absence of anticoagulation therapy)
- Has a history of hemorrhagic disorders
Check if you might fit
Answer for yourself. This is not a decision: only the study team can say whether you can take part.
- Have you ever been told you have ovarian, fallopian tube or peritoneal cancer?
- Which best describes your most recent course of platinum chemotherapy (such as carboplatin or cisplatin)?
- Have your doctors told you that your cancer is advanced (stage 3 or 4)? This means it has spread beyond the ovaries to other parts of the belly or the body, even if it was later removed by surgery.
- What type of ovarian cancer do you have?
Where in Singapore
Also in 25 other countries, 243 sites
- National Cancer Centre SingaporeSingapore, SingaporeTaking people
- National University HospitalSingapore, SingaporeTaking people
About the trial
What the trial wants to find out
This clinical trial is designed to evaluate the efficacy and safety of T-DXd in combination with bevacizumab versus bevacizumab monotherapy as first-line maintenance therapy, in participants with human epidermal growth factor 2 (HER2)-expressing (immunohistochemistry [IHC] 3+/2+/1+) advanced high-grade epithelial ovarian cancer.
The 2 groups in the trial
- Treatment Arm ATreatment being tested
Participants will receive T-DXd in combination with bevacizumab.
Treatment: Trastuzumab Deruxtecan and Bevacizumab
- Treatment Arm BExisting treatment, for comparison
Participants will receive bevacizumab monotherapy.
Treatment: Bevacizumab
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorData and sources
- Registry record
- Listed on ClinicalTrials.gov and on the EU's official list of trials (CTIS).
- Official title
- A Phase 3, Open-label, Multicenter, Randomized Trial of Trastuzumab Deruxtecan With Bevacizumab Versus Bevacizumab Monotherapy as First-line Maintenance Therapy in HER2-Expressing Ovarian Cancer (DESTINY-Ovarian01/ENGOT-ov89/GEICO144-O/GOG-3112/APGOT-OV13)
- Plain-language title
- Trastuzumab Deruxtecan with Bevacizumab for HER2-Expressing Ovarian CancerGenerated from the registry record. The registry title is the official one.
- AI summary
- From the trial's eligibility criteria. Read by machine on 12 November 2026.
- Fit questions
- Built from NCT06819007, who can take part
- Record updated
- 28 October 2026