RecruitingPhase 3NCT06954584

Fluzoparib+Bevacizumab/Dietary Intervention vs Fluzoparib Monotherapy as First-line Maintenance in HRD+/- Advanced Ovarian Cancer

An Open-label, Randomized Controlled, Multicenter Study With Dual HRD-positive/Negative Cohorts Evaluating Fluzoparib Monotherapy Versus Combination Therapy With Bevacizumab or Dietary Intervention as Maintenance Treatment Following First-line Platinum-based Chemotherapy in Advanced Ovarian Cancer


Sponsor

Tongji Hospital

Enrollment

424 participants

Start Date

May 27, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

Fluzoparib has been approved for the first-line maintenance treatment of advanced ovarian cancer in the full population . Previous studies have demonstrated that anti-angiogenic agents enhance tumor cell sensitivity to PARP inhibitors . In vitro evidence suggests that low-carbohydrate culture conditions may restore PARP inhibitor sensitivity in HRD-negative tumor cells. This study aims to validate the survival benefits of fluzoparib combined with bevacizumab in HRD-positive ovarian cancer patients during first-line maintenance therapy and explore the efficacy of fluzoparib combined with a dietary intervention in HRD-negative populations.


Eligibility

Sex: FEMALEMin Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study tests whether adding a special diet or a blood-vessel-blocking drug (bevacizumab) to a targeted maintenance drug (fluzoparib, a PARP inhibitor) improves outcomes for women with advanced ovarian, fallopian tube, or peritoneal cancer after completing initial platinum-based chemotherapy. Maintenance therapy is given after the main treatment to help prevent the cancer from coming back. **You may be eligible if...** - You are a woman aged 18 or older with confirmed high-grade serous or endometrioid ovarian, fallopian tube, or peritoneal cancer (stage III or IV) - Your cancer has a specific DNA repair deficiency called HRD (homologous recombination deficiency) - You responded well to (or had no evidence of disease after) platinum-based chemotherapy - You are ready to begin maintenance therapy within 8 weeks of your last chemotherapy dose **You may NOT be eligible if...** - Your cancer did not respond to platinum chemotherapy - You are pregnant or breastfeeding - You have significant other health conditions that would prevent safe participation Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGBevacizumab

Bevacizumab : 15 mg/kg intravenously every 3 weeks until disease progression or intolerable toxicity, with a maximum duration of 15 months

DRUGFluzoparib Monotherapy

150 mg orally bid (50 mg/capsule, 3 capsules/dose)

BEHAVIORALDietary Intervention

Control carbohydrate intake in the daily diet


Locations(2)

Tongji Hospital

Wuhan, Hubei, China

Tongji Hospital

Wuhan, Hubei, China

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NCT06954584


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