Study of Sacituzumab Govitecan Versus Treatment of Physician's Choice in Participants With Endometrial Cancer After Platinum-Based Chemotherapy and Immunotherapy (ASCENT-GYN-01/GOG-3104/ENGOT-en26)

NCT ID: NCT06486441

Last Updated: 2026-01-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

640 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-28

Study Completion Date

2029-06-30

Brief Summary

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The goal of this clinical study is to find out how the study drug, sacituzumab govitecan (SG) works in participants with endometrial cancer who have received prior treatment with platinum-based chemotherapy and immunotherapy, versus the treatment of physician's choice (TPC).

The primary objectives of this study are to evaluate the effect of SG compared to TPC on progression-free survival (PFS) as assessed by blinded independent central review (BICR) and overall survival (OS).

Detailed Description

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Conditions

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Endometrial Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Sacituzumab Govitecan (SG)

Participants will receive SG at a dose of 10 mg/kg on Days 1 and 8 of a 21-day cycle.

Group Type EXPERIMENTAL

Sacituzumab govitecan-hziy

Intervention Type DRUG

Administered intravenously

Treatment of Physician's Choice (TPC)

Participants will receive one of the following TPC, regimens determined prior to randomization.

* Doxorubicin 60 mg/m\^2 IV on Day 1 of a 21-day cycle
* Paclitaxel 80 mg/m\^2 IV on Days 1, 8, and 15 of a 28-day cycle

Group Type ACTIVE_COMPARATOR

Doxorubicin

Intervention Type DRUG

Administered intravenously

Paclitaxel

Intervention Type DRUG

Administered intravenously

Interventions

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Sacituzumab govitecan-hziy

Administered intravenously

Intervention Type DRUG

Doxorubicin

Administered intravenously

Intervention Type DRUG

Paclitaxel

Administered intravenously

Intervention Type DRUG

Other Intervention Names

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Trodelvy™ GS-0132 Adriamycin Taxol

Eligibility Criteria

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Inclusion Criteria

* Documented evidence of recurrent/persistent endometrial cancer (endometrial carcinoma or carcinosarcoma).
* Up to 3 prior lines of systemic therapy for endometrial cancer, including systemic platinum-based chemotherapy and anti-PD-1/PD-L1 therapy, either in combination or separately.
* Eligible for treatment with either doxorubicin or paclitaxel as determined by the investigator.
* Radiologically evaluable disease (either measurable or nonmeasurable) by computed tomography (CT) or magnetic resonance imaging (MRI) per RECIST v1.1.
* Eastern Cooperative Oncology Group performance status score of 0 or 1.
* Adequate organ function

Exclusion Criteria

* Uterine leiomyosarcoma and endometrial stromal sarcomas are excluded.
* Participants who are candidates for curative-intent therapy at the time of study enrollment.
* Participants eligible for rechallenge with platinum-based chemotherapy as determined by the investigator.
* Received any prior treatment with a Trop-2-directed antibody-drug conjugate (ADC).
* Have an active second malignancy.
* Have an active serious infection requiring systemic antimicrobial therapy.
* Have active chronic inflammatory bowel disease (ulcerative colitis, Crohn's disease) or gastrointestinal perforation within 6 months prior to randomization.
* Have a positive serum pregnancy test or are breastfeeding for participants who are assigned female at birth.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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GOG Foundation

NETWORK

Sponsor Role collaborator

European Network of Gynaecological Oncological Trial Groups (ENGOT)

OTHER

Sponsor Role collaborator

Asia-Pacific Gynecologic Oncology Trials Group (APGOT)

UNKNOWN

Sponsor Role collaborator

Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilead Study Director

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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University of Arkansas for Medical Sciences

Little Rock, Arkansas, United States

Site Status

City of Hope

Duarte, California, United States

Site Status

UC San Diego Medical Center

La Jolla, California, United States

Site Status

Cedars-Sinai Cancer at Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

Stanford Women's Cancer Center

Palo Alto, California, United States

Site Status

Kaiser Permanente Medical Center

Vallejo, California, United States

Site Status

University of Colorado Hospital - Anschutz Cancer Pavilion (ACP)

Aurora, Colorado, United States

Site Status

Hartford HealthCare Cancer Institute at Hartford Hospital

Hartford, Connecticut, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Florida Cancer Specialists

Fort Myers, Florida, United States

Site Status

University of Florida

Gainesville, Florida, United States

Site Status

Baptist MD Anderson Cancer Center

Jacksonville, Florida, United States

Site Status

Winship Cancer Institute, Emory University

Atlanta, Georgia, United States

Site Status

Lewis Cancer & Research Pavilion at St. Joseph's/Candler Health System

Savannah, Georgia, United States

Site Status

Northwestern Memorial Hospital

Chicago, Illinois, United States

Site Status

University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

Indiana University Melvin and Bren Simon Comprehensive Cancer Center

Indianapolis, Indiana, United States

Site Status

Baptist Health Lexington

Lexington, Kentucky, United States

Site Status

Norton Cancer Institute

Louisville, Kentucky, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

Greater Baltimore Medical Center

Baltimore, Maryland, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Baystate Medical Center

Springfield, Massachusetts, United States

Site Status

West Michigan Cancer Center

Kalamazoo, Michigan, United States

Site Status

M Health Fairview University of Minnesota Medical Center - East Bank Hospital

Minneapolis, Minnesota, United States

Site Status

Metro Minnesota Community Oncology Research Consortium (MMCORC)

Saint Louis Park, Minnesota, United States

Site Status

University of Mississippi Medical Center

Jackson, Mississippi, United States

Site Status

MidAmerica Division, Inc. c/o Research Medical Center

Kansas City, Missouri, United States

Site Status

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

Rutgers Cancer Institute

New Brunswick, New Jersey, United States

Site Status

University of New Mexico Comprehensive Cancer Center

Albuquerque, New Mexico, United States

Site Status

Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

Northwell Health Cancer Institute

Lake Success, New York, United States

Site Status

Columbia University Medical Center, Herbert Irving Pavilion

New York, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

University of Rochester Medical Center

Rochester, New York, United States

Site Status

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status

Atrium Health Wake Forest Baptist

Winston-Salem, North Carolina, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Ohio Health Research Institute

Columbus, Ohio, United States

Site Status

Oklahoma Cancer Specialists and Research Institute - OCSRI - Tulsa

Tulsa, Oklahoma, United States

Site Status

Providence Cancer Institute Franz Clinic

Portland, Oregon, United States

Site Status

Alliance Cancer Specialists, PC

Horsham, Pennsylvania, United States

Site Status

University of Pennsylvania Health System, Perelman Center for Advanced Medicine

Philadelphia, Pennsylvania, United States

Site Status

MUSC Hollings Cancer Center

Charleston, South Carolina, United States

Site Status

SCRI Oncology Partners

Nashville, Tennessee, United States

Site Status

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

Texas Oncology

Fort Worth, Texas, United States

Site Status

Baylor College of Medicine Medical Center

Houston, Texas, United States

Site Status

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

University of Virginia Comprehensive Cancer Center

Charlottesville, Virginia, United States

Site Status

Virginia Oncology Associates

Norfolk, Virginia, United States

Site Status

Fred Hutchinson Cancer Center

Seattle, Washington, United States

Site Status

University of Wisconsin Carbone Cancer Center

Madison, Wisconsin, United States

Site Status

Froedtert and the Medical College of Wisconsin (MCW)

Milwaukee, Wisconsin, United States

Site Status

Canberra Hospital

Canberra, Australian Capital Territory, Australia

Site Status

Chris O'Brien Lifehouse

Camperdown, New South Wales, Australia

Site Status

Mater Cancer Care Centre

South Brisbane, Queensland, Australia

Site Status

Monash Health

Clayton, Victoria, Australia

Site Status

Peter MacCallum Cancer Centre

Melbourne, Victoria, Australia

Site Status

Sir Charles Gairdner Hospital

Murdoch, Western Australia, Australia

Site Status

Clínica de Neoplasias Litoral

Itajaí, , Brazil

Site Status

Centro de Pesquisa Clínica do Hospital Moinhos de Vento

Porto Alegre, , Brazil

Site Status

Hospital Santa Joana Recife

Recife, , Brazil

Site Status

Instituto D'Or Pesquisa e Ensino

Rio de Janeiro, , Brazil

Site Status

Ensino e Terapia de Inovação Clínica AMO - ETICA

Salvador, , Brazil

Site Status

Instituto do Câncer do Estado de São Paulo

São Paulo, , Brazil

Site Status

BP - A Beneficência Portuguesa da São Paulo / Hospital BP Mirante

São Paulo, , Brazil

Site Status

DASA - Hospital 9 de Julho

São Paulo, , Brazil

Site Status

AC Camargo Cancer Center (Fundação Antonio Prudente)

São Paulo, , Brazil

Site Status

Arthur J. E. Child Comprehensive Cancer Centre

Calgary, , Canada

Site Status

London Health Sciences Centre

London, , Canada

Site Status

McGill University Health Centre - Glen Site

Montreal, , Canada

Site Status

CIC-CHU de Québec-Université Laval- Hôpital de l'Enfant-Jésus

Québec, , Canada

Site Status

Sunnybrook Research Institute

Toronto, , Canada

Site Status

Princess Margaret Cancer Centre

Toronto, , Canada

Site Status

Beijing Cancer Hospital

Beijing, , China

Site Status

The First Hospital of Jilin University

Changchun, , China

Site Status

Hunan Cancer Hospital

Changsha, , China

Site Status

West China Second Hospital of Sichuan University

Chengdu, , China

Site Status

Chongqing University Cancer Hospital

Chongqing, , China

Site Status

Guangxi Medical University Affiliated Tumor Hospital

Guangxi Zhuang Autonomous Region, , China

Site Status

Sun Yat-sen Memorial Hospital of Sun Yat-sen University

Guangzhou, , China

Site Status

Women's Hospital School Of Medicine Zhejiang University

Hangzhou, , China

Site Status

Zhejiang Cancer Hospital

Hangzhou, , China

Site Status

Harbin Medical University Cancer Hospital

Harbin, , China

Site Status

Jiangxi Maternal and Child Health Hospital

Nanchang, , China

Site Status

Fudan University Shanghai Cancer Center

Shanghai, , China

Site Status

Shanghai Tenth People's Hospital

Shanghai, , China

Site Status

Tianjin Medical University Cancer Institute & Hospital

Tianjin, , China

Site Status

Union Hospital of Tongji Medical College, Huazhong University of Science and Technology

Wuhan, , China

Site Status

Tongji Hospital, Tongji Medical College of HUST

Wuhan, , China

Site Status

The First Affiliated Hospital of Xian Jiaotong University

Xi'an, , China

Site Status

Henan Cancer Hospital

Zhengzhou, , China

Site Status

Nemocnice AGEL, Nový Jičín a.s.

Nový Jičín, , Czechia

Site Status

University Hospital Ostrava

Ostrava-Poruba, , Czechia

Site Status

General University Hospital in Prague

Prague, , Czechia

Site Status

University Hospital Bulovka

Prague, , Czechia

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Centre Francois Baclesse

Caen, , France

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Institut Paoli Calmettes

Marseille, , France

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Centre Antoine Lacassagne

Nice, , France

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Hôpital Cochin

Paris, , France

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HCL - Centre Hospitalier Lyon Sud

Pierre-Bénite, , France

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ICO - Centre René Gauducheau

Saint-Herblain, , France

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Institut de Cancerologie de Lorraine

Vandœuvre-lès-Nancy, , France

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Institut Gustave Roussy

Villejuif, , France

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Hochtaunus Kliniken Bad Homburg

Bad Homburg, , Germany

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Universitatsklinikum Dusseldorf

Düsseldorf, , Germany

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University Hospital Essen

Essen, , Germany

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Universitätsklinikum Hamburg

Hamburg, , Germany

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Medical School Hannover

Hanover, , Germany

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University Hospital Leipzig

Leipzig, , Germany

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Klinikum rechts der Isar der TU München, Klinik und Poliklinik für Frauenheilkunde

München, , Germany

Site Status

Universitätsklinikum Ulm

Ulm, , Germany

Site Status

Aretaeion Hospital

Athens, , Greece

Site Status

MITERA hospital

Athens, , Greece

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Kalamata Hospital

Kalamata, , Greece

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General Hospital of Patras Agios Andreas

Pátrai, , Greece

Site Status

St. Luke's Hospital

Thessaloniki, , Greece

Site Status

Hong Kong Sanatorium & Hospital

Happy Valley, , Hong Kong

Site Status

Queen Mary Hospital

Hong Kong, , Hong Kong

Site Status

Prince of Wales Hospital

New Territories, , Hong Kong

Site Status

Hillel Yaffe Medical Center

Hadera, , Israel

Site Status

Rambam Health Care Campus

Haifa, , Israel

Site Status

Wolfson Medical Center

Holon, , Israel

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Hadassah Medical Center

Jerusalem, , Israel

Site Status

Sheba Medical Center

Ramat Gan, , Israel

Site Status

Sourasky T.A.M.C.

Tel Aviv, , Israel

Site Status

SOC di Oncologia Medica e Prevenzione Oncologica Centro di Riferimento Oncologico di Aviano (CRO) IRCCS

Aviano, , Italy

Site Status

Azienda Ospedaliera Universitaria Careggi - Unita di Oncologia Ginecologica

Florence, , Italy

Site Status

ASST Lecco - Ospedale Alessandro Manzoni

Lecco, , Italy

Site Status

Istituto Romagnolo per lo Studio dei Tumori-Dino Amadori - IRST

Meldola, , Italy

Site Status

Irccs Ospedale San Raffaele-UO Ginecologia

Milan, , Italy

Site Status

Fondazione IRCCS - Istituto Nazionale dei Tumori di Milano

Milan, , Italy

Site Status

Istituto Europeo di Oncologia

Milan, , Italy

Site Status

Istituto Oncologico Veneto IRCCS

Padua, , Italy

Site Status

Azienda Ospedaliero Universitaria Pisana, Ospedale Santa Chiara

Pisa, , Italy

Site Status

Fondazione Policlinico Universitario A. Gemelli IRCCS

Roma, , Italy

Site Status

Istituto Nazionale Tumori Regina Elena IRCCS

Rome, , Italy

Site Status

AOU Città della Salute e della Scienza di Torino - Presidio Sant'Anna

Torino, , Italy

Site Status

A.O. Ordine Mauriziano di Torino

Torino, , Italy

Site Status

Chiba Cancer Center

Chiba, , Japan

Site Status

The Jikei University Kashiwa Hospital

Chiba, , Japan

Site Status

Hyogo Cancer Center

Hyōgo, , Japan

Site Status

St. Marianna University Hospital

Kanagawa, , Japan

Site Status

Mie University Hospital

Mie, , Japan

Site Status

Okayama University Hospital

Okayama, , Japan

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Saitama Medical University International Medical Center

Saitama, , Japan

Site Status

Shizuoka Cancer Center

Shizuoka, , Japan

Site Status

National Cancer Center Hospital

Tokyo, , Japan

Site Status

The Cancer Institute Hospital Of JFCR

Tokyo, , Japan

Site Status

Szpitale Pomorskie Sp. z o.o.

Gdynia, , Poland

Site Status

Uniwersyteckie Centrum Kliniczne SUM

Katowice, , Poland

Site Status

Oddział Ginekologii Onkologicznej Uniwersytecki Szpital Kliniczny w Poznaniu

Poznan, , Poland

Site Status

Mazowiecki Szpital Wojewódzki im. św. Jana Pawła II w Siedlcach

Siedlce, , Poland

Site Status

Dolnoslaskie Centrum Onkologii

Wroclaw, , Poland

Site Status

National University Hospital

Singapore, , Singapore

Site Status

National Cancer Centre Singapore

Singapore, , Singapore

Site Status

Keimyung University Dongsan Medical Center

Dalseo-gu, , South Korea

Site Status

National Cancer Center - Korea

Goyang-si, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Severance Hospital

Seoul, , South Korea

Site Status

Complexo Hospitalario Universitario A Coruna

A Coruña, , Spain

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Hospital Universitario Ciudad de Jaen

Jaén, , Spain

Site Status

Hospital General Universitario Gregorio Maranon

Madrid, , Spain

Site Status

Hospital Universitario Ramón y Cajal

Madrid, , Spain

Site Status

Hospital Universitario Clinico San Carlos

Madrid, , Spain

Site Status

Hospital Universitario Virgen de la Victoria

Málaga, , Spain

Site Status

Hospital Universitari Son Espases

Palma, , Spain

Site Status

Hospital Parc Taulí

Sabadell, , Spain

Site Status

Hospital Universitario Donostia

San Sebastián, , Spain

Site Status

Hospital Universitario La Fe - Valencia

Valencia, , Spain

Site Status

Kaohsiung Veterans General Hospital

Kaohsiung City, , Taiwan

Site Status

Taichung Veterans General Hospital

Taichung, , Taiwan

Site Status

National Cheng Kung University Hospital

Tainan, , Taiwan

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Mackay Memorial Hospital

Taipei, , Taiwan

Site Status

Chang Gung Memorial Hospital, Linkou

Taoyuan, , Taiwan

Site Status

Birmingham Heartlands Hospital

Birmingham, , United Kingdom

Site Status

Cambridge University Hospitals NHS Foundation Trust

Cambridge, , United Kingdom

Site Status

Leeds Teaching Hospitals NHS Trust

Leeds, , United Kingdom

Site Status

University Hospitals of Leicester NHS Trust-Leicester Royal Infirmary

Leicester, , United Kingdom

Site Status

University College London Hospitals

London, , United Kingdom

Site Status

East and North Hertfordshire NHS Trust - Mount Vernon Cancer Centre

Northwood, , United Kingdom

Site Status

Countries

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United States Australia Brazil Canada China Czechia France Germany Greece Hong Kong Israel Italy Japan Poland Singapore South Korea Spain Taiwan United Kingdom

References

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Eskander RN, Corr B, Cibula D, Tan DSP, Cloven N, Guerra E, Hasegawa K, Myers T, You B, Makker V, Zagouri F, Gien LT, Bartoletti M, Mallen A, Woelber L, Mocci S, Komatsubara K, Ma L, Colombo N. A randomized, phase III study of sacituzumab govitecan versus treatment of the physician's choice in patients with endometrial cancer after platinum-based chemotherapy and immunotherapy: the ASCENT-GYN-01 study (GOG-3104/ENGOT-en26/APGOT-EN2). Int J Gynecol Cancer. 2025 Sep 7:102654. doi: 10.1016/j.ijgc.2025.102654. Online ahead of print.

Reference Type DERIVED
PMID: 41073155 (View on PubMed)

Related Links

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Other Identifiers

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2024-511957-23

Identifier Type: OTHER

Identifier Source: secondary_id

GOG-3104

Identifier Type: OTHER

Identifier Source: secondary_id

ENGOT-en26

Identifier Type: OTHER

Identifier Source: secondary_id

APGOT-EN2

Identifier Type: OTHER

Identifier Source: secondary_id

GS-US-682-6769

Identifier Type: -

Identifier Source: org_study_id

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