A Study of Lorigerlimab in Participants With Advanced Solid Tumors

Recruiting now · Phase 2

Conditions studied: Platinum-resistant Ovarian Cancer, Platinum-Resistant Fallopian Tube Carcinoma, Platinum-Resistant Primary Peritoneal Carcinoma, Clear Cell Adenocarcinoma of Ovary, Clear Cell Adenocarcinoma of Vulva, Clear Cell Adenocarcinoma of Vagina, Clear Cell Adenocarcinoma of Cervix, Clear Cell Adenocarcinoma of Uterus, Clear Cell Adenocarcinoma of Fallopian Tube, Clear Cell Adenocarcinoma of Peritoneum, Endometrial Cancer

In brief

Study CP-MGD019-03 is an open-label study of lorigerlimab in participants with platinum-resistant ovarian cancer (PROC) or clear cell gynecologic cancer (CCGC). Approximately 80 participants will be enrolled. The study will assess the efficacy and safety of lorigerlimab in participants with PROC or CCGC. Participants will receive lorigerlimab by intravenous (IV) infusion on Day 1 of every 21-day treatment cycle. Treatment cycles will continue until progression of cancer, unacceptable side effects, withdrawal of consent by the participant, or the study ends. Participants will be monitored closely for side effects by physical exam and routine laboratory tests every cycle. Tumor status will be checked approximately every 9 weeks for the first year, then every 12 weeks for the duration of treatment. Participants will have a safety followup performed within 30 days after treatment discontinuation. Participants who discontinue study treatment for reasons other than progression of cancer, will continue CA-125 and tumor assessments every 12 weeks. Participants who discontinue study treatment for progression of cancer will enter the 6-month survival follow up portion of the study.

Key facts

Study ID: NCT06730347
Run by: MacroGenics
People needed: 80
Starts: 2025-05-01
Expected to finish: 2027-12-01
Last updated by the study team: 2026-06-02

Who can join

Age: 18 and older. Sex: female. Healthy volunteers: not accepted.

You may qualify if…

Histologically confirmed high-grade serous epithelial ovarian cancer, including primary peritoneal, or fallopian tube cancer, resistant to platinum based chemotherapy. OR
Histologically confirmed clear cell carcinoma of the ovary (including primary peritoneal and fallopian tube), endometrium, vagina, vulva, or cervix.
Persistent or recurrent disease with documented disease progression.
Participants with PROC must have received at least 1 but not more than 3 prior lines of therapy for PROC.
Participants with CCGC must have received at least 1 prior line of therapy for CCGC.
Participants with a known breast cancer (BRCA) mutation (germline or somatic) must have received a Poly ADP-ribose polymerase (PARP) inhibitor, if locally approved and available, and experienced disease progression or intolerance on the PARP inhibitor.
Participants must have at least one lesion that meets the definition of measurable disease by RECIST v1.1.
Participants must have an available archival or formalin-fixed paraffin-embedded tumor tissue, or be willing to undergo a biopsy procedure to obtain a fresh tumor sample.
Participants have acceptable physical condition and laboratory values.
Participants of childbearing potential must agree to use highly effective methods of birth control.
Participants must not be pregnant, planning to be pregnant, or breastfeeding.

You may not qualify if…

Any underlying medical or psychiatric condition impairing participant's ability to receive, tolerate, or comply with the planned treatment or study procedures.
Primary platinum-refractory disease, defined as disease that did not respond to (CR or PR) or has progressed within 3 months of the last dose of first-line platinum- containing chemotherapy.
Prior treatment with a checkpoint inhibitor (e.g., anti-PD-1/PD-L1, anti-PD-L2, anti-CTLA-4). Prior use of immune checkpoint inhibitors (e.g., anti-PD-1, anti-PD-L1, anti-CTLA-4) is allowed for clear cell endometrial and clear cell cervical cancer.
Active brain metastases or leptomeningeal metastases.
Prior stem cell, tissue, or solid organ transplant.
Paracentesis (removal of fluid from the abdomen) within 4 weeks prior to initiation of study treatment.
Another hematologic or solid tumor ≥ stage 1 malignancy that completed surgery, last dose of radiotherapy, or last dose of systemic anti-cancer therapy ≤ 3 years from first dose of study treatment. Participants with another tumor that has a negligible risk for metastasis or death such as, adequately controlled basal-cell carcinoma or squamous-cell carcinoma of the skin, or carcinoma in situ of the cervix or breast are eligible.

Where it is running

UCLA — Los Angeles, California, United States (enrolling)
Ochsner MD Anderson Cancer Center — New Orleans, Louisiana, United States (enrolling)
START Midwest — Grand Rapids, Michigan, United States (enrolling)
West Penn Allegheny Health — Pittsburgh, Pennsylvania, United States (enrolling)
The University of Texas MD Anderson Cancer Center, Gynecologic Oncology Center — Houston, Texas, United States (enrolling)
START San Antonio — San Antonio, Texas, United States (enrolling)
Wisconsin Institute Medical Research- UW Cancer Connect — Madison, Wisconsin, United States (enrolling)
Princess Margaret Cancer Center — Toronto, Ontario, Canada (enrolling)
McGill University — Montreal, Quebec, Canada (enrolling)
National Cancer Center — Goyang-si, Gyeonggi-do, South Korea (enrolling)
Seoul National University Hospital Bundang Hospital — Seongnam-si, Gyeonnggi-Do, South Korea (enrolling)
Yonsei University Health System Severance Hospital — Seoul, South Korea (enrolling)
Gangnam Severance Hospital — Seoul, South Korea (enrolling)
Korea University Guro Hospital — Seoul, South Korea (enrolling)
Seoul National University Hospital — Seoul, South Korea (enrolling)
Samsung Medical Center — Seoul, South Korea (enrolling)

Full record on ClinicalTrials.gov

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