Evidence map›Paper›PMID 40644648›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

Efficacy and Safety of Avutometinib ± Defactinib in Recurrent Low-Grade Serous Ovarian Cancer: Primary Analysis of ENGOT-OV60/GOG-3052/RAMP 201.

Susana N Banerjee, Els Van Nieuwenhuysen, Carol Aghajanian, Véronique D'Hondt, Bradley J Monk, Andrew Clamp, Emily Prendergast, Ana Oaknin, Kari Ring, Nicoletta Colombo and 15 more

Erratum issued Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06072781 (A Phase 3, Randomized, Open-Label Study of Combination Therapy With Avutometinib Plus Defactinib Versus Investigator's Choice of Treatment in Patients With Recurrent Low-Grade Serous Ovarian Cancer), which is not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06072781 phase3recruitingnot on this map

A Phase 3, Randomized, Open-Label Study of Combination Therapy With Avutometinib Plus Defactinib Versus Investigator's Choice of Treatment in Patients With Recurrent Low-Grade Serous Ovarian Cancer (LGSOC) (RAMP 301)

TypeinterventionalSponsorVerastem, Inc.Ran2024 to 2031Enrolled270ConditionsLow Grade Serous Ovarian CancerArmsavutometinib, Defactinib, Pegylated liposomal doxorubicin, Paclitaxel, Letrozole
3 · Its place in the literature

Who cites it

33 citing papers in PubMed.

  1. Trial
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  9. Understanding and targeting the tumour matrisome.Nature reviews. Clinical oncology · 2026
    Review
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  12. Article
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  14. Review
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  17. Review
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  20. Ovarian cancer.Nature reviews. Disease primers · 2026
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Susana N BanerjeeThe Royal Marsden NHS Foundation Trust and Institute of Cancer Research, GTG-UK, London, United Kingdom.ORCID 0000-0002-8840-7934
Els Van NieuwenhuysenUniversity Hospitals Leuven, Leuven Cancer Institute, BGOG, Leuven, Belgium.
Carol AghajanianDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Véronique D'HondtInstitut du Cancer de Montpellier (ICM) Val d'Aurelle Parc Euromedecine, Oncologie Médicale, GINECO, Montpellier, France.ORCID 0000-0001-5238-4032
Bradley J MonkFlorida Cancer Specialists, West Palm Beach, FL.ORCID 0000-0001-6985-0159
Andrew ClampMedical Oncology, The Christie NHS Foundation Trust and University of Manchester, GTG-UK, Manchester, United Kingdom.
Emily PrendergastGynecologic Oncology, Minnesota Oncology, Minneapolis, MN.ORCID 0000-0001-7797-5146
Ana OakninMedical Oncology Service, Vall d'Hebron Institute of Oncology, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-3592-7194
Kari RingDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Virginia, Charlottesville, VA.
Nicoletta ColomboUniversità degli Studi di Milano Bicocca, Bicocca, Italy.ORCID 0000-0003-2225-715X
Robert W HollowayAdventHealth Cancer Institute, Orlando, FL.ORCID 0000-0002-3121-4605
Manuel RodriguesDepartment of Medical Oncology, Institut Curie, Paris, France.ORCID 0000-0002-5443-0802
Hye Sook ChonDepartment of Gynecologic Oncology, H. Lee Moffitt Cancer Center, Tampa, FL.
Charlie GourleyCRUK Scotland Centre, Institute of Genetics and Cancer, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-2377-7221
Alessandro D SantinDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Division of Gynecologic Oncology, Yale School of Medicine, New Haven, CT.ORCID 0000-0003-4724-9738
Premal H ThakerDivision of Gynecologic Oncology, Washington University School of Medicine and Siteman Cancer Center, St Louis, MO.ORCID 0000-0002-0568-6959
Christine GennigensDepartment of Medical Oncology, University Hospital of Liège, CHU of Liège, Liège, Belgium.ORCID 0000-0003-4526-6219
Gregg NewmanSansum Clinic Healthcare, USO, Santa Barbara, CA.
Erin SalinasNorthwest Cancer Specialists, P.C., USO, Portland, OR.
Hagop YoussoufianVerastem Oncology, Boston, MA.
Kathleen N MooreStephenson Oklahoma Cancer Center at the University of Oklahoma Health Sciences Center, Oklahoma City, OK.ORCID 0000-0002-5803-0718
Stephanie LustgartenVerastem Oncology, Boston, MA.
David M O'MalleyThe Ohio State University, James Comprehensive Cancer Center, Columbus, OH.ORCID 0000-0002-2828-0177
Toon Van GorpUniversity Hospitals Leuven, Leuven Cancer Institute, BGOG, Leuven, Belgium.ORCID 0000-0002-2564-721X
Rachel N GrishamDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeThis study evaluated the efficacy and safety of avutometinib (rapidly accelerated fibrosarcoma/mitogen-activated extracellular signal-regulated kinase [MEK] clamp) alone or in combination with defactinib (focal adhesion kinase inhibitor) in patients with recurrent low-grade serous ovarian cancer (LGSOC).

methodsIn this phase II, open-label study, patients with recurrent, measurable LGSOC after ≥1 line of platinum chemotherapy were stratified by tumor Kirsten rat sarcoma virus homolog (

resultsA total of 115 patients received the go-forward combination regimen. Patients had a median of 3 (range, 1-9) prior lines of therapy, including hormonal (86%), bevacizumab (51%), and MEK inhibitor (22%). Confirmed ORR was 31% (95% CI, 23% to 41%) with a median duration of response of 31.1 months (95% CI, 14.8 to 31.1). ORR was 44% in

conclusionThe efficacy and safety profile of avutometinib in combination with defactinib support this combination as a potential standard of care for recurrent LGSOC. A randomized phase 3 study of avutometinib and defactinib versus investigator's choice of therapy for women with recurrent LGSOC is currently enrolling (RAMP301; ClinicalTrials.gov identifier: NCT06072781).

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBenzamidesCoumarinsCystadenocarcinoma, SerousDrug CombinationsNeoplasm Recurrence, LocalOvarian NeoplasmsPyrazinesAdultAgedFemaleHumansMiddle AgedMutationNeoplasm GradingProgression-Free Survivalavutometinib, defactinib drug combinationBenzamidesCoumarinsDrug CombinationsKRAS protein, humanProto-Oncogene Proteins p21(ras)Pyrazines

Identifiers

PMID40644648
PMCPMC12393057

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.