Ovarian cancer is usually found late, after it has spread beyond the ovaries. Most patients receive surgery and chemotherapy with platinum drugs and taxanes. PARP inhibitors, which block a repair pathway in cancer cells, now extend remission for many women whose tumors have BRCA mutations or other DNA repair defects.
What's actually going on in research
Trials are testing new PARP inhibitors, antibody-drug conjugates that deliver toxins directly to cancer cells, and combinations that overcome platinum resistance. Immunotherapy is showing promise in subsets of patients. Researchers are also working on earlier detection methods and studying tumor characteristics that predict which treatments will work.
Antibody-drug conjugates
These drugs attach a cell-killing toxin to an antibody that seeks out ovarian cancer cells. Mirvetuximab soravtansine was FDA-approved in 2022 for certain advanced cases, and similar drugs are in testing.
Overcoming platinum resistance
Most ovarian cancers eventually stop responding to platinum chemotherapy. Trials are testing drug combinations and new agents designed to restore sensitivity or bypass resistance pathways entirely.
Immunotherapy combinations
Checkpoint inhibitors have worked in some ovarian cancers, especially those with high mutation burden or DNA mismatch repair defects. Trials are testing combinations with other drugs to make more tumors respond.
What to know before you search
Eligibility typically depends on cancer stage, prior treatments, platinum sensitivity, BRCA or other genetic testing results, and overall health status.
What types of trials are currently open
- Maintenance trials — Testing drugs taken after chemotherapy to keep cancer from returning. PARP inhibitors and other targeted agents are common in these studies.
- Recurrence trials — Testing new treatments or combinations for ovarian cancer that has come back after initial therapy, including platinum-resistant disease.
- First-line trials — Testing new drugs alongside or instead of standard platinum-taxane chemotherapy at initial diagnosis.
- Targeted therapy trials — Testing drugs aimed at specific mutations or pathways in ovarian cancer, such as PARP inhibitors, PI3K inhibitors, or drugs targeting folate receptors.
- Biomarker studies — Collecting tissue and blood samples to identify genetic markers that predict treatment response or detect recurrence early.
Recently added Ovarian Cancer trials
Fecal Microbiota Transplantation for Obese Women With Polyendocrine Metabolic Ovarian Syndrome
This single-center, prospective, two-stage clinical trial aims to evaluate the safety, preliminary efficacy, and reproductive outcomes of oral Fecal Microbiota Transplantation (FMT) freeze-dried capsules in overweight and obese patients with Polyendocrine Metabolic Ovarian Syndrome (PMOS) undergoing Frozen-Thawed Embryo Transfer (FET).The study is implemented in two sequential phases: Phase Ⅰ (Pilot Exploration): A prospective, open-label, single-arm exploratory study in an initial evaluable cohort ($n=11$) to evaluate preliminary safety, dynamic gut microbiota colonization, endocrine/metabolic parameters, and pregnancy outcomes following FET. Phase Ⅱ (Confirmatory RCT): A prospective, randomized controlled trial (RCT) designed to validate the clinical efficacy and underlying mechanisms of oral FMT capsules compared with control interventions, based on findings established in Phase Ⅰ.
Effect of Orlistat on Metabolic and Hormonal Features in Women With Polycystic Ovary Syndrome (PCOS): a Randomized Controlled Clinical Trial
This randomized controlled clinical trial aims to evaluate the effect of orlistat on the metabolic and hormonal features of women with polycystic ovary syndrome (PCOS). Eligible women diagnosed with PCOS according to the Rotterdam criteria will be randomly assigned to receive either orlistat plus standard lifestyle advice or placebo plus standard lifestyle advice for three months. The study will assess the effect of orlistat on hormonal parameters, glucose metabolism, lipid profile, liver function, anthropometric measures, non-alcoholic fatty liver disease, and quality of life to determine its effectiveness as an adjunctive treatment for women with PCOS.
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