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Rina-S

Phase 3

Endometrial Cancer | Small molecule | Oncology |Genmab A/S|Trials Updated: Oct 7, 2026

Rina-S development status

Highest phase Phase 3
Registered trials 9 across 1 sponsor since Oct 2022

Rina-S target and mechanism

ModalitySmall molecule

Also known as Rinatabart sesutecan, GEN1184, PRO1184

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials9
Total Enrollment4,512

FDA Designations

No designations recorded

Rina-S clinical trials

Rina-S · 9 trials · 23 indications

Phase 3 6Phase 2 2Phase 1 1
NCT07859215Study to Assess the Efficacy and Safety of Rina-S Plus Standard of Care Compared to Standard of Care Maintenance Treatment After First-line (1L) Platinum-based Chemotherapy in Participants With Ovarian CancerOvarian Cancer
NOT YET_RECRUITING602 Analytics
NCT07564141Study to Assess the Efficacy and Safety of Rina-S With or Without Bevacizumab Compared to Investigator's Choice of Platinum-based Chemotherapy With or Without Bevacizumab as Second-line Treatment in Participants With Recurrent Platinum-sensitive Ovarian CancerPlatinum-Sensitive Ovarian Cancer
RECRUITING688 Analytics
NCT07604766An Extension Study to Assess the Efficacy of Rina-S Compared to Treatment of Investigator's Choice in Participants With Platinum Resistant Ovarian Cancer in ChinaPlatinum-resistant Ovarian Cancer
RECRUITING82 Analytics
NCT07225270Study to Assess the Efficacy and Safety of Rina-S Plus Standard of Care Compared to Standard of Care for Maintenance Treatment of Participants With Recurrent Platinum-sensitive Ovarian Cancer After Second-line (2L) Platinum-based Doublet ChemotherapyOvarian Cancer
RECRUITING544 Analytics
NCT07166094Study to Assess the Efficacy and Safety of Rina-S Compared to Treatment of Investigator's Choice in Participants With Endometrial CancerEndometrial Cancer
RECRUITING660 Analytics
NCT06619236Study to Assess the Efficacy of Rina-S Compared to Treatment of Investigator's Choice in Participants With Platinum Resistant Ovarian CancerPlatinum-resistant Ovarian Cancer
ACTIVE NOT_RECRUITING584 Analytics
PHASE3NOT YET_RECRUITING
Study to Assess the Efficacy and Safety of Rina-S Plus Standard of Care Compared to Standard of Care Maintenance Treatment After First-line (1L) Platinum-based Chemotherapy in Participants With Ovarian Cancer
Ovarian CancerUnlock trial analytics
PHASE3RECRUITING
Study to Assess the Efficacy and Safety of Rina-S With or Without Bevacizumab Compared to Investigator's Choice of Platinum-based Chemotherapy With or Without Bevacizumab as Second-line Treatment in Participants With Recurrent Platinum-sensitive Ovarian Cancer
Platinum-Sensitive Ovarian CancerUnlock trial analytics
PHASE3RECRUITING
An Extension Study to Assess the Efficacy of Rina-S Compared to Treatment of Investigator's Choice in Participants With Platinum Resistant Ovarian Cancer in China
Platinum-resistant Ovarian CancerUnlock trial analytics
PHASE3RECRUITING
Study to Assess the Efficacy and Safety of Rina-S Plus Standard of Care Compared to Standard of Care for Maintenance Treatment of Participants With Recurrent Platinum-sensitive Ovarian Cancer After Second-line (2L) Platinum-based Doublet Chemotherapy
Ovarian CancerUnlock trial analytics
PHASE3RECRUITING
Study to Assess the Efficacy and Safety of Rina-S Compared to Treatment of Investigator's Choice in Participants With Endometrial Cancer
Endometrial CancerUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Study to Assess the Efficacy of Rina-S Compared to Treatment of Investigator's Choice in Participants With Platinum Resistant Ovarian Cancer
Platinum-resistant Ovarian CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-free Survival (PFS), per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1, as Determined by Blinded Independent Central Review (BICR)
Approximately 2 years
Progression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumours (RECIST) v1.1, as Determined by Blinded Independent Central Review (BICR)
Up to approximately 3 years
Progression-Free Survival (PFS)
Up to approximately 16 months

PFS is defined as the time from the date of randomization to the date of the first documented progression or death (PD) due to any cause, whichever occurs first based on response evaluation criteria in solid tumors (RECIST) version 1.1 as assessed by the investigator.

Progression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumours (RECIST) 1.1, as Determined by Blinded Independent Central Review (BICR)
Up to approximately 3 years
Progression-free Survival (PFS) per Response Criteria in Solid Tumors (RECIST) v1.1, as Determined by Blinded Independent Central Review (BICR)
Up to approximately 3 years
Overall Survival (OS)
Up to approximately 3 years
Confirmed Objective Response Rate (ORR)
Up to approximately 22 months
Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 as Assessed by Investigator
Approximately 3 years
Parts A, B, and D - Incidence of Treatment-Emergent Adverse Events (TEAEs) [Safety and Tolerability]
Through end of treatment, up to approximately 1 year.
Parts A, and D - Number of Participants with Dose Limiting Toxicity (DLT)
At the end of Cycle 1 (each cycle is 21 days)
Parts C, E, F, G, H, I, and J- Objective Response Rate (ORR) as Assessed by Blinded Independent Central Review (BICR, Parts C and F) or Investigator (Part E, G, I, and J) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Through end of treatment, up to approximately 1 year.

Participants who achieve partial response (PR) or complete response (CR) per RECIST v1.1 criteria.

Part K (US Participants Only) - Number of Participants with Clinically Significant Changes in Electrocardiogram (ECG) Findings by Holter
Cycles 1 to 3 (each cycle is 21 days)
Part L - Peak Plasma Concentration (Cmax) of Rina-S
Cycles 1 and 2 (each cycle is 21 days)

Measurement of maximum plasma concentration after the administration of Rina-S.\[

Part L - Area Under the Plasma Concentration Versus Time Curve (AUC) of Rina-S
Cycles 1 and 2 (each cycle is 21 days)

Measurement of AUC after the administration of Rina-S.

Secondary Endpoints

Overall Survival (OS)
Approximately 4 years
PFS per RECIST v1.1, as Determined by Investigator Assessment
Approximately 4 years
Progression-free Survival on the Next Line of Therapy after the First Progression (PFS2)
Approximately 4 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Rina-S + SOCEXPERIMENTALParticipants will receive Rina-S + SOC. SOC consists of either bevacizumab maintenance or no maintenance treatment (observation).
SOCACTIVE_COMPARATORParticipants will receive SOC alone. SOC consists of either bevacizumab maintenance or no maintenance treatment (observation).
Arm 1: Rina-S ± BevacizumabEXPERIMENTALParticipants will receive Rina-S ± bevacizumab once every 3 weeks (Q3W).
Arm 2: Investigator Choice of Chemotherapy ± BevacizumabACTIVE_COMPARATORParticipants will receive carboplatin plus gemcitabine ± bevacizumab, carboplatin plus paclitaxel ± bevacizumab, or carboplatin plus pegylated liposomal doxorubicin (PLD) ± bevacizumab.
Rina-SEXPERIMENTAL -
Investigator's ChoiceACTIVE_COMPARATOR -
ICACTIVE_COMPARATORParticipants will receive one of the following chemotherapies at the discretion of the investigator: * Paclitaxel on Days 1, 8, and 15 every 4 weeks (Q4W). * Doxorubicin on Day 1 Q3W.
Part A, B, C, E, F, G, H, I, J and KEXPERIMENTALRina-S monotherapy in Part A and at the recommended dose in Parts B, C, E, F, G, H, I, J and K.
Part D1EXPERIMENTALRina-S in combination with carboplatin
Part D2 and IEXPERIMENTALRina-S in combination with bevacizumab
Part D3, D4 and D5EXPERIMENTALRina-S in combination with pembrolizumab
Part LEXPERIMENTALRina-S in combination with CYP3A4 inhibitors erythromycin or itraconazole.

Interventions

NameTypeDescription
Rina-SDRUGIntravenous (IV) infusion.
BevacizumabDRUGIV infusion.
CarboplatinDRUGIV infusion
GemcitabineDRUGIV infusion
PaclitaxelDRUGIV infusion
PLDDRUGIV infusion
TopotecanDRUGIV infusion
Pegylated liposomal doxorubicin (PLD)DRUGIV infusion
ICDRUG* Paclitaxel: IV infusion * Doxorubicin: IV bolus injection/infusion
PembrolizumabDRUGPembrolizumab intravenous infusion
ErythromycinDRUGErythromycin oral administration
ItraconazoleDRUGItraconazole oral administration
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo

Key Inclusion Criteria: * Newly diagnosed, histologically confirmed International Federation of Gynecology and Obstetrics (FIGO) Stage III, or IV high-grade serous or endometrioid epithelial ovarian cancer (EOC), including primary peritoneal or fallopian tube carcinoma. * Participants must have rec...

Countries:United StatesJapanChinaBelgiumFinlandFranceNorwayPolandSpainAustraliaBrazilCanadaDenmarkGermanyGreeceIsraelItalyLithuaniaPuerto RicoSingaporeAustriaCzechiaNetherlandsSouth KoreaUnited KingdomHungaryTaiwan
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Recent Changes (Last 90 Days)

LOWOct 7, 2026NCT07564141lastUpdatePostDate: changed
MEDIUMOct 7, 2026NCT05579366Enrollment: 884 → 952
LOWOct 7, 2026NCT07564141lastUpdatePostDate: changed
MEDIUMOct 7, 2026NCT05579366Enrollment: 884 → 952
LOWOct 6, 2026NCT07604766lastUpdatePostDate: changed
LOWOct 6, 2026NCT07539311lastUpdatePostDate: changed
LOWOct 6, 2026NCT07166094lastUpdatePostDate: changed
LOWOct 6, 2026NCT07288177lastUpdatePostDate: changed
LOWOct 6, 2026NCT07225270lastUpdatePostDate: changed
LOWOct 6, 2026NCT07604766lastUpdatePostDate: changed
LOWOct 6, 2026NCT07539311lastUpdatePostDate: changed
LOWOct 6, 2026NCT07288177lastUpdatePostDate: changed
LOWOct 6, 2026NCT07166094lastUpdatePostDate: changed
LOWOct 6, 2026NCT07225270lastUpdatePostDate: changed
LOWOct 5, 2026NCT07859215NEW_TRIAL: changed
LOWOct 5, 2026NCT07859215NEW_TRIAL: changed
LOWSep 28, 2026NCT06619236Enrollment: 530 → 584
LOWSep 28, 2026NCT06619236Enrollment: 530 → 584
LOWSep 9, 2026NCT07604766lastUpdatePostDate: changed
LOWSep 9, 2026NCT07539311lastUpdatePostDate: changed

Frequently asked questions about Rina-S

What is Rina-S?

Rina-S is an investigational small molecule oncology drug being developed by Genmab A/S for the treatment of several solid tumor types. It is in Phase 3 clinical development for ovarian cancer and Phase 2 development for gastrointestinal cancers. Rina-S has not been approved by the FDA and remains under clinical investigation.

What is Rina-S used for?

Rina-S is being studied for ovarian cancer, including platinum-sensitive and platinum-resistant disease, as well as gastrointestinal cancers, endometrial cancer, high grade epithelial ovarian cancer, and non-small cell lung cancer. Its most advanced programs are in ovarian cancer, where it is in Phase 3 testing.

Who is developing Rina-S?

Rina-S is being developed by Genmab A/S, a biotechnology company listed under the ticker GMAB. Genmab is running the clinical program, which includes Phase 3 trials in ovarian cancer and a Phase 2 trial in gastrointestinal cancers.

What phase is Rina-S in?

Rina-S is in Phase 3 clinical development. Two Phase 3 trials are underway in ovarian cancer, and a Phase 2 trial is recruiting in advanced gastrointestinal cancers. Rina-S is investigational and has not received FDA approval.

What clinical trials is Rina-S in?

Rina-S is being evaluated in four registered trials. These include NCT07859215 in first-line ovarian cancer, NCT07604766 in platinum-resistant ovarian cancer in China, NCT07564141 in recurrent platinum-sensitive ovarian cancer, and NCT07539311 in advanced gastrointestinal cancers. Total planned enrollment across these studies is approximately 1,146 participants.

Is Rina-S being tested in platinum-sensitive ovarian cancer?

Yes. Rina-S is being tested in platinum-sensitive ovarian cancer in the Phase 3 trial NCT07564141, which compares Rina-S with or without bevacizumab against investigator's choice of platinum-based chemotherapy with or without bevacizumab as second-line treatment. That trial is recruiting in the United States and Japan.