Several clinical trials are currently underway to this investigate

TypeStudyDesignPopulationExplorimental armORRDCRmPFS (m)OS (m)AE/TEAEReference
ICIs monotherapyJAVELIN1b, open labeln = 125Ave9.6%10.2% (y = 1)11.27.2% pts, 3–4 S[41]
KEYNOTE-028Age ≥ 18 y, advanced, PD-L1 positivityn = 26Pembrolizumab11.5%1.9 m13.819 (73.1%) pts, one grade 3 S[44]
KEYNOTE-100Phase IICohort A, n = 285
Cohort A, n = 91
PembrlizumabA 7.4%
B 9.9%
CPS+
< 1 was 4.1%
> 1 was 5.7%
≥ 10 was 10.0%
A: 8.2 m
B: not reached
2.1 mA: not reached
B: 17.6
[45]
NANT studyProspective, multicenter, phase II, single armn = 127, HRD pts n = 67NiraparibbHRD pts: 62.5%
BRCAm pts: 77.3%
HRD pts: 87.5%
BRCAm pts: 100%
≥ 3 S[97]
Chemotherapy plus ICIsJAVELIN-200An open-label, three-arm, randomized, phase 3n = 566Ave:Ave + PLD:PLD = 1:1:1Ave: 9 m
Ave + PLD: 3.7 m
PLD: 3.5 m
Ave: 8.2
Ave + PLD: 18.4
PLD: 17.4
≥ 3 S[53]
JAVELIN-100Global, open label, three-arm, parallel, randomized, phase 3Ave: n = 332
Chemotherapy + Ave: n = 331
Control: n = 335
Ave:chemotherapy + Ave:control = 1:1:1Ave: 16.8 m
Chemotherapy + Ave: 18.1 m
Control: NE
Interruption[54]
Combined pembrolizumab and PLD in PROCSingle arm, multi-center phase IIn = 26PLD + pembrolizumab26.1%[55]
Anti-angiogenic drugs plus ICIs
Assessment of combined Niv and Bev in ROCSingle-arm, phase 2n = 38
PROC: n = 18
PSOC: n = 20
Niv + BevPROC: 16.7%
PSOC: 40.0%
8.1 m≥ 3 S[71]
ATALANTE/ENGOT-ov29Randomized (2:1), double blinded, phase III, PSOCn = 614
Atezolizumab: n = 410
Placebo: n = 204
Cx + Bev + At; Cx + Bev + placeboAt: 13.5 m
Placebo: 11.3 m
PD-L1-positive: 15.2 m vs. 13.1 m
At: 35.5 m
Placebo: 30.6 m
≥ 3 S[98]
PARP inhibitors plus ICIsMEDIOLAMulticenter, open-label, phase 1/2, basket trialgBRCAm doublet: n = 51
Non-gBRCAm doublet: n = 32
Non-gBRCAm triplet cohorts: n = 31
Olaparib plus durvalumab, with or without BevgBRCAm expansion doublet 92.2%(at 24 weeks) non-gBRCAm doublet: 28.1%
Non-gBRCAm triplet cohorts: 74.2%
≥ 3 S[81, 99]
Keynote-162Open-label, single-arm phases 1 and 2 studyn = 62Niraparib + pembrolizumab18%65%3 m≥ 3 S[100, 101]
ADCs plus ICIsFORWARDIIIbMIRV + pembrolizumab43%mDOR 6.9 m5.2 m    [80]
PD-1 + CTLA-4NGR oncology studyRandomized phase IINiv (n = 49)
Niv and ipilimumab (n = 51)
Niv and ipilimumabNiv: 12.2 m
Niv and ipilimumab: 31.4 m
Niv: 2 m
Niv + ipilimumab: 3.9 m
≥ 3 S
Niv: 3%
Niv + ipilimumab: 49%
[88]
Anti-CD27 antibody + anti-PD-1Agonist anti-CD27 antibody (varlilumab) administered in combination with anti-PD-1 (Niv)Phase 1/2 dose-escalation and expansionn = 175 (phase 1 n = 36; phase 2 n = 139)Varlilumab and NivPhase 1: uncertain
Phase 2: 12.5%
Without significant toxicity[90]

pts: patients; PD-L1: programmed cell death ligand 1; mPFS: median progression-free survival; ORR: objective response rate; OS: overall survival; mOS: median OS; DCR: disease control rate; mDOR: median duration of response; AE: adverse event; TRAEs: treatment-related AEs; n: number; PSOC: platinum-sensitive recurrent ovarian cancer; PROC: platinum-resistant recurrent ovarian cancer; Cx: platinum-based chemotherapy; Bev: bevacizumab; MIRV: mirvetuximab soravtansine; ADCs: antibody-drug conjugates; ICIs: immune checkpoint inhibitors; GEM/PLD: gemcitabine or pegylated liposomal doxorubicin; Ave: avelumab; Niv: nivolumab; m: months; y: years; CPS: combined positive score; NE: not evaluated; CTLA-4: cytotoxic T-lymphocyte antigen 4; PD-1: programmed cell death protein 1; HRD: homologous recombination deficiency; BRCAm: BRCA mutated; gBRCAm: germline BRCAm