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OncoMatch/Clinical Trials/NCT06971744

Autophagy Maintenance (AUTOMAIN)

Is NCT06971744 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Hydroxychloroquine and Nelfinavir for ovarian cancer.

Phase 2RecruitingMedical University of South CarolinaNCT06971744Data as of May 2026

Treatment: Hydroxychloroquine · Nelfinavir · BevacizumabThis is a single-institution, single-arm study with a safety lead-in to determine if previously established safe doses of autophagy drugs, hydroxychloroquine (HCQ) and nelfinavir mesylate (NFV) will benefit ovarian cancer patients in a maintenance setting. Patients will receive the two study drugs HCQ and NFV in combination with maintenance bevacizumab.

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Extracted eligibility criteria

Cancer type

Ovarian Cancer

Biomarker criteria

Required: BRCA1 mutation status known (germline or somatic)

germline panel testing with at least BRCA 1/2 mutation status known and/or somatic tumor next generation sequencing with homologous recombination deficiency (HRD) testing and/or loss of heterozygosity (LOH) known

Required: BRCA2 mutation status known (germline or somatic)

germline panel testing with at least BRCA 1/2 mutation status known and/or somatic tumor next generation sequencing with homologous recombination deficiency (HRD) testing and/or loss of heterozygosity (LOH) known

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Must have received: platinum-based chemotherapy — first recurrence

Participants must have had a 6-month disease-free progression since last platinum chemotherapy to be considered platinum sensitive.

Must have received: bevacizumab (bevacizumab) — during chemotherapy for first recurrence

Participants must have received at least 3-courses of bevacizumab during chemotherapy and have a plan to continue maintenance bevacizumab therapy.

Cannot have received: PARP inhibitor maintenance

Exception: patients will be allowed if previously did not tolerate PARP and opt against PARP maintenance

Platinum-sensitive patients that are candidates for PARP inhibitor maintenance, patients will be allowed if previously did not tolerate PARP and opt against PARP maintenance

Lab requirements

Blood counts

ANC ≥ 1,000 cells/mm3; Platelet count ≥ 75,000 cells/mm3; Hemoglobin ≥ 9 g/dL (recent transfusion allowed, must be ≥ 7 days before C1D1)

Kidney function

CrCl ≥35 mL/min, Cockgroft-Gault formula.

Liver function

Bilirubin ≤ 1.5x ULN and AST/ALT ≤ 3x ULN. Gilbert's syndrome: total bilirubin < 3x ULN and direct bilirubin within normal limits.

Cardiac function

QT interval <450 ms on screening ECG; adequately controlled blood pressure (<160/100 mm Hg)

Bilirubin ≤ 1.5 times the upper limit of normal (ULN) and AST / ALT ≤ 3 times ULN. Subjects with Gilbert's syndrome may be included if the total bilirubin is < 3 times ULN and the direct bilirubin is within normal limits. CrCl ≥35 mL/min, according to the Cockgroft-Gault formula. Absolute neutrophil count (ANC) ≥ 1,000 cells/mm3. Platelet count ≥ 75,000 cells / mm3. Hemoglobin ≥ 9 g/ dL, recent transfusion is allowed, though must be ≥ 7 days C1D1 of investigational agents. Adequately controlled blood pressure (<160 mm Hg/100 mm Hg) as determined by the treating investigator. Patients must have a QT interval of <450 ms on screening upon ECG.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Medical University of South Carolina · Charleston, South Carolina

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