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OncoMatch/Clinical Trials/NCT06976892

Investigating Idetrexed and Olaparib in Patients With Ovarian Cancer

Is NCT06976892 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments for high grade serous ovarian cancer.

Phase 1RecruitingInstitute of Cancer Research, United KingdomNCT06976892Data as of May 2026

Treatment: Dose Level 2 (starting dose) · Dose Level 1 · Dose Level -1 · Dose Level 3 · Maximum Tolerated DoseTwo drugs called Idetrexed and olaparib are being evaluated. Idetrexed is a type of drug called an "aFR-targeted thymidylate synthase inhibitor". Idetrexed has been designed to selectively target cancer cells that have a protein called folate receptor on the surface of cancer cells. Thymidylate synthase is key to cancer cells for creating new DNA when they multiply. Blocking the action of thymidylate synthase with a drug like Idetrexed may therefore stop cancers from growing by damaging DNA in cancer cells. Olaparib is a type of drug called a "PARP inhibitor". It prevents cells repairing DNA damage. This leads to cells dying. Combining Idetrexed and olaparib should increase the number of cancer cells dying, especially those cells that have a lot of folate receptors. Cancer cells with a high number of folate receptors should be targeted more than normal healthy cells.

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Extracted eligibility criteria

Cancer type

Ovarian Cancer

Biomarker criteria

Required: FOLR1 medium to high expression (medium to high)

Performance status

WHO 0–1

Prior therapy

Cannot have received: radiotherapy

Exception: palliative reasons

Cannot have received: endocrine therapy

Cannot have received: immunotherapy

Cannot have received: chemotherapy

Cannot have received: investigational medicinal products

Lab requirements

Blood counts

haematological indices within protocol ranges

Kidney function

biochemical indices within protocol ranges

Liver function

biochemical indices within protocol ranges

Cardiac function

Normal (no clinically significant abnormalities) 12-lead ECG, QTcF interval <470 ms

Haematological and biochemical indices within the ranges shown in Protocol section 4.1.1). Normal (no clinically significant abnormalities) 12-lead ECG, QTcF interval <470 ms

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

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