Actively Recruiting

Phase 3
Age: 18Years +
FEMALE
ID04111978

MAintenance Therapy With Aromatase Inhibitor in Epithelial Ovarian Cancer: a Randomized Double-blinded Placebo-controlled Multi-centre Phase III Trial (ENGOT-ov54/Swiss-GO-2/MATAO), Including LOGOS (Low Grade Ovarian Cancer Sub-study).

Led by Swiss GO Trial Group · Updated on 2025-09-29

540

Participants Needed

53

Research Sites

261 weeks

Total Duration

On this page

Sponsors

S

Swiss GO Trial Group

Lead Sponsor

A

AGO Study Group

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the addition of letrozole, an aromatase inhibitor, to the standard maintenance therapy in women diagnosed with estrogen-receptor (ER) positive epithelial ovarian cancer, including fallopian tube and primary peritoneal cancer. This study focuses on both low and high grade serous or endometrioid ovarian cancers at FIGO Stage II-IV, whose cancer has not progressed after primary surgery and platinum-based chemotherapy. The main goal is to determine if letrozole can increase progression-free survival compared to the current standard maintenance treatment with placebo. Participants are randomly assigned to receive either letrozole 2.5 mg daily or a placebo tablet once daily for up to five years or until toxicity symptoms or disease progression occur. This randomized, double-blinded, multicenter phase III trial involves 540 eligible women who will be monitored throughout the treatment period. The study also includes a sub-study focusing on low grade ovarian cancer (LOGOS). Treatment adherence and tolerability will be assessed during regular visits. Participants will undergo health assessments including blood tests, physical and gynecological exams, and possibly imaging during routine follow-ups every 12 weeks for the first two years, then every 24 weeks for three additional years. Quality of life will be evaluated using specific questionnaires, and participants will wear an activity tracker for one week before visits. Researchers will measure progression-free survival as the primary outcome and also evaluate overall survival, time to next treatment, and quality-adjusted survival. Follow-up data will be collected for up to 12 years, including up to seven years after treatment ends to monitor long-term outcomes.

CONDITIONS

Brief Title

MAintenance Therapy With Aromatase Inhibitor in Epithelial Ovarian Cancer (MATAO)

Who Can Participate

Age: 18Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients must be 18 years of age or older
  • Willing and able to attend visits and understand study procedures
  • Newly diagnosed FIGO Stage II to IV low or high grade serous or endometrioid epithelial ovarian, fallopian tube, or peritoneal cancer
  • (Interval-) debulking surgery performed
  • ECOG Performance Status 0-2
  • Signed informed consent forms
  • Available paraffin-embedded tissue or cell block from ascites
  • Estrogen receptor expression of 1% or higher
  • Completed at least 4 cycles of platinum-based chemotherapy
  • Negative serum pregnancy test if of childbearing potential and sterilized by surgery or radiation prior to intervention
Not Eligible

You will not qualify if you...

  • Progressive disease at the end of adjuvant treatment
  • Women of childbearing potential not surgically or radiation sterilized prior to intervention
  • Pregnant or lactating women
  • Other malignancy within the last 5 years affecting prognosis
  • Fewer than 4 cycles of chemotherapy completed
  • Contraindications to endocrine therapy
  • Inability or unwillingness to swallow tablets
  • Known intolerance to galactose, lactase deficiency, or glucose-galactose malabsorption

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 5 years

Participants receive maintenance therapy with either letrozole or placebo for up to 5 years or until symptoms of toxicity or disease progression.

Routine follow-up visits every 12 weeks for the first 2 years, then every 24 weeks for the next 3 years

Follow-up

Duration - Up to 7 years

After maintenance treatment ends, participants are followed for survival outcomes and quality of life for up to 7 additional years.

Visits occur during routine ovarian cancer follow-up care; exact schedule may vary

Trial Site Locations

Total: 53 locations

1

Krankenhaus der Barmherzigen Brüder Graz

Graz, Austria, 8020

Actively Recruiting

2

Medizinische Universität Graz

Graz, Austria, 8036

Actively Recruiting

3

Medizinische Universität Innsbruck

Innsbruck, Austria, 6020

Actively Recruiting

4

Landeskrankenhaus Hochsteiermark Leoben

Leoben, Austria, 8700

Actively Recruiting

5

Ordensklinikum Linz Barmherzige Schwestern

Linz, Austria, 4010

Actively Recruiting

6

Universitätsklinikum Salzburg

Salzburg, Austria, 5020

Actively Recruiting

7

Medizinische Universität Wien

Vienna, Austria, 1090

Actively Recruiting

8

Klinik Hietzing Wien

Vienna, Austria, 1130

Actively Recruiting

9

Charité - Universitätsmedizin Berlin Campus Virchow Klinikum

Berlin, Germany, 13353

Actively Recruiting

10

St. Elisabeth-Krankenhaus

Cologne, Germany, 50935

Actively Recruiting

11

Donauisar Klinikum

Deggendorf, Germany, 94469

Actively Recruiting

12

Universitätsklinikum Carl Gustav Carus Dresden

Dresden, Germany, 01307

Active, Not Recruiting

13

Evangelisches Krankenhaus Düsseldorf

Düsseldorf, Germany, 40217

Actively Recruiting

14

Universitätsklinikum Düsseldorf

Düsseldorf, Germany, 40225

Actively Recruiting

15

Evangelische Kliniken Essen Mitte GmbH

Essen, Germany, 45136

Actively Recruiting

16

Klinikum Esslingen

Esslingen am Neckar, Germany, 73730

Actively Recruiting

17

University Hospital Freiburg

Freiburg im Breisgau, Germany, 79106

Actively Recruiting

18

The University Medical Center Hamburg-Eppendorf

Hamburg, Germany, 20251

Actively Recruiting

19

Agaplesion Diakonieklinikum Hamburg

Hamburg, Germany, 20259

Actively Recruiting

20

Gynäkologisch-Onkologische Gemeinschaftspraxis Dres. med. C.Uleer/J.Y.Pourfard

Hildesheim, Germany, 31134

Actively Recruiting

21

Klinikum Konstanz

Konstanz, Germany, 78464

Actively Recruiting

22

Universitätsmedizin Mainz

Mainz, Germany, 55131

Actively Recruiting

23

Universitätsklinikum Mannheim

Mannheim, Germany, 68167

Actively Recruiting

24

University Hospital Münster

Münster, Germany, 48149

Actively Recruiting

25

Studienzentrum Onkologie Ravensburg

Ravensburg, Germany, 88212

Actively Recruiting

26

SL Klinikum Rosenheim

Rosenheim, Germany, 83022

Active, Not Recruiting

27

Leopoldina Krankenhaus der Stadt Schweinfurt

Schweinfurt, Germany, 97422

Actively Recruiting

28

Universitätsklinik Ulm

Ulm, Germany, 89075

Actively Recruiting

29

Helios Dr. Horst Schmidt Kliniken Wiesbaden

Wiesbaden, Germany, 65199

Actively Recruiting

30

AMO Wolfsburg / AMO MVZ GmbH

Wolfsburg, Germany, 38440

Actively Recruiting

31

Helios Universitätsklinikum Wuppertal

Wuppertal, Germany, 42117

Actively Recruiting

32

Kantonsspital Aarau AG

Aarau, Canton of Aargau, Switzerland, 5001

Actively Recruiting

33

Universitätsspital Basel

Basel, Canton of Basel-City, Switzerland, 4031

Actively Recruiting

34

Oncology Institute of Southern Switzerland (IOSI)-Ente Ospedaliero Cantonale (EOC)

Bellinzona, Canton Ticino, Switzerland, 6500

Actively Recruiting

35

Centre Hospitalier du Valais Romand

Sion, Valais, Switzerland

Actively Recruiting

36

Kantonsspital Baden AG

Baden, Switzerland, 5404

Actively Recruiting

37

Basel Claraspital AG

Basel, Switzerland, 4002

Actively Recruiting

38

Universitätsklinik für Medizinische Onkologie, Inselspital

Bern, Switzerland, 3010

Actively Recruiting

39

Praxis im Frauenzentrum Lindenhofspital

Bern, Switzerland, 3012

Actively Recruiting

40

Kantonspital Graubünden (KSGR),

Chur, Switzerland, 7000

Actively Recruiting

41

Kantonsspital Frauenfeld

Frauenfeld, Switzerland, 8501

Actively Recruiting

42

Hôpitaux Universitaires de Genève

Geneva, Switzerland, 1205

Actively Recruiting

43

Frauenklinik Spital Grabs

Grabs, Switzerland, 9472

Actively Recruiting

44

Universitätsspital Waadt/ CHUV

Lausanne, Switzerland, 1011

Actively Recruiting

45

Kantonsspital Baselland

Liestal, Switzerland, 4410

Actively Recruiting

46

Luzerner Kantonsspital

Lucerne, Switzerland, 6000

Actively Recruiting

47

Tumorzentrum Hirslanden Klinik St. Anna

Lucerne, Switzerland, 6006

Actively Recruiting

48

Kantonsspital Münsterlingen

Münsterlingen, Switzerland, 8596

Actively Recruiting

49

Kantonsspital St. Gallen

Sankt Gallen, Switzerland, 9007

Actively Recruiting

50

Kantonsspital Winterthur

Winterthur, Switzerland, 8401

Actively Recruiting

51

Klinik für Onkologie und Hämatologie Hirslanden Zürich AG

Zurich, Switzerland, 8032

Actively Recruiting

52

Stadtspital Triemli

Zurich, Switzerland, 8063

Actively Recruiting

53

Unispital Zürich

Zurich, Switzerland, 8091

Actively Recruiting

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Research Team

M

McLaughlin, PhD

V

Vogel, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Maintenance Therapy with Aromatase Inhibitor in epithelial Ovarian Cancer (MATAO): study protocol of a randomized double-blinded placebo-controlled multi-center phase III Trial.

Pamela M J McLaughlin, Maximilian Klar, Tibor A Zwimpfer...

https://pubmed.ncbi.nlm.nih.gov/35524184