- Uterine leiomyosarcoma and endometrial stromal sarcomas are excluded.
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- Participants who are candidates for curative-intent therapy at the time of study enrollment.
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- Participants eligible for rechallenge with platinum-based chemotherapy as determined by the investigator.
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- Received any prior treatment with a Trop-2-directed antibody-drug conjugate (ADC).
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- Have an active second malignancy.
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- Have an active serious infection requiring systemic antimicrobial therapy.
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- Have active chronic inflammatory bowel disease (ulcerative colitis, Crohn's disease) or gastrointestinal perforation within 6 months prior to randomization.
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- Have a positive serum pregnancy test or are breastfeeding for participants who are assigned female at birth.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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