Trial ID # | NCT02996825 |
Phase | I |
Drug Class | Antibody Drug Conjugates: FRalpha |
Drug Name | Mirvetuximab soravtansine |
Alternate Drug Names | Anti-FOLR1-mab Maytansinoid Conjugate, IMGN853, M9346A-sulfo-SPDB-DM4 |
Drugs in Trial | Mirvetuximab soravtansine, Gemcitabine |
Eligible Participant | FRalpha+ recurrent ovarian, endometrial or triple negative breast cancer with IHC: ≥ 25% tumor cells at ≥ 2+ intensity |
Patients Enrolled | 22 ovarian treated at RP2D, median 3 prior therapies (3-4), 56% w/ prior bevacizumab, 59% w/ prior PARP inhibitor |
Therapy Setting | Recurrence |
Study Design | Open-Label, Non-randomized |
Endpoints | ORR, DCR, PFS, RP2D, evaluated per RECIST |
Efficacy | RP2D: 6mg/kg mirvetuximab soravtansine q3w and 800mg/m2 gemcitabine days 1 and 8 q3w ORR: 40.9% (9PR, n=22) |
Clinically Significant Adverse Events | Serious AE: |
Conclusion | Mirvetuximab soravtansine and gemcitabine demonstrate promising activity in platinum resistant ovarian cancer, but with frequent hematologic toxicities |
Reference | Cristea MC et al. A phase I study of mirvetuximab soravtansine (MIRV) and gemcitabine (G) in patients (Pts) with selected frα-positive solid tumors: Results in the ovarian cancer (EC) cohort. J Clin Oncol (2021) 39 (suppl 15; abstr 5542) Cristea MC et al. Poster Cristea MC et al. A phase I study of Mirvetuximab Soravtansine and gemcitabine in patients with FRα-positive recurrent ovarian, primary peritoneal, fallopian tube, or endometrial cancer, or triple negative breast cancer. Gynecol Oncol (2024) 182:124-131 |