A Study to Assess Anti-Tumor Activity of Intravenously (IV) Infused Carboplatin With Mirvetuximab Soravtansine in Participants With Newly Diagnosed Folate Receptor Alpha (FRα)Expressing Advanced-Stage Serous Epithelial Ovarian, Fallopian Tube or Primary Peritoneal Cancer.
Purpose
Cancer is a condition where cells in a specific part of body grow and reproduce uncontrollably. The purpose of this study is to assess the safety and efficacy of neoadjuvant carboplatin and mirvetuximab soravtansine in participants with folate receptor alpha (FRα) -expressing advanced-stage serous epithelial ovarian, fallopian tube or primary peritoneal cancer (EOC). Mirvetuximab Soravtansine (MIRV) is an investigational antibody drug conjugate designed to selectively kill cancer cells. The antibody (protein) part of MIRV targets tumors by delivering a cell-killing drug to cancer cells carrying a protein called folate receptor alpha (FRα). This is a single arm study in adult participants with advanced-stage Fédération Internationale de Gynécologie et d'Obstétrique (FIGO) III-IV FRα-expressing serous EOC. Around 140 participants will be enrolled in the study at approximately 80 sites in the United States. Participants will receive intravenous infusion of MIRV in combination with carboplatin on day 1 of each cycle, every 21 days for up to 6 - 9 Cycles. The total study duration will be approximately 3 years . There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic and may require frequent medical assessments, blood tests, and scans.
Conditions
- Epithelial Ovarian Cancer
- Fallopian Tube Cancer
- Primary Peritoneal Cancer
- Neoadjuvant
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 - Be judged by the investigator and/or treating physician to be an appropriate candidate to receive neoadjuvant chemotherapy. - Diagnosis of biopsy-confirmed high-grade, serous epithelial ovarian, fallopian tube or primary peritoneal cancer. - Participant meets the following disease criteria: - Stage III or IV disease by the Fédération Internationale de Gynécologie et d'Obstétrique (FIGO) staging system, 27 and - Folate Receptor Alpha (FRα) expression positivity as defined by immunohistochemical staining of >= 75% of viable tumor cells with moderate (2+) and/or strong (3+) membrane staining by the AbbVie specified vendor with the Ventana Folate Receptor Alpha (FOLR1) assay, and - Measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 criteria.
Exclusion Criteria
- Endometrioid, clear cell, mucinous, or sarcomatous tumor histology; mixed tumors containing any of the above histologies; or low-grade/borderline ovarian tumor. - Previous clinical diagnosis of noninfectious interstitial lung disease, including noninfectious pneumonitis. - Previously treated with anticancer therapy including chemotherapy, radiation therapy, immunotherapy, or biologic agent for current cancer, with the exception of one cycle of single agent carboplatin - Participants with the following ocular history and/or concurrent disorders: - History of corneal transplantation; - Undergoing active postoperative management for refractive surgery, cataract surgery, corneal cross-linking, or corneal complications of surgery; - Confluent superficial punctate keratopathy (SPK) not expected to resolve to non-confluence or better within the screening window with standard of care (SOC) intervention; - Active or chronic clinically significant (>= Grade 3) corneal dystrophy (e.g., Fuchs dystrophy); - Active ocular conditions requiring ongoing treatment/monitoring, such as glaucoma, which is not adequately controlled with medication or surgery, wet age-related macular degeneration requiring intravitreal injections, active diabetic retinopathy with macular edema, macular degeneration, presence of papilledema or an ocular condition with high risk of retinal detachment; - Monocular vision with visual acuity in the worse eye, worse than 20/200 or visual fields less than 20 degrees (i.e., functional blindness in at least one eye). - History of other malignancy within 3 years prior to signing study consent. -- Note: Participants with tumors with a negligible risk for metastasis or death (e.g., adequately controlled basal-cell carcinoma or squamous-cell carcinoma of the skin, or carcinoma in situ of the cervix or breast) are eligible.
Study Design
- Phase
- Phase 2
- Study Type
- Interventional
- Allocation
- N/A
- Intervention Model
- Single Group Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Carboplatin + Mirvetuximab Soravtansine |
Participants will receive carboplatin in combination with mirvetuximab soravtansine on Day 1 of a 21-day cycle per dose +/- Bevacizumab per investigator's discretion. |
|
Recruiting Locations
Birmingham 4049979, Alabama 4829764 35294
San Francisco 5391959, California 5332921 94109
Santa Barbara 5392952, California 5332921 93105
Danbury 4832353, Connecticut 4831725 06810
Norwalk 4839822, Connecticut 4831725 06856
Jupiter 4160610, Florida 4155751 33458
Miami 4164138, Florida 4155751 33140
Peoria 4905687, Illinois 4896861 61637-0001
Covington 4321005, Louisiana 4331987 70433
New Orleans 4335045, Louisiana 4331987 70112
Shreveport 4341513, Louisiana 4331987 71103
Saint Louis Park 5045021, Minnesota 5037779 55416
Springfield 4409896, Missouri 4398678 65807
Reno 5511077, Nevada 5509151 89511
New Brunswick 5101717, New Jersey 5101760 08901
Bay Shore 5108169, New York 5128638 11706
Greenlawn 5119377, New York 5128638 11740
Lake Success 5123853, New York 5128638 11042
Rego Park 5133640, New York 5128638 11374
Columbus 4509177, Ohio 5165418 43219
Eugene 5725846, Oregon 5744337 97401
Portland 5746545, Oregon 5744337 97227-1800
Site Coordinator
(971) 708-7600
Bethlehem 5180225, Pennsylvania 6254927 18015
Philadelphia 4560349, Pennsylvania 6254927 19104
Providence 5224151, Rhode Island 5224323 02905
Austin 4671654, Texas 4736286 78731
San Antonio 4726206, Texas 4736286 78240
The Woodlands 4736476, Texas 4736286 77380
Tyler 4738214, Texas 4736286 75702
Charlottesville 4752031, Virginia 6254928 22903
Roanoke 4782167, Virginia 6254928 24013
Spokane 5811696, Washington 5815135 99204
Morgantown 4815352, West Virginia 4826850 26506
More Details
- Status
- Recruiting
- Sponsor
- AbbVie