A Study of Ocular Toxicity Evaluation and Mitigation During Treatment With Mirvetuximab Soravtansine in Participants With Recurrent Ovarian Cancer With High Folate Receptor-Alpha Expression

NCT ID: NCT06365853

Last Updated: 2025-12-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-29

Study Completion Date

2027-06-30

Brief Summary

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The purpose of this study is to evaluate the incidence rate and severity of prespecified mirvetuximab soravtansine (MIRV)-related ocular treatment-emergent adverse events (TEAEs) and assess prophylaxis strategies in all participants (symptomatic and asymptomatic) undergoing prospective ophthalmic evaluation with recurrent ovarian cancer (participants with either platinum-sensitive ovarian cancer \[PSOC\] or platinum-resistant ovarian cancer \[PROC\]) with high folate receptor alpha (FRα) expression.

Detailed Description

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Participants will be randomized (1:1) to 1 of 2 ocular adverse event (AE) risk mitigation strategy arms (primary prophylactic steroid eye drops versus primary prophylactic vasoconstricting eye drops).

Conditions

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Recurrent Ovarian Cancer Folate Receptor-Alpha Positive

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Primary Prophylactic Steroid Eye Drops

Prednisolone acetate ophthalmic suspension 1% 6 times daily on Days -1 to 4 and 4 times daily (QID) on Days 5 to 8 of each cycle; Lubricating eye drops QID throughout the entire cycle (doses should follow steroid dosing, when given, by approximately 15 minutes); MIRV 6 milligrams (mg)/kilogram (kg) adjusted ideal body weight (AIBW) every 3 weeks (Q3W) on Day 1 of each cycle. Each cycle length = 21 days.

Group Type EXPERIMENTAL

Mirvetuximab Soravtansine

Intervention Type DRUG

Mirvetuximab soravtansine is an antibody drug conjugate designed to target folate receptor α (FRα). It consists of the humanized anti-FRα monoclonal antibody (mAb) M9346A attached via a cleavable disulfide linker to the cytotoxic maytansinoid, DM4.

Lubricating Eye Drops

Intervention Type DRUG

Lubricating artificial tears should be administered at least 15 minutes after corticosteroid or brimonidine eye drop administration.

Prednisolone acetate ophthalmic suspension 1% eye drops

Intervention Type DRUG

Self-administration of prednisolone acetate ophthalmic suspension 1% eye drops as prescribed by the treating physician.

Primary Prophylactic Vasoconstricting Eye Drops

Primary prophylactic brimonidine tartrate ophthalmic solution eye drops 3 times daily (TID) on Days 1 to 8 of each cycle (vasoconstricting drops should be started on the day of first infusion and should begin before the first infusion on Cycle 1 Day 1); Lubricating eye drops QID throughout the entire cycle (doses should follow brimonidine dosing, when given, by approximately 15 minutes); MIRV 6 mg/kg AIBW Q3W on Day 1 of each cycle. Each cycle length = 21 days.

Group Type EXPERIMENTAL

Mirvetuximab Soravtansine

Intervention Type DRUG

Mirvetuximab soravtansine is an antibody drug conjugate designed to target folate receptor α (FRα). It consists of the humanized anti-FRα monoclonal antibody (mAb) M9346A attached via a cleavable disulfide linker to the cytotoxic maytansinoid, DM4.

Lubricating Eye Drops

Intervention Type DRUG

Lubricating artificial tears should be administered at least 15 minutes after corticosteroid or brimonidine eye drop administration.

Brimonidine tartrate ophthalmic solution eye drops

Intervention Type DRUG

Self-administration of brimonidine tartrate ophthalmic solution eye drops as prescribed by the treating physician.

Interventions

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Mirvetuximab Soravtansine

Mirvetuximab soravtansine is an antibody drug conjugate designed to target folate receptor α (FRα). It consists of the humanized anti-FRα monoclonal antibody (mAb) M9346A attached via a cleavable disulfide linker to the cytotoxic maytansinoid, DM4.

Intervention Type DRUG

Lubricating Eye Drops

Lubricating artificial tears should be administered at least 15 minutes after corticosteroid or brimonidine eye drop administration.

Intervention Type DRUG

Prednisolone acetate ophthalmic suspension 1% eye drops

Self-administration of prednisolone acetate ophthalmic suspension 1% eye drops as prescribed by the treating physician.

Intervention Type DRUG

Brimonidine tartrate ophthalmic solution eye drops

Self-administration of brimonidine tartrate ophthalmic solution eye drops as prescribed by the treating physician.

Intervention Type DRUG

Other Intervention Names

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IMGN853 MIRV

Eligibility Criteria

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Inclusion Criteria

* Participants must have a confirmed diagnosis of epithelial ovarian, fallopian tube, and primary peritoneal cancer (EOC) with high FRα expression.
* Participant's tumor must be FRα positive (FRα high) as defined by either the VENTANA FOLR1 (FOLR-2.1) IUO Assay, or the VENTANA FOLR1 ( FOLR1-2.1) RxDx Assay (hereafter collectively termed VENTANA FOLR1 Assay) (≥ 75% cells exhibit ≥ 2+ membrane staining intensity).
* Participants with known breast cancer susceptibility gene (BRCA) mutations (tumor or germline) must have received poly (ADP-ribose) polymerase inhibitors (PARPi).
* Participants must have completed prior therapy within the specified times below:

1. Systemic antineoplastic therapy ≥ 5 half-lives or 4 weeks (whichever is shorter) before first dose of MIRV;
2. Focal radiation completed ≥ 2 weeks before the first dose of MIRV.
* Participants must have stabilized or recovered (Grade 1 or baseline) from all prior therapy-related toxicities (except alopecia).
* Women of childbearing potential (WOCBP) must agree to use highly effective contraceptive method(s) while on MIRV and for ≥ 7 months after the last dose; and must have a negative pregnancy test ≤ 4 days before the first dose of MIRV.

Exclusion Criteria

* Participants with borderline ovarian tumor or non-epithelial histology or mixed histology including borderline or non-epithelial histology will be excluded.
* PROC participants with primary platinum-refractory disease, defined as disease that did not respond to (complete response \[CR\] or partial response \[PR\]) or progressed within ≤ 3 months of the last dose of first line platinum-containing chemotherapy.
* Participants with \> Grade 1 peripheral neuropathy per National Cancer Institute-Common Terminology Criteria for Adverse Events version 5.0 (NCI-CTCAE v5.0).
* Participants with significant active or chronic corneal disorders (for example, corneal dystrophies, degenerations, limbal stem cell deficiency), history of corneal transplantation, significant ocular inflammatory conditions (for example, active or recurrent uveitis), or other active ocular conditions requiring ongoing treatment/monitoring, such as uncontrolled glaucoma, active diabetic retinopathy with macular edema, macular degeneration requiring treatment ≤ 90 days before first dose, presence of papilledema, best corrected visual acuity (BCVA) worse than 20/70 in either eye, or monocular vision.
* Participants receiving corticosteroid or vasoconstricting eyedrops at baseline or within 5 weeks of Cycle 1 Day 1.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ABBVIE INC.

Role: STUDY_DIRECTOR

AbbVie

Locations

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University of California Los Angeles /ID# 269339

Los Angeles, California, United States

Site Status RECRUITING

Norton Cancer Institute - St. Matthews /ID# 269070

Louisville, Kentucky, United States

Site Status COMPLETED

Holy Cross Hospital - Silver Spring /ID# 269344

Silver Spring, Maryland, United States

Site Status RECRUITING

Mercy David C. Pratt Cancer Center /ID# 269350

St Louis, Missouri, United States

Site Status RECRUITING

The Center Of Hope /ID# 269348

Reno, Nevada, United States

Site Status ACTIVE_NOT_RECRUITING

Holy Name Medical Center /ID# 269340

Teaneck, New Jersey, United States

Site Status RECRUITING

New York Oncology Hematology - Albany Cancer Center /ID# 269345

Albany, New York, United States

Site Status COMPLETED

Women'S Cancer Care Associates /ID# 269980

Albany, New York, United States

Site Status COMPLETED

Duke Cancer Institute /ID# 269342

Durham, North Carolina, United States

Site Status RECRUITING

Summa Health /ID# 269349

Akron, Ohio, United States

Site Status RECRUITING

UT Southwestern Medical Center /ID# 269341

Dallas, Texas, United States

Site Status RECRUITING

Memorial Hermann Southeast Hospital /ID# 269347

Houston, Texas, United States

Site Status RECRUITING

Blacktown Hospital /ID# 269305

Blacktown, New South Wales, Australia

Site Status ACTIVE_NOT_RECRUITING

Newcastle Private Hosptial /ID# 269306

Lambton Heights, New South Wales, Australia

Site Status ACTIVE_NOT_RECRUITING

Monash Health - Monash Medical Centre /ID# 269304

Clayton, Victoria, Australia

Site Status ACTIVE_NOT_RECRUITING

Universitair Ziekenhuis Antwerpen /ID# 269310

Edegem, Antwerpen, Belgium

Site Status COMPLETED

OLV Ziekenhuis Aalst /ID# 269311

Aalst, Oost-Vlaanderen, Belgium

Site Status ACTIVE_NOT_RECRUITING

AZ Sint-Lucas /ID# 269307

Ghent, Oost-Vlaanderen, Belgium

Site Status ACTIVE_NOT_RECRUITING

UZ Gent /ID# 269309

Ghent, Oost-Vlaanderen, Belgium

Site Status COMPLETED

UZ Leuven /ID# 269308

Leuven, Vlaams-Brabant, Belgium

Site Status ACTIVE_NOT_RECRUITING

CHU de Liege /ID# 269312

Liège, , Belgium

Site Status COMPLETED

Universite de Montreal - Hopital Maisonneuve-Rosemont /ID# 268862

Montreal, Quebec, Canada

Site Status ACTIVE_NOT_RECRUITING

Centre Hospitalier De L'Universite De Montreal - Hopital Saint-Luc /ID# 269314

Montreal, Quebec, Canada

Site Status ACTIVE_NOT_RECRUITING

McGill University Health Centre - Glen Site. /ID# 269313

Montreal, Quebec, Canada

Site Status ACTIVE_NOT_RECRUITING

Institut Paoli-Calmettes /ID# 269648

Marseille, Bouches-du-Rhone, France

Site Status ACTIVE_NOT_RECRUITING

Centre Hospitalier Régional Universitaire de Tours - Hôpital Bretonneau /ID# 269301

Tours, Indre-et-Loire, France

Site Status ACTIVE_NOT_RECRUITING

Hopitaux Universitaires Paris Centre-Hopital Cochin /ID# 269330

Paris, Paris, France

Site Status ACTIVE_NOT_RECRUITING

Hospices Civils de Lyon - Centre Hospitalier Lyon-Sud /ID# 269327

Pierre-Bénite, Rhone, France

Site Status ACTIVE_NOT_RECRUITING

Clinique Victor Hugo Le Mans /ID# 269985

Le Mans, Sarthe, France

Site Status ACTIVE_NOT_RECRUITING

GH Diaconesses Croix Saint-Simon /ID# 269329

Paris, , France

Site Status ACTIVE_NOT_RECRUITING

Mater Misericordiae University Hospital /ID# 269334

Dublin, , Ireland

Site Status ACTIVE_NOT_RECRUITING

Beaumont Hospital /ID# 268864

Dublin, , Ireland

Site Status COMPLETED

Hospital San Pedro de Alcántara /ID# 269320

Cáceres, Caceres, Spain

Site Status ACTIVE_NOT_RECRUITING

Hospital Universitario de Jaén /ID# 269319

Jaén, Jaen, Spain

Site Status ACTIVE_NOT_RECRUITING

Usp Instituto Universitario Dexeus /ID# 269322

Barcelona, , Spain

Site Status ACTIVE_NOT_RECRUITING

Hospital Universitario Vall de Hebron /ID# 269315

Barcelona, , Spain

Site Status ACTIVE_NOT_RECRUITING

Hospital Universitario Ramon y Cajal /ID# 269318

Madrid, , Spain

Site Status ACTIVE_NOT_RECRUITING

Hospital Universitario 12 de Octubre /ID# 269321

Madrid, , Spain

Site Status ACTIVE_NOT_RECRUITING

Hospital Universitario La Paz /ID# 269302

Madrid, , Spain

Site Status ACTIVE_NOT_RECRUITING

Hospital Universitario y Politecnico La Fe /ID# 269325

Valencia, , Spain

Site Status COMPLETED

Countries

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Italy United States Australia Belgium Canada France Ireland Spain

Central Contacts

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ABBVIE CALL CENTER

Role: CONTACT

Phone: 844-663-3742

Email: [email protected]

Related Links

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Other Identifiers

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2023-505617-24-00

Identifier Type: OTHER

Identifier Source: secondary_id

IMGN853-0424

Identifier Type: -

Identifier Source: org_study_id