A Phase 1b/2 Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Mirvetuximab Soravtansine (IMGN853) in Combination With Bevacizumab, Carboplatin, Pegylated Liposomal Doxorubicin, Pembrolizumab, or Bevacizumab+Carboplatin in Adults With Folate Receptor Alpha Positive Advanced Epithelial Ovarian Cancer, Primary Peritoneal Cancer or Fallopian Tube Cancer

Trial ID # NCT02606305; FORWARD II
Phase Ib/II
Drug Class Antibody Drug Conjugates: FRalpha
Drug Name Mirvetuximab soravtansine
Alternate Drug Names M9346A-sulfo-SPDB-DM4, IMGN853, Anti-FOLR1-mab Maytansinoid Conjugate
Drugs in Trial Carboplatin, Mirvetuximab soravtansine
Eligible Participant

Platinum sensitive FRalpha+ ovarian cancer; IHC: ≥ 25% tumor cells at ≥ 2+ intensity

Patients Enrolled

200; Mir+CarboPt: 18; median 2.5 prior therapies (1-6)

Therapy Setting

Recurrence

Study Design

Open-Label, Non-randomized

Endpoints

ORR, DoR, PFS, RP2D, evaluated per RECIST

Biomarkers

FRalpha protein

Efficacy

Mir+CarboPt:
ORR: 71% (3CR, 9PR, n=17)
PFS: 15 months (9.9-NR)

Clinically Significant Adverse Events

Dose limiting toxicities: vasculitis (grade 3)
Serious AE: none
Grade 3-4 AE:
Mir+CarboPt: neutropenia (28%), thrombocytopenia (17%), anemia (11%), hypokalemia (11%);
Mir+CarboPt+Bev: thrombocytopenia (51%); neutropenia (39%); hypertension (10%), grade 2 peripheral neuropathy (22%)

Conclusion

The combination of carboplatin and mirvetuximab shows encouraging activity in FRalpha+ platinum sensitive patients

Reference

Moore KN et al. Safety and activity findings from a phase Ib escalation study of mirvetuximab soravtansine, a folate receptor alpha (FRα)-targeting antibody-drug conjugate (ADC), in combination with carboplatin in patients with platinum-sensitive ovarian cancer. Gynecol Oncol (2018) 151: 46-52
https://www.ncbi.nlm.nih.gov/pubmed/30093227

O'Malley D et al. Mirvetuximab soravtansine (MIRV), a folate receptor alpha (FRα)-targeting antibody-drug conjugate (ADC), in combination with carboplatin (CARBO) and bevacizumab (BEV): Final results from a study in patients (pts) with recurrent platinum sensitive ovarian cancer. Annals Oncol (2020) 31 (suppl_4): abstract 833P
https://www.clearityfoundation.org/wp-content/uploads/2020/10/Mirv-and-CarboPt-and-Bev-ESMO-2020-abstract.pdf

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