Clinical trial Recruiting at 52 sites Phase 2 Interventional Ages 18 and up Women only

Mirvetuximab soravtansine for platinum-resistant high-grade ovarian, fallopian tube, and primary peritoneal cancer with high folate receptor-alpha

Official title: A Randomized Phase 2, Open-label Study of Mirvetuximab Soravtansine in Patients With Platinum-resistant Advanced High-grade Epithelial Ovarian, Primary Peritoneal, or Fallopian Tube Cancers With High Folate Receptor-alpha Expression Testing 2 Schedules of Administration for Dose Optimization, With a Separate Cohort to Determine Starting Dose in Patients With Moderate Hepatic Impairment

Run by AbbVie · NCT06682988 · Data updated 2026-11-12

This trial tests whether intravenous mirvetuximab soravtansine helps people with platinum-resistant high-grade ovarian, fallopian tube, or primary peritoneal cancer whose tumors have high folate receptor-alpha.

More Primary Peritoneal Cancer trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment110 (estimated)
SponsorAbbVie
Industry-sponsored
Drugs / interventionschemotherapy, Mirvetuximab
Locations52 sites (Sarasota, Florida and 51 other locations)
StatusRecruiting
StartedMay 28, 2025
Main results expectedJuly 2026
Study endsApril 2028
Registry record updatedMay 26, 2026
Trial IDNCT06682988 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with high‑grade epithelial ovarian, primary peritoneal, or fallopian tube cancer that is platinum‑resistant, whose tumors have high folate receptor‑alpha expression, with ECOG 0–1 and at least one measurable lesion are the intended participants.

Probably not a fit

Patients whose tumors lack high folate receptor‑alpha expression, who are platinum‑sensitive, have poor performance status, or have significant organ dysfunction are unlikely to benefit from this investigational therapy.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 2 interventional trial testing an antibody–drug conjugate (mirvetuximab soravtansine) that targets folate receptor‑alpha (FRα) on tumor cells to deliver a cell‑killing payload. The study includes a randomized Phase 2 cohort where participants are assigned to one of two dosing schedules, and a separate hepatic impairment cohort to study drug use in patients with liver dysfunction. Key outcomes include safety (adverse events) and changes in disease activity measured radiographically using RECIST criteria. Eligible participants have platinum‑resistant high‑grade epithelial ovarian, primary peritoneal, or fallopian tube cancer with high FRα expression and an ECOG performance status of 0–1.

Why it matters

Potential benefit: If successful, this therapy could provide a targeted treatment option that shrinks tumors or slows progression for patients with FRα‑high, platinum‑resistant disease.

How similar studies have gone: Prior studies of mirvetuximab and other FRα‑targeted therapies have demonstrated clinical activity in FRα‑high ovarian cancer, but results have been mixed and definitive randomized benefit remains limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Both Cohorts

* Participants with a confirmed diagnosis of high-grade serous epithelial ovarian cancer (EOC), primary peritoneal cancer, or fallopian tube cancer.
* Participants with platinum-resistant disease:

  * Participants with 1 prior line of platinum-based therapy who have received ≥ 4 cycles of platinum and had a response (complete response (CR) or partial response (PR)) followed by radiological progressive disease (PD) between \> 3 months and ≤ 6 months after the date of the last dose of platinum.
  * Participants with 2 or 3 prior lines of platinum-based therapy who had radiological PD ≤ 6 months after the date of the last dose of platinum.
* Participants with progression diagnosed radiographically on or after their most recent line of therapy.
* Participants with an Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1.
* Participants with ≥ 1 lesion that meets the definition of measurable disease by RECIST v1.1 (radiologically measured by the investigator).
* Participants with a tumor that is positive for folate receptor alpha (FRα) expression as determined by the Ventana folate receptor 1 (FOLR1) assay (≥ 75% of tumor staining at 2+ intensity).

Exclusion Criteria:

Both Cohorts

* Participants with endometrioid, clear cell, mucinous, or sarcomatous histology; mixed tumors containing any of the above histologies; or low-grade or borderline ovarian tumor.
* Participants with primary platinum-refractory disease, defined as disease that did not respond (complete response (CR) or partial response (PR)) or that progressed radiographically within 3 months of the last dose of first-line platinum-containing chemotherapy.
* Participants with serious concurrent illness or clinically relevant active infection as outlined in the protocol
* Participants with a history of hemorrhagic or ischemic stroke within 6 months prior to randomization.

Where it's running

  • First Physicians Group /ID# 272180
    Sarasota, Florida, United States
    Recruiting
  • St. Elizabeth Medical Center - Edgewood /ID# 272113
    Edgewood, Kentucky, United States
    Recruiting
  • Baptist Health Lexington /ID# 272211
    Lexington, Kentucky, United States
    Recruiting
  • UMass Memorial Medical Center - Belmont Street /ID# 272122
    Worcester, Massachusetts, United States
    Recruiting
  • Karmanos Cancer Institute - Detroit /ID# 272112
    Detroit, Michigan, United States
    Recruiting
  • Allegheny Health Network West Penn Hospital /ID# 272267
    Pittsburgh, Pennsylvania, United States
    Recruiting
Show 44 more locations
  • Memorial Hermann Texas Medical Center /ID# 272227
    Houston, Texas, United States
    Recruiting
  • Blacktown Hospital /ID# 272182
    Blacktown, New South Wales, Australia
    Recruiting
  • Newcastle Private Hosptial /ID# 272213
    Lambton Heights, New South Wales, Australia
    Recruiting
  • Royal Brisbane and Women's Hospital /ID# 272123
    Brisbane, Queensland, Australia
    Recruiting
  • Icon Cancer Centre Chermside /ID# 272220
    Chermside, Queensland, Australia
    Recruiting
  • Ballarat Base Hospital /ID# 272240
    Ballarat, Victoria, Australia
    Recruiting
  • Monash Health - Monash Medical Centre - Clayton /ID# 272234
    Clayton, Victoria, Australia
    Recruiting
  • Sir Charles Gairdner Hospital /ID# 272116
    Nedlands, Western Australia, Australia
    Recruiting
  • Algemeen Ziekenhuis klina /ID# 272127
    Brasschaat, Antwerpen, Belgium
    Recruiting
  • Cliniques Universitaires UCL Saint-Luc /ID# 272219
    Brussels, Brussels Capital, Belgium
    Recruiting
  • AZ Maria Middelares /ID# 272186
    Ghent, Oost-Vlaanderen, Belgium
    Recruiting
  • Universitair Ziekenhuis Leuven /ID# 277350
    Leuven, Vlaams-Brabant, Belgium
    Recruiting
  • AZ-Delta /ID# 272250
    Roeselare, West-Vlaanderen, Belgium
    Recruiting
  • Centre Francois Baclesse /ID# 272204
    Caen, Calvados, France
    Recruiting
  • Centre Armoricain De Radiothérapie, D'Imagerie Médicale Et D'Oncologie (Cario) /ID# 272201
    Plérin, Cotes-d Armor, France
    Recruiting
  • Institut De Cancérologie De Lorraine Alexis Vautrin /ID# 272147
    Vandœuvre-lès-Nancy, Meurthe-et-Moselle, France
    Recruiting
  • Centre Oscar Lambret /ID# 272183
    Lille, Nord, France
    Recruiting
  • Centre Antoine-Lacassagne /ID# 272101
    Nice, Provence-Alpes-Côte d'Azur Region, France
    Recruiting
  • HCL - Hopital Lyon Sud /ID# 272178
    Pierre-Bénite, Rhone, France
    Recruiting
  • Centre Hospitalier Departemental Vendee (Chd Vendee) /ID# 272174
    La Roche-sur-Yon, Vendee, France
    Recruiting
  • GH Diaconesses Croix Saint Simon-Hopital De La Croix Saint-Simon /ID# 272179
    Paris, France
    Recruiting
  • Mazowiecki Szpital Wojewodzki im. Sw. Jana Pawla II w Siedlcach Sp. z o.o. /ID# 271692
    Siedlce, Masovian Voivodeship, Poland
    Recruiting
  • Bialostockie Centrum Onkologii im. M. Sklodowskiej-Curie w Bialymstoku /ID# 272169
    Bialystok, Podlaskie Voivodeship, Poland
    Recruiting
  • National Cancer Center /ID# 272265
    Goyang-si, Gyeonggido, South Korea
    Recruiting
  • CHA Bundang Medical Center /ID# 271590
    Seongnam, Gyeonggido, South Korea
    Recruiting
  • Seoul National University Bundang Hospital /ID# 271594
    Seongnam-si, Gyeonggido, South Korea
    Recruiting
  • Keimyung University Dongsan Hospital /ID# 271592
    Daegu, Gyeongsangbuk-do, South Korea
    Recruiting
  • Seoul National University Hospital /ID# 272264
    Seoul, Seoul Teugbyeolsi, South Korea
    Recruiting
  • Yonsei University Health System Severance Hospital /ID# 271593
    Seoul, Seoul Teugbyeolsi, South Korea
    Recruiting
  • Asan Medical Center /ID# 272130
    Seoul, Seoul Teugbyeolsi, South Korea
    Recruiting
  • Gangnam Severance Hospital /ID# 272217
    Seoul, Seoul Teugbyeolsi, South Korea
    Recruiting
  • Samsung Medical Center /ID# 271591
    Seoul, Seoul Teugbyeolsi, South Korea
    Recruiting
  • Hospital Universitario Germans Trias i Pujol /ID# 272216
    Badalona, Barcelona, Spain
    Recruiting
  • Hospital Universitario de Jaén /ID# 272205
    Jaén, Jaen, Spain
    Recruiting
  • Hospital Clínico Universitario Virgen de la Arrixaca /ID# 272223
    El Palmar, Murcia, Spain
    Recruiting
  • Clinica Universidad de Navarra - Pamplona /ID# 275742
    Pamplona, Navarre, Spain
    Recruiting
  • Hospital Universitario Virgen del Rocio /ID# 272107
    Seville, Sevilla, Spain
    Recruiting
  • Hospital Universitario Vall de Hebron /ID# 272134
    Barcelona, Spain
    Recruiting
  • Hospital General Universitario Gregorio Maranon /ID# 272121
    Madrid, Spain
    Recruiting
  • CLINICA UNIVERSIDAD DE NAVARRA-Madrid /ID# 272221
    Madrid, Spain
    Recruiting
  • Hospital Universitario HM Sanchinarro /ID# 272190
    Madrid, Spain
    Recruiting
  • Hospital Clinico Universitario de Valencia /ID# 272218
    Valencia, Spain
    Recruiting
  • Hospital Clinico Universitario Lozano Blesa /ID# 272165
    Zaragoza, Spain
    Recruiting
  • Addenbrookes Hospital /ID# 272162
    Cambridge, Cambridgeshire, United Kingdom
    Recruiting

+2 more sites. See ClinicalTrials.gov for the full list.

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.