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.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 110 (estimated) |
| Sponsor | AbbVie Industry-sponsored |
| Drugs / interventions | chemotherapy, Mirvetuximab |
| Locations | 52 sites (Sarasota, Florida and 51 other locations) |
| Status | Recruiting |
| Started | May 28, 2025 |
| Main results expected | July 2026 |
| Study ends | April 2028 |
| Registry record updated | May 26, 2026 |
| Trial ID | NCT06682988 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
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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
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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
- Study coordinator: Abbvie Call Center
- Email: abbvieclinicaltrials@abbvie.com
- Phone: 844-663-3742
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.