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Brief Title: A Study of Mirvetuximab Soravtansine in Platinum-Resistant, Advanced High-Grade Epithelial Ovarian, Primary Peritoneal, or Fallopian Tube Cancers With High Folate Receptor-Alpha Expression
Official Title: SORAYA: A Phase 3, Single Arm Study of Mirvetuximab Soravtansine in Platinum-Resistant, Advanced High-Grade Epithelial Ovarian, Primary Peritoneal, or Fallopian Tube Cancers With High Folate Receptor-Alpha Expression
Study ID: NCT04296890
Brief Summary: This study is designed to evaluate the efficacy and safety of mirvetuximab soravtansine (MIRV) in patients with platinum-resistant high-grade serous epithelial ovarian cancer, primary peritoneal, or fallopian tube cancer, whose tumors express a high-level of Folate Receptor-Alpha (FRα). Patients will be, in the opinion of the Investigator, appropriate for single-agent therapy for their next line of therapy. All patients will receive single-agent MIRV at 6 mg/kg adjusted ideal body weight administered on Day 1 of every 3-week cycle.
Detailed Description: This study is designed to evaluate the efficacy and safety of mirvetuximab soravtansine (MIRV) in patients with platinum-resistant high-grade serous epithelial ovarian cancer, primary peritoneal, or fallopian tube cancer, whose tumors express a high-level of Folate Receptor Alpha (FRα). Patients will be, in the opinion of the Investigator, appropriate for single-agent therapy for their next line of therapy. FRα positivity will be defined by the Ventana FOLR1 (Folate Receptor 1/Folate Receptor Alpha) Assay. Approximately 110 eligible patients will be enrolled to achieve a total of 105 efficacy evaluable patients. Efficacy evaluable patients include those who have measurable lesions per Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST v1.1) at baseline and received at least 1 dose of MIRV. All patients will receive single-agent MIRV at 6 mg/kg adjusted ideal body weight (AIBW) administered on Day 1 of every 3-week cycle (Q3W). Tumor response will be evaluated by the Investigator using RECIST v1.1. Computerized tomography (CT) or magnetic resonance imaging (MRI) scans will be collected for sensitivity analysis by blinded independent central review (BICR). Patients will continue to receive MIRV until disease progression, unacceptable toxicity, withdrawal of consent, death, or until the Sponsor terminates the study (whichever comes first). Tumor assessments, including radiological assessments by CT/MRI scans will be performed at Screening and subsequently every 6 weeks (± 1 week) from Cycle 1 Day 1 (C1D1) for the first 36 weeks then every 12 weeks (± 3 weeks) until disease progression, death, the start of new anticancer therapy, or patient's withdrawal of consent (whichever occurs first). Patients who discontinue MIRV for reasons other than progressive disease (PD) will continue with tumor assessments until documentation of PD or the start of a new anticancer therapy, whichever comes first. Prior to Week 36 (from Cycle 1, Day 1), assessments should occur every 6 weeks (± 1 week) as allowed by local requirements but must occur at an interval of no more than 12 weeks. After Week 36, assessment will occur every 12 weeks (± 3 weeks) until documentation of PD or the start of new anticancer therapy. All patients who discontinue MIRV will be followed for survival every 3 months (± 1 month) until death, lost to follow-up, withdrawal of consent for survival follow-up, or end of study (EOS) (whichever comes first). Additional survival follow-up calls may occur periodically, if needed.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: FEMALE
Healthy Volunteers: No
Arizona Oncology Associates, Phoenix, Arizona, United States
City of Hope Medical Center, Duarte, California, United States
California Cancer Associates (cCARE), Fresno, California, United States
Stanford School of Medicine, Palo Alto, California, United States
California Pacific Medical Center Research Institute, San Francisco, California, United States
Rocky Mountain Cancer Centers, Littleton, Colorado, United States
Sarasota Memorial Health Care System, Sarasota, Florida, United States
Florida Cancer Specialists Panhandle, Tallahassee, Florida, United States
University of South Florida, Tampa, Florida, United States
Florida Cancer Specialists Research, West Palm Beach, Florida, United States
Northside Hospital, Atlanta, Georgia, United States
Hinsdale Hospital, Hinsdale, Illinois, United States
St. Vincent Gynecologic Oncology, Indianapolis, Indiana, United States
University of Kansas Cancer Center, Westwood, Kansas, United States
Norton Cancer Institute, Louisville, Kentucky, United States
Women's Cancer Center, Covington, Louisiana, United States
Maryland Oncology Hematology, P.A., Rockville, Maryland, United States
Massachusetts General Hospital, Boston, Massachusetts, United States
Dana Farber Cancer Institute, Boston, Massachusetts, United States
Midwest Oncology Associates/Sarah Cannon, Kansas City, Missouri, United States
Center of Hope at Renown Medical Center, Reno, Nevada, United States
Holy Name Medical Center, Teaneck, New Jersey, United States
Mount Sinai Health System, New York, New York, United States
Memorial Sloan-Kettering Cancer Center, New York, New York, United States
Sarah Cannon Research Institute / Tennessee Oncology, PLLC, Nashville, Tennessee, United States
Texas Oncology-Austin Central, Austin, Texas, United States
Texas Oncology, P.A. - Fort Worth Cancer Center, Fort Worth, Texas, United States
Texas Oncology, P.A. - McAllen, McAllen, Texas, United States
Texas Oncology, P.A. - Sugar Land, Sugar Land, Texas, United States
USOR: Texas Oncology - The Woodlands, Gynecologic Oncology, The Woodlands, Texas, United States
Texas Oncology, P.A. - Tyler, Tyler, Texas, United States
Kadlec Clinic Hematology and Oncology, Kennewick, Washington, United States
University of Wisconsin Carbone Cancer Center, Madison, Wisconsin, United States
Froedtert and the Medical College of Wisconsin Department of Obstetrics & Gynecology, Milwaukee, Wisconsin, United States
Royal North Shore Hospital, St. Leonards, New South Wales, Australia
ICON Cancer Care, Auchenflower, Queensland, Australia
Peninsula and South Eastern Haematology & Oncology Group, Frankston, Victoria, Australia
St John of God Subiaco Hospital, Subiaco, Western Australia, Australia
Cliniques Universitaires Saint Luc - lnstitut Roi Albert II, Brussels, Bruxelles, Belgium
Centre Hopsitalier de l'Ardenne, Libramont, Luxembourg, Belgium
UZ Gent, Gent, , Belgium
UZ Leuven, Leuven, , Belgium
CHU UCL Namur/Site Sainte Elisabeth, Namur, , Belgium
MHAT "Serdika", Sofia, , Bulgaria
Všeobecná fakultní nemocnice v Praze, Praha 2, Prague, Czechia
Universitätsmedizin Mannheim, Mannheim, Baden-Württemberg, Germany
UMG Frauenklinik Robert-Koch-Str. 40, Göttingen, Niedersachsen, Germany
KEM, Essen, , Germany
Mater Misericordiae University Hospital, Dublin, Leinster, Ireland
St. James's Hospital, Dublin, Leinster, Ireland
Cork University Hospital, Cork, Munster, Ireland
Bon Secours Hospital, Cork, Munster, Ireland
University Hospital Waterford, Waterford, Munster, Ireland
Beaumont Hospital, Dublin, , Ireland
Rambam Medical Center, Haifa, , Israel
Shaare Zedek Medical Center, Jerusalem, , Israel
Hadassah Ein Kerem Medical center, Jerusalem, , Israel
Meir Medical Center, Kfar Saba, , Israel
Sheba Medical Center, Ramat Gan, , Israel
Kaplan Medical Center, Rehovot, , Israel
Ziv Medical Center, Safed, , Israel
Policlinico S. Orsola-Malpighi, Bologna, , Italy
Azienda Socio Santaria Territoriale degli Spedali Civili di Brescia, Brescia, , Italy
Istituto Oncologico Candiolo, Candiolo, , Italy
Ospedale Cannizzaro di Catania, Catania, , Italy
IEO Istituto Europeo di Oncologia, Milano, , Italy
Azienda Ospedaliera Ospedale Niguarda Ca'Granda, Milano, , Italy
Fondazione IRCCS Istituto Nazionale dei Tumori, Napoli, , Italy
Istituto Nazionale Tumori- G. Pascale, Napoli, , Italy
Ospedale S.Maria della Misericordia, Perugia, , Italy
Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, , Italy
Specjalistyczna Przychodnia Lekarska Medicus, Chorzów, Silesia, Poland
Mazurskim Centrum Onkologiiw Olsztynie, Olsztyn, Warmińsko-Mazurskie, Poland
Instytut Centrum Zdrowia Matki Polki, Łódź, Łódzkie, Poland
Institut Català d'Oncologia Badalona Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
Hospital La Paz, Madrid, Castellana, Spain
Hospital Teresa Herrera - Complejo Hospitalario Universitario A Coruna, A Coruña, Galicia, Spain
Hospital Quirón Dexeus, Barcelona, , Spain
Vall d'Hebron Institute of Oncology, Barcelona, , Spain
lnstitut Catala d' Oncologia L' Hospitalet, Barcelona, , Spain
Hospital Reina Sofia de Cordoba, Córdoba, , Spain
Institut Català d'Oncología de Girona, Girona, , Spain
Clinica Universidad de Navarra, Madrid, , Spain
MD Anderson Cancer Centre, Madrid, , Spain
Hospital Clínico Universitario San Carlos, Madrid, , Spain
Hospital Clinico Universitario Virgen de la Arrixaca, Murcia, , Spain
Corporació Sanitaria Parc Taulí, Sabadell, , Spain
Hospital Clinico Universitario de Valencia, Valencia, , Spain
Instituto Valenciano de Oncologia, Valencia, , Spain
Name: Michael Method, MPH, MBA
Affiliation: ImmunoGen, Inc.
Role: STUDY_DIRECTOR
Name: Ursula Matulonis, MD
Affiliation: Dana-Farber Cancer Institute
Role: PRINCIPAL_INVESTIGATOR
Name: Robert Coleman, MD
Affiliation: The US Oncology Network
Role: PRINCIPAL_INVESTIGATOR