A Study of Mirvetuximab Soravtansine vs. Investigator's Choice of Chemotherapy in Women With Folate Receptor (FR) Alpha Positive Advanced Epithelial Ovarian Cancer (EOC), Primary Peritoneal or Fallopian Tube Cancer (FORWARD I)
Epithelial Ovarian Cancer, Primary Peritoneal Carcinoma, Fallopian Tube Cancer
About this trial
This is an interventional treatment trial for Epithelial Ovarian Cancer focused on measuring Epithelial ovarian cancer, Fallopian tube cancer, Primary peritoneal cancer, IMGN853, ADC, Antibody drug conjugate, ImmunoGen, Antibody, Folate receptor alpha, mirvetuximab soravtansine, Phase 3, platinum-resistant, MIRV
Eligibility Criteria
Inclusion Criteria:
- Participants must be diagnosed with advanced epithelial ovarian cancer, primary peritoneal cancer or fallopian tube cancer
- Participants must have folate receptor alpha positive tumor expression as defined in the protocol
- Participants must have platinum-resistant ovarian cancer, defined as progression within 6 months from completion of a minimum of four cycles of platinum-containing therapy.
- Participants must have received at least one but no more than three prior systemic treatment regimens and for whom single-agent chemotherapy is appropriate as the next line of treatment
- Participants must have at least one lesion that meets the definition of measurable disease by RECIST 1.1
Exclusion Criteria:
- Diagnosis of clear cell, low grade ovarian cancer or mixed tumors
- Participants with primary platinum-refractory disease
- Serious concurrent illness or clinically relevant active infection as defined in the protocol
- Prior treatment with mirvetuximab soravtansine
- Women who are pregnant or breast feeding
Sites / Locations
- University of Alabama at Birmingham
- Arizona Oncology Associates, PC - HAL
- Arizona Oncology Associates, PC - HOPE
- UCLA Women's Health Clinical Research Unit - OBGYN
- University of California San Diego Medical Center
- California Pacific Medical Center
- Kaiser Permanente Medical Center
- Yale University School of Medicine
- Norwalk Hospital/WCHN
- Florida State University College of Medicine
- Georgia Regents University (GRU)-Medical College of Georgia (MCG) - Cancer Center
- Rush University Medical Center
- Sudarshan Sharma LTD
- Community Health Network, Inc.
- Indiana University School of Medicine
- Norton Cancer Institute
- Women's Cancer Care
- Ochsner Clinic Foundation
- WK Physician Network Clinical Research
- Holy Cross Hospital
- Massachusetts General Hospital
- Dana-Farber Cancer Institute
- University of Massachusetts Memorial Medical Center
- Karmanos Cancer Institute
- Henry Ford Hospital
- Mercy Women's Oncology
- Center of Hope
- Dartmouth-Hitchcock Medical Center
- MD Anderson Cancer Center - Cooper Health
- Overlook Medical Center
- The University of New Mexico Comprehensive Cancer Center - Memorial Medical Center
- Laura and Isaac Perlmutter Cancer Center at NYU Langone
- Icahn School of Medicine at Mount Sinai
- Memorial Sloan Kettering Cancer Center and (MSK Monmouth) and ( MSK Westchester)
- Levine Cancer Institute - Carolinas Medical Center
- University of Cincinnati Medical Center
- Fairview Hospital, Moll Pavilion Cancer Center
- Cleveland Clinic
- OSU Wexner Medical Center
- Hillcrest Hospital
- University of Oklahoma Health Sciences Center
- Oklahoma Cancer Specialists and Research Institute, LLC
- University of Pennsylvania
- Magee - Womens Hospital of UPMC
- Women & Infants of Rhode Island
- Hollings Cancer Center
- Texas Oncology-Austin Central
- University of Texas Southwestern Medical Center
- Texas Oncology - Fort Worth
- Texas Oncology - The Woodlands, Gynecologic Oncology
- Texas Oncology-Tyler
- Kadlec Clinic Hematology & Oncology
- Froedtert and Medical College of Wisconsin
- Cliniques Universitaires Saint-Luc
- AZ Groeninge - Oncology Centre
- Universitaire Ziekenhuizen (UZ) Leuven-Gasthuisberg
- Centre Hospitalier de l'Ardenne
- University Clinical Center of Republic of Srpska
- Tom Baker Cancer Centre
- Cross Cancer Institute
- Juravinski Cancer Centre
- London Health Sciences Centre
- The Ottawa Hospital Cancer Centre
- Sunnybrook Research Institute - Odette Cancer Centre
- Princess Margaret Cancer Centre
- Hopital de la CitedelaSante
- Centre hospitalier de l'Université de Montréal
- McGill University Health Centre - Glen Site
- Porodnicka A Gynekologicka Klinika
- University Hospital Ostrava
- Onkologicke oddeleni Krajske nemocnice T. Bati, a.s., Zlin
- Institut de Cancerologie de L'Ouest - site Paul Papin
- CHRU Jean Minjoz
- Institut Bergonie
- Cochin Hospital
- Hôpital Croix St-Simon
- Centre Hospitalier Lyon-Sud
- Centre Armoricain de radiotherapie, Imagerie Medicale et Oncol
- Centre Eugene Marquis
- Institut Curie-Hopital Rene Huguenin
- Institut Claudius Regaud
- Institut de Cancerologie de Lorraine
- Gustave Roussy Institution
- Bon Secours Hospital
- Mater Private Hospital and Mater Misericordiae University Hospital
- Istituto Europeo di Oncologia
- Azienda Ospedaliero Universitaria di Bologna Policlinico S. Orsola-Malpighi
- Azienda Sanitaria Locale (ASL)
- Azienda Unita Sanitaria Locale di Ravenna
- Romagnolo per lo Studio e la Cura dei Tumori IRST-IRCCS - Oncologia medica
- Ospedale San Raffaele
- Fondazione IRCCS National Cancer Institute
- Istituto Nazionale Tumori- G. Pascale
- Policlinico Universitario Agostino Gemelli
- LLC "VitaMed"
- State Budget-Funded Healthcare Institution of Novosibirsk Oblast "Novosibirsk Oblast Oncology Dispensary"
- Budget-Funded Healthcare Institution of Omsk Oblast "Clinical Oncology Dispensary"
- State Budget Institution of Health "Leningrad Regional Oncologicacal Dispensary"
- Oncology and Radiology Institute Serbia
- Clinical Centre Nis, Oncology Clinic
- Oncology Institute Vojvodina
- ICO Hospital Germans Trias i Pujol
- Onkologikoa
- Hospital Teresa Herrera (CHUACoruña)
- IOR - Hospital Quiron Dexeus
- Hospital Vall D'Hebron
- Institut Català d'Oncologia - Unitad de Investigación Clínica
- Hospital Reina Sofia
- Complejo Hospitalario Granada
- Hospital Universitario Gregorio Maranon
- MD Anderson Cancer Center - Madrid
- Hospital Universitario Ramon Y Cajal
- Servicio de Oncología Médica Hospital Universitario La Paz
- Hospital Universitario HM Sanchinarro
- Hospital Regional Universitario Malaga - Hospital Materno Infantil de Málaga
- Hospital Son Llatzer (HSLL)
- Instituto Valenciano de Oncologia
- Kantonsspital Winterthur, Medizinische Onkologie
- Kantonsspital
- Hopitaux Universitaires de Geneve
- UCL Cancer Institute
- The Christie NHS Foundation Trust
- Nottingham University Hospitals NHS Trust - City Hospital
- Lancashire Teaching Hospitals NHS Foundation Trust - Royal Preston Hospital
- The Royal Marsden NHS Foundation Trust - Royal Marsden Hospital (RMH)
- The Royal Wolverhampton Hospitals NHS Trust - New Cross Hospital - GOW
- Peterborough City Hospital
- Beatson West of Scotland Cancer Centre
- Cancer,Haematology and Physics Directorate, Cancer Centre Royal Stoke University
- University Hospitals Coventry & Warwickshire NHS Trust, Arden Cancer Centre
- Mount Vernon Cancer Centre
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Mirvetuximab Soravtansine
Investigator's Choice (IC) Chemotherapy
Participants will receive mirvetuximab soravtansine at 6 milligrams/kilogram (mg/kg) adjusted ideal body weight (AIBW) administered intravenously (IV) on Day 1 of a 3 week cycle. Participants will continue to receive study drug until they experience progressive disease (PD) per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 (as assessed by the blinded independent review committee [BIRC]), experience unacceptable toxicity, or withdraw consent, whichever comes first, or until the sponsor terminate the study. (Maximum exposure: 86.9 weeks)
Participants will receive a dose of IC chemotherapeutic agent calculated using body surface area (BSA). Paclitaxel will be administered at 80 milligrams/square meter (mg/m^2) as a 1-hour IV infusion on Days 1, 8, 15, and 22 of a 4-week cycle; or topotecan will be administered at 4 mg/m^2 over 30 minutes on Days 1, 8, and 15 of a 4-week cycle. Alternatively, topotecan could be administered at 1.25 mg/m^2 over 30 minutes on Days 1 to 5 of a 3-week cycle; or pegylated liposomal doxorubicin will be administered at 40 mg/m^2 as a 1 mg/minute IV infusion on Day 1 of a 4-week cycle. After Cycle 1, if tolerated, pegylated liposomal doxorubicin could be administered as a 1-hour infusion. Participants will continue to receive study drug until they experience PD per RECIST version 1.1 (as assessed by BIRC), experience unacceptable toxicity, or withdraw consent, whichever comes first, or until the sponsor terminate the study. (Maximum exposure: 62.9 weeks)