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Epithelial Ovarian CancerPhase 3NCT05622890

A Single-arm Clinical Trial of IMGN853 in Chinese Adult Patients With Platinum-resistant, Epithelial Ovarian Cancer

A Phase 3 study testing Mirvetuximab Soravtansine in people with Epithelial Ovarian Cancer and Peritoneal Cancer, run by Hangzhou Zhongmei Huadong Pharmaceutical Co., Ltd. at 28 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This Phase III single-arm study is to evaluate the efficacy and safety of IMGN853 in Chinese adult patients with platinum-resistant high-grade epithelial ovarian, primary peritoneal, or fallopian tube cancers (hereafter referred to as PROC) with high FRα expression. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Mirvetuximab Soravtansine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35 participants
Where
28 sitesChina
Study dates
18 Aug 2022to 31 Dec 2023
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Female patients ≥ 18 years of age
  • Patients must have a histopathologically confirmed diagnosis of high-grade serous EOC.
  • Patients must have platinum-resistant disease:
  • Patients must have had a response (CR or PR) after previous 1 line of platinum-based therapy for at least 4 cycles of treatment, and then progressed between > 3 months and ≤ 6 months after the date for last dose of platinum.
  • Patients who relapsed after > 6 months since the last platinum-based treatment with at least 4 cycles of one line platinum-based therapy: 1) continued to receive at least 4 cycles of 2 or 3 lines of platinum-based treatment and must have had PD within 6 months from the last dose of platinum; or 2) had PD during treatment with 2 or 3 lines of platinum-containing chemotherapy.
  • Note: PD should be calculated from the date of the last dose of platinum-containing therapy to the date of PD indicated by radiographic imaging.
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  • Note: Patients who are platinum-refractory during 1 line treatment are excluded (see exclusion criterion 3).
  • Patients must have radiological PD on or after the most recent anti-cancer therapy.
  • Patients must be willing to provide the archival tumor tissue slides or undergo low-risk routine medical procedures to collect new biopsy samples for immunohistochemistry (IHC) confirmation of FRα positivity.
  • Per VENTANA FOLR1 (FOLR-2.1) Assay criteria, patient's tumor must be positive for FRα expression by a central laboratory.
  • Patients must have at least one lesion that meets the definition of measurable disease by RECIST v1.1 (radiologically assessed by the investigator).
  • Patients must have received at least 1 but no more than 3 lines of prior systemic anti-cancer therapy, including at least 1 line of therapy containing bevacizumab, and for whom monotherapy is appropriate for the next line of treatment:
  • Neoadjuvant ± adjuvant is considered as 1 line of therapy;
  • Maintenance therapy (eg, bevacizumab, PARP inhibitors) will be considered as part of the prior line of therapy (ie, not counted independently);
  • Therapy changed due to toxicity in the absence of PD will be considered as part of the same line (ie, not counted independently);
  • Hormonal therapy (except as maintenance therapy) will be considered as a separate line of therapy.
  • Patients must have an Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1.
  • Patients must have completed prior therapy within the following specified times:
  • Systemic anti-tumor therapy (the last prior systemic anti-tumor therapy should be at least 5 half-lives or 4 weeks from the initiation of the investigational drug, whichever is shorter);
  • Focal radiotherapy: previous focal radiotherapy should be at least 2 weeks from the initiation of investigational drug.
  • All toxicities (except alopecia) associated with prior therapy must be stable or resolved (Grade 1 or normal).
  • Any major surgery that a patient has undergone must have been completed at least 4 weeks prior to the first dose of IMGN853 and the postoperative complications of prior surgical treatment have resolved or are stable.
  • Patients must have adequate hematologic, hepatic, and renal functions as defined by the following parameters (without G-CSF [a 20-day drug washout period for long-acting growth factors], human albumin injection and other corrective treatment drugs are not allowed within 14 days before obtaining laboratory test values):
  • Absolute neutrophil count (ANC) ≥ 1.5 × 10^9/L (1,500 μL);
  • Platelet count ≥ 100 × 10^9/L (100,000/μL) without platelet transfusion in the prior 10 days;
  • Hemoglobin ≥ 9.0 g/dL without packed red blood cell (PRBC) transfusion in the prior 21 days;
  • Serum creatinine ≤ 1.5 × upper limit of normal (ULN);
  • Both aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3.0 × ULN;
  • Serum bilirubin ≤ 1.5 × ULN (patients with Gilbert syndrome may be enrolled if total bilirubin is < 3.0 × ULN);
  • Serum albumin ≥ 2 g/dL.
  • Patients or their legally authorized representatives must be willing and able to sign the ICF and comply with the requirements of the protocol.
  • Women of child bearing potential (WCBP), defined as a sexually mature woman who have not undergone surgical sterilization or who have not been naturally postmenopausal for at least 12 consecutive months (ie, who have had menses any time in the preceding 12 consecutive months) must agree to use effective contraceptive methods; examples included oral, parenteral, or implantable hormonal contraceptive, intrauterine device, barrier contraceptive with spermicide, partner's latex condom or vasectomy) while on study treatment and for at least 12 weeks after the last dose of investigational drug.
  • WCBP must have a negative pregnancy test within 4 days prior to the first dose of IMGN853.
  • The expected survival of the subject is at least 12 weeks as assessed by the investigator.

Who cannot join

  • Male patients.
  • Patients with endometrioid carcinoma, clear cell carcinoma, mucinous carcinoma, or sarcoma tissue, mixed tumor containing any of the above histologies, or low grade/borderline ovarian tumor.
  • Patients with primary platinum-refractory disease, defined as disease that did not respond to (CR or PR) or has progressed within 3 months of the last dose of first-line platinum-containing chemotherapy.
  • Patients who have received prior wide-field radiotherapy (RT) with at least 20% of the bone marrow affected.
  • Patients with > Grade 1 peripheral neuropathy per Common Terminology Criteria for Adverse Events (CTCAE).
  • Patients with active or chronic corneal disorders, history of corneal transplant, or active ocular conditions requiring ongoing treatment/monitoring such as uncontrolled glaucoma, wet age-related macular degeneration requiring treatment with intravitreal injections, active diabetic retinopathy with macular edema, macular degeneration, presence of papilloedema, and /or monocular vision.
Show all 32Show fewer
  • Patients with serious concurrent illness or clinically relevant active infection, including, but not limited to the following:
  • Known acute or chronic active hepatitis B (HBsAg positive and HBV DNA viral load ≥ 2500 copies/mL or > 500 IU/mL, if necessary, patients may receive nucleoside prophylactic anti-hepatitis B virus therapy) or acute or chronic active hepatitis C (HCV antibody positive and HCV RNA positive);
  • Human immunodeficiency virus (HIV) infection;
  • Active cytomegalovirus infection;
  • Any other concurrent infectious disease requiring systematic treatment within 2 weeks prior to the first dose of IMGN853.
  • Patients with a history of multiple sclerosis (MS) or other demyelinating diseases and/or Lambert-Eaton syndrome (paraneoplastic syndrome).
  • Patients with clinically significant cardiac disorders, including but not limited to any of the following:
  • Myocardial infarction ≤ 6 months prior to the first dose;
  • Unstable angina pectoris;
  • Uncontrolled congestive cardiac failure (New York Heart Association classification > II);
  • Uncontrolled ≥ Grade 3 hypertension (per CTCAE criteria);
  • Uncontrolled cardiac arrhythmias.
  • Patients with a history of hemorrhagic or ischemic stroke within 6 months prior to signing the ICF.
  • Patients with a history of hepatic cirrhosis (Child-Pugh B or C).
  • Patients with a previous clinical diagnosis of or currently ongoing non-infectious interstitial lung disease (ILD), including noninfectious pneumonitis, lung disorders such as pulmonary fibrosis, interstitial pneumonia, pneumoconiosis, drug-related pulmonitis, severely impaired lung function, etc.
  • Patients requiring folic acid-containing supplements (e.g., folate deficiency).
  • Known hypersensitivity to previous monoclonal antibody therapy or maytansinoids, or to the investigational drug and/or any excipients.
  • Pregnant or lactating women.
  • Patients with prior IMGN853 or other FRα-targeted drug therapies.
  • Known active central nervous system (CNS) and/or leptomeningeal metastases. Patients with untreated but asymptomatic brain metastases, or patients who have radiographically documented progression-free status for at least 4 weeks after treatment and do not require hormonal or antiepileptic therapy for at least 2 weeks may be considered for enrollment.
  • Patients with a history of other malignancies within 3 years prior to enrollment.
  • Note: patients with tumors with a negligible risk of metastasis or death (e.g., adequately controlled basal-cell carcinoma or squamous-cell carcinoma of the skin, or carcinoma in situ of the cervix or breast) are eligible for inclusion.
  • Patients with pleural effusion, pericardial effusion, or ascites that cannot be controlled by drainage or other means, except the small amount of effusion that without clinical symptoms or do not require clinical intervention.
  • Patients who are detained by a court or administrative decision, receiving psychiatric care against their will, adults who are under the protection of law (under tutorship/curatorship), people who are unable to give their consent, and people who are subject to a legal guardianship.
  • Participated in other clinical studies and received their investigational drugs within 4 weeks prior to the first dose.
  • Subject has other serious systemic diseases or other reasons that are not suitable for participation in this clinical study as evaluated by the investigator.

Trial locations and contacts

28 sites in 1 country.

28 sites in 1 country

China28 sites, 28 recruiting
  • Beijing Obstetrics and Gynecology Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100010

    Xu Sun, Master, +8613645153601, sunxu@eastchinapharm.com

    Not yet recruiting
  • The First Affiliated Hospital of Bengbu Medical College

    Bengbu, Anhui, 233000

    Bo Yang, Master, +8618155258266, yangbo2016@163.com

    Xiaoli Li, Master, +8615215520809, 158169847@qq.com

    Recruiting
  • Jilin Cancer Hospital

    Changchun, Jilin, 130000

    Ying Cheng, Doctor, +8613943012851, jl.cheng@163.com

    Hongxia Cui, Doctor, +86 13504436090, 2503074283@qq.com

    Recruiting
  • Hunan Cancer Hospital

    Changsha, Hunan, 410000

    Jing Wang, Doctor, +8613875902083, wangjing@hnca.org.cn

    Li Li, Doctor, +8615874293489, lili@hnca.org.cn

    Recruiting
  • West China Second Hospital of Sichuan University

    Chengdu, Sichuan, 610000

    Xu Sun, Master, +8613645153601, sunxu@eastchinapharm.com

    Recruiting
  • The Second Affiliated Hospital of Dalian Medical University

    Dalian, Liaoning, 116000

    Kui Jiang, Master, +8617709873696, JK0411@163.COM

    Hongruo Liu, Master, +86 17709873397, liuhongruo@sina.com

    Recruiting
  • Fujian Provincial Cancer Hospital

    Fuzhou, Fujian, 350000

    Xu Sun, Master, +8613645153601, sunxu@eastchinapharm.com

    Recruiting
  • Sun Yat-Sen University Cancer Hospital

    Guangzhou, Guangdong, 510000

    Xu Sun, Master, +8613645153601, sunxu@eastchinapharm.com

    Recruiting
  • People's Hospital of Zhejiang Province

    Hangzhou, Zhejiang, 310000

    Zhiquan Qin, Master, +8613857123637, qzq66@126.com

    Yun Chen, Doctor, +8613858087167, hlqm1986@163.com

    Recruiting
  • The Second Affiliated Hospital of Zhejiang University School of Medicine

    Hangzhou, Zhejiang, 310000

    Xuejun Chen, Doctor, +8613757119632, 2303011@zju.ed.cn

    Jiong Ma, Doctor, +8613675875605, majiong1231@126.com

    Recruiting
  • Zhejiang Tumor Hospital

    Hangzhou, Zhejiang, 310000

    Aijun Yu, Master, +8613857155327, yaj1993@126.com

    Jie Xing, Master, +8613758219923, xingjie@zjcc.org.cn

    Recruiting
  • Anhui Provincial Hospital

    Hefei, Anhui, 230000

    Weidong Zhao, Doctor, +8613955105591, Victorzhao@163.com

    Zhengzheng Chen, Doctor, +8613865915342, 546038221@99.com

    Recruiting
  • The Second Affiliated Hospital of Anhui Medical University

    Hefei, Anhui, 230000

    Bing Wei, Doctor, +8613605696088, weibing1965@163.com

    Runhua He, Doctor, +8613676767676, ayzfyhrh@126.com

    Recruiting
  • The Second Affiliated Hospital of Zhengzhou University

    Henan, Zhengzhou, 450000

    Xu Sun, Master, +8613645153601, sunxu@eastchinapharm.com

    Recruiting
  • Shandong Cancer Hospital

    Jinan, Shandong, 250000

    Qingshui Li, Doctor, +8613854158117, liqingshui64@163.com

    Jingwei peng, Doctor, +8615688455900, tudou4212@163.com

    Recruiting
  • Yunnan Cancer Hospital

    Kunming, Yunnan, 650000

    Xu Sun, Master, +8613645153601, sunxu@eastchinapharm.com

    Recruiting
  • Gansu Provincial Hospital

    Lanzhou, Gansu, 730000

    Xu Sun, Master, +8613645153601, sunxu@eastchinapharm.com

    Recruiting
  • The First Affiliated Hospital of Nanchang University

    Nanchang, Jiangxi, 330008

    Xu Sun, Master, +8613645153601, sunxu@eastchinapharm.com

    Recruiting
  • Affiliated Cancer Hospital of Guangxi Medical University

    Nanning, Guangxi, 530015

    Li Li, Master, +8613788889999, liligxmu2022@163.com

    Recruiting
  • Shanghai Tumor Hospital

    Shanghai, Shanghai Municipality, 200000

    Xiaohua Wu, master, +86136 0177 2486, docwuxh@hotmail.com

    Yong Wu, master, +86 15618369676, edison-1016@163.com

    Recruiting
  • SIMC

    Shanghai, Shanghai Municipality, 200000

    Xu Sun, Master, +8613645153601, sunxu@eastchinapharm.com

    Recruiting
  • Liaoning Cancer Hospital

    Shengyang, Liaoning, 110084

    Xu Sun, Master, +8613645153601, sunxu@eastchinapharm.com

    Recruiting
  • The Second Affiliated Hospital of Wenzhou Medical University

    Wenzhou, Zhejiang, 325000

    Yue Hu, Master, +8613957790915, wzhuyue@163.com

    Qiong Zhang, Master, +8613587605820, joan_zhang@sina.com

    Recruiting
  • Hubei Cancer Hospital

    Wuhan, Hubei, 430000

    Xu Sun, Master, +8613645153601, sunxu@eastchinapharm.com

    Recruiting
  • Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technolog

    Wuhan, Hubei, 430000

    Xu Sun, Master, +8613645153601, sunxu@eastchinapharm.com

    Recruiting
  • Zhongnan Hospital Affiliated to Wuhan University

    Wuhan, Hubei, 430000

    Hongbing Cai, Doctor, +8613397168990, Chb2105@163.com

    Hua Wang, Doctor, +86 15871037481, 940983900@qq.com

    Recruiting
  • People's Hospital of Shanxi province

    Xi’an, Shanxi, 710000

    Lihong Chen, Master, +8615309217015, lihongchen29@163.com

    Echo Li, Doctor, +8615229334396, echo85535063@163.com

    Recruiting
  • Henan Cancer Hospital

    Zhengzhou, Henan, 450000

    Xu Sun, Master, +8613645153601, sunxu@eastchinapharm.com

    Recruiting

Other trials in China

About this study

Official title: A Single-arm, Phase III Clinical Trial of IMGN853 in Chinese Adult Patients With Platinum-resistant, Advanced High-grade Epithelial Ovarian, Primary Peritoneal or Fallopian Tube Cancer With High Expression of Folate Receptor-α

This Phase III single-arm study is to evaluate the efficacy and safety of IMGN853 in Chinese adult patients with platinum-resistant high-grade epithelial ovarian, primary peritoneal, or fallopian tube cancers (hereafter referred to as PROC) with high FRα expression.

Read the detailed description

This is a single-arm, phase III clinical trial of IMGN853 in Chinese adult patients with platinum-resistant, advanced high-grade epithelial ovarian, primary peritoneal or fallopian tube cancer with high expression of folate receptor-α.

The objective of this study is to determine the efficacy of IMGN853 in platinum-resistant ovarian cancer (PROC) patients with high folate receptor alpha (FRα) expression.

A total of 35 patients will be enrolled. All patients must have measurable disease (per Response Evaluation Criteria in Solid Tumors version 1.1, RECIST v1.1) at baseline and be eligible for receiving IMGN853.

All patients will be treated with the IMGN853 monotherapy with a dose at adjusted ideal body weight (AIBW) of 6 mg/kg on Day 1 of every 3-week cycle (Q3W).

Being tested
Mirvetuximab Soravtansine
Keywords
Platinum resistant, Folate-receptor alpha expression, Phase 3, Antibody-drug conjugate, mirvetuximab soravtansine, IMGN853, Epithelial Ovarian Cancer, Peritoneal Cancer, Fallopian Tube Cancer, MIRV, FRα
Medical subject headings
Carcinoma, Ovarian Epithelial, Fallopian Tube Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Mirvetuximab SoravtansineDrug

    Also called IMGN853, MIRV

    Mirvetuximab Soravtansine is an antibody drug conjugate designed to target folate receptor α (FRα). It consists of the humanized anti-FRα mAb M9346A attached via a cleavable disulfide linker to the cytotoxic maytansinoid, DM4.

Study groups in NCT05622890
Study groupRoleWhat they receive
treatmentExperimentalAll patients will receive single-agent mirvetuximab soravtansine (MIRV) at 6 mg/kg adjusted ideal body weight (AIBW) administered on Day 1 of every 3-week cycle (Q3W).
Receives: Drug: Mirvetuximab Soravtansine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Objective Response Rate (ORR)

    Objective response rate (ORR), which includes best response of complete response (CR) or partial response (PR) as assessed by the BIRC.

    Measured: Up to 2 years

Secondary outcomes (10)
  1. Duration of response (DOR)

    The time interval from initial response (CR or PR) assessed by the investigator and the BIRC to progressive disease (PD) assessed by the BIRC

    Measured: Up to 2 years

  2. ORR assessed by the investigator

    The best response of CR or PR assessed by the investigator.

    Measured: Up to 2 years

  3. DOR assessed by the investigator

    The time interval from initial response (CR or PR) assessed by the investigator to PD assessed by the investigator

    Measured: Up to 2 years

  4. Treatment-emergent adverse events (TEAEs) and Laboratory results,physical examinations, or vital signs

    Adverse Events (AE's) will be evaluated according to the NCI CTCAE v5.0. AE's will be coded using the latest Medical Dictionary for Regulatory Activities (MedDRA) version and summarized per system organ class (SOC) and preferred term (PT).

    Measured: Up to 2 years

  5. Determination of CA-125 response with GCIG criteria

    GCIG CA-125 response rate will be calculated using the CA-125 Response-Evaluable population and its exact 95% CI will be estimated using the Clopper-Pearson method.

    Measured: Up to 2 years

  6. PFS assessed by the BIRC

    The time interval from the first dose of IMGN853 to radiographic PD or death assessed by the BIRC, whichever occurs first.

    Measured: Up to 2 years

  7. PFS assessed by the investigator

    The time interval from the first dose of IMGN853 to radiographic PD or death assessed by the investigator, whichever occurs first.

    Measured: Up to 2 years

  8. Overall survival (OS)

    The time interval from the first dose of IMGN853 to death

    Measured: Up to 2 years

  9. Summary statistics of intact ADC, total Ab (TAb), DM4 and S-methyl DM4 concentration data over time

    To assess the PK properties of IMGN853 and its key metabolites

    Measured: Up to 2 years

  10. Incidence of seroconversion of ADA caused by IMGN853 and its relationship to safety and efficacy

    Subjects will be evaluated for anti-drug antibody (ADA) levels. Confirmatory experiments will be conducted for positive samples. ADA titers and neutralizing antibodies (Nabs) will be further determined as appropriate after the confirmation of positivity.

    Measured: Up to 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Nov 2022
  2. Study start18 Aug 2022
  3. Primary completion30 Apr 2023 (estimated)
  4. Study completion31 Dec 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
35 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05622890
Sponsor's protocol ID
IMGN853-301
Other IDs
CTR20220190
Status last verified
Oct 2022
First submitted
14 Nov 2022
Last updated
21 Nov 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Mirvetuximab Soravtansine in people with Epithelial Ovarian Cancer and Peritoneal Cancer, run by Hangzhou Zhongmei Huadong Pharmaceutical Co., Ltd. at 28 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 34 inclusion and 32 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 21 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Xu Sun, Master (+8613645153601, sunxu@eastchinapharm.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Objective Response Rate (ORR) (time frame: Up to 2 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Nov 2022.

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