Mirvetuximab soravtansine in ovarian cancer therapy : expert opinion on pharmacological considerations

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..

ImmunoGen developed mirvetuximab soravtansine as an antibody-drug conjugate comprising of a humanized anti-folate receptor-α (FRα) monoclonal antibody of IgG1k subtype, a cleavable linker, and a cytotoxic payload, DM4. Mirvetuximab soravtansine was granted accelerated approval by the US FDA on November 14, 2022, for the treatment of adult patients with FRα positive, platinum-resistant epithelial ovarian, fallopian tube or primary peritoneal cancer who have received 1-3 prior systemic treatment regimens. The approval of mirvetuximab soravtansine represents a breakthrough for addressing the unmet medical needs of ovarian cancer, especially for up to 80% of patients who relapse and become resistant to platinum-based chemotherapy, resulting in poor prognosis and limited treatment options. However, it is my impression that addressing several pharmacological factors could improve the safety and efficacy of mirvetuximab soravtansine. This article summarizes the current pharmacological profile of mirvetuximab soravtansine and provides an expert opinion on pharmacological strategies for optimizing its safety and efficacy profile for the treatment of platinum-resistant ovarian cancer.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:93

Enthalten in:

Cancer chemotherapy and pharmacology - 93(2024), 2 vom: 05. Feb., Seite 89-105

Sprache:

Englisch

Beteiligte Personen:

Nwabufo, Chukwunonso K [VerfasserIn]

Links:

Volltext

Themen:

14083FR882
49DFR088MY
98DE7VN88D
Antibodies, Monoclonal, Humanized
Antibody–drug conjugate
COVID-19
Cleavable linker
Combination therapy
Disease—drug—drug interactions
Disease—drug interactions
Drug—drug interactions
Folate receptor—α
Immunoconjugates
Journal Article
Maytansine
Mirvetuximab soravtansine
Non-cleavable linker
Ovarian Cancer
Platinum
Platinum resistance
Precision dosing
Research Support, Non-U.S. Gov't
Review

Anmerkungen:

Date Completed 09.02.2024

Date Revised 12.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00280-023-04575-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360934188