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Mirvetuximab soravtansine-gynx

MIRASOL, Study 0416
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3

Indication details

Control Arm
Paclitaxel, pegylated liposomal doxorubicin, or topotecan. (Investigator’s choice of chemotherapy)
Therapeutic Indication
Mirvetuximab soravtansine-gynx for adult patients with FRα positive, platinum-resistant epithelial ovarian, fallopian tube, or primary peritoneal cancer, who have received one to three prior systemic treatment regimens
Tumour Type
Gynaecological Malignancies
Tumour Sub-type
Epithelial ovarian, fallopian tube or primary peritoneal cancer
Tumour Sub-Group
FRalpha positive
Trial Name
MIRASOL, Study 0416
NCT Number
NCT04209855
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval March 2024

Primary Outcome(s)

Primary Outcome(s)
Investigator-assessed PFS, then hierarchically tested ORR, OS and PROs
Evaluated Outcome
OS
Form(s)
Form 2a

Outcome Data

PFS Control
4 months
PFS Gain
1.6 months
PFS HR
Not reported
OS Control
12.7 months
OS Gain
3.7 months
OS HR
0.67 (0.50-0.89)

Adjustments

QoL Comment
QoL data pending

Final Score (after adjustments)

Preliminary non-curative score

3

Final non-curative score

3

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
435
Scorecard version
1
Issue date
06.05.2024
Mirvetuximab soravtansine-gynx MIRASOL, Study 0416

PRELIMINARY SCORE

OS

ADJUSTMENTS

?
QoL data pending
Mirvetuximab soravtansine-gynx MIRASOL, Study 0416

FINAL SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
3
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Gynaecological Malignancies
Mirvetuximab soravtansine-gynx for adult patients with FRα positive, platinum-resistant epithelial ovarian, fallopian tube, or primary peritoneal cancer, who have received one to three prior systemic treatment regimens
Mirvetuximab soravtansine-gynx
Paclitaxel, pegylated liposomal doxorubicin, or topotecan. (Investigator’s choice of chemotherapy)

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    pdf
    pptx

    Legend

    Information about symbols, abbrevations and color codes

    Red = negative
    Green = positive
    Grey = neutral
    ? Grey + ? = neutral with pending data
    DFS
    Disease-Free Survival
    DoR
    Duration of Response
    EFS
    Event-Free Survival
    HR
    Hazard Ratio
    NEB
    No evaluable benefit
    NI
    Non-inferiority Study
    ORR
    Overall Response Rate
    OS
    Overall Surival
    pCR
    Pathological Complete Response/Remission
    PFS
    Progression-Free Survival
    QoL
    Quality of Life
    RFS
    Relapse-Free Survival
    RR
    Response Rate

    QoL adjustments

    Other adjustments*

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    QoL adjustments

    Red = negative / deterioration

    Green = positive / improvement

    Other adjustments*

    Red = negative / deterioration

    Green = positive / improvement

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    * Other adjustments include:

    - Long-term plateau in the survival curve
    - Long-term plateau in the PFS curve
    - Early stopping or crossover
    - Only improved PFS mature data shows no OS advantage and no improved Qol.

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