Assessment of mirvetuximab soravtansine immunogenicity in patients with folate receptor alpha-positive ovarian cancer

The aim of this research was to evaluate the immunogenicity of mirvetuximab soravtansine (MIRV), an antibody-drug conjugate in patients with folate receptor alpha-positive ovarian cancer across four clinical studies. An assay was developed and validated for the detection of antidrug antibodies (ADAs...

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Veröffentlicht in:Bioanalysis 2024, Vol.16 (21-22), p.1101-1113
Hauptverfasser: Zhu, Fengying, Tu, Ya-Ping, Sloss, Callum, Wang, Yuemei
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container_title Bioanalysis
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creator Zhu, Fengying
Tu, Ya-Ping
Sloss, Callum
Wang, Yuemei
description The aim of this research was to evaluate the immunogenicity of mirvetuximab soravtansine (MIRV), an antibody-drug conjugate in patients with folate receptor alpha-positive ovarian cancer across four clinical studies. An assay was developed and validated for the detection of antidrug antibodies (ADAs) against MIRV. A cell-based method was also developed and validated for the detection of neutralizing anti-MIRV antibodies (NAbs). Both ADAs and NAbs were assessed across four clinical studies in 734 patients. Across studies, MIRV demonstrated low immunogenicity with 7.8% of patients with treatment-emergent ADAs, 7.2% with treatment-unaffected ADAs, and 0.5% with treatment-enhanced ADAs. MIRV trough concentrations were comparable in ADA-negative and ADA-positive individuals. Limited data suggest that MIRV ADAs may be associated with decreased efficacy. Due to the very limited number of NAb-positive individuals, no conclusions could be drawn on the effect of NAb on efficacy. Both the validation tests and the data from the MIRV clinical studies demonstrated that these assays were suitable and reliable for the detection of MIRV ADAs and NAbs. These validated assays will continue to be used to monitor MIRV immunogenicity in future clinical trials.
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subjects Antibodies, Monoclonal, Humanized - immunology
Antibodies, Monoclonal, Humanized - therapeutic use
Female
Folate Receptor 1 - immunology
Humans
Immunoconjugates - immunology
Maytansine - analogs & derivatives
Maytansine - immunology
Maytansine - therapeutic use
Ovarian Neoplasms - drug therapy
Ovarian Neoplasms - immunology
title Assessment of mirvetuximab soravtansine immunogenicity in patients with folate receptor alpha-positive ovarian cancer
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