Resistance to platinum-based therapy poses a significant clinical challenge for the management of advanced ovarian cancer, a leading cause of cancer mortality among women. Mirvetuximab soravtansine is a novel antibody-drug conjugate that targets folate receptor-alpha, a validated molecular target for therapeutic intervention in this disease. Here, we examine mirvetuximab soravtansine's mechanism of action and pharmacology, and review its clinical evaluation in ovarian cancer to date. We focus on the favorable tolerability and encouraging signals of efficacy that have emerged, most notably in patients with platinum-resistant disease. Ongoing Phase III monotherapy and Phase Ib/II combination trials evaluating its activity in the setting of platinum resistance are emphasized, which will help define its role in the evolving landscape of ovarian cancer therapy.

Author Info: (1) Department of Obstetrics & Gynecology, Stephenson Oklahoma Cancer Center at the University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA. (2) Department of H ematology/Oncology, Fox Chase Cancer Center, Philadelphia, PA 19111, USA. (3) Department of Obstetrics & Gynecology, The Ohio State University, Columbus, OH 43210, USA. (4) Department of Medical Oncology, Dana Farber Cancer Institute, Boston, MA 02115, USA. (5) Medical Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA. (6) Gynaecological Oncology, Leuven Cancer Institute, Leuven 3000, Belgium. (7) Pharmacology, ImmunoGen, Inc, Waltham, MA 02451, USA. (8) Gillette Center for Gynecologic Oncology, Massachusetts General Hospital, Boston, MA 02114, USA.