Catalog entry human-reviewed · each study below is labeled with how it was published · How we review →
Auto-discovered from 1 recent study; not yet curated.
4 studies2 human2 review/other
Tracking 4 published studies of Mirvetuximab Soravtansine: 2 in humans, 2 reviews/other.
Reported direction across studies: 2 positive, 1 mixed, 1 negative.
Findings conflict — both supportive and negative/mixed results exist (see below). Human evidence is limited.
These counts summarize what the studies reported; they are not a measure of whether Mirvetuximab Soravtansine works.
ReviewMechanismReported positiveModerate evidenceTier 4 · clinical
International journal of molecular sciences · May 2025 · review
Mirvetuximab-soravtansineepithelial ovarian cancerhigh-grade serous ovarian carcinomaplatinum-resistant epithelial ovarian cancerovarian neoplasms This review summarizes the role of folate receptor alpha (FRα) in ovarian cancer, noting that FRα is frequently overexpressed in high-grade serous ovarian carcinoma. It describes that a VENTANA IHC assay is approved as a companion diagnostic to select patients (≥75% tumor cells with moderate to strong membrane staining) for the FRα-targeted antibody-drug conjugate mirvetuximab soravtansine, and discusses biological significance, IHC technical issues, and heterogeneity of expression across subtypes and tissue samples.
Key findings
- FRα is frequently overexpressed in several epithelial malignancies, particularly in high-grade serous ovarian carcinoma.
- The VENTANA FOLR1 (FOLR1-2.1) RxDx Assay (IHC) is now approved as a companion diagnostic for selecting patients eligible for mirvetuximab soravtansine.
- Clinical trials (SORAYA and MIRASOL) demonstrated significant clinical benefit in platinum-resistant epithelial ovarian cancer patients with high FRα expression (≥75% of tumor cells with moderate to strong membrane staining).
- The review summarizes biological significance of FRα in ovarian cancer progression and its predictive value for targeted therapy.
- Technical aspects of IHC assessment, including scoring interpretation and pre-analytical variables, are discussed.
- Heterogeneity in FRα expression across histological subtypes and tumor sites, and differences between archival versus fresh tissue, are important considerations.
Limitations: This is a review article and does not present new, individual patient-level data.; FRα expression heterogeneity across histologic subtypes and tumor sites may limit generalizability of biomarker-based selection.; IHC technical factors and pre-analytical variables can affect assessment of FRα and thus patient selection.; The companion diagnostic and demonstrated benefit apply specifically to patients with high FRα expression (≥75%), so findings may not extend to lower expressors..
AI summary of the abstract, human-reviewed · Jul 2026. Describes what this study reported, not medical advice. View on PubMed · Full text
Human · observationalMechanismMixed resultsLimited evidenceTier 3 · early humann = 425
Gynecologic oncology · Jan 2025 · retrospective study
This retrospective study looked at 425 tumor samples from people with ovarian, fallopian tube, or primary peritoneal cancers to see how often folate receptor alpha (FRα) was present. FRα was found in 36.3% of cases and was more common in high-grade serous ovarian tumors and in samples from the ovary, fallopian tube, adnexa, or dominant pelvic masses than in metastatic sites. The study also found that some patients had different FRα results in different specimens, suggesting variability in testing results across samples.
Reported effect: positive rates 44.4%, p=0.02
Key findings
- FRα was highly expressed in 36.3% of cases.
- FRα positivity was significantly associated with high-grade serous ovarian histology.
- Samples from the ovary, fallopian tube, adnexa, and dominant pelvic masses had higher FRα positivity than metastatic sites (44.4% vs 32.5%, p = 0.02).
- Time between collection and testing did not impact FRα expression.
- Among 8 patients with more than one specimen tested, 3 (37.5%) had discordant results.
Limitations: Retrospective single-study biomarker analysis.; No treatment outcomes or patient survival endpoints were reported.; Biomarker testing only; does not test mirvetuximab soravtansine efficacy.; Potential sampling and site-related heterogeneity.; Small subgroup with repeated specimens (n=8)..
Useful for understanding FRα testing patterns relevant to selecting patients for FRα-targeted therapy, but it does not evaluate anticancer efficacy.
AI summary of the abstract, human-reviewed · Jun 2026. Describes what this study reported, not medical advice. View on PubMed
Human · observationalSafetyReported negativeLimited evidenceTier 3 · early humann = 5
Cornea · Feb 2019 · case series
This case series describes five women receiving mirvetuximab soravtansine who developed bilateral corneal subepithelial opacities and symptoms such as blurred vision and tearing. Imaging (AS-IR and AS-OCT) showed hyporeflective, likely cystic, subepithelial lesions. With a short course of topical steroids and lubricants, all patients' corneas cleared and visual acuity fully recovered.
Reported effects: average age 62.4, n=5 · blurred vision (n) 5, n=5 · +5 more
Key findings
- All 5 patients were female (average age, 62.4 ± 5.5 years) and being treated for advanced epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer.
- Both eyes were involved in each case.
- Patients complained of blurred vision (n = 5), ocular pain (n = 2), tearing (n = 5), foreign-body sensation (n = 4), and photophobia (n = 4).
- Slit-lamp examination demonstrated fine corneal subepithelial opacities, mainly involving the corneal periphery migrating toward the center.
- AS-IR revealed the presence of hyporeflective dots on the cornea, suggesting that they were cystic.
- AS-OCT confirmed the subepithelial location of lesions.
- In all patients, the cornea cleared, and visual acuity recovered fully with a short course of topical steroids and lubricants.
Limitations: Very small sample size (n = 5) from a single center (case series).; No control or comparator group.; No detailed information on mirvetuximab soravtansine dose, schedule, or timing of symptom onset relative to dosing.; No long-term follow-up reported to assess recurrence or late sequelae.; No mechanistic or histologic confirmation of the lesions beyond imaging..
AI summary of the abstract, human-reviewed · Jul 2026. Describes what this study reported, not medical advice. View on PubMed
ReviewReported positiveLimited evidenceTier 4 · clinical
Annals of oncology : official journal of the European Society for Medical Oncology · Nov 2017
This short review summarizes recent therapeutic directions in ovarian cancer. It states that PARP inhibitors have been demonstrated as the most effective drug since platinum in high-grade serous or endometrioid ovarian cancer and highlights immunotherapy, VEGF inhibitors, PARPi combinations, cell-cycle modulators, p53-targeting strategies, lurbinectedin, and mirvetuximab soravtansine as areas of active development.
Studied with: chemotherapy, vascular endothelial growth factor inhibitor, PARPi, cell cycle modulators.
Key findings
- PARP inhibitors (PARPi) have been demonstrated as the most effective drug since platinum in high grade serous or endometrioid ovarian cancer.
- Immunotherapy is emerging in ovarian cancer and is being tested in combination with chemotherapy, VEGF inhibitors, or PARPi.
- The activity of PARPi could potentially be improved by combining them with cell cycle modulators to allow more time for DNA repair.
- There are efforts to develop drugs targeting mutant p53 or pathways that inhibit tumor cell apoptosis.
- New chemotherapy compounds and conjugates under development include lurbinectedin and the antibody–drug conjugate mirvetuximab soravtansine targeting the folate receptor.
Limitations: Narrative review with no original data or methods reported in the abstract.; No quantitative results, patient numbers, or trial phase data are provided in the abstract.; Statements are high-level and do not specify strength of evidence or specific clinical trial outcomes.; Unclear which claims are supported by randomized data versus early-phase or preclinical work..
AI summary of the abstract, human-reviewed · Sep 2026. Describes what this study reported, not medical advice. View on PubMed
Evidence at a glance: Mirvetuximab Soravtansine by cancer
A deterministic grade of what published studies report for each: strength of evidence, the reported direction, and the largest credible effect, strongest-evidence first. This summarizes findings; it is not a claim that anything works.
Human observational evidence only — no trials.
Largest credible effect: average age 62.4, n=5 PMID 30379722 · effect sizes 2–62.4 across 7 studies
Most authoritative study: Ocular Toxicity of Mirvetuximab
Findings conflict across studies · Effect sizes reported in only 1 of 2 studies.
Human observational evidence only — no trials.
Largest credible effect: average age 62.4, n=5 PMID 30379722 · effect sizes 2–62.4 across 7 studies
Most authoritative study: Ocular Toxicity of Mirvetuximab
Based on a single study.
Primary peritoneal cancer◐Human · observational▽Reported negative1 human
Human observational evidence only — no trials.
Largest credible effect: average age 62.4, n=5 PMID 30379722 · effect sizes 2–62.4 across 7 studies
Most authoritative study: Ocular Toxicity of Mirvetuximab
Based on a single study.
No primary experimental studies yet.
Most authoritative study: New treatments in ovarian cancer
No human studies yet · No numeric effect sizes reported · Based on a single study.
No primary experimental studies yet.
Most authoritative study: New treatments in ovarian cancer
No human studies yet · No numeric effect sizes reported · Based on a single study.
Inclusion here is not an endorsement. OncoForge makes no claim beyond what the linked studies show. Discuss anything on this page with your oncology team before acting on it.