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항목
ADCCurated CoreFDAstaleApproved
mirvetuximab soravtansine-gynx (Elahere, IMGN853, mirvetuximab-soravtansine-gynx)
AbbVie / ImmunoGen·FRα (folate receptor alpha)
32 trials
AntibodyLimited DatastalePhase 3
Cyclosporine (Cyclosporine)
Amsterdam Molecular Therapeutics·FRα
137 trials
AntibodyLimited DatastalePhase 3
mycophenolate mofetil (mycophenolate mofetil)
Amsterdam Molecular Therapeutics·FRα
161 trials
AntibodyLimited DatastalePhase 2
tacrolimus (tacrolimus)
Tolera Therapeutics, Inc·FRα
168 trials
ADCLimited DatastalePhase 2
Gemcitabine Hydrochloride (Gemcitabine Hydrochloride)
K-Group, Beta, Inc., a wholly owne…·FRα
165 trials
Overview
Program
Elahere (mirvetuximab soravtansine-gynx)Cyclosporinemycophenolate mofetiltacrolimusGemcitabine Hydrochloride
Overview
Company
AbbVie / ImmunoGenAmsterdam Molecular TherapeuticsAmsterdam Molecular TherapeuticsTolera Therapeutics, IncK-Group, Beta, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc
Overview
Modality
ADCANTIBODYANTIBODYANTIBODYADC
Overview
Target
FRα (folate receptor alpha)FRαFRαFRαFRα
Overview
Indication
FRα-positive platinum-resistant ovarian, fallopian tube, or primary peritoneal cancerChronic Myeloproliferative Disorders; LeukemiaChronic Myeloproliferative Disorders; LeukemiaLeukemia; LymphomaFallopian Tube Carcinosarcoma; Fallopian Tube Clear Cell Adenocarcinoma
Overview
Phase
APPROVEDPHASE_3PHASE_3PHASE_2PHASE_2
Overview
Status
APPROVEDACTIVEACTIVEACTIVEACTIVE
Overview
Content status
Curated CoreLimited DataLimited DataLimited DataLimited Data
Overview
Data Confidence
Editorial scope · Curated CoreEditorial scope · limited dataEditorial scope · limited dataEditorial scope · limited dataEditorial scope · limited data
Overview
Development Signal
Development Signal · EstablishedDevelopment Signal · EmergingDevelopment Signal · EmergingDevelopment Signal · EmergingDevelopment Signal · Emerging
Overview
Approval status
FDA approvedInvestigationalInvestigationalInvestigationalInvestigational
Positioning
Key differentiator
FRα is overexpressed in ovarian cancer but sparse in normal tissue, and the label requires IHC-confirmed expression.————
Positioning
Known limitation
FRα downregulation and multidrug-resistance transporter upregulation.————
Positioning
Development positioning
2L–4L platinum-resistant————
Technology
Payload
DM4 (maytansinoid, tubulin inhibitor)————
Technology
Linker
Cleavable sulfo-SPDB disulfide, DAR ~3.5———linker-payload technologies
Technology
DAR
DAR 3.5————
MoA
Mechanism
Binds FRα, internalizes via receptor-mediated endocytosis, and releases DM4 after disulfide reduction; tubulin disruption causes mitotic arrest, with lipophilic S-methyl-DM4 giving bystander activity.target interactions (TNF, NF‑κB, STAT3, IL-1β, AKT1, IL-6, Src) and pathways (IL-17, PI3K-Akt, TNF signalingMycophenolate mofetil (MMF) is absorbed following oral administration and hydrolyzed to mycophenolic acid (MPA), the active metaboliteTacrolimus binds to an intracellular protein, FKBP-12of ProAgio, which includes reducing hypoxia and modulating TME
MoA
Biomarker
FRα IHC (VENTANA FOLR1 RxDx), PS2+ scoring with ≥75% of tumor cells staining.biomarker data support an endotype-driven approach: higher total immunoglobulin E (IgE) is generally associatCD20+ B cell levels rapidly declining to extremely lowbiomarkers of inflammation, and histopathological findingsHER2 expression
Toxicology
Species
Rat————
Toxicology
Major finding
Boxed warning for ocular toxicity — keratopathy, blurred vision, and dry eye. Peripheral neuropathy, nausea, and fatigue are also common.————
Toxicology
CRS
N/A————
Clinical
Safety signal
Boxed warning for ocular toxicity — keratopathy, blurred vision, and dry eye. Peripheral neuropathy, nausea, and fatigue are also common.————
Clinical
Selected reported efficacy
ORR 42%————
Clinical
Reported ORR
42% vs 16% (chemotherapy; rounded in NCI report)————
Clinical
Reported PFS
5.6 months vs 4.0 months (chemotherapy)————
Clinical
Reported OS
16.5 months vs 12.8 months (chemotherapy)————
Clinical
Result source
NCI approval analysis 2024 — MIRASOL (NCT04209855)————
Clinical
Program phase
APPROVEDPHASE_3PHASE_3PHASE_2PHASE_2
Clinical
Trial activity
No active/completed countsNo active/completed countsNo active/completed countsNo active/completed countsNo active/completed counts
Clinical
Trial ref
NCT04209855————
Preclinical
Animal (cat.)
—Mouse———