Onco Wiki / Regimen

Mirvetuximab soravtansine (FRα-high platinum-resistant ovarian, MIRASOL)

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

Knowledge-base record for audit. Provisional clinical content: this is not a prescription. An oncologist must verify original sources, applicability and review status. Full rules and constraints are in the YAML.

Source YAML: complete record

ComponentsDRUG-MIRVETUXIMAB-SORAVTANSINE
IDREG-MIRVETUXIMAB-OVARIAN
TypeRegimen
Statusreviewed 2026-04-27 | pending_clinical_signoff
DiseasesNone declared
SourcesSRC-ESMO-OVARIAN-2024 SRC-MIRASOL-MOORE-2024 SRC-NCCN-OVARIAN-2025

Notes

Single-agent ADC. Mandatory baseline ophthalmology evaluation (slit-lamp + visual acuity) before cycle 1, then every other cycle for first 8 cycles (or per symptoms). Steroid + lubricant eye-drop prophylaxis is non-negotiable — keratopathy/visual impairment is the defining toxicity (~50% blurred vision, ~37% keratopathy in MIRASOL). Avoid contact lenses during therapy. Do not initiate without documented FRα-high status by VENTANA FOLR1 RxDx (≥75% TPS at ≥2+).

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Indication