FRAmework-01: A Two-Part Phase 3 Study of LY4170156 versus Chemotherapy or Mirvetuximab Soravtansine in Platinum-Resistant Ovarian Cancer, and LY4170156 plus Bevacizumab versus Platinum-Based Chemotherapy plus Bevacizumab in Platinum-Sensitive Ovarian Cancer
Have histologically confirmed high-grade serous ovarian, primary peritoneal, or fallopian tube cancer
Have confirmed availability of tumor tissue block or slides
Have radiographic progression on or after most recent line of systemic anticancer therapy
Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
Have measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Part A:
Have platinum-resistant disease, defined as radiographic progression ≤6 months of the last administration of platinum therapy
Have previously received ≥1 but ≤3 prior lines of systemic cytotoxic therapy. Up to 4 lines of prior therapy is allowed if one of those lines is mirvetuximab soravtansine
Have received prior bevacizumab treatment, unless documented contraindication or intolerance
Have received treatment with a poly(ADP-ribose) polymerase inhibitor (PARPi) if known to have a somatic or germline breast cancer gene (BRCA) mutation, if clinically indicated, unless documented contraindication or intolerance
Part B:
Have relapsed after first-line platinum-based chemotherapy and have platinum-sensitive disease defined as radiographic progression >6 months of their last administration of platinum therapy
Have previously received ≥1 but ≤2 prior lines of systemic cytotoxic chemotherapy
Have previously received a PARPi, per local product label, with progression on or within 6 months of completion of PARPi treatment
Key Exclusion Criteria
Part A and B:
Have received prior antibody-drug conjugate (ADC) with a topoisomerase inhibitor payload
Part A:
Have primary platinum-refractory disease, defined as disease that progressed ≤3 months since the last dose of first-line platinum-containing chemotherapy
Part B:
Have clinically significant proteinuria
a
Stratified by high FRα expression (≥75% of cells with ≥2+ staining intensity); prior MIRV use; and Investigator’s choice therapy: paclitaxel versus other chemotherapy versus MIRV.
b
3 mg/kg, administered intravenously every 3 weeks (Q3W).
c
Paclitaxel, PLD, gemcitabine or topotecan.
d
Mirvetuximab if eligible, where available.
e
Stratified by platinum-free interval ≥12 months vs <12 months; 1st vs 2nd disease recurrence; carboplatin + PLD vs others; FRα ≥75% vs FRα <75%.
f
Carboplatin+paclitaxel or carboplatin+gemcitabine or carboplatin+PLD.
For information on trial enrollment, locations, and more, call
1-800-545-5979.