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Case study: MORab-202

Cardiff Cancer Research Hub lab at Cardiff University with rows of shelves

An Early Phase study looking at an antibody to a folate receptor that is expressed in a number of different cancers, linked to a drug that can kill cancer cells.

Sponsor: Eisai Ltd

Cancer type: Triple Negative Breast cancer, Endometrial cancer, Non-small cell lung cancer and Ovarian cancers.

MORAb-202 is an experimental drug that works by targeting and attaching itself to cancer tumour cells that have a specific protein called folate receptor alpha on the cell surface. This protein is found typically within Triple Negative Breast cancer, Endometrial cancer, Non-small Cell Lung cancer and Ovarian cancers.

Once MORAb-202 enters the tumour cells it releases a compound called Eribulin, which works by killing and stopping cancer cells from multiplying.

There are three parts to this study.

  • Dose Escalation – to determine and identify the highest tolerable safe dose of the study drug, MORAb-202.
  • Dose Confirmation – to gather more information on the safety and effectiveness of selected doses of the study drug in participants with endometrial cancer and ovarian cancer.
  • Dose Optimisation – to gather more information on the safety and effectiveness of MORAb-202 using different doses and administration schedules and to gather information on whether a short course (3 days) of corticosteroids (drugs such as prednisone/prednisolone or dexamethasone that may reduce inflammation) can decrease the chance of developing interstitial lung disease (inflammation of lungs) that has been noted after treatment with MORAb202.

“So far the trial has been looking at increasing doses of the compound to test it is safe and looking for early signs of activity. This part of the trial has completed, and data is being analysed.

The next step will be to enrol more patients at a defined dose to get further information on activity.”

Professor Robert Jones, Principal Investigator for the MORab-202 trial at Velindre Cancer Service and Early Phase Cancer Trials Lead in Wales

“MORAb-202 was the first CCRH trial to open and recruit patients. We are able to seamlessly deliver treatment in the University Hospital of Wales whilst maintaining all other visits in Velindre Cancer Centre.

As a dynamic nursing team, we provide continuity of care by seeing patients in both sites and being a familiar face during novel treatment. We collaborate with clinical fellows, consultants and other multi-disciplinary colleagues to ensure safe practice for patients on clinical trials.“

Gabriella Brutto, Research Nurse Cardiff Cancer Research Hub

Agustina Spooner was the first patient on this clinical trial with the Cardiff Cancer Research Hub. She talks about her experience and explains why she agreed to take part in the trial.

Full study title: A Multicenter, Open-Label Phase 1/2 Trial, Evaluating the Safety, Tolerability and Efficacy of MORAb-202 a Folate Receptor Alpha (FRα)-Targeting Antibody-Drug Conjugate (ADC) in Subjects With Selected Tumor Types