Oncology Today with Dr Neil Love

Ovarian Cancer — Year in Review Series on Relevant New Datasets and Advances

Mar 7, 2026
Dr Kathleen N Moore, medical oncologist focused on ovarian cancer trials, and Prof Nicoletta Colombo, gynecologic oncologist and researcher, review therapy selection and sequencing. They discuss redefining platinum ineligibility, practical options outside trials, FR-alpha and CDH6 ADCs, pembrolizumab plus weekly paclitaxel, relacorilant combos, PARP frontline strategies and T-DXd benefits and ILD precautions.
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INSIGHT

Multiple FR‑Alpha ADCs Share A Sequencing Problem

  • Multiple FR-alpha ADCs (TOP1 payload) show ~50% response in platinum-ineligible/resistant disease.
  • Concern: many share the same payload, complicating sequencing and reuse after one ADC.
ANECDOTE

TOP1 ADCs Can Work After Mirvetuximab

  • Kathleen Moore notes TOP1-conjugated ADCs have activity after mirvetuximab in phase 1 experience.
  • She enrolled post-mirvetuximab patients on TOP1 ADC trials and reports they respond.
INSIGHT

CDH6 ADC Shows Broad Activity Independent Of Expression

  • Relatlimab (CDH6? actually relutocatag) is a CDH6-targeting ADC with a TOP1 payload showing high responses across CDH6 expression levels.
  • Phase III will enroll all comers without biomarker selection to compare against single-agent chemo.
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