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Takeda Submits New Drug Application for Mirvetuximab Soravtansine for Folate Receptor Alpha-Positive, Platinum-Resistant Recurrent Ovarian Cancer in Japan | Takeda Pharmaceuticals

Takeda Submits New Drug Application for Mirvetuximab Soravtansine for Folate Receptor Alpha-Positive, Platinum-Resistant Recurrent Ovarian Cancer in Japan


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2026年1月30日
  • Mirvetuximab soravtansine, a first‑in‑class antibody–drug conjugate (ADC) in the field of ovarian cancer.
  • This New Drug Application (NDA) highlights the potential of mirvetuximab soravtansine to provide a new treatment option for patients with folate receptor alpha (FRα)-positive, platinum‑resistant recurrent ovarian cancer and to address a significant unmet medical need.

OSAKA, Japan, January 30, 2026 – Takeda (TSE:4502/NYSE:TAK) (“Takeda”) today announced it has submitted a New Drug Application (NDA) to the Ministry of Health, Labour and Welfare (MHLW) in Japan for mirvetuximab soravtansine for folate receptor alpha (FRα)-positive, platinum-resistant recurrent ovarian cancer (PROC) in Japan.

The NDA submission is based on the results of the MIRASOL and SORAYA trials, which are global Phase 3 studies in patients with FRα-positive PROC, as well as the TAK-853-1501 trial, a domestic Phase 1/2 study. Across these trials, mirvetuximab soravtansine demonstrated consistent efficacy and a favorable safety profile in the treatment of patients with FRα-positive PROC.

"In Japan, treatment options for patients resistant to platinum at relapse are limited, and the prognosis remains poor. This represents a significant unmet medical need, and new therapies are eagerly awaited. We are pleased that through this NDA submission based upon compelling data in the MIRASOL, SORAYA, and TAK-853-1501 trials, we have taken an important step toward delivering mirvetuximab soravtansine to patients in Japan," said Phuong Khanh (P.K.) Morrow, M.D., Head of the Oncology Therapeutic Area Unit at Takeda.

Mirvetuximab soravtansine is a first-in-class antibody-drug conjugate (ADC) in the field of ovarian cancer. In the U.S., it received accelerated approval in November 2022 and full approval in March 2024 for the treatment of FRα-positive, platinum-resistant epithelial ovarian cancer, fallopian tube, or primary peritoneal cancer in patients with one to three prior lines of chemotherapy. As of January 2026, mirvetuximab soravtansine is approved as a treatment for PROC in more than 40 countries or regions, including the U.S. and the EU. Takeda holds an exclusive license in Japan to develop and commercialize mirvetuximab soravtansine in all indications. Mirvetuximab soravtansine has been designated as an orphan drug by the MHLW for the anticipated indication of FRα-positive recurrent ovarian cancer, and this application is subject to priority review.

About ovarian cancer

Ovarian cancer is a cancerous tumor that begins on the surface of the ovaries and in the ovaries, and approximately 90% of ovarian cancers have been reported to express FRα 1, 2. Many patients remain asymptomatic as the disease progresses, and effective preventive methods such as screening for early detection have not yet been established. While first-line treatment for ovarian cancer is generally effective, recurrence is observed in more than 80% of patients 3, 4. In Japan, 13,456 cases were diagnosed with ovarian cancer in 2021 5. Ovarian cancer is often diagnosed at an advanced stage (Stage III or IV) at the time of initial diagnosis, and although the current standard of care with chemotherapy including platinum-based agents is initially effective, but it is reported that the effect of platinum eventually diminishes 6. The 5-year survival rates are 54.4% for stage III and 45.2% for stage IV 7. Platinum resistance is defined as recurrence within six months after the last administration of a platinum-based agent, and current treatment options and their effectiveness are limited.

About Mirvetuximab Soravtansine

Mirvetuximab soravtansine is a first-in-class antibody-drug conjugate (ADC) comprising a folate receptor alpha (FRα)-binding antibody, cleavable linker, and the maytansinoid payload DM4, a potent tubulin inhibitor designed to kill the targeted cancer cells. In November 2022, the U.S. Food and Drug Administration (FDA) granted accelerated approval for mirvetuximab soravtansine as a treatment for FRα-positive, platinum-resistant epithelial ovarian, fallopian tube, or primary peritoneal cancer with one to three prior lines of chemotherapy, based on data from the pivotal SORAYA trial on objective response rate (ORR) and duration. Based on the results from the MIRASOL trial, a Phase 3 study comparing the safety and efficacy of mirvetuximab soravtansine with existing chemotherapy in patients with FRα-positive, platinum-resistant recurrent ovarian cancer (PROC), mirvetuximab soravtansine demonstrated an improvement in overall survival (OS) over investigator’s choice of single-agent chemotherapy and it was approved in the U.S. as a new treatment option in March 2024.

About the MIRASOL Study

MIRASOL is a global Phase 3 open-label, randomized, controlled trial to compare the efficacy and safety of mirvetuximab soravtansine with the investigator's choice of single-agent chemotherapy (paclitaxel, pegylated liposomal doxorubicin, or topotecan) in the treatment of platinum-resistant, high-grade serous ovarian cancer whose tumors express high levels of FRα (≥75% of cells with ≥2+ staining intensity), confirmed with a validated test. Participants had previously received one to three lines of prior therapy. The primary endpoint was investigator-assessed progression-free survival (PFS). Key secondary endpoints included objective response rate (ORR) and overall survival (OS).

More information can be found on https://clinicaltrials.gov/study/Go to https://clinicaltrials.gov/study/ (NCT 04209855).

About the SORAYA Study

SORAYA is a global Phase 3 single-arm trial to evaluate the efficacy and safety of mirvetuximab soravtansine in the treatment of platinum-resistant, high-grade serous ovarian cancer whose tumors express high levels of FRα (≥75% of cells with ≥2+ staining intensity), confirmed with a validated test. Participants had previously received one to three lines of prior therapy, including at least one line with bevacizumab. The primary endpoint was investigator-assessed objective response rate (ORR), and the secondary endpoint was duration of response (DOR).

More information can be found on https://www.clinicaltrials.gov/Go to https://www.clinicaltrials.gov/ (NCT 04296890).

About the TAK-853-1501 Study

TAK-853-1501 is a Phase 1/2 single-arm study conducted in Japanese patients to evaluate the safety, efficacy, and pharmacokinetics of mirvetuximab soravtansine. In the Phase 1 part, tolerability and safety of mirvetuximab soravtansine were assessed in Japanese patients with FRα-positive advanced ovarian cancer or other solid tumors. The primary endpoint of the Phase 1 part was safety, and secondary endpoints included pharmacokinetic parameters. In the Phase 2 part, efficacy and safety of mirvetuximab soravtansine in the treatment of platinum-resistant, high-grade serous ovarian cancer whose tumors express high levels of FRα (≥75% of cells with ≥2+ staining intensity). The primary endpoint of the Phase 2 part was investigator-assessed objective response rate (ORR), and secondary endpoints included duration of response (DOR). The results demonstrated efficacy and a safety profile in Japanese patients, both of which were consistent with those observed in overseas clinical studies.

More information can be found on https://www.clinicaltrials.gov/Go to https://www.clinicaltrials.gov/ (NCT 06390995).

About Takeda

Takeda is focused on creating better health for people and a brighter future for the world. We aim to discover and deliver life-transforming treatments in our core therapeutic and business areas, including gastrointestinal and inflammation, rare diseases, plasma-derived therapies, oncology, neuroscience and vaccines. Together with our partners, we aim to improve the patient experience and advance a new frontier of treatment options through our dynamic and diverse pipeline. As a leading values-based, R&D-driven biopharmaceutical company headquartered in Japan, we are guided by our commitment to patients, our people and the planet. Our employees in approximately 80 countries and regions are driven by our purpose and are grounded in the values that have defined us for more than two centuries.

For more information, visit www.takeda.com.

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