ClinicalTrials.gg
RecruitingNCT04300556Updated Jun 4, 2026

A Study to Evaluate the Safety, Tolerability, and Efficacy of MORAb-202 (Herein Referred to as Farletuzumab Ecteribulin), a Folate Receptor Alpha (FRα)-Targeting Antibody-drug Conjugate (ADC) in Participants With Selected Tumor Types

A Phase 1/2 interventional study of Farletuzumab ecteribulin and Prednisone in Solid Tumor, sponsored by Eisai Inc.. Recruiting at 58 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-04.

Sponsored by Eisai Inc. · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2020; still recruiting 6 years 3 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
182
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary objectives of the study are: (1) in the dose-escalation part: to evaluate safety and tolerability and to determine the recommended Phase 2 dose (RP2D) of farletuzumab ecteribulin (MORAb-202) in participants with selected tumor types (ovarian cancer [OC], endometrial cancer [EC], non-small cell lung carcinoma [NSCLC], triple-negative breast cancer [TNBC]), and (2) in dose-confirmation part: to evaluate preliminary efficacy measured by objective response rate (ORR) of farletuzumab ecteribulin (MORAb-202) in participants with OC and EC at selected doses and to further evaluate the safety and tolerability of farletuzumab ecteribulin (MORAb-202) and (3) dose-optimization part. (divided in two parts: Part A [OC and EC participants] and Part B [OC only]): Part A: to evaluate other farletuzumab ecteribulin (MORAb-202) treatment regimens for safety, tolerability and preliminary efficacy in participants with OC and EC; to evaluate the addition of short course of oral corticosteroids following every dose of farletuzumab ecteribulin (MORAb-202) administered every 21 days; and to select treatment regimens with farletuzumab ecteribulin (MORAb-202) for further evaluation in Part B. Part B: to evaluate the safety and tolerability of different doses of farletuzumab ecteribulin (MORAb-202) as monotherapy and in combination with lenvatinib and to determine the recommended dose (RD) of farletuzumab ecteribulin (MORAb-202) as monotherapy and in combination with lenvatinib.

02

Conditions studied

  • Solid Tumor

Keywords

  • Lenvatinib
  • Farletuzumab ecteribulin
  • Neoplasms
  • Endometrial Neoplasms
  • Triple-Negative Breast Cancer
  • Endometrial Carcinoma
  • Carcinoma, Non-Small-Cell Lung
  • Adenocarcinoma
  • Ovarian Neoplasms
  • Folate Receptor Alpha (FRA)
03

In context

Neoplasms

10,818 studies on the registry are indexed under Neoplasms; 2,324 are open to participants now.

This study's planned enrollment of 182 is above the median of 60 across 7,703 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Eisai Inc. is the lead sponsor of 368 studies on the registry; 7 are open to participants now.

Of its 83 completed or terminated interventional studies of FDA-regulated products, 56 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Aged >=18 years
  2. For Dose-Escalation: Females (TNBC, EC and OC) or males/females (NSCLC, adenocarcinoma). Participants with the following disease characteristics:

    Participants with the following tumor types, each as a separate arm:

    1. TNBC: confirmed diagnosis of TNBC (that is, estrogen receptor (ER) negative/progesterone receptor negative/ human epidermal growth factor receptor 2 () negative (defined as immunohistochemistry (IHC) less than (\<) 2 plus (+) or fluorescence in situ hybridization (FISH) negative) breast cancer). Previously treated with at least one line of systemic anticancer therapy (cytotoxic or targeted anticancer agents) in the metastatic setting.
    2. NSCLC adenocarcinoma: Histologically or cytologically confirmed metastatic NSCLC adenocarcinoma: participants who have failed previous treatment for metastatic disease, are not indicated or failed epidermal growth factor receptor (EGFR)-, Anaplastic lymphoma kinase (ALK) -, B-Raf proto-oncogene (BRAF) - or c-ros oncogene 1 (ROS1) - targeted therapy, and for whom no alternative standard therapy exists.
    3. EC: Histologically confirmed diagnosis of advanced, recurrent or metastatic EC. or failure of at least one platinum-based regimen or one immunotherapy-based regimen.
    4. OC or primary peritoneal cancer or fallopian tube cancer: Histologically confirmed diagnosis of high grade serous epithelial ovarian cancer or primary peritoneal cancer or fallopian tube cancer.

    Participants must have:

    • platinum-resistant disease (defined as progression within 6 months after the last dose of at least 4 cycles of the last platinum containing chemotherapy regimen)
    • received up to 4 post development of platinum resistance.

    For Dose-Confirmation and Dose Optimization:

    Note: Only participants with histologically confirmed diagnosis of advanced, recurrent, or metastatic EC will be enrolled at sites in France.

    High-grade serous ovarian cancer or primary peritoneal cancer or fallopian tube cancer:

    • Platinum-resistant disease:

      • For participant with 1 line of platinum-containing therapy: progression greater than (>) 1 month and less than or equal to (\<=) 6 months after the last dose of the first platinum-containing chemotherapy regimen (of at least 4 cycles)
      • For participant with 2-3 lines of platinum-containing therapy: progression during or within 6 months after the last dose of the 2nd or 3rd platinum-containing chemotherapy regimen.
    • Have received up to 3 prior lines of systemic therapy and for whom single-agent therapy is appropriate as the next line of therapy. Participants may have been treated with up to one line of therapy subsequent to determination of platinum-resistance. In Dose Optimization Part B participants may have received up to 3 prior lines of systemic therapy, up to 4 prior lines is permitted for participants who have received prior mirvetuximab soravtansine

      • plus/minus (±) adjuvant will be considered 1 line of therapy.
      • Maintenance therapy (example, bevacizumab, PARP inhibitors) will be considered part of the preceding line of therapy (will not be counted as an independent line of therapy).
      • Hormonal therapy will be counted as a separate line of therapy unless it was given as maintenance.
      • Therapy changed due to toxicity in the absence of progression will be considered part of the same line.

    Endometrial cancer (not enrolled in Dose Optimization Part B):

    • Participants must have histologically confirmed diagnosis of advanced, recurrent, or metastatic EC. All histologic (including carcinosarcoma [no more than one participant at any dose level]) and molecular subtypes will be included. Participants may have been treated with an (ICI) containing regimen (or be ineligible for ICI treatment) and must have had no more than 2 prior regimens (not including adjuvant therapy if progression or recurrent/metastatic disease occurred more than 6 months after the completion of the last cycle of adjuvant therapy).
    • Note: There is no restriction regarding prior hormonal therapy.
  3. Available tumor tissue for FRA expression percent (%) by IHC analysis as assessed at a central laboratory. There is no minimum requirement for FRA expression (%). However, the tumor sample must be evaluable for IHC analysis (that is, of sufficient quality with adequate tumor content). Sample resubmission will be permitted for participants with tissue result of "non-evaluable" who are otherwise eligible. Tumor sample submission must be archival formalinfixed, paraffin-embedded (FFPE) tissue block, or unstained slides sectioned within 45 days from the latest FFPE block, or a fresh sample obtained during screening but prior to initiation of study treatment. Participants who have received prior treatment with mirvetuximab soravtansine will be required to provide a fresh biopsy sample during screening.
  4. Radiological disease progression on or after the most recent therapy by investigator assessment.
  5. meeting the following criteria (confirmed by central radiographic review, in the Dose-Confirmation Part only):

    • At least one lesion of >1.0 centimeter (cm) in long axis diameter for non-lymph nodes or >1.5 cm in short axis diameter for lymph nodes that is serially measurable according to (RECIST) 1.1 using either computed tomography (CT) or magnetic resonance imaging (MRI),
    • Lesions that have had external beam radiotherapy (EBRT) or loco-regional therapies such as radiofrequency (RF) ablation must show evidence of PD based on RECIST 1.1 to be deemed a target lesion.
  6. PS of 0 or 1.
  7. Participants who are expected to survive a minimum of 3 months after the first administration of the study drug.
  8. Adequate renal function as evidenced by serum creatinine less than or equal to (\<=) 1.5 milligram per deciliter (mg/dL) or calculated >=50 milliliter per (mL) /minute according to a 12 or 24 hour urine collection.

    For Dose Optimization Part B, adequate renal function as evidenced by calculated creatinine clearance >=50 milliliters per minute (mL/min) by Cockcroft-Gault formula.

  9. Adequate bone marrow function, as evidenced by:

    • (ANC) >=1.0*10\^9 per liter (/L) (MORAb-202 monotherapy cohorts only)
    • ANC >=1.5*10\^9/L (MORAb-202 plus lenvatinib cohorts)
    • (Hgb) >=9.0 gram per deciliter (g/dL)
    • count >=75*10\^9/L Growth factors or transfusions as per institutional practice, are allowed if needed to achieve the above values. Growth factor and platelet transfusion should not be used within 7 days of initiation of study treatment.
  10. Adequate liver function, as evidenced by:

    • Total \<=1.5* (ULN) except for unconjugated hyperbilirubinemia (example, Gilbert's syndrome)
    • (ALT) and aspartate aminotransferase (AST) \<=3*ULN (in the case of liver metastases \<=5*ULN). Participants with Alkaline Phosphatase (ALP) \<=3*ULN unless they and are known to have bone metastases in which case higher ALP values will also be allowed.
    • Albumin >3.0 g/dL.
  11. Participants must undergo a required from the end of prior treatment to the first administration of the study drug that will be as follows:

    Prior anticancer therapy:

    • Prior chemotherapy, surgical therapy, radiation therapy: >3 weeks. Prior chest radiotherapy or pneumonectomy is an exclusion.
    • Antibody and other biologic therapeutic agents: >=4 weeks.
    • Endocrine therapy or, small-molecule targeted therapy: >2 weeks.
    • Immunotherapy >=4 weeks.
  12. Participants with a history of deep vein thrombosis (DVT) within 3 months of enrollment must be on a stable dose of anticoagulation as demonstrated by appropriate laboratory parameters (depending on the anticoagulant agent) for a minimum of 2 weeks before to starting study treatment. Anticoagulation must continue while on study treatment.
  13. Participants at risk for DVT secondary to central venous catheters or with past medical history of DVT or clinical symptoms suggestive of DVT must have venous Doppler ultrasonography to rule out DVT during the screening period and before to initiation of study treatment.
  14. If a participant has undergone major surgery, the participant must have recovered adequately from the toxicity and/or complications from the intervention prior to starting study treatment.
  15. Resolution of anticancer therapy-related or radiation-related toxicities to Grade 1 severity or lower, except for stable sensory neuropathy (Grade \<=2), anemia ([haemoglobin] Hgb >=9.0 g/dL), and alopecia (any grade).
  16. Participant must be willing and able to comply with all aspects of the protocol.
  17. Participant must provide written prior to any study-specific screening procedures.
  18. For cohorts where MORAb-202 is used in combination with lenvatinib: Has adequately controlled blood pressure (BP) with or without antihypertensive medications, defined as BP \<=150/90 millimeter of mercury (mm Hg) and no change in antihypertensive medications within 1 week before the first administration of the study drug.

Exclusion criteria

Exclusion Criteria:

  1. Participants with endometrial leiomyosarcoma, endometrial stromal sarcoma or other soft tissue sarcoma histology.
  2. Participants who received previous treatment with any folate receptor targeting agents, except for mirvetuximab soravtansine in the setting of FRA >=75%.
  3. Participants with platinum ovarian cancer (defined as disease progression during the initial platinum-based chemotherapy treatment).
  4. Currently enrolled in another clinical study or used any drug or device, which in the opinion of the Sponsor may interfere with the study treatment, within the past 28 days or 5 times the half-life (where prior drug therapy falls under the parameters these Inclusion Criteria should be followed) of any investigational drug preceding .
  5. Participants with brain or subdural are not eligible, unless they have completed local therapy and have discontinued the use of for this indication for at least 2 weeks before starting treatment in this study. must be stable for at least 4 weeks on 2 consecutive scans of the brain before starting study treatment.
  6. Diagnosed with meningeal carcinomatosis.
  7. Any other invasive that required treatment (other than definitive surgery) or has shown evidence of recurrence/progression (except for non-melanoma skin cancer, or confirmed complete excision of carcinoma in situ) during the 2 years prior to starting study treatment.
  8. Significant cardiovascular impairment. History within 6 months prior to the first dose of study drug of: congestive heart failure greater than (NYHA) Class II); unstable angina; myocardial infarction; stroke; cardiac arrhythmia associated with hemodynamic instability.

    In addition, for participants enrolled in the MORAb-202 plus lenvatinib cohorts, significant cardiovascular impairment also includes: History of arterial thromboembolism within 12 months of starting study treatment; (LVEF) \<50% or below the institutional normal range determined by multigated acquisition scan (MUGA) or echocardiogram (ECHO).Note: Medically controlled arrhythmia is permitted.

  9. abnormality, including marked prolonged baseline as corrected using Fridericia's formula (QTcF) (repeated demonstration of a QTcF interval >500 milliseconds [ms]). A history of risk factors for torsade de pointes (example, heart failure, hypokalemia, family history of long QT Syndrome) or the use of concomitant medications that prolong the QTcF.

    For participants enrolled in the MORAb-202 plus lenvatinib cohorts, prolongation of the QTcF interval to >480 ms.

  10. Known to be (HIV) positive. Testing at entry not required.
  11. Active viral hepatitis (B or C as demonstrated by positive serology). Testing at entry if there are no symptoms or history is not required unless as per local requirements.
  12. Females who are breastfeeding or pregnant at Screening or Baseline (as documented by a positive beta human chorionic gonadotropin [ß-hCG] or human chorionic gonadotropin [hCG]) with a minimum sensitivity of 25 International units per liter (IU/L) or equivalent units of ß-hCG [or hCG]. A separate baseline assessment is required if a negative screening pregnancy test was obtained more than 72 hours before the first administration of the study drug.
  13. Females of who

    • within 28 days before study entry, did not use a highly effective method of , which includes any of the following:

      • total abstinence (if it is their preferred and usual lifestyle)*
      • an intrauterine device or intrauterine hormone-releasing system (IUS)
      • a contraceptive implant
      • combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal, transdermal) or progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable). Participants using an oral contraceptive (participant must be on a stable dose of the same oral contraceptive product for at least 28 days before dosing and throughout the study and for 7 months (5*half-life plus 180 days) after study drug discontinuation)
      • bilateral tubal occlusion
      • have a vasectomized partner with confirmed azoospermia
    • do not agree to use a highly effective method of contraception (as described above) throughout the entire study period and for 7 months (5*half-life plus 180 days) after study drug discontinuation.

    For sites outside of the EU, it is permissible that if a highly effective method of contraception is not appropriate or acceptable to the participant, then the participant must agree to use a medically acceptable method of contraception, that is, double-barrier methods of contraception such as latex or synthetic condom plus diaphragm or cervical/vault cap with spermicide. NOTE: All females will be considered to be of childbearing potential unless they are (amenorrheic for at least 12 consecutive months, in the appropriate age group, and without other known or suspected cause) or have been sterilized surgically (that is, bilateral tubal ligation, total hysterectomy, or bilateral oophorectomy, all with surgery at least 1 month before dosing).

    *Sexual abstinence is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study intervention. The reliability of sexual abstinence needs to be evaluated in relation to the duration of the study and the preferred and usual lifestyle of the participant.

  14. For Dose-Escalation only: Males who have not had a successful vasectomy (confirmed azoospermia) or they and their female partners do not meet the criteria above (that is, not of childbearing potential or practicing highly effective contraception throughout the study period and for 7 months (5*half-life plus 180 days) after study drug discontinuation). If the female partner is pregnant, then males who do not agree to use latex or synthetic condoms throughout the study period and for 4 months (5*half-life plus 90 days) after study drug discontinuation. No sperm donation is allowed during the study period and for 4 months (5*half-life plus 90 days) after study drug discontinuation.
  15. Pulmonary Function Test (PFT) abnormalities: /FVC \<0.7, FEV1 or FVC \<80%, DLCO \<80% or less than the lower limit of normal according to local institutional standards.
  16. Current ILD/pneumonitis, or ILD/pneumonitis is suspected at Screening or history of interstitial lung disease (ILD)/pneumonitis of any severity including ILD/pneumonitis from prior anticancer therapy.
  17. Current infectious pneumonia, history of viral pneumonia (including COVID-19-related infection) with evidence of persistent radiologic abnormalities.
  18. Lung-specific clinically significant illnesses including, but not limited to any underlying pulmonary disorder (example, pulmonary embolism), asthma, (COPD), and restrictive lung disease, or currently receiving any medication that is associated with a clinically significant risk of developing ILD.
  19. Clinically significant pleural or pericardial effusion requiring drainage or ascites requiring peritoneal shunt.
  20. Prior pneumonectomy.
  21. History of chest radiotherapy. Participants with history of chest wall radiation (example, history of breast cancer) may be permitted if chest wall radiation is documented > 2 years before starting study treatment.
  22. Any , connective tissue, or inflammatory disorders (example, rheumatoid arthritis, Sjögren's syndrome, sarcoidosis, etc) where there is documented (or suspicion of) pulmonary involvement.
  23. A known history of active TB (bacillus tuberculosis).
  24. Scheduled for surgery during the study, other than minor surgery which would not delay study treatment.
  25. An active clinically significant (in the opinion of the Investigator) infection requiring systemic therapy within 2 weeks prior to the first dose of study drug.
  26. Administration of a live, attenuated vaccine within 4 weeks prior to the first dose of study drug, or anticipation that such a will be required during the study. Inactivated vaccines (such as hepatitis A or polio vaccines) are permitted during the study. Seasonal influenza and COVID-19 vaccines that do not contain live virus are permitted.
  27. Any prior to monoclonal antibodies or to the receipt of corticosteroids or any of the (investigators should refer to the prescribing information for the selected corticosteroid).
  28. Known intolerance to either of the components of the study drug.
  29. Any medical or other condition which, in the opinion of the investigator would preclude the participants participation in the clinical study.
  30. Receiving any medication prohibited in combination with the study treatment(s) as described in the product label for eribulin, unless medication was stopped within 7 days prior to enrollment.
  31. Known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.

    Dose Optimization Part B participants who receiving MORAb-202 in combination with lenvatinib:

  32. >1+ proteinuria on dipstick, 24-hour urine protein is >=1 gram.
  33. Gastrointestinal malabsorption or any other condition that might affect the absorption of lenvatinib.
  34. Unable to take oral medication.
  35. Major surgery within 3 weeks before the first dose of study treatment. Note: adequate wound healing after major surgery must be assessed clinically and independent of time elapsed for eligibility.
  36. Serious nonhealing wound, ulcer or bone fracture.
  37. Pre-existing Grade >=3 gastrointestinal (GI) or non-GI fistula.
  38. Radiographic evidence of major blood vessel invasion/infiltration. The degree of tumor invasion / infiltration of major blood vessels should be considered because of the potential risk of severe hemorrhage associated with tumor shrinkage/necrosis following lenvatinib therapy.
Terms in these criteria, in plain language(40)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
182 participants (estimated)

Study arms

  • Experimental
    Dose Escalation Part: Farletuzumab ecteribulin

    Participants with selected tumor types will receive farletuzumab ecteribulin (MORAb-202) as an intravenous infusion, once every 3 weeks in a 21-day cycle.

    Drug: Farletuzumab ecteribulin

  • Experimental
    Dose Confirmation Part: Farletuzumab ecteribulin

    Participants with EC and OC will receive farletuzumab ecteribulin (MORAb-202) as an intravenous infusion, once every 3 weeks in a 21-day cycle.

    Drug: Farletuzumab ecteribulin

  • Experimental
    Dose Optimization Part A, Cohort 1: Farletuzumab ecteribulin + Oral Corticosteroids

    Participants with EC and OC will receive farletuzumab ecteribulin (MORAb-202) as an intravenous infusion and oral corticosteroids in a 21-day cycle.

    Drug: Farletuzumab ecteribulin · Drug: Prednisone · Drug: Prednisolone · Drug: Dexamethasone

  • Experimental
    Dose Optimization Part A, Cohort 2: Farletuzumab ecteribulin

    Participants with EC and OC will receive farletuzumab ecteribulin (MORAb-202) as an intravenous infusion on three different days in a 21-day cycle.

    Drug: Farletuzumab ecteribulin

  • Experimental
    Dose Optimization Part A, Cohort 3: Farletuzumab ecteribulin

    Participants with EC and OC will receive farletuzumab ecteribulin (MORAb-202) as an intravenous infusion on two different days in a 21-day cycle.

    Drug: Farletuzumab ecteribulin

  • Experimental
    Dose Optimization Part B: Farletuzumab ecteribulin + Lenvatinib

    Participants with OC will either receive farletuzumab ecteribulin (MORAb-202) monotherapy as an intravenous infusion or in combination with lenvatinib, orally in a 21-day cycle.

    Drug: Farletuzumab ecteribulin · Drug: Lenvatinib

Interventions

06

What researchers measure

Primary outcomes

  1. Dose Escalation Part: Recommended Phase 2 Dose (RP2D) of Farletuzumab Ecteribulin

    Time frame: Cycle 1 (Cycle length is equal to [=] 21 days)

  2. Dose Optimization Part B: Recommended Dose (RD) of Farletuzumab Ecteribulin Monotherapy and in Combination With Lenvatinib

    Time frame: Up to approximately 5 years

  3. Objective Response Rate (ORR)

    ORR is defined as the percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR), based on the investigator assessment of radiologic response according to Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1.

    Time frame: From date of first dose of study drug until first documentation of CR or PR (up to approximately 24 weeks)

  4. Number of Participants With Dose-limiting Toxicities (DLTs)

    DLTs are any of the toxicities occurring during Cycle 1 and assessed by the investigator as related to study drug. Toxicity will be evaluated according to National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI CTCAE 5.0).

    Time frame: Cycle 1 (Cycle length=21 days)

  5. Number of Participants With Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Treatment Discontinuation and Adverse Events of Interest (AEIs)

    AE: as any untoward medical occurrence in a participant administered with an investigational product. SAE: as any untoward medical occurrence that at any dose; resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, or resulted incongenital anomaly/birth defect. AEIs are AEs that may be associated with the use of immunomodulatory drugs, such as infections, malignancies, autoimmune disorders, and injection reactions. Number of participants with AEIs were reported based on safety assessment of participants with interstitial lung disease (ILD), severity of ILD, time to resolution and onset of ILD symptoms and deaths due to ILD.

    Time frame: Baseline up to 28 days after the last dose of study drug (up to approximately 5 years)

Secondary outcomes

  1. Duration of Response (DOR)

    DOR is defined as the time from the first date of documented CR or PR to the date of disease progression or death, whichever occurs first. It will be calculated for participants whose BOR is CR or PR. DOR will be assessed according to RECIST version 1.1.

    Time frame: From first documented CR or PR until first documentation of recurrent or progressive disease or death (up to approximately 5 years)

  2. Disease Control Rate (DCR)

    DCR is defined as the percentage of participants with BOR of CR, PR, or stable disease (SD). DCR will be assessed according to RECIST version 1.1.

    Time frame: From first dose of study drug until first documentation of CR or PR or SD (up to approximately 5 years)

  3. Clinical Benefit Rate (CBR)

    CBR is defined as the percentage of participants with BOR of CR, PR, or durable SD (duration of SD greater than or equal to \[\>=\] 5 weeks). Duration of SD is defined as the time from the date of first dose to the date of the first documentation of disease progression or death, whichever occurs first. It will be calculated for participants whose BOR is SD. CBR will be assessed according to RECIST version 1.1.

    Time frame: From first dose of study drug until disease progression or death, whichever occurs first (up to approximately 5 years)

  4. Progression Free Survival (PFS)

    PFS is defined as the time from the date of first dose to the date of the first documentation of disease progression or death, whichever occurs first. PFS will be assessed according to RECIST version 1.1.

    Time frame: From first dose of study drug until disease progression, death, whichever occurs first (up to approximately 5 years)

  5. Overall Survival (OS)

    OS is defined as the time from the date of first dose to the date of death. For the participants who are alive or lost to follow up, OS is censored as the date of last known alive date or the date of data cutoff, whichever comes first. OS will be calculated using the Kaplan-Meier method.

    Time frame: From first dose of study drug until death (up to approximately 5 years)

  6. Number of Participants With Clinically Significant Change From Baseline in Clinical Laboratory Values, Vital Signs, Body Weight and 12-lead Electrocardiograms

    Time frame: Baseline up to 28 days after the last dose of study drug (up to approximately 5 years)

  7. Change From Baseline in Oxygen Saturation (SpO2)

    Change from baseline in percent of SpO2 (measured by pulse oximetry) will be calculated by measuring oxygen saturation at rest and immediately after exercise.

    Time frame: Baseline up to 28 days after the last dose of study drug (up to approximately 5 years)

  8. Change From Baseline in Eastern Cooperative Oncology Group Performance Status (ECOG PS)

    ECOG PS is used by doctors and researchers to assess how a participant's disease is progressing, assess how the disease affects the daily living activities of the participant and determine appropriate treatment and prognosis. ECOG has 6 levels (0 to 5). 0=Fully Active (Most Favorable Activity); 1=Restricted activity but ambulatory; 2=Ambulatory but unable to carry out work activities; 3=Limited Self-Care; 4=Completely Disabled, No self-care (Least Favorable Activity); 5=Dead.

    Time frame: Baseline, up to approximately 5 years)

  9. Pharmacokinetics (PK) Profiles: Maximum Observed Serum Concentration (Cmax) for Farletuzumab Ecteribulin

    Time frame: Up to approximately 5 years

  10. PK Profiles: Time of Cmax (tmax) for Farletuzumab Ecteribulin

    Time frame: Up to approximately 5 years

  11. PK Profiles: Area Under the Serum Concentration-time Curve From 0 to Infinity (AUC[0-∞]) for Farletuzumab Ecteribulin

    Time frame: Up to approximately 5 years

  12. PK Profiles: Terminal Elimination Phase Half-life (t½) for Farletuzumab Ecteribulin

    Time frame: Up to approximately 5 years

  13. Total Antibody Concentration for Eribulin and Farletuzumab Ecteribulin

    Time frame: Up to approximately 5 years

  14. Investigate tumor Folate Receptor Alpha (FRA) expression levels association with and predictive power for clinical outcomes (objective response and progression free survival)

    Evaluate how clinical outcomes like objective response and progression free survival correlate with the level of expression of FRA in tumors.

    Time frame: Baseline up to 28 days after the last dose of study drug (up to approximately 5 years)

07

Study locations

10 of 58 sites recruiting
  • ACRC/Arizona Clinical Research Center, Inc
    Tucson, Arizona 85715, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Universty of Arkansas for Medical Sciences
    Little Rock, Arkansas 72205, United States
    Completed

    Not enrolling at this site — choose another above.

  • Stanford Women's Cancer Center
    Palo Alto, California 94304, United States
    Recruiting
  • University of Miami
    Coral Gables, Florida 33146, United States
    Completed

    Not enrolling at this site — choose another above.

  • Moffitt Cancer Center and Research Institute
    Tampa, Florida 33612, United States
    Recruiting
  • Winship Cancer Institute
    Atlanta, Georgia 30322, United States
    Completed

    Not enrolling at this site — choose another above.

  • Georgia Cancer Center
    Augusta, Georgia 30912, United States
    Recruiting
  • Northwestern Memorial Hospital
    Chicago, Illinois 60611, United States
    Recruiting
  • Ascension Illinois-Skokie Infustion Center
    Skokie, Illinois 60077, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Norton Healthcare
    Louisville, Kentucky 40202, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
    Baltimore, Maryland 21287, United States
    Completed

    Not enrolling at this site — choose another above.

  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
    Completed

    Not enrolling at this site — choose another above.

  • Henry Ford Hospital
    Detroit, Michigan 48202, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • MD Anderson Cancer Center at Cooper
    Camden, New Jersey 08103, United States
    Completed

    Not enrolling at this site — choose another above.

  • Columbia University Medical Center
    New York, New York 10032, United States
    Completed

    Not enrolling at this site — choose another above.

  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
    Recruiting
  • University of Cincinnati Medical Center
    Cincinnati, Ohio 45219, United States
    Completed

    Not enrolling at this site — choose another above.

  • OSU Wxner Medical Center
    Hilliard, Ohio 43026, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Oregon Health & Science University
    Portland, Oregon 97239, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Chattanooga's Program in Women's Oncology
    Chattanooga, Tennessee 37403, United States
    Completed

    Not enrolling at this site — choose another above.

  • Vanderbilt University Medical Center
    Nashville, Tennessee 07677, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • The University of Texas MD Anderson Cancer Center
    Houston, Texas 77030, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • University of Virginia Comprehensive Cancer Center
    Charlottesville, Virginia 22903, United States
    Completed

    Not enrolling at this site — choose another above.

  • Centre Antoine Lacassagne Centre Régional de Lutte Contre Le Cancer
    Nice, Alpes-Maritimes 06100, France
    Completed

    Not enrolling at this site — choose another above.

  • ICANS - Institut de cancérologie Strasbourg Europe
    Strasbourg, Bas-Rhin 67200, France
    Completed

    Not enrolling at this site — choose another above.

  • Institut Paoli Calmettes
    Marseille, Bouches-du-Rhone 13009, France
    Completed

    Not enrolling at this site — choose another above.

  • Hopitaux de La Timone
    Marseille, Bouches-du-Rhone 13385, France
    Completed

    Not enrolling at this site — choose another above.

  • Centre François Baclesse
    Caen, Calvados 1400, France
    Completed

    Not enrolling at this site — choose another above.

  • Clinique Armoricaine de Radiologie-PPDS
    Saint-Brieuc, Cote-d'Amore 22000, France
    Withdrawn

    Not enrolling at this site — choose another above.

  • EDOG Institut de Cancerologie de l'Ouest
    Nantes, Loir-Atlantique 44000, France
    Completed

    Not enrolling at this site — choose another above.

  • Clinique Catherine de Sienne
    Nantes, Loir-Atlantique 44200, France
    Withdrawn

    Not enrolling at this site — choose another above.

  • Centre Oscar Lambret
    Lille, Nord 59000, France
    Completed

    Not enrolling at this site — choose another above.

  • Centre Hospitalier de La Côte Basque
    Bayonne, Pyrenees-Atlantiques 64109, France
    Completed

    Not enrolling at this site — choose another above.

  • Centre Léon Bérard Centre Régional de Lutte Contre Le Cancer Rhône Alpes
    Lyon, Rhone 69008, France
    Completed

    Not enrolling at this site — choose another above.

  • CLCC-Gustave Roussy Cancer
    Vilejuif, Val-de-Marne 94805, France
    Completed

    Not enrolling at this site — choose another above.

  • Hôpital de la Croix Saint-Simon
    Paris, 75020, France
    Completed

    Not enrolling at this site — choose another above.

  • Hopital Cochin
    Paris, 75679, France
    Completed

    Not enrolling at this site — choose another above.

  • National Cancer Center Hospital
    Chuo-ku, Tokyo 1040045, Japan
    Recruiting
  • Cancer Institute Hospital of JFCR
    Koto-ku, Tokyo 1358550, Japan
    Recruiting
  • ICO Badalona-H.U. Germans Trias i Pujol
    Badalona, Barcelona 08916, Spain
    Recruiting
  • Hospital Universitario Vall d'Hebron
    Barcelona, 08035, Spain
    Recruiting
  • Hospital General Universitario Gregorio Marañon
    Madrid, 28007, Spain
    Completed

    Not enrolling at this site — choose another above.

  • Clinica Universidad de Navarra
    Madrid, 28027, Spain
    Completed

    Not enrolling at this site — choose another above.

  • Hospital Clinico San Carlos
    Madrid, 28040, Spain
    Completed

    Not enrolling at this site — choose another above.

  • Hospital Universitario Ramon y Cajal
    Madrid, 28304, Spain
    Completed

    Not enrolling at this site — choose another above.

  • Hospital Universitario de Toledo
    Toledo, 45007, Spain
    Completed

    Not enrolling at this site — choose another above.

  • Fundacion Instituto Valenciano de Oncologia
    Valencia, 46009, Spain
    Completed

    Not enrolling at this site — choose another above.

  • Hospital Clinico Universitario de Valencia
    Valencia, 46010, Spain
    Recruiting
  • Hospital Universitari i Politecnic La Fe de Valencia
    Valencia, 46013, Spain
    Completed

    Not enrolling at this site — choose another above.

  • Belfast City Hospital
    Belfast, Antrim BT9 7AB, United Kingdom
    Withdrawn

    Not enrolling at this site — choose another above.

  • Beatson West of Scotland Cancer Centre-PPDS
    Glasgow, Glasgow City G12 0YN, United Kingdom
    Completed

    Not enrolling at this site — choose another above.

  • The Christie NHS Foundation Trust
    Manchester, Lancanshire M20 4BX, United Kingdom
    Completed

    Not enrolling at this site — choose another above.

  • Lancashire Clinical Research Facility, Royal Preston Hospital
    Preston, Lancanshire PR2 9HT, United Kingdom
    Completed

    Not enrolling at this site — choose another above.

  • Guy's and St Thomas's Hospital
    London, London, City of SE1 9RT, United Kingdom
    Completed

    Not enrolling at this site — choose another above.

  • Mount Vernon Cancer Centre
    Northwood, Middlesex HA6 2RN, United Kingdom
    Completed

    Not enrolling at this site — choose another above.

  • Velindre Cancer Centre-PPDS
    Cardiff, South Glamorgan CF14 2TL, United Kingdom
    Completed

    Not enrolling at this site — choose another above.

  • The Royal Marsden in Sutton
    Sutton, Surrey SM2 5PT, United Kingdom
    Withdrawn

    Not enrolling at this site — choose another above.

08

References and documents

Individual participant data

Plan to share: Yes — Eisai's data sharing commitment and further information on how to request data can be found on our website http://eisaiclinicaltrials.com/.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04300556
Lead sponsor
Eisai Inc.
Responsible party
Sponsor
First posted
Mar 9, 2020
Start date
Aug 6, 2020
Primary completion
Aug 8, 2030 (estimated)
Completion
Aug 8, 2030 (estimated)
Last update
Jun 4, 2026

Study contacts

Eisai Medical Information
Contact
esi_oncmedinfo@eisai.com
1-888-274-2378

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: MORAb-202

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