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Testing for FRα can be done as early as DIAGNOSIS TO UNDERSTAND HER TREATMENT OPTIONS AT PLATINUM RESISTANCE1,2

FRα=folate receptor alpha.

FRα Expression FRα Expression FRα Testing MOA FRα Expression

Why does FRα matter?

is a folate transport protein that is expressed in several types of cancer.3*

Up to 90% of patients

with ovarian cancer express FRα3,4

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~35%
of patients

with advanced ovarian cancer have tumors that express FRα at a level that may make them candidates for ELAHERE monotherapy5,6

*Not to be confused with folate or folic acid.

Why is testing important?

ADC icon
ELAHERE is an ADC designed to target FRα in platinum-resistant ovarian cancer6
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Knowing your patients' FRα status can help you be ready to treat with ELAHERE as soon as they become platinum resistant6,7

NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Ovarian Cancer Including Fallopian Tube Cancer and Primary Peritoneal Cancer recommend tumor molecular analysis, including FRα testing, for patients with recurrent disease to identify potential benefits from targeted therapies1

ADC=antibody-drug conjugate; NCCN=National Comprehensive Cancer Network® (NCCN®).

SPECIFICALLY REQUEST FRα TESTING FOR YOUR PATIENTS, AS IT MAY NOT BE AUTOMATIC7,8

Dropper and slide icon

Test for FRα with the FDA-approved VENTANA FOLR1 IHC assay7,9,10*

  • Testing can be done as early as diagnosis
  • dash

    Formalin-fixed, paraffin-embedded archival or recently acquired tissue can be used for the test

  • FRα expression is identified via IHC, not with genomic testing, and it may need to be requested as an add-on (for example: in addition to a broad NGS panel)
≥75% icon

Act on the results for appropriate patients6,7

  • Tumors with ≥75% of cells staining at ≥2+ intensity are considered FRα positive
  • Patients who meet the above criteria and have platinum-resistant ovarian cancer may be candidates for ELAHERE

Test for FRα and see if your patients are eligible for treatment with ELAHERE as soon as they become platinum resistant6,10

*VENTANA FOLR1 (FOLR1-2.1) RxDx Assay.
FOLR1=folate receptor 1; IHC=immunohistochemistry; NGS=next-generation sequencing.

ELAHERE IS DESIGNED TO TARGET FRα-EXPRESSING CELLS6

ELAHERE is an ADC that binds to cell surface receptor FRα6,11-14

Graphic of ELAHERE binding to receptor

ELAHERE binds to FRα on the cell surface with high affinity

Graphic of ELAHERE internalized into cell

Upon binding, ELAHERE is internalized by the cell and delivers a cytotoxic molecule

Graphic of ELAHERE releasing DM4 into cell

This prompts intracellular release of DM4, a cytotoxic microtubule inhibitor, resulting in cell cycle arrest and apoptotic cell death

DM4 diffuses across the cell membrane and kills neighboring cells (bystander killing)

DM4 diffuses across the cell membrane and kills neighboring cells (bystander killing)*

*Via cell cycle arrest and apoptotic cell death.

The MOA of ELAHERE may affect cancer cells as well as neighboring healthy cells.15

MOA=mechanism of action.

NCCN Guidelines for Ovarian Cancer Including Fallopian Tube Cancer and Primary Peritoneal Cancer V.3.2025 recommend mirvetuximab soravtansine-gynx (ELAHERE®) as a NCCN Category 1, Preferred option for recurrence therapy in patients with folate receptor-alpha positive (FRα-expressing tumors [≥75% of positive tumor cells]), platinum-resistant epithelial ovarian, fallopian tube, or primary peritoneal cancer1,6,7

Need more information
about FRα testing?

A representative can answer additional questions
you may have about testing for FRα.
REQUEST A REP

Take a look
at the data

Explore the results of ELAHERE vs
standard chemotherapy.
VIEW THE DATA
  1. Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Ovarian Cancer Including Fallopian Tube Cancer and Primary Peritoneal Cancer V.3.2025. © National Comprehensive Cancer Network, Inc. 2025. All rights reserved. Accessed July 28, 2025. To view the most recent and complete version of the guideline, go online to NCCN.org. NCCN makes no warranties of any kind whatsoever regarding their content, use or application and disclaims any responsibility for their application or use in any way.
  2. James RL, Sisserson T, Cai Z, et al. Arch Pathol Lab Med. 2024;148(11):1226-1233. doi:10.5858/arpa.2023-0149-OA
  3. Parker N, Turk MJ, Westrick E, Lewis JD, Low PS, Leamon CP. Anal Biochem. 2005;338(2):284-293. doi:10.1016/j.ab.2004.12.026
  4. Toffoli G, Cernigoi C, Russo A, Gallo A, Bagnoli M, Boiocchi M. Int J Cancer. 1997;74(2):193-198. doi:10.1002/(sici)1097-0215(19970422)74:2<193::aid-ijc10>3.0.co;2-f
  5. Matulonis UA, Lorusso D, Oaknin A, et al. J Clin Oncol. 2023;41(13):2436-2445. doi:10.1200/JCO.22.01900
  6. ELAHERE. Package insert. AbbVie; 2025.
  7. VENTANA FOLR1 (FOLR1-2.1) RxDx Assay. Package insert. Roche; 2022.
  8. Provider FAQs. Foundation Medicine. Accessed April 14, 2025. https://www.foundationmedicine.com/faq/provider-faqs
  9. US Food and Drug Administration. Premarket approval letter for VENTANA FOLR1 (FOLR1-2.1) RxDx Assay. November 14, 2022. Accessed April 14, 2025. https://www.accessdata.fda.gov/cdrh_docs/pdf22/P220006A.pdf
  10. Despierre E, Lambrechts S, Leunen K, et al. Gynecol Oncol. 2013;130(1):192-199. doi:10.1016/j.ygyno.2013.03.024
  11. Kovtun YV, Audette CA, Ye Y, et al. Cancer Res. 2006;66(6):3214-3221. doi:10.1158/0008-5472.CAN-05-3973
  12. Erickson HK, Park PU, Widdison WC, et al. Cancer Res. 2006;66(8):4426-4433. doi:10.1158/0008-5472.CAN-05-4489
  13. Tsumura R, Manabe S, Takashima H, Koga Y, Yasunaga M, Matsumura Y. J Control Release. 2018;284:49-56. doi:10.1016/j.jconrel.2018.06.016
  14. Miotti S, Canevari S, Ménard S, et al. Int J Cancer. 1987;39(3):297-303. doi:10.1002/ijc.2910390306
  15. Nguyen TD, Bordeau BM, Balthasar JP. Cancers (Basel). 2023;15(3):713. doi:10.3390/cancers15030713