Phase 2 Study of OTL38 for Intra-operative Imaging of Folate Receptor-alpha Positive Ovarian Cancer
Condition: Ovarian Cancer
MeSH terms: Ovarian Neoplasms; Carcinoma, Ovarian Epithelial
Intervention: OTL38; Near infrared camera imaging system; Laparotomy
Intervention description: Near infrared camera imaging system; primary surgical cytoreduction, interval debulking, or recurrent ovarian cancer surgery
Phase: Phase 2
Study type: Interventional
Primary purpose: Other
Intervention model: Single Group Assignment
Masking: None (Open Label)
Enrollment: 48.0
Sex: Female
Minimum age: 18 Years
Healthy volunteers: No

Summary:

      This study is being done to:

        -  test the safety of OTL38

        -  see if OTL38 helps light up the cancer when viewed with the special camera system

        -  test the safety of the special camera system for use along with OTL38 during surgery
    

Eligibility criteria:

        Inclusion Criteria:

          1. Female patients 18 years of age and older

          2. Have a primary diagnosis, or at high clinical suspicion, of primary ovarian cancer (of
             epithelial type), planned for primary debulking or interval debulking surgery, and:

               -  Who are scheduled to undergo laparotomy for the debulking surgery OR

               -  Who are scheduled to undergo laparoscopy and pre-authorized to undergo laparotomy
                  for the debulking surgery, if cancer is detected on the laparoscopy

          3. A negative serum pregnancy test at Screening followed by a negative urine pregnancy
             test on the day of surgery or day of admission for female patients of childbearing
             potential

          4. Female patients of childbearing potential or less than 2 years postmenopausal agree to
             use an acceptable form of contraception from the time of signing informed consent
             until 30 days after study completion

          5. Ability to understand the requirements of the study, provide written informed consent
             and authorization of use and disclosure of protected health information, and agree to
             abide by the study restrictions and to return for the required assessments

        Exclusion Criteria:

          1. Previous exposure to OTL38

          2. Known FR alpha-negative ovarian cancer

          3. Planned surgical approach via laparoscopy or robotic surgery

          4. Any medical condition that in the opinion of the investigators could potentially
             jeopardize the safety of the patient

          5. History of anaphylactic reactions or severe allergies

          6. History of allergy to any of the components of OTL38, including folic acid

          7. Pregnancy, or positive pregnancy test

          8. Clinically significant abnormalities on electrocardiogram (ECG)

          9. Presence of any psychological, familial, sociological or geographical condition
             potentially hampering compliance with the study protocol and follow-up schedule

         10. Impaired renal function defined as eGFR< 50 mL/min/1.73m2

         11. Impaired liver function defined as values > 3x the upper limit of normal (ULN) for
             alanine aminotransferase (ALT) or aspartate aminotransferase (AST), alkaline
             phosphatase (ALP), or total bilirubin.

         12. Known Stage IV ovarian cancer with Brain Metastases

         13. Received an investigational agent in another investigational drug or vaccine trial
             within 30 days prior to surgery

         14. Known sensitivity to fluorescent light