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Mirvetuximab soravtansine Side Effects

Medically reviewed by Drugs.com. Last updated on Jul 18, 2023.

Applies to mirvetuximab soravtansine: intravenous solution.

Warning

Intravenous route (Solution)

Warning: Ocular ToxicityMirvetuximab soravtansine-gynx can cause severe ocular toxicities, including visual impairment, keratopathy, dry eye, photophobia, eye pain, and uveitis.Conduct an ophthalmic exam including visual acuity and slit lamp exam prior to initiation of mirvetuximab soravtansine-gynx, every other cycle for the first 8 cycles, and as clinically indicated.Administer prophylactic artificial tears and ophthalmic topical steroids.Withhold mirvetuximab soravtansine-gynx for ocular toxicities until improvement and resume at the same or reduced dose.Discontinue mirvetuximab soravtansine-gynx for Grade 4 ocular toxicities.

Serious side effects

Along with its needed effects, mirvetuximab soravtansine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur while taking mirvetuximab soravtansine:

More common

Less common

Other side effects

Some side effects of mirvetuximab soravtansine may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

For Healthcare Professionals

Applies to mirvetuximab soravtansine: intravenous solution.

Gastrointestinal

Very common (10% or more): Abdominal distension (11%), abdominal pain (36%), constipation (30%), diarrhea (31%), nausea (40%), vomiting (19%)[Ref]

General

-The most common adverse reactions with a frequency of 20% or more, including laboratory abnormalities, were vision impairment, fatigue, increased aspartate aminotransferase, nausea, increased alanine aminotransferase, keratopathy, abdominal pain, decreased lymphocytes, peripheral neuropathy, diarrhea, decreased albumin, constipation, increased alkaline phosphatase, dry eye, decreased magnesium, decreased leukocytes, decreased neutrophils, and decreased hemoglobin.

-The most common side effects resulting in discontinuation were intestinal obstruction (2%) and thrombocytopenia (2%).

-Serious adverse reactions were reported in 31% of patients, of which the most common were intestinal obstruction, ascites, infection, and pleural effusion.[Ref]

Hematologic

Common (1% to 10%): Thrombocytopenia[Ref]

Hypersensitivity

Common (1% to 10%): Infusion related reactions/hypersensitivity[Ref]

Musculoskeletal

Very common (10% or more): Arthralgia (17%), myalgia (10%)[Ref]

Nervous system

Very common (10% or more): Peripheral neuropathy (33%)[Ref]

Ocular

Very common (10% or more): Cataract (18%), dry eye (27%), eye pain (10%), keratopathy (37%), photophobia (17%), vision impairment (50%)

Common (1% to 10%): Uveitis[Ref]

Other

Very common (10% or more): Fatigue (49%)[Ref]

Respiratory

Very common (10% or more): Dyspnea (12%)

Common (1% to 10%): Pneumonitis[Ref]

Metabolic

Very common (10% or more): Decreased appetite (18%)[Ref]

References

1. Product Information. Elahere (mirvetuximab soravtansine). ImmunoGen, Inc. 2022;1.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Some side effects may not be reported. You may report them to the FDA.