Phase 2 Study of OTL38 for Intra-operative Imaging of Folate Receptor-alpha Positive Ovarian Cancer

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