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10.1038/bjc.2014.497

http://scihub22266oqcxt.onion/10.1038/bjc.2014.497
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suck abstract from ncbi


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pmid25290091
      Br+J+Cancer 2014 ; 111 (10 ): 1932-44
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  • A parallel-arm phase I trial of the humanised anti-IGF-1R antibody dalotuzumab in combination with the AKT inhibitor MK-2206, the mTOR inhibitor ridaforolimus, or the NOTCH inhibitor MK-0752, in patients with advanced solid tumours #MMPMID25290091
  • Brana I ; Berger R ; Golan T ; Haluska P ; Edenfield J ; Fiorica J ; Stephenson J ; Martin LP ; Westin S ; Hanjani P ; Jones MB ; Almhanna K ; Wenham RM ; Sullivan DM ; Dalton WS ; Gunchenko A ; Cheng JD ; Siu LL ; Gray JE
  • Br J Cancer 2014[Nov]; 111 (10 ): 1932-44 PMID25290091 show ga
  • BACKGROUND: Two strategies to interrogate the insulin growth factor 1 receptor (IGF-1R) pathway were investigated: vertical inhibition with dalotuzumab and MK-2206 or ridaforolimus to potentiate PI3K pathway targeting and horizontal cross-talk inhibition with dalotuzumab and MK-0752 to exert effects against cellular proliferation, angiogenesis, and stem cell propagation. METHODS: A phase I, multi-cohort dose escalation study was conducted in patients with advanced solid tumours. Patients received dalotuzumab (10?mg?kg(-1)) and escalating doses of MK-2206 (90-200?mg) or escalating doses of dalotuzumab (7.5-10?mg?kg(-1)) and MK-0752 (1800?mg) weekly. Upon maximum tolerated dose determination, patients with low-RAS signature, high-IGF1 expression ovarian cancer were randomised to dalotuzumab/MK-2206 versus dalotuzumab/ridaforolimus, whereas patients with high IGF1/low IGF2 expression colorectal cancer received dalotuzumab/MK-0752. RESULTS: A total of 47 patients were enrolled: 29 in part A (18 in the dalotuzumab/MK-2206 arm and 11 in the dalotuzumab/MK-0752 arm) and 18 in part B (6 in each arm). Dose-limiting toxicities (DLTs) for dalotuzumab/MK-2206 included grade 4 neutropenia and grade 3 serum sickness-like reaction, maculopapular rash, and gastrointestinal inflammation. For dalotuzumab/MK-0752, DLTs included grade 3 dehydration, rash, and diarrhoea. Seven patients remained on study for >4 cycles. CONCLUSIONS: Dalotuzumab/MK-2206 and dalotuzumab/MK-0752 combinations were tolerable. Further developments of prospectively validated predictive biomarkers to aid in patient selection for anti-IGF-1R therapies are needed.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Antibodies, Monoclonal, Humanized [MESH]
  • |Antibodies, Monoclonal/pharmacokinetics/*therapeutic use [MESH]
  • |Antineoplastic Combined Chemotherapy Protocols [MESH]
  • |Benzene Derivatives/pharmacokinetics/*therapeutic use [MESH]
  • |Biomarkers, Tumor/metabolism [MESH]
  • |Clinical Trials, Phase II as Topic [MESH]
  • |Clinical Trials, Phase III as Topic [MESH]
  • |Cohort Studies [MESH]
  • |Female [MESH]
  • |Follow-Up Studies [MESH]
  • |Heterocyclic Compounds, 3-Ring/pharmacokinetics/*therapeutic use [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Neoplasm Staging [MESH]
  • |Neoplasms/*drug therapy/metabolism/pathology [MESH]
  • |Prognosis [MESH]
  • |Propionates/pharmacokinetics/*therapeutic use [MESH]
  • |Proto-Oncogene Proteins c-akt/antagonists & inhibitors [MESH]
  • |Randomized Controlled Trials as Topic [MESH]
  • |Receptor, IGF Type 1/antagonists & inhibitors [MESH]
  • |Receptors, Notch/antagonists & inhibitors [MESH]
  • |Sirolimus/*analogs & derivatives/pharmacokinetics/therapeutic use [MESH]
  • |Sulfones/pharmacokinetics/*therapeutic use [MESH]
  • |TOR Serine-Threonine Kinases/antagonists & inhibitors [MESH]


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