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10.1200/JCO.2009.26.7609

http://scihub22266oqcxt.onion/10.1200/JCO.2009.26.7609
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C4834717!4834717 !20516446
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suck abstract from ncbi


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pmid20516446
      J+Clin+Oncol 2010 ; 28 (19 ): 3167-75
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  • Phase I study of single-agent anti-programmed death-1 (MDX-1106) in refractory solid tumors: safety, clinical activity, pharmacodynamics, and immunologic correlates #MMPMID20516446
  • Brahmer JR ; Drake CG ; Wollner I ; Powderly JD ; Picus J ; Sharfman WH ; Stankevich E ; Pons A ; Salay TM ; McMiller TL ; Gilson MM ; Wang C ; Selby M ; Taube JM ; Anders R ; Chen L ; Korman AJ ; Pardoll DM ; Lowy I ; Topalian SL
  • J Clin Oncol 2010[Jul]; 28 (19 ): 3167-75 PMID20516446 show ga
  • PURPOSE: Programmed death-1 (PD-1), an inhibitory receptor expressed on activated T cells, may suppress antitumor immunity. This phase I study sought to determine the safety and tolerability of anti-PD-1 blockade in patients with treatment-refractory solid tumors and to preliminarily assess antitumor activity, pharmacodynamics, and immunologic correlates. PATIENTS AND METHODS: Thirty-nine patients with advanced metastatic melanoma, colorectal cancer (CRC), castrate-resistant prostate cancer, non-small-cell lung cancer (NSCLC), or renal cell carcinoma (RCC) received a single intravenous infusion of anti-PD-1 (MDX-1106) in dose-escalating six-patient cohorts at 0.3, 1, 3, or 10 mg/kg, followed by a 15-patient expansion cohort at 10 mg/kg. Patients with evidence of clinical benefit at 3 months were eligible for repeated therapy. RESULTS: Anti-PD-1 was well tolerated: one serious adverse event, inflammatory colitis, was observed in a patient with melanoma who received five doses at 1 mg/kg. One durable complete response (CRC) and two partial responses (PRs; melanoma, RCC) were seen. Two additional patients (melanoma, NSCLC) had significant lesional tumor regressions not meeting PR criteria. The serum half-life of anti-PD-1 was 12 to 20 days. However, pharmacodynamics indicated a sustained mean occupancy of > 70% of PD-1 molecules on circulating T cells > or = 2 months following infusion, regardless of dose. In nine patients examined, tumor cell surface B7-H1 expression appeared to correlate with the likelihood of response to treatment. CONCLUSION: Blocking the PD-1 immune checkpoint with intermittent antibody dosing is well tolerated and associated with evidence of antitumor activity. Exploration of alternative dosing regimens and combinatorial therapies with vaccines, targeted therapies, and/or other checkpoint inhibitors is warranted.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Antibodies, Monoclonal/adverse effects/pharmacokinetics/*therapeutic use [MESH]
  • |Antigens, CD/*immunology [MESH]
  • |Apoptosis Regulatory Proteins/*immunology [MESH]
  • |Carcinoma, Non-Small-Cell Lung/drug therapy/pathology [MESH]
  • |Carcinoma, Renal Cell/drug therapy/pathology [MESH]
  • |Colorectal Neoplasms/drug therapy/pathology [MESH]
  • |Dose-Response Relationship, Drug [MESH]
  • |Fatigue/chemically induced [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Kidney Neoplasms/drug therapy/pathology [MESH]
  • |Lung Neoplasms/drug therapy/pathology [MESH]
  • |Lymphopenia/chemically induced [MESH]
  • |Male [MESH]
  • |Melanoma/drug therapy/pathology [MESH]
  • |Middle Aged [MESH]
  • |Neoplasms/*drug therapy/pathology [MESH]
  • |Nivolumab [MESH]
  • |Programmed Cell Death 1 Receptor [MESH]
  • |Prostatic Neoplasms/drug therapy/pathology [MESH]


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