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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 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]