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10.1186/s13045-017-0427-x

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suck abstract from ncbi


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pmid28327200
      J+Hematol+Oncol 2017 ; 10 (1 ): 73
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  • A first-in-human phase 1 study of a hepcidin monoclonal antibody, LY2787106, in cancer-associated anemia #MMPMID28327200
  • Vadhan-Raj S ; Abonour R ; Goldman JW ; Smith DA ; Slapak CA ; Ilaria RL Jr ; Tiu RV ; Wang X ; Callies S ; Cox J ; Tuttle JL ; Lau YK ; Roeland EJ
  • J Hematol Oncol 2017[Mar]; 10 (1 ): 73 PMID28327200 show ga
  • BACKGROUND: Hepcidin plays a central role in iron homeostasis and erythropoiesis. Neutralizing hepcidin with a monoclonal antibody (mAb) may prevent ferroportin internalization, restore iron efflux from cells, and allow transferrin-mediated iron transport to the bone marrow. This multicenter, phase 1 study evaluated the safety, pharmacokinetics (PK), pharmacodynamics (PD), and efficacy of a fully humanized mAb (LY2787106) with high affinity for hepcidin in cancer patients with anemia. METHODS: Thirty-three patients with hepcidin levels ?5 ng/mL received LY2787106 either every 3 weeks (19 patients, dose range 0.3-10 mg/kg) (part A) or weekly (14 patients, dose 10 mg/kg) (part B). LY2787106 PK/PD markers of iron and hematology biology were measured. RESULTS: LY2787106 clearance (32 mL/h) and volume of distribution (7.7 L) were independent of dose and time, leading to a dose-proportional increase in concentration with dose. Consistent dose-dependent increases in serum iron, and transferrin saturation were seen at the 3 and 10 mg/kg dose levels, typically peaking within 24 h after LY2787106 administration and returning to baseline by day 8. CONCLUSIONS: Our findings indicate that LY2787106 was well tolerated in cancer patients with anemia and that targeting the hepcidin-ferroportin pathway by neutralizing hepcidin resulted in transient iron mobilization, thus supporting the role of hepcidin in iron regulation. TRIAL REGISTRATION: ClinicalTrial.gov, NCT01340976.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Anemia/complications/*drug therapy/etiology [MESH]
  • |Antibodies, Monoclonal, Humanized/administration & dosage/pharmacokinetics/pharmacology/*therapeutic use [MESH]
  • |Female [MESH]
  • |Hemoglobins/analysis/drug effects [MESH]
  • |Hepcidins/*immunology [MESH]
  • |Humans [MESH]
  • |Iron/blood/metabolism [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Neoplasms/*complications [MESH]
  • |Time Factors [MESH]


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