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10.1007/s00280-017-3245-5

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suck abstract from ncbi


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pmid28280971
      Cancer+Chemother+Pharmacol 2017 ; 79 (4 ): 673-680
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  • A phase 1 study of anti-TGF? receptor type-II monoclonal antibody LY3022859 in patients with advanced solid tumors #MMPMID28280971
  • Tolcher AW ; Berlin JD ; Cosaert J ; Kauh J ; Chan E ; Piha-Paul SA ; Amaya A ; Tang S ; Driscoll K ; Kimbung R ; Kambhampati SR ; Gueorguieva I ; Hong DS
  • Cancer Chemother Pharmacol 2017[Apr]; 79 (4 ): 673-680 PMID28280971 show ga
  • PURPOSE: LY3022859 is an anti-TGF?RII IgG(1) monoclonal antibody that inhibits receptor-mediated signaling activation. The primary objective of this phase I study was to determine a phase II dose in patients with advanced solid tumors. Secondary objectives were to assess safety and pharmacokinetics (PK). METHODS: LY3022859 was infused intravenously (IV) at 1.25 mg/kg over 1 h every 2 weeks (Q2W) (cohort 1A) and at flat doses of 12.5 mg (cohort 1B) and 25 mg (cohort 2) over 3 h Q2W. RESULTS: Fourteen patients were enrolled in cohorts 1A (n = 2), 1B (n = 5), and 2 (n = 7). DLTs were experienced by both patients in cohort 1A (infusion-related reaction) and 2 patients in cohort 2 (cytokine release syndrome and infusion-related reaction). No MTD was determined. At the 25 mg dose level (cohort 2), after fifth infusion, LY3022859 had a short t(1/2) (4.37-7.80 h) and rapid clearance (CL(ss), 0.412 L/h). Exposure increased twofold (from 28.5 to 60.2 ?g·h/mL) with increase in dose from 12.5 to 25 mg. No accumulation was observed after repeat administration. CONCLUSIONS: The MTD for LY3022859 was not determined. Dose escalation beyond 25 mg was considered unsafe due to worsening symptoms (uncontrolled cytokine release) despite prophylaxis (corticosteroids and antihistamines). TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT01646203.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Antibodies, Monoclonal/adverse effects/pharmacokinetics/*therapeutic use [MESH]
  • |Antineoplastic Agents/adverse effects/pharmacokinetics/*therapeutic use [MESH]
  • |Cohort Studies [MESH]
  • |Cytokines/metabolism [MESH]
  • |Dose-Response Relationship, Drug [MESH]
  • |Female [MESH]
  • |Half-Life [MESH]
  • |Humans [MESH]
  • |Infusions, Intravenous [MESH]
  • |Male [MESH]
  • |Maximum Tolerated Dose [MESH]
  • |Middle Aged [MESH]
  • |Neoplasms/*drug therapy [MESH]
  • |Receptors, Transforming Growth Factor beta/*antagonists & inhibitors [MESH]
  • |Treatment Outcome [MESH]


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