A phase 1 dose-escalation study of antibody BI-505 in relapsed/refractory multiple myeloma.
Författare
Summary, in English
Purpose: This multicenter, first-in-human study evaluated safety, tolerability, pharmacokinetics, and pharmacodynamics of BI-505, a human anti-ICAM-1 monoclonal antibody, in advanced relapsed/refractory multiple myeloma patients. Experimental design: BI-505 was given intravenously, every two weeks, at escalating doses from 0.0004 to 20 mg/kg, with extension of therapy until disease progression for responding or stable patients receiving 0.09 mg/kg or higher doses. Results: A total of 35 patients were enrolled. The most common adverse events were fatigue, pyrexia, headache, and nausea. Adverse events were generally mild to moderate and those attributed to study medication were mostly limited to the first dose, and manageable with premedication and slower infusion. No maximum tolerated dose was identified. BI-505's half-life increased with dose while clearance decreased, suggesting target-mediated clearance. The ICAM-1 epitopes on patient bone marrow myeloma were completely saturated at 10 mg/kg doses. Using the International Myeloma Working Group criteria, seven patients on extended therapy had stable disease for more than two months. Conclusion: BI-505 can be safely administered at doses that saturate myeloma cell ICAM-1 receptors in patients. This study was registered at www.clinicaltrials.gov (NCT01025206).
Avdelning/ar
- Myelomgruppen
- Avdelningen för hematologi och transfusionsmedicin
- BioCARE: Biomarkers in Cancer Medicine improving Health Care, Education and Innovation
- Immunology
Publiceringsår
2015
Språk
Engelska
Sidor
2730-2736
Publikation/Tidskrift/Serie
Clinical Cancer Research
Volym
21
Issue
12
Länkar
Dokumenttyp
Artikel i tidskrift
Förlag
American Association for Cancer Research
Ämne
- Cancer and Oncology
Status
Published
Forskningsgrupp
- Myeloma research group
- Immunology
ISBN/ISSN/Övrigt
- ISSN: 1078-0432