A pilot study of AMP-224—a PD-1 inhibitor—in combination with stereotactic body radiation therapy (SBRT) in patients with metastatic colorectal cancer.

Authors

null

Austin G. Duffy

National Cancer Institute at the National Institutes of Health, Bethesda, MD

Austin G. Duffy , Oxana V. Makarova-Rusher , Suzanne Fioravanti , Melissa Walker , Aradhana Venkatesan , Nadine Abi-Jaoudeh , Bradford J. Wood , Deborah E. Citrin , Tim F. Greten

Organizations

National Cancer Institute at the National Institutes of Health, Bethesda, MD, Center for Cancer Research, National Cancer Institute at the National Institutes of Health, Bethesda, MD, Center for Interventional Oncology, National Cancer Institute at the National Institutes of Health, Bethesda, MD

Research Funding

NIH

Background: AMP-224, a B7-DC Fc fusion protein, binds to PD-1, an inhibitory receptor that is present on the cell surface of exhausted, activated, effector, and memory T cells. AMP-224 has a unique mechanism of action in that it binds specifically to PD-1HI T cells (chronically stimulated / exhausted T cells) but not to PD-1LOcells which represent the normal activated T cell population. Several preclinical studies have documented an increase in peripheral antitumor immunity following radiation, a phenomenon known as the “abscopal effect”. Tumor PD-L1 expression has also been shown to be induced by radiation, which can suppress the anti-tumor immune response. Inhibition of PD-1/PDL-1 axis has been shown to improve anti-tumor immunity by blocking the tumor-mediated suppression of cytotoxic T cells. The aim of the study is to evaluate whether the anti-tumor immunity of anti-PD1 therapy (with AMP-224) can be enhanced by radiation therapy. Methods: Patients with histologically confirmed metastatic colorectal cancer to liver are being enrolled to this pilot study. The objectives are to determine the safety, tolerability and feasibility of AMP-224 in combination with stereotactic body radiation therapy (SBRT) to metastatic hepatic metastasis in patients with advanced colorectal cancer. Select eligibility are as follows: at least 1 measurable metastatic hepatic lesion by RECIST 1.1 criteria and amenable to SBRT. Patient must have progressed on or been intolerant of at least one prior oxaliplatin- and/or irinotecan-containing regimen and have metastatic lesions that are not amenable to curative resection; ECOG ≤ 1; Life expectancy of greater than 3 months. Acceptable organ and bone marrow function. No active or prior documented autoimmune or inflammatory disorders. Clinical trial information: awaited.

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Abstract Details

Meeting

2015 Gastrointestinal Cancers Symposium

Session Type

Trials in Progress Poster Session

Session Title

Trials in Progress Poster Session C: Cancers of the Colon, Rectum, and Anus

Track

Cancers of the Colon, Rectum, and Anus

Sub Track

Translational Research

Clinical Trial Registration Number

awaited

Citation

J Clin Oncol 33, 2015 (suppl 3; abstr TPS788)

DOI

10.1200/jco.2015.33.3_suppl.tps788

Abstract #

TPS788

Poster Bd #

F26

Abstract Disclosures