Phase Ia and Ib studies of the novel carcinoembryonic antigen (CEA) T-cell bispecific (CEA CD3 TCB) antibody as a single agent and in combination with atezolizumab: Preliminary efficacy and safety in patients with metastatic colorectal cancer (mCRC).

Authors

Josep Tabernero

Josep Tabernero

Vall d’Hebron University Hospital Institute of Oncology (VHIO), Barcelona, Spain

Josep Tabernero , Ignacio Melero , Willeke Ros , Guillem Argiles , Aurelien Marabelle , Maria E. Rodriguez-Ruiz , Joan Albanell , Emiliano Calvo , Victor Moreno , James M. Cleary , Joseph Paul Eder , Vaios Karanikas , Said Bouseida , Federico Sandoval , Daniel Sabanes , Sasha Sreckovic , Herbert Hurwitz , Luis G. Paz-Ares , Jose M. Saro Suarez , Neil Howard Segal

Organizations

Vall d’Hebron University Hospital Institute of Oncology (VHIO), Barcelona, Spain, CIMA, CUN, University Navarra, Centro de Investigación Biomédica en Red de Oncología (CIBERONC), Pamplona, Spain, Netherlands Cancer Institute, Amsterdam, Netherlands, Gustave Roussy, Université Paris-Saclay, Villejuif, France, CIMA, CUN, University Navarra, Centro de Investigación Biomédica en Red de Oncología (CIBERONC), Madrid, Spain, Medical Oncology Department, Hospital del Mar, Barcelona, Spain, START Madrid, Centro Integral Oncológico Clara Campal, Madrid, Spain, START Madrid-FJD, Hospital Fundación Jiménez Díaz, Madrid, Spain, Dana-Farber Cancer Institute, Boston, MA, Yale Cancer Center, New Haven, CT, Roche Innovation Center, Zurich, Switzerland, Roche Innovation Center, Basel, Switzerland, F. Hoffmann-La Roche Ltd., Basel, Switzerland, Duke University Medical Center, Durham, NC, Medical Oncology Department, Hospital 12 de Octubre, Madrid, Spain, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY

Research Funding

Pharmaceutical/Biotech Company

Background: CEA CD3 TCB (RG7802, RO6958688) is a novel T-cell bispecific antibody targeting CEA on tumor cells and CD3 on T cells. In preclinical models, CEA CD3 TCB displays potent anti-tumor activity, leads to increased intra-tumoral T cell infiltration and activation and upregulates PD-1/PD-L1. Methods: Intwo ongoing dose-escalation phase I studies, RO6958688 is given as monotherapy (S1) i.v. QW or in combination (QW) with atezolizumab 1200 mg Q3W (S2) in adult patients (pts) with advanced CEA+ solid tumors. In S1, 80 pts (mCRC: 68) were treated at dose levels from 0.05 mg to 600 mg; in S2, 38 pts (mCRC: 28) from 5 mg to 160 mg. In S1, a Bayesian logistic regression model with overdose control guided dose escalation. Data cutoff 25.01.17. Results: At doses ≥60mg (36 pts in S1; 10 in S2), CT scans revealed tumor inflammation within days of first dose, consistent with the mode of action of RO6958688. 2 (5%) pts in S1 (both microsatellite stable (MSS) and 2 (20%; 1 MSS) in S2 had a partial response (RECIST v1.1). Preliminary tumor size reduction ( > -10% and < -30% [stable disease]) was observed in 4 (11%) additional pts in S1 and 5 (50%) in S2. At week 4-6 FDG PET scan assessment, 10 (28%) pts with mCRC in S1 and 6 (60%) in S2 had a metabolic partial response (EORTC criteria). At all doses in S1, the most common related AEs were pyrexia (56.3%), infusion related reaction (IRR, 50%) and diarrhea (40%). The most common grade ≥ 3 (G3) related AEs were IRR (16.3%) and diarrhea (5%). 5 patients experienced DLTs: G3 dyspnea, G3 diarrhea, G3 hypoxia, G4 colitis and G5 respiratory failure (G4-5 at 600mg). DLT events were likely associated with tumor lesion inflammation. In S2, there was no evidence of new or additive toxicities, with 1 DLT at 160 mg (G3 transient increase of ALT in a patient with liver metastases). PK/PD data are reported separately. Conclusions: Evidence of antitumor activity was observed with RO6958688 monotherapy in ongoing dose escalation. Activity appeared to be enhanced with doses in combination with atezolizumab, with a manageable safety profile. Updated data will be presented. Clinical trial information: NCT02324257 and NCT02650713

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Abstract Details

Meeting

2017 ASCO Annual Meeting

Session Type

Oral Abstract Session

Session Title

Developmental Therapeutics—Immunotherapy

Track

Developmental Therapeutics and Translational Research,Immunotherapy

Sub Track

Other

Clinical Trial Registration Number

NCT02324257 and NCT02650713

Citation

J Clin Oncol 35, 2017 (suppl; abstr 3002)

DOI

10.1200/JCO.2017.35.15_suppl.3002

Abstract #

3002

Abstract Disclosures