Phase I open-label, ascending dose trial of AGEN1884, an anti-CTLA-4 monoclonal antibody, in advanced solid malignancies: Dose selection for combination with PD-1 blockade.

Authors

Breelyn Wilky

Breelyn A. Wilky

Sylvester Comprehensive Cancer Center, Miami, FL

Breelyn A. Wilky , Priya Kumthekar , Robert Wesolowski , Jimmy J. Hwang , Steven I. Park , Igor Proscurshim , Guojun Yuan , Christopher D Dupont , Olga Shebanova , Jean-Marie Cuillerot , Edward Dow , Jeffrey J. Raizer , Carleen Gentry , Ainsley Ross , Elise Drouin , Nicholas Wilson , John M. Goldberg , Jennifer Buell , Robert Benjamin Stein

Organizations

Sylvester Comprehensive Cancer Center, Miami, FL, Northwestern Memorial Hospital, Chicago, IL, The Ohio State University Comprehensive Cancer Center, Arthur G. James Cancer Hospital, Columbus, OH, Levine Cancer Institute, Carolinas HealthCare System, Charlotte, NC, Levine Cancer Institute, Cannon Research Center, Charlotte, NC, Agenus, Lexington, MA, Agenus Bio, Inc, Lexington, MA, Agenus Inc., Lexington, MA, Robert H. Lurie Cancer Center of Northwestern University, Chicago, IL, H3 Biomedicine, Lexington, MA, University of Miami Miller School of Medicine, Miami, FL

Research Funding

Pharmaceutical/Biotech Company

Background: AGEN1884 is a novel fully human IgG1 monoclonal antibody targeting cytotoxic T lymphocyte-associated protein 4 (CTLA-4). Objective: Assess the safety, maximum tolerated dose, and pharmacokinetic (PK) and pharmacodynamic characteristics of AGEN1884 in patients with advanced and refractory malignancies. Methods: Patients (≥18 years old) with relapsed/refractory lymphoma or solid cancers without curative treatment options received AGEN1884 at 0.1, 0.3, 1, 3 or 6 mg/kg in a “3+3” trial design. An additional 10 patients were enrolled in both 1 and 3 mg/kg dose expansion cohorts. AGEN1884 was administered intravenously (IV) every 3 weeks for 4 doses and then every 3, 6, or 12 weeks at the Investigator’s discretion. Results: As of 03Jan2018 data cutoff, 33 patients were enrolled in the following cohorts: 0.1 mg/kg (n = 5, 2 not evaluable [NE] for dose-limiting toxicity [DLT]), 0.3 mg/kg (n = 3), 1 mg/kg (n = 10), 3 mg/kg (n = 12, 2 NE for DLT) and 6 mg/kg (n = 3). Median age was 61 years (range 26–88), baseline ECOG scores were 0 (N = 4), 1 (N = 25), unknown (4), with a median of 10 (range 3–26) prior therapies. As of Jan 31, 2018, no DLT’s have been reported. Immune-related adverse events were reported in 10 (30.3%) of patients as follows: 0.1 mg/kg (1 [20.0%]), 0.3 mg/kg (1 [33.3%]), 1 mg/kg (1 [10%]), and 3 mg/kg (6 [50%]) and included hypophysitis, colitis, diarrhea, rash and pruritus. Most were mild-moderate consistent with published reports of other CTLA-4 inhibitors. 6 patients (18.2%) came off study due to disease progression or AE’s but none related to treatment. Of 11 subjects evaluable for response, 1 with angiosarcoma treated at 0.1 mg/kg attained a CR at 7 months after achieving a PR. Three subjects with SD: 1 at 0.3 mg/kg with adenoid cystic carcinoma at Week 21 who had SD for 53 weeks; 2 subjects at 3 mg/kg: 1 with breast cancer with SD at Week 6 and 1 with invasive metaplastic breast cancer at Week 12 on study. Conclusions: AGEN1884 was well tolerated at 0.1, 0.3, 1 and 3 mg/kg dose levels. Enrollment continues at 6 mg/kg. Updated safety and PK data will be presented. A starting dose level of 1 mg/kg has been selected for combination with PD-1 blockade. Clinical trial information: NCT02694822

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Abstract Details

Meeting

2018 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Developmental Therapeutics—Immunotherapy

Track

Developmental Therapeutics and Translational Research

Sub Track

Immune Checkpoint Inhibitors

Clinical Trial Registration Number

NCT02694822

Citation

J Clin Oncol 36, 2018 (suppl; abstr 3075)

DOI

10.1200/JCO.2018.36.15_suppl.3075

Abstract #

3075

Poster Bd #

289

Abstract Disclosures