Anti-PD-1 antibody cetrelimab (JNJ-63723283) in patients with advanced cancers: Updated phase I/II study results.

Authors

null

Piotr Rutkowski

Centrum Onkologii-Instytut im. Marii Skłodowskiej-Curie, Warsaw, Poland

Piotr Rutkowski, Enriqueta Felip, Victor Moreno, Jose Manuel Trigo Perez, Aitana Calvo, Dariusz Kowalski, Diego Cortinovis, James J. Lee, George Manikhas, Elizabeth Ruth Plummer, Michele Maio, Paolo Antonio Ascierto, Vladimir Ivanovich Vladimirov, Dana Gaffney, Lilian Y. Li, Kyounghwa Bae, James G. Greger, Chu Ri Shin, Hong Xie, Emiliano Calvo

Organizations

Centrum Onkologii-Instytut im. Marii Skłodowskiej-Curie, Warsaw, Poland, Vall d’Hebron University Hospital, Barcelona, Spain, START MADRID-FJD, Hospital Fundación Jiménez Díaz, Madrid, Spain, Hospital Universitario Virgen de la Victoria, Málaga, Spain, Hospital General Universitario Gregorio Maranon, Madrid, Spain, San Gerardo Hospital, Monza, Italy, University of Pittsburgh, Pittsburgh, PA, City Oncology Dispensary, St. Petersburg, Russian Federation, Sir Bobby Robson Unit, Northern Centre for Cancer Care, Newcastle, United Kingdom, Azienda Ospedaliera Universitaria Senese, Siena, Italy, IRCCS-Fondazione Pascale, Naples, Italy, Pyatigorsky Oncology Dispensary, Pyatigorsk, Russian Federation, Janssen Research & Development, Spring House, PA, START Madrid, Centro Integral Oncológico Clara Campal, Madrid, Spain

Research Funding

Pharmaceutical/Biotech Company

Background: Cetrelimab (JNJ-63723283) is an IgG4, anti-programmed cell death protein-1 (PD-1) antibody. Here we present updated results from an ongoing phase 1/2 study of cetrelimab in patients (pts) with advanced or refractory solid cancers. Methods: Part 2 of the study evaluated safety and efficacy of cetrelimab at 240 mg Q2W, a recommended phase 2 dose selected in Part 1 (Calvo JCO 2018; 36 suppl 5:58). Tumor types for Part 2 included non-small cell lung cancer (NSCLC), melanoma (MEL), bladder, renal cell, small cell lung cancer (SCLC), microsatellite-high (MSI-H)/DNA mismatch repair deficient (dMMR; locally or centrally tested) colorectal cancer (CRC) and gastric/esophageal cancer (GCA/EC). Tumor response was assessed by the investigator following RECIST v1.1. Results: As of 3 Sep 2018, 192 pts have been treated with cetrelimab from 80–800 mg Q2W and 480 mg Q4W. Median age was 60 years (23–86), and median prior regimens was 2 (1–12). Median duration of treatment was 85 days (1–561); 82 pts remain on treatment. Full receptor occupancy was maintained throughout dosing interval. Most common adverse events (AEs) were asthenia (19%), fatigue (19%), dyspnea (16%) and diarrhea (16%). Grade ≥3 AEs, regardless of causality, were reported in 45% of pts; most common were anemia (6%), dyspnea (4%), increased ALT (3%) and increased AST (3%). Observed serious AEs were dyspnea (4%), pleural effusion and intestinal obstruction (3% each). All grade and grade ≥3 immune-related AEs were reported in 30% and 7% of pts, respectively. Among response-evaluable pts (n = 156) from Parts 1 and 2, overall response rate (ORR) was 15%, with 2 complete and 22 partial responses. Half of pts had stable disease or better. ORR was 26% (7/27) in NSCLC (42% [5/12] in PD-L1+ NSCLC [≥50% by IHC]), 25% (12/49) in MEL (28% [12/43] in non-uveal MEL), 50% (1/2) in renal cancer, 8% (2/26) in MSI-H/dMMR CRC (recruited later per amendment) and 14% (2/14) in GCA/EC. No responses were observed in bladder cancer (n = 4) or SCLC (n = 10). Conclusions: The safety profile and preliminary activity of cetrelimab in immune-sensitive advanced cancers is consistent with known PD-1 inhibitors. The study is ongoing and analysis by PD-L1 status will be reported later. Clinical trial information: NCT02908906

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Abstract Details

Meeting

2019 ASCO-SITC Clinical Immuno-Oncology Symposium

Session Type

Poster Session

Session Title

Poster Session A

Track

Breast and Gynecologic Cancers,Developmental Therapeutics,Genitourinary Cancer,Head and Neck Cancer,Lung Cancer,Melanoma/Skin Cancers,Gastrointestinal Cancer,Combination Studies,Implications for Patients and Society,Miscellaneous Cancers,Hematologic Malignancies

Sub Track

Immune Checkpoints and Stimulatory Receptors

Clinical Trial Registration Number

NCT02908906

Citation

J Clin Oncol 37, 2019 (suppl 8; abstr 31)

DOI

10.1200/JCO.2019.37.8_suppl.31

Abstract #

31

Poster Bd #

B10

Abstract Disclosures