Phase I/II study of depatuxizumab mafodotin (ABT-414) monotherapy or combination with temozolomide in Japanese patients with/without EGFR-amplified recurrent glioblastoma.

Authors

null

Yoshitaka Narita

National Cancer Center Hospital, Chuo-ku, Tokyo, Japan

Yoshitaka Narita , Yoshihiro Muragaki , Takashi Maruyama , Naoki Kagawa , Katsunori Asai , Junichiro Kuroda , Kazuhiko Kurozumi , Motoo Nagane , Masahid Matsuda , Keisuke Ueki , Christopher Joseph Ocampo , Ikiru Matsumoto , Reiko Odagawa , Yasuko Nishimura , Kazuhiko Mishima

Organizations

National Cancer Center Hospital, Chuo-ku, Tokyo, Japan, Tokyo Women’s Medical University Hospital, Shinjyuku-ku, Tokyo, Japan, Tokyo Women's Medical University Hospital, Shinjyuku-ku, Tokyo, Japan, Osaka University Hospital, Osaka, Japan, Osaka Inter. Cancer Institute, Osaka, Japan, Kumamoto University Hospital, Kumamoto, Japan, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama-shi, Okayama, Japan, Department of Neurosurgery, Kyorin University Faculty of Medicine, Tokyo, Japan, Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan, Dokkyo Medical University Hospital, Tochigi, Japan, AbbVie Inc., Chicago, IL, AbbVie GK, Tokyo, Japan, Saitama Medical University International Medical Center, Hidaka-shi, Saitama, Japan

Research Funding

Other

Background: The poor prognosis of glioblastoma (GBM; WHO grade IV) results from a high rate of disease recurrence and lack of effective treatment options. Depatuxizumab mafodotin (depatux-m, ABT-414) is comprised of an EGFR-directed antibody, depatuxizumab (depatux, ABT-806), conjugated to the microtubule toxin monomethyl auristatin F (MMAF, mafodotin). Once bounded with tumor cells, depatux-m is internalized and releases the cytotoxin, resulting in cell death. Here, we report safety, pharmacokinetic (PK) and efficacy in an ongoing phase 1/2 study of Japanese patients with/without EGFR-amplified recurrent GBM (rGBM).Methods: M13-714 (INTELLANCE-J, NCT02590263) is a non-randomized, phase 1/2 study in Japanese patients. Phase 1 assessed tolerability and PK where the dose escalation of depatux-m was from 0.5 to 1.25 mg/kg/Q2W at day 1 and 15 during 28-day cycle until progression disease (PD) or intolerable toxicity. Phase 2 assessed efficacy and safety of depatux-m in EGFR-amplified, rGBM and patients received 1.0 mg/kg of depatux-m on day 1 and 15 + 150 mg/m2 temozolomide (TMZ) on days 1-5 during each 28-day cycle until PD or intolerable toxicity. Results: As of 10 Jan 2019, 38 patients (WHO grade ≥3) were enrolled (9 in phase 1, 29 in phase 2). There was no dose limiting toxicity in phase 1. The recommended phase 2 dose was 1.25 mg/kg where the most common adverse events (AEs) were punctate keratitis in 21 patients (72%); lymphopenia in 14 patients (45%), thrombocytopenia in 13 patients (41%). Grade 3/4 AEs included thrombocytopenia and lymphopenia in 20 patients (69%). Ocular AEs were reported in 27 patients (93%) including punctate keratitis (72%). PK results (31 patients) in both phases were similar to those of non-Japanese result. Progression Free Survival (PFS) of 27 patients in phase 2 for 12 and 6 months were 8% and 27.5% respectively. The median PFS was 4 months. The overall survival (OS) for 24, 12 and 6 months were 28%, 62.5% and 93% respectively. The median OS was 15.5 months. Conclusions: Preliminary safety, PK and efficacy in Japanese patients with/without EGFR-amplified, rGBM suggests depatux-m was tolerated and showed encouraging anti-GBM effects. Clinical trial information: NCT02590263

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Abstract Details

Meeting

2019 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Central Nervous System Tumors

Track

Central Nervous System Tumors

Sub Track

Brain Metastases

Clinical Trial Registration Number

NCT02590263

Citation

J Clin Oncol 37, 2019 (suppl; abstr 2065)

DOI

10.1200/JCO.2019.37.15_suppl.2065

Abstract #

2065

Poster Bd #

254

Abstract Disclosures