Phase I Study of Safety and Pharmacokinetics of RO7297089, an Anti-BCMA/CD16a Bispecific Antibody, in Patients with Relapsed, Refractory Multiple Myeloma
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Phase I Study of Safety and Pharmacokinetics of RO7297089, an Anti-BCMA/CD16a Bispecific Antibody, in Patients with Relapsed, Refractory Multiple Myeloma. / Plesner, Torben; Harrison, Simon J.; Quach, Hang; Lee, Cindy; Bryant, Adam; Vangsted, Annette; Estell, Jane; Delforge, Michel; Offner, Fritz; Twomey, Patrick; Choeurng, Voleak; Li, Junyi; Hendricks, Robert; Ruppert, Shannon M.; Sumiyoshi, Teiko; Miller, Karen; Cho, Eunpi; Schjesvold, Fredrik.
I: Clinical Hematology International, Bind 5, Nr. 1, 2023, s. 43-51.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Phase I Study of Safety and Pharmacokinetics of RO7297089, an Anti-BCMA/CD16a Bispecific Antibody, in Patients with Relapsed, Refractory Multiple Myeloma
AU - Plesner, Torben
AU - Harrison, Simon J.
AU - Quach, Hang
AU - Lee, Cindy
AU - Bryant, Adam
AU - Vangsted, Annette
AU - Estell, Jane
AU - Delforge, Michel
AU - Offner, Fritz
AU - Twomey, Patrick
AU - Choeurng, Voleak
AU - Li, Junyi
AU - Hendricks, Robert
AU - Ruppert, Shannon M.
AU - Sumiyoshi, Teiko
AU - Miller, Karen
AU - Cho, Eunpi
AU - Schjesvold, Fredrik
N1 - Publisher Copyright: © 2023, Genentech, Inc.
PY - 2023
Y1 - 2023
N2 - Introduction: This phase 1 trial assessed the safety, pharmacokinetics, and preliminary antitumor activity of RO7297089, an anti-BCMA/CD16a bispecific antibody. Methods: RO7297089 was administered weekly by intravenous infusion to patients with relapsed/refractory multiple myeloma. The starting dose was 60 mg in this dose-escalation study utilizing a modified continual reassessment method with overdose control model. Results: Overall, 27 patients were treated at doses between 60 and 1850 mg. The maximally administered dose was 1850 mg due to excipients in the formulation that did not allow for higher doses to be used. The maximum tolerated dose was not reached. The most common adverse events irrespective of grade and relationship to the drug were anemia, infusion-related reaction, and thrombocytopenia. Most common treatment-related grade ≥ 3 toxicities were ALT/AST increase and reduced lymphocyte count. Pharmacokinetic studies suggested non-linear pharmacokinetics and target-mediated drug disposition, with a trend of approaching linear pharmacokinetics at doses of 1080 mg and higher. Partial response was observed in two patients (7%), minimal response in two patients (7%), and stable disease in 14 patients (52%). Conclusions: RO7297089 was well tolerated at doses up to 1850 mg, and the efficacy data supported activity of RO7297089 in multiple myeloma. Combination with other agents may further enhance its potential as an innate immune cell engager in multiple myeloma. Trial Registration: ClinicalTrials.gov: NCT04434469; Registered June 16, 2020; https://www.clinicaltrials.gov/ct2/show/NCT04434469.
AB - Introduction: This phase 1 trial assessed the safety, pharmacokinetics, and preliminary antitumor activity of RO7297089, an anti-BCMA/CD16a bispecific antibody. Methods: RO7297089 was administered weekly by intravenous infusion to patients with relapsed/refractory multiple myeloma. The starting dose was 60 mg in this dose-escalation study utilizing a modified continual reassessment method with overdose control model. Results: Overall, 27 patients were treated at doses between 60 and 1850 mg. The maximally administered dose was 1850 mg due to excipients in the formulation that did not allow for higher doses to be used. The maximum tolerated dose was not reached. The most common adverse events irrespective of grade and relationship to the drug were anemia, infusion-related reaction, and thrombocytopenia. Most common treatment-related grade ≥ 3 toxicities were ALT/AST increase and reduced lymphocyte count. Pharmacokinetic studies suggested non-linear pharmacokinetics and target-mediated drug disposition, with a trend of approaching linear pharmacokinetics at doses of 1080 mg and higher. Partial response was observed in two patients (7%), minimal response in two patients (7%), and stable disease in 14 patients (52%). Conclusions: RO7297089 was well tolerated at doses up to 1850 mg, and the efficacy data supported activity of RO7297089 in multiple myeloma. Combination with other agents may further enhance its potential as an innate immune cell engager in multiple myeloma. Trial Registration: ClinicalTrials.gov: NCT04434469; Registered June 16, 2020; https://www.clinicaltrials.gov/ct2/show/NCT04434469.
KW - BCMA
KW - CD16a
KW - Clinical trial
KW - Multiple myeloma
KW - RO7297089
U2 - 10.1007/s44228-022-00023-5
DO - 10.1007/s44228-022-00023-5
M3 - Journal article
C2 - 36656461
AN - SCOPUS:85149774177
VL - 5
SP - 43
EP - 51
JO - Clinical Hematology International
JF - Clinical Hematology International
SN - 2590-0048
IS - 1
ER -
ID: 363273261