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Praluzatamab ravtansine, a CD166-targeting antibody-drug conjugate, in patients with advanced solid tumors: an open-label phase 1/2 trial.

  • Valentina Boni
  • , Mary J Fidler
  • , Hendrik-Tobias Arkenau
  • , Alexander Spira
  • , Funda Meric-Bernstam
  • , Nataliya Uboha
  • , Rachel E Sanborn
  • , Randy F Sweis
  • , Patricia LoRusso
  • , Misako Nagasaka
  • , Javier Garcia-Corbacho
  • , Shadia Jalal
  • , James J Harding
  • , Stella K Kim
  • , Iris H C Miedema
  • , Danielle J Vugts
  • , Marc C Huisman
  • , Gerben J C Zwezerijnen
  • , Guus A M S van Dongen
  • , Catharina W Menke-van der Houven van Oordt
  • Song Wang, Tam Dang, Ivan A Zein, Olga Vasiljeva, Susan K Lyman, Virginia Paton, Alison Hannah, Joyce F Liu

Research output: Contribution to journalArticle

Abstract

PURPOSE: Praluzatamab ravtansine (CX-2009) is a conditionally activated Probody

EXPERIMENTAL DESIGN: Eligible patients had metastatic cancer receiving {greater than or equal to}2 prior treatments. CX-2009 was administered at escalating doses every 3 weeks (0.25-10 mg/kg; Q3W) or every 2 weeks (4-6 mg/kg; Q2W). Primary objective was to determine the safety profile and recommended phase 2 dose (RP2D).

RESULTS: Of 99 patients enrolled, the most prevalent subtype was breast cancer (BC) (n=45). Median number of prior therapies was 5 (range, 1-19). Dose-limiting toxicities were observed at 8 mg/kg Q3W and 6 mg/kg Q2W. Based on tolerability, the RP2D was 7 mg/kg Q3W. Tumor regressions were observed at doses {greater than or equal to}4 mg/kg. In the HR-positive/HER2-non-amplified BC subset (n=22), two patients (9%) had confirmed partial responses, and 10 patients (45%) had stable disease. Imaging with zirconium-labeled CX-2009 confirmed uptake in tumor lesions and shielding of major organs. Activated, unmasked CX-2009 was measurable in 18/22 post-treatment biopsies.

CONCLUSION: CD166 is a novel, ubiquitously expressed target. CX-2009 is the first conditionally activated antibody-drug conjugate to CD166 to demonstrate both translational and clinical activity in a variety of tumor types.

Original languageAmerican English
JournalArticles, Abstracts, and Reports
StatePublished - Feb 14 2022

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