A Phase I study of MEDI-575, a PDGFR[alpha] monoclonal antibody, in Japanese patients with advanced solid tumors

• Published in: Cancer chemotherapy and pharmacology 2015-09, Vol.76 (3), p.631
• Main Authors: Murakami, Haruyasu, Ikeda, Masafumi, Okusaka, Takuji, Inaba, Yoshitaka, Iguchi, Haruo, Yagawa, Katsuro, Yamamoto, Nobuyuki
• Format: Article
• Language: English
• ISSN: 0344-5704; 1432-0843
• DOI: 10.1007/s00280-015-2832-6

Purpose MEDI-575 is a fully human monoclonal antibody that selectively binds to platelet-derived growth factor receptor alpha (PDGFR[alpha]). This open-label Phase I study assessed the safety and tolerability of MEDI-575 in Japanese patients with advanced solid tumors. Methods The study comprised two parts: Part A, dose escalation; Part B, dose expansion in patients with hepatocellular cancer. In Part A, patients were enrolled into three cohorts: MEDI-575 was administered intravenously over a 21-day treatment cycle at doses of 9 and 15 mg/kg/week (cohorts 1, 2) and 35 mg/kg/3-weekly (cohort 3). In Part B, MEDI-575 25 mg/kg/3-weekly was administered. Secondary measures included assessment of the maximum tolerated dose, pharmacokinetics, immunogenicity and anti-tumor activity. Results Ten and 12 patients were treated in Parts A and B, respectively. There were no dose-limiting toxicities; the maximum tolerated dose was not determined. Common treatment-related adverse events were fatigue (30 %) and decreased appetite (20 %) in Part A and decreased appetite (33.3 %) in Part B. All treatment-related adverse events were grade 1 or 2 in severity. No patients discontinued MEDI-575 because of an adverse event and there were no patient deaths due to adverse events. MEDI-575 binding with PDGFR[alpha] resulted in a dose-dependent increase in PDGF-AA ligand, with plateau levels observed within 2 days and sustained during the dosing interval. None of the patients in Part A or B experienced complete or partial responses to treatment. Conclusions MEDI-575 once weekly and 3-weekly was well tolerated with a favorable pharmacokinetic profile in Japanese patients with advanced solid tumors. Clinical trial registration ClinicalTrials.gov, NCT01102400.