A phase I trial of LHC165 single agent and in combination with spartalizumab in patients with advanced solid malignancies

dc.contributor
Institut Català de la Salut
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[Curigliano G] Istituto Europeo di Oncologia, IRCCS, Milan, Italy. Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy. [Jimenez MM] Hospital General Universitario Gregorio Maranon, Madrid, Spain. [Shimizu T] National Cancer Center Hospital, Tokyo, Japan. [Keam B] Seoul National University Hospital, Seoul, South Korea. [Meric-Bernstam F] University of Texas, MD Anderson Cancer Center, Houston, Texas, USA. [Rutten A] Sint-Augustinus Hospital, Antwerp, Belgium. [Garralda Cabanas E] Vall d’Hebron Institute of Oncology (VHIO), Barcelona, Spain
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Vall d'Hebron Barcelona Hospital Campus
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Jiménez, Miguel Martín
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Shimizu, Toshio
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Keam, Bhumsuk
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Rutten, Annemie
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Curigliano, Giuseppe
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Meric-Bernstam, Funda
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GARRALDA, Elena
dc.date.accessioned
2025-10-25T05:37:38Z
dc.date.available
2025-10-25T05:37:38Z
dc.date.issued
2024-10-22T09:54:24Z
dc.date.issued
2024-10-22T09:54:24Z
dc.date.issued
2024-08
dc.identifier
Curigliano G, Jimenez MM, Shimizu T, Keam B, Meric-Bernstam F, Rutten A, et al. A phase I trial of LHC165 single agent and in combination with spartalizumab in patients with advanced solid malignancies. ESMO Open. 2024 Aug;9(8):103643.
dc.identifier
2059-7029
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https://hdl.handle.net/11351/12098
dc.identifier
10.1016/j.esmoop.2024.103643
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39088985
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001286008800001
dc.identifier.uri
http://hdl.handle.net/11351/12098
dc.description.abstract
Tumors sòlids avançats
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Advanced solid tumors
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Tumores sólidos avanzados
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Background LHC165 is a Toll-like receptor (TLR)-7 agonist that generates an effective tumor antigen-specific T-cell adaptive immune response as well as durable antitumor responses. We aimed to evaluate the safety, tolerability, efficacy, dose-limiting toxicities, and pharmacokinetics (PK) of LHC165 single agent (SA) ± spartalizumab [PDR001; anti-programmed cell death protein 1 (PD-1)] in adult patients with advanced solid tumors. Materials and methods In this phase I/Ib, open-label, dose-escalation/expansion study, patients received LHC165 SA 100-600 μg biweekly through intratumoral (IT) injection and LHC165 600 μg biweekly + spartalizumab 400 mg Q4W through intravenous (IV) infusion. Results Forty-five patients were enrolled: 21 patients received LHC165 SA, and 24 patients received LHC165 + spartalizumab. The median duration of exposure was 8 weeks (range 2-129 weeks). No maximum tolerated dose was reached. Recommended dose expansion was established as LHC165 600 μg biweekly as SA and in combination with spartalizumab 400 mg Q4W. The most common drug-related adverse events (AEs) were pyrexia (22.2%), pruritus (13.3%), chills (11.1%), and asthenia (4.4%). The only serious AE (SAE) suspected to be related to the study drug was grade 3 pancreatitis (n = 1). Across all tumor types, overall response rate and disease control were 6.7% and 17.8%, respectively. Overall median progression-free survival (PFS) and immune-related PFS was 1.7 months. LHC165 serum PK demonstrated an initial rapid release followed by a slower release due to continued release of LHC165 from the injection site. Conclusions LHC165 demonstrated acceptable safety and tolerability both as SA and in combination with spartalizumab, and evidence of limited antitumor activity was seen in adult patients with relapsed/refractory or metastatic solid tumors.
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This work was supported by Novartis Pharmaceuticals Corporation. Financial support for medical editorial assistance was provided by Novartis Pharmaceuticals Corporation.
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application/pdf
dc.language
eng
dc.publisher
Elsevier
dc.relation
ESMO Open;9(8)
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https://doi.org/10.1016/j.esmoop.2024.103643
dc.rights
Attribution-NonCommercial-NoDerivatives 4.0 International
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http://creativecommons.org/licenses/by-nc-nd/4.0/
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info:eu-repo/semantics/openAccess
dc.source
Scientia
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Anticossos monoclonals - Ús terapèutic
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Càncer - Tractament
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Quimioteràpia combinada
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Avaluació de resultats (Assistència sanitària)
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DISEASES::Neoplasms
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Other subheadings::Other subheadings::Other subheadings::/drug therapy
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ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Therapeutics::Drug Therapy::Antineoplastic Protocols::Therapeutics::Drug Therapy::Antineoplastic Combined Chemotherapy Protocols
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CHEMICALS AND DRUGS::Amino Acids, Peptides, and Proteins::Proteins::Blood Proteins::Immunoproteins::Immunoglobulins::Antibodies::Antibodies, Monoclonal::Antibodies, Monoclonal, Humanized
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ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis::Treatment Outcome
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ENFERMEDADES::neoplasias
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Otros calificadores::Otros calificadores::Otros calificadores::/farmacoterapia
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TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::terapéutica::farmacoterapia::protocolos antineoplásicos::terapéutica::farmacoterapia::protocolos de quimioterapia antineoplásica combinada
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COMPUESTOS QUÍMICOS Y DROGAS::aminoácidos, péptidos y proteínas::proteínas::proteínas sanguíneas::inmunoproteínas::inmunoglobulinas::anticuerpos::anticuerpos monoclonales::anticuerpos monoclonales humanizados
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico::resultado del tratamiento
dc.title
A phase I trial of LHC165 single agent and in combination with spartalizumab in patients with advanced solid malignancies
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion


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