Phase I Study of Stereotactic Body Radiotherapy plus Nivolumab and Urelumab or Cabiralizumab in Advanced Solid Tumors.


Journal

Clinical cancer research : an official journal of the American Association for Cancer Research
ISSN: 1557-3265
Titre abrégé: Clin Cancer Res
Pays: United States
ID NLM: 9502500

Informations de publication

Date de publication:
15 10 2021
Historique:
received: 04 03 2021
revised: 18 04 2021
accepted: 17 06 2021
pubmed: 26 6 2021
medline: 2 4 2022
entrez: 25 6 2021
Statut: ppublish

Résumé

CD137 agonism and CSF1R blockade augment stereotactic body radiotherapy (SBRT) and anti-programmed death-1 in preclinical models. We evaluated the safety and efficacy of SBRT with nivolumab+urelumab (CD137 agonist) or nivolumab+cabiralizumab (CSF1R inhibitor). This phase I clinical trial enrolled patients with advanced solid tumors that had progressed on standard therapies. SBRT was delivered to 1-4 metastases with nivolumab+urelumab or nivolumab+cabiralizumab given concurrently and following SBRT. Dose-limiting toxicity (DLT) was the primary endpoint with anatomic location-specific SBRT doses deemed safe if ≤33% DLT frequency was observed. Secondary endpoints included RECISTv1.1 response, progression-free survival (PFS), overall survival (OS), and molecular correlative studies. Sixty patients were enrolled, and median follow-up for living patients is 13.8 months. Of these, 23 (38%) received SBRT+nivolumab+urelumab and 37 (62%) received SBRT+nivolumab+cabiralizumab. Seven patients (12%) experienced a DLT ( SBRT to ≤4 sites with nivolumab+urelumab or nivolumab+cabiralizumab for treating advanced solid tumors is feasible with acceptable toxicity and modest antitumor activity.

Identifiants

pubmed: 34168049
pii: 1078-0432.CCR-21-0810
doi: 10.1158/1078-0432.CCR-21-0810
doi:

Substances chimiques

Antibodies, Monoclonal 0
Nivolumab 31YO63LBSN
urelumab 230902QLLC
cabiralizumab 0

Types de publication

Clinical Trial, Phase I Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

5510-5518

Commentaires et corrections

Type : CommentIn

Informations de copyright

©2021 American Association for Cancer Research.

Références

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Auteurs

Corey C Foster (CC)

Department of Radiation Oncology, Vanderbilt University Medical Center, Nashville, Tennessee. corey.c.foster@vumc.org schmura@radonc.uchicago.edu lukejj@upmc.edu.

Gini F Fleming (GF)

Department of Medicine, Section of Hematology/Oncology, The University of Chicago, Chicago, Illinois.

Theodore G Karrison (TG)

Department of Public Health Sciences, The University of Chicago, Chicago, Illinois.

Chih-Yi Liao (CY)

Department of Public Health Sciences, The University of Chicago, Chicago, Illinois.

Ami V Desai (AV)

Department of Pediatrics, Section of Hematology, Oncology, and Stem Cell Transplantation, The University of Chicago, Chicago, Illinois.

John W Moroney (JW)

Department of Obstetrics and Gynecology, Section of Gynecologic Oncology, The University of Chicago, Chicago, Illinois.

Mark J Ratain (MJ)

Department of Medicine, Section of Hematology/Oncology, The University of Chicago, Chicago, Illinois.

Rita Nanda (R)

Department of Medicine, Section of Hematology/Oncology, The University of Chicago, Chicago, Illinois.

Blase N Polite (BN)

Department of Medicine, Section of Hematology/Oncology, The University of Chicago, Chicago, Illinois.

Olwen M Hahn (OM)

Department of Medicine, Section of Hematology/Oncology, The University of Chicago, Chicago, Illinois.

Peter H O'Donnell (PH)

Department of Medicine, Section of Hematology/Oncology, The University of Chicago, Chicago, Illinois.

Everett E Vokes (EE)

Department of Medicine, Section of Hematology/Oncology, The University of Chicago, Chicago, Illinois.

Hedy L Kindler (HL)

Department of Medicine, Section of Hematology/Oncology, The University of Chicago, Chicago, Illinois.

Robyn Hseu (R)

Department of Radiation and Cellular Oncology, The University of Chicago, Chicago, Illinois.

Linda A Janisch (LA)

Department of Medicine, Section of Hematology/Oncology, The University of Chicago, Chicago, Illinois.

Julia Dai (J)

Department of Medicine, Section of Dermatology, The University of Chicago, Chicago, Illinois.

Mark D Hoffman (MD)

Department of Medicine, Section of Dermatology, The University of Chicago, Chicago, Illinois.

Ralph R Weichselbaum (RR)

Department of Radiation and Cellular Oncology, The University of Chicago, Chicago, Illinois.
Ludwig Center for Metastasis Research, The University of Chicago, Chicago, Illinois.

Sean P Pitroda (SP)

Department of Radiation and Cellular Oncology, The University of Chicago, Chicago, Illinois.

Steven J Chmura (SJ)

Department of Radiation and Cellular Oncology, The University of Chicago, Chicago, Illinois. corey.c.foster@vumc.org schmura@radonc.uchicago.edu lukejj@upmc.edu.

Jason J Luke (JJ)

UPMC Hillman Cancer Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. corey.c.foster@vumc.org schmura@radonc.uchicago.edu lukejj@upmc.edu.

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