Liposomal eribulin for advanced adenoid cystic carcinoma, gastric cancer, esophageal cancer, and small cell lung cancer.


Journal

Cancer medicine
ISSN: 2045-7634
Titre abrégé: Cancer Med
Pays: United States
ID NLM: 101595310

Informations de publication

Date de publication:
01 2023
Historique:
revised: 10 02 2022
received: 14 01 2022
accepted: 23 06 2022
pubmed: 23 7 2022
medline: 1 2 2023
entrez: 22 7 2022
Statut: ppublish

Résumé

In this open-label, Phase 1 study, we explore the safety and efficacy of E7389-LF (liposomal formulation of eribulin) in Japanese patients with advanced solid tumors. This open-label, Phase 1 study enrolled Japanese adult patients to receive E7389-LF for the treatment of advanced solid tumors. Treatment with E7389-LF 2.0 mg/m As of October 16, 2020, 43 patients were enrolled (adenoid cystic carcinoma, n = 12; gastric cancer, n = 10; esophageal cancer, n = 11; small cell lung cancer, n = 10). Thirty-three patients experienced a Grade ≥3 treatment-related treatment-emergent adverse event, most commonly neutropenia (53.5%). Additionally, the incidence of hypersensitivity did not appear to change with a reduced number of infusion steps (2 vs. 4) and patients who were administered prophylactic pegylated granulocyte-colony stimulating factor had a noticeably lower incidence of Grade 3-4 neutropenia (although this did not have a proper control). The overall objective response rate was 11.6% (95% confidence interval: 3.9-25.1), corresponding to two partial responses in patients with adenoid cystic carcinoma, two partial responses in gastric cancer, and one partial response in esophageal cancer. Median progression-free survival was longer in the adenoid cystic carcinoma population (16.6 months) than in others. E7389-LF 2.0 mg/m

Sections du résumé

BACKGROUND
In this open-label, Phase 1 study, we explore the safety and efficacy of E7389-LF (liposomal formulation of eribulin) in Japanese patients with advanced solid tumors.
METHODS
This open-label, Phase 1 study enrolled Japanese adult patients to receive E7389-LF for the treatment of advanced solid tumors. Treatment with E7389-LF 2.0 mg/m
RESULTS
As of October 16, 2020, 43 patients were enrolled (adenoid cystic carcinoma, n = 12; gastric cancer, n = 10; esophageal cancer, n = 11; small cell lung cancer, n = 10). Thirty-three patients experienced a Grade ≥3 treatment-related treatment-emergent adverse event, most commonly neutropenia (53.5%). Additionally, the incidence of hypersensitivity did not appear to change with a reduced number of infusion steps (2 vs. 4) and patients who were administered prophylactic pegylated granulocyte-colony stimulating factor had a noticeably lower incidence of Grade 3-4 neutropenia (although this did not have a proper control). The overall objective response rate was 11.6% (95% confidence interval: 3.9-25.1), corresponding to two partial responses in patients with adenoid cystic carcinoma, two partial responses in gastric cancer, and one partial response in esophageal cancer. Median progression-free survival was longer in the adenoid cystic carcinoma population (16.6 months) than in others.
CONCLUSIONS
E7389-LF 2.0 mg/m

Identifiants

pubmed: 35864593
doi: 10.1002/cam4.4996
pmc: PMC9883537
doi:

Substances chimiques

eribulin LR24G6354G

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1269-1278

Informations de copyright

© 2022 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

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Auteurs

Hibiki Udagawa (H)

Department of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.

Shunji Takahashi (S)

Department of Medical Oncology, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.

Motohiro Hirao (M)

Department of Surgery, National Hospital Organization Osaka National Hospital, Osaka, Japan.

Makoto Tahara (M)

Department of Head and Neck Medical Oncology, National Cancer Canter Hospital East, Kashiwa, Japan.

Satoru Iwasa (S)

Department of Experimental Therapeutics, National Cancer Center Hospital, Tokyo, Japan.

Yasuyoshi Sato (Y)

Department of Medical Oncology, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.

Takuya Hamakawa (T)

Department of Surgery, National Hospital Organization Osaka National Hospital, Osaka, Japan.

Kohei Shitara (K)

Department of Gastroenterology and Gastrointestinal Oncology, National Cancer Canter Hospital East Kashiwa, Japan.

Hidehito Horinouchi (H)

Department of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.

Keisho Chin (K)

Department of Gastroenterology, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.

Norikazu Masuda (N)

Department of Surgery, Breast Oncology, National Hospital Organization Osaka National Hospital, Osaka, Japan; Current position: Department of Breast and Endocrine Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Takuya Suzuki (T)

Japan and Asia Clinical Development Department, Oncology Business Group, Eisai Co., Ltd., Tokyo, Japan.

Shiori Okumura (S)

Japan and Asia Clinical Development Department, Oncology Business Group, Eisai Co., Ltd., Tokyo, Japan.

Takao Takase (T)

Clinical Data Science Department, Medicine Development Center, Eisai Co., Ltd., Tokyo, Japan.

Reiko Nagai (R)

Clinical Data Science Department, Medicine Development Center, Eisai Co., Ltd., Tokyo, Japan.

Kan Yonemori (K)

Department of Breast and Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.

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Classifications MeSH