A multicenter phase II trial of anti-EGFR-immunoliposomes loaded with doxorubicin in patients with advanced triple negative breast cancer.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
06 03 2023
Historique:
received: 04 10 2022
accepted: 03 03 2023
entrez: 6 3 2023
pubmed: 7 3 2023
medline: 9 3 2023
Statut: epublish

Résumé

Advanced triple negative breast cancer (TNBC) is an aggressive, but initially chemo-sensitive disease. The prognosis is poor and more than three quarters of patients experience progression 12 months after the initiation of conventional first-line chemotherapy. Approximately two thirds of TNBC express epidermal growth factor receptor 1 (EGFR). We have developed an anti-EGFR targeted nanocontainer drug by inserting anti-EGFR antibody fragments into the membrane of pegylated liposomes (anti-EGFR-ILs-dox). The payload consists of doxorubicin, a standard drug for TNBC. In a first-in-human phase I trial in 26 patients with various advanced solid malignancies, anti-EGFR-ILs-dox has shown little toxicity and encouraging efficacy. In this single-arm phase II trial, we assessed the efficacy of anti-EGFR-ILs-dox as first-line therapy in patients with advanced, EGFR + TNBC. The primary endpoint was progression-free survival at 12 months (PFS12m). Secondary endpoints included overall response rate (ORR), duration of response (DOR), time to progression (TTP), overall survival (OS) and adverse events (AEs). 48 patients received anti-EGFR-ILs-dox 50 mg/m

Identifiants

pubmed: 36879012
doi: 10.1038/s41598-023-30950-z
pii: 10.1038/s41598-023-30950-z
pmc: PMC9988854
doi:

Substances chimiques

Liposomes 0
ErbB Receptors EC 2.7.10.1
Doxorubicin 80168379AG

Banques de données

ClinicalTrials.gov
['NCT02833766']

Types de publication

Clinical Trial, Phase II Multicenter Study Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

3705

Informations de copyright

© 2023. The Author(s).

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Auteurs

Christoph Mamot (C)

Cantonal Hospital Aarau, Tellstrasse 25, 5001, Aarau, Switzerland. christoph.mamot@ksa.ch.

Andreas Wicki (A)

University and University Hospital Zurich, Rämistrasse 100, 8091, Zürich, Switzerland. andreas.wicki@usz.ch.

Ursula Hasler-Strub (U)

Cantonal Hospital Graubünden, Chur, Switzerland.

Salome Riniker (S)

Tumor and Breast Center East, St. Gallen, Switzerland.

Qiyu Li (Q)

Competence Center of the Swiss Group for Clinical Cancer Research (SAKK), Bern, Switzerland.

Lisa Holer (L)

Competence Center of the Swiss Group for Clinical Cancer Research (SAKK), Bern, Switzerland.

Daniela Bärtschi (D)

Competence Center of the Swiss Group for Clinical Cancer Research (SAKK), Bern, Switzerland.

Khalil Zaman (K)

University Hospital Lausanne, Lausanne, Switzerland.

Roger von Moos (R)

Cantonal Hospital Graubünden, Chur, Switzerland.

Konstantin J Dedes (KJ)

Breast Center Zürichsee, Zurich, Switzerland.

Laura A Boos (LA)

University and University Hospital Zurich, Rämistrasse 100, 8091, Zürich, Switzerland.

Urban Novak (U)

Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Alexandre Bodmer (A)

University Hospital Geneva, Geneva, Switzerland.

Reto Ritschard (R)

University Hospital Basel, Basel, Switzerland.

Ellen C Obermann (EC)

University Hospital Basel, Basel, Switzerland.

Alexandar Tzankov (A)

University Hospital Basel, Basel, Switzerland.

Christoph Ackermann (C)

Spital STS AG, Thun, Switzerland.

Véronique Membrez-Antonioli (V)

Hôpital du Valais, Hôpital de Sion, Sion, Switzerland.

Ursina Zürrer-Härdi (U)

Cantonal Hospital Winterthur, Winterthur, Switzerland.

Clemens B Caspar (CB)

Cantonal Hospital Baden, Baden, Switzerland.

Stefanie Deuster (S)

University Hospital Basel, Basel, Switzerland.

Martin Senn (M)

University Hospital Basel, Basel, Switzerland.

Ralph Winterhalder (R)

Hospital Lucerne, Lucerne, Switzerland.

Christoph Rochlitz (C)

University Hospital Basel, Basel, Switzerland.

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Classifications MeSH