A Phase I Study of sequences of the CDK4/6 Inhibitor, Ribociclib Combined with Gemcitabine in Patients with Advanced Solid Tumors.


Journal

Research square
Titre abrégé: Res Sq
Pays: United States
ID NLM: 101768035

Informations de publication

Date de publication:
25 Apr 2024
Historique:
pubmed: 15 5 2024
medline: 15 5 2024
entrez: 15 5 2024
Statut: epublish

Résumé

Based on preclinical data showing addition of CDK4/6 inhibitors to gemcitabine is synergistic, ribociclib was evaluated in combination with gemcitabine to determine the maximum tolerated dose (MTD) and dose limiting toxicities (DLT). In this single arm multicohort phase I trial, we evaluated the safety and efficacy of Ribociclib plus Gemcitabine in patients with advanced solid tumors. Patients received Gemcitabine intravenously on days 1 and 8 followed by Ribociclib days 8-14, with treatment repeated every 3 weeks. The study enrolled 43 patients between October 2017 and September 2019. The escalation phase (19 patients) determined the MTD and recommended phase II dose (RP2D) to be ribociclib 800mg daily and gemcitabine 1000mg/m2 for the expansion phase (24 patients). One patient experienced Grade 4 thrombocytopenia. Eleven patients experienced Grade 3 adverse events (AE), the most common being neutropenia, thrombocytopenia, and anemia. No partial or complete responses were observed. 15/22 (68%) of efficacy evaluable patients who received the MTD achieved best response of stable disease. The addition of Ribociclib to Gemcitabine was tolerated well and yielded stability of tumors in both cohorts. Ribociclib and gemcitabine could have synergistic activity in certain tumor types, and our data provides support for the combination. NCT03237390.

Sections du résumé

Background UNASSIGNED
Based on preclinical data showing addition of CDK4/6 inhibitors to gemcitabine is synergistic, ribociclib was evaluated in combination with gemcitabine to determine the maximum tolerated dose (MTD) and dose limiting toxicities (DLT).
Methods UNASSIGNED
In this single arm multicohort phase I trial, we evaluated the safety and efficacy of Ribociclib plus Gemcitabine in patients with advanced solid tumors. Patients received Gemcitabine intravenously on days 1 and 8 followed by Ribociclib days 8-14, with treatment repeated every 3 weeks.
Results UNASSIGNED
The study enrolled 43 patients between October 2017 and September 2019. The escalation phase (19 patients) determined the MTD and recommended phase II dose (RP2D) to be ribociclib 800mg daily and gemcitabine 1000mg/m2 for the expansion phase (24 patients). One patient experienced Grade 4 thrombocytopenia. Eleven patients experienced Grade 3 adverse events (AE), the most common being neutropenia, thrombocytopenia, and anemia. No partial or complete responses were observed. 15/22 (68%) of efficacy evaluable patients who received the MTD achieved best response of stable disease.
Conclusions UNASSIGNED
The addition of Ribociclib to Gemcitabine was tolerated well and yielded stability of tumors in both cohorts. Ribociclib and gemcitabine could have synergistic activity in certain tumor types, and our data provides support for the combination.
Clinical Trial Registration UNASSIGNED
NCT03237390.

Identifiants

pubmed: 38746220
doi: 10.21203/rs.3.rs-4261257/v1
pmc: PMC11092794
pii:
doi:

Banques de données

ClinicalTrials.gov
['NCT03237390']

Types de publication

Preprint

Langues

eng

Subventions

Organisme : NCI NIH HHS
ID : P30 CA015083
Pays : United States
Organisme : NIGMS NIH HHS
ID : T32 GM008685
Pays : United States

Déclaration de conflit d'intérêts

Competing interests: The authors declare no conflict of interest.

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Auteurs

Aurora Norman (A)

Mayo Clinic.

Jacob Allred (J)

Mayo Clinic.

Jianping Kong (J)

Mayo Clinic.

Mateusz Opyrchal (M)

Indiana University.

Wen Wee Ma (WW)

Cleveland Clinic.

Yanyan Lou (Y)

Mayo Clinic.

Grace K Dy (GK)

Roswell Park Comprehensive Cancer Center.

Amit Mahipal (A)

University Hospitals at Case Western University.

John Weroha (J)

Mayo Clinic.

Joel M Reid (JM)

Mayo Clinic.

Alex A Adjei (AA)

Cleveland Clinic.

Classifications MeSH