Pharmacokinetics, pharmacodynamics, and safety of GS-3583, a FLT3 agonist Fc fusion protein, from single-ascending-dose phase I study in healthy participants.


Journal

Clinical and translational science
ISSN: 1752-8062
Titre abrégé: Clin Transl Sci
Pays: United States
ID NLM: 101474067

Informations de publication

Date de publication:
Aug 2024
Historique:
revised: 26 07 2024
received: 12 06 2024
accepted: 05 08 2024
medline: 22 8 2024
pubmed: 22 8 2024
entrez: 22 8 2024
Statut: ppublish

Résumé

Conventional dendritic cells subtype 1 (cDC1) play a vital role in the priming and expansion of tumor-specific CD8+ T cells and their recruitment to tumor microenvironment. However, cDC1s are often underrepresented in the microenvironment. Systemic administration of Fms-like tyrosine kinase 3 ligand, a hematopoietic growth factor that binds to FLT3 on myeloid and lymphoid progenitor cells, leads to cDC1 expansion in the periphery and recruitment into the microenvironment. FLT3 pathway stimulation using GS-3583, a novel FLT3 agonistic Fc fusion protein, has the potential to promote T-cell mediated antitumor activity. This was a first-in-human, placebo-controlled study of GS-3583 in healthy participants to evaluate the safety, pharmacokinetics (PK), and pharmacodynamic (PD) of escalating single doses (75-2000 μg) of GS-3583. Each dose cohort enrolled 8-12 healthy participants who received GS-3583 or placebo as single IV infusion at 3:1 ratio. As part of the PD evaluation, the changes in the number of cDC1 cells were investigated. GS-3583 was well-tolerated in healthy participants up to the highest evaluated dose (2000 μg). There have been no serious or grade III or higher adverse events. PK analysis suggested a dose-dependent increase in GS-3583 exposure with target-mediated disposition characteristics at low doses. PD analysis shows that administration of GS-3583 resulted in transient, dose-dependent increases in cDC1 cells that returned to baseline within 3 weeks of drug administration. The pharmacokinetics and pharmacodynamics of GS-3583 following single dosing were characterized in this study which enabled subsequent phase Ib assessments in patients with advanced solid tumors.

Identifiants

pubmed: 39169685
doi: 10.1111/cts.70011
doi:

Substances chimiques

Recombinant Fusion Proteins 0
fms-Like Tyrosine Kinase 3 EC 2.7.10.1
FLT3 protein, human EC 2.7.10.1
Immunoglobulin Fc Fragments 0

Types de publication

Journal Article Clinical Trial, Phase I Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

e70011

Informations de copyright

© 2024 Gilead Sciences, Inc. Clinical and Translational Science published by Wiley Periodicals LLC on behalf of American Society for Clinical Pharmacology and Therapeutics.

Références

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Auteurs

Anees M Dauki (AM)

Gilead Sciences, Inc., Foster City, California, USA.

Nishanthan Rajakumaraswamy (N)

Gilead Sciences, Inc., Foster City, California, USA.

Torsten Trowe (T)

Gilead Sciences, Inc., Foster City, California, USA.

Winnie Weng (W)

Gilead Sciences, Inc., Foster City, California, USA.

Kai-Wen Lin (KW)

Gilead Sciences, Inc., Foster City, California, USA.

Emon Elboudjwarej (E)

Gilead Sciences, Inc., Foster City, California, USA.

Ann Ran-Ran Qin (AR)

Gilead Sciences, Inc., Foster City, California, USA.

Christian Schwabe (C)

New Zealand Clinical Research, Auckland, New Zealand.

Michelle R Kuhne (MR)

Gilead Sciences, Inc., Foster City, California, USA.

Ahmed A Othman (AA)

Gilead Sciences, Inc., Foster City, California, USA.

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Classifications MeSH