volume 29 issue 16 pages OF1-OF16

Preclinical Characterization and Phase 1 Trial Results of INBRX-109, a Third-Generation, Recombinant, Humanized, Death Receptor 5 Agonist Antibody, in Chondrosarcoma

Vivek Subbiah 1
Sant P Chawla 2
Anthony Conley 3
Anthony W. Tolcher 5
Nehal J. Lakhani 6
David Berz 7
Vasily Andrianov 8
William Crago 8
Monica Holcomb 8
Abrahim Hussain 8
Carson Veldstra 8
James Kalabus 8
Brianne O’Neill 8
Lane Senne 8
Emily Rowell 8
Analeah B. Heidt 8
Katelyn M. Willis 8
Brendan P. Eckelman 8
Publication typeJournal Article
Publication date2023-06-02
scimago Q1
wos Q1
SJR4.800
CiteScore19.0
Impact factor10.2
ISSN10780432, 15573265
Cancer Research
Oncology
Abstract
Purpose:

Patients with unresectable/metastatic chondrosarcoma have poor prognoses; conventional chondrosarcoma is associated with a median progression-free survival (PFS) of <4 months after first-line chemotherapy. No standard targeted therapies are available. We present the preclinical characterization of INBRX-109, a third-generation death receptor 5 (DR5) agonist, and clinical findings from a phase I trial of INBRX-109 in unresectable/metastatic chondrosarcoma (NCT03715933).

Patients and Methods:

INBRX-109 was first characterized preclinically as a DR5 agonist, with binding specificity and hepatotoxicity evaluated in vitro and antitumor activity evaluated both in vitro and in vivo. INBRX-109 (3 mg/kg every 3 weeks) was then evaluated in a phase I study of solid tumors, which included a cohort with any subtype of chondrosarcoma and a cohort with IDH1/IDH2-mutant conventional chondrosarcoma. The primary endpoint was safety. Efficacy was an exploratory endpoint, with measures including objective response, disease control rate, and PFS.

Results:

In preclinical studies, INBRX-109 led to antitumor activity in vitro and in patient-derived xenograft models, with minimal hepatotoxicity. In the phase I study, INBRX-109 was well tolerated and demonstrated antitumor activity in unresectable/metastatic chondrosarcoma. INBRX-109 led to a disease control rate of 87.1% [27/31; durable clinical benefit, 40.7% (11/27)], including two partial responses, and median PFS of 7.6 months. Most treatment-related adverse events, including liver-related events, were low grade (grade ≥3 events in chondrosarcoma cohorts, 5.7%).

Conclusions:

INBRX-109 demonstrated encouraging antitumor activity with a favorable safety profile in patients with unresectable/metastatic chondrosarcoma. A randomized, placebo-controlled, phase II trial (ChonDRAgon, NCT04950075) will further evaluate INBRX-109 in conventional chondrosarcoma.

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GOST |
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GOST Copy
Subbiah V. et al. Preclinical Characterization and Phase 1 Trial Results of INBRX-109, a Third-Generation, Recombinant, Humanized, Death Receptor 5 Agonist Antibody, in Chondrosarcoma // Clinical Cancer Research. 2023. Vol. 29. No. 16. p. OF1-OF16.
GOST all authors (up to 50) Copy
Subbiah V., Chawla S. P., Conley A., Wilky B. A., Tolcher A. W., Lakhani N. J., Berz D., Andrianov V., Crago W., Holcomb M., Hussain A., Veldstra C., Kalabus J., O’Neill B., Senne L., Rowell E., Heidt A. B., Willis K. M., Eckelman B. P. Preclinical Characterization and Phase 1 Trial Results of INBRX-109, a Third-Generation, Recombinant, Humanized, Death Receptor 5 Agonist Antibody, in Chondrosarcoma // Clinical Cancer Research. 2023. Vol. 29. No. 16. p. OF1-OF16.
RIS |
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RIS Copy
TY - JOUR
DO - 10.1158/1078-0432.ccr-23-0974
UR - https://doi.org/10.1158/1078-0432.ccr-23-0974
TI - Preclinical Characterization and Phase 1 Trial Results of INBRX-109, a Third-Generation, Recombinant, Humanized, Death Receptor 5 Agonist Antibody, in Chondrosarcoma
T2 - Clinical Cancer Research
AU - Subbiah, Vivek
AU - Chawla, Sant P
AU - Conley, Anthony
AU - Wilky, Breelyn A.
AU - Tolcher, Anthony W.
AU - Lakhani, Nehal J.
AU - Berz, David
AU - Andrianov, Vasily
AU - Crago, William
AU - Holcomb, Monica
AU - Hussain, Abrahim
AU - Veldstra, Carson
AU - Kalabus, James
AU - O’Neill, Brianne
AU - Senne, Lane
AU - Rowell, Emily
AU - Heidt, Analeah B.
AU - Willis, Katelyn M.
AU - Eckelman, Brendan P.
PY - 2023
DA - 2023/06/02
PB - American Association for Cancer Research (AACR)
SP - OF1-OF16
IS - 16
VL - 29
PMID - 37265425
SN - 1078-0432
SN - 1557-3265
ER -
BibTex |
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BibTex (up to 50 authors) Copy
@article{2023_Subbiah,
author = {Vivek Subbiah and Sant P Chawla and Anthony Conley and Breelyn A. Wilky and Anthony W. Tolcher and Nehal J. Lakhani and David Berz and Vasily Andrianov and William Crago and Monica Holcomb and Abrahim Hussain and Carson Veldstra and James Kalabus and Brianne O’Neill and Lane Senne and Emily Rowell and Analeah B. Heidt and Katelyn M. Willis and Brendan P. Eckelman},
title = {Preclinical Characterization and Phase 1 Trial Results of INBRX-109, a Third-Generation, Recombinant, Humanized, Death Receptor 5 Agonist Antibody, in Chondrosarcoma},
journal = {Clinical Cancer Research},
year = {2023},
volume = {29},
publisher = {American Association for Cancer Research (AACR)},
month = {jun},
url = {https://doi.org/10.1158/1078-0432.ccr-23-0974},
number = {16},
pages = {OF1--OF16},
doi = {10.1158/1078-0432.ccr-23-0974}
}
MLA
Cite this
MLA Copy
Subbiah, Vivek, et al. “Preclinical Characterization and Phase 1 Trial Results of INBRX-109, a Third-Generation, Recombinant, Humanized, Death Receptor 5 Agonist Antibody, in Chondrosarcoma.” Clinical Cancer Research, vol. 29, no. 16, Jun. 2023, pp. OF1-OF16. https://doi.org/10.1158/1078-0432.ccr-23-0974.
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