Evidence map›Paper›PMID 27091421›Full record

ArticleThe oncologist2016

Phase I Study of the Prolactin Receptor Antagonist LFA102 in Metastatic Breast and Castration-Resistant Prostate Cancer.

Neeraj Agarwal, Jean-Pascal Machiels, Cristina Suárez, Nancy Lewis, Michaela Higgins, Kari Wisinski, Ahmad Awada, Michela Maur, Mark Stein, Andy Hwang and 6 more

Open access · greenAbstract readClinical Trial, Phase I
In one paragraph

Article in The oncologist, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 80 citations in OpenAlex.

  1. Article
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  11. Review
  12. Prolactin: The Third Hormone in Breast Cancer.Frontiers in endocrinology · 2022
    Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Emerging Immunotherapies against Novel Molecular Targets in Breast Cancer.International journal of molecular sciences · 2021
    Review
  18. Article
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  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 6 countries.

Neeraj AgarwalHuntsman Cancer Institute, Division of Medical Oncology, Department of Medicine, University of Utah, Salt Lake City, Utah, USA neeraj.agarwal@hci.utah.edu.
Jean-Pascal MachielsRoi Albert II Institute, Medical Oncology Service, University Clinic Saint Luc and Institute of Experimental and Clinical Research (Pôle Molecular Imaging, Radiotherapy & Oncology), Catholic University of Louvain, Brussels, Belgium.
Cristina SuárezVall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Barcelona, Spain.
Nancy LewisThomas Jefferson University, Philadelphia, Pennsylvania, USA.
Michaela HigginsHarvard Medical School and Massachusetts General Hospital, Boston, Massachusetts, USA.
Kari WisinskiUniversity of Wisconsin Carbone Cancer Center, Madison, Wisconsin, USA.
Ahmad AwadaJules Bordet Institute, Brussels, Belgium.
Michela MaurOncology Unit, Department of Oncology, Hematology and Respiratory Disease, University Hospital Policlinico of Modena, Modena, Italy.
Mark SteinRutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, USA.
Andy HwangNovartis Pharmaceutical Corporation, East Hanover, New Jersey, USA.
Rebecca Mosher
Ernesto WassermanNovartis Pharmaceutical Corporation, East Hanover, New Jersey, USA.
Gang WuNovartis Pharmaceutical Corporation, East Hanover, New Jersey, USA.
Hefei ZhangNovartis Pharmaceutical Corporation, East Hanover, New Jersey, USA.
Renata ZiebaNovartis Pharmaceutical Corporation, East Hanover, New Jersey, USA.
Mohamed ElmeliegyNovartis Pharmaceutical Corporation, East Hanover, New Jersey, USA.
Novartis (Switzerland) · CHCliniques Universitaires Saint-Luc · BEHebron University · PSInstitut Jules Bordet · BEMassachusetts General Hospital · USPoliclinico di Modena · ITRutgers, The State University of New Jersey · USThomas Jefferson University · USUniversity of Utah · USUniversity of Wisconsin Carbone Cancer Center · US

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI KATHARINE S ULLMAN · 1986 to 2026
$72.6M
NCI NIH HHS P30 CA042014
6 · The paper itself

Abstract

lessons learnedDespite evidence for a role for prolactin signaling in breast and prostate tumorigenesis, a prolactin receptor-binding monoclonal antibody has not produced clinical efficacy.Increased serum prolactin levels may be a biomarker for prolactin receptor inhibition.Results from the pharmacokinetic and pharmacodynamics (PD) studies suggest that inappropriately long dosing intervals and insufficient exposure to LFA102 may have resulted in lack of antitumor efficacy.Based on preclinical data, combination therapy of LFA102 with those novel agents targeting hormonal pathways in metastatic castration-resistant prostate cancer and metastatic breast cancer is promising.Given the PD evidence of prolactin receptor blockade by LFA102, this drug has the potential to be used in conditions such as hyperprolactinemia that are associated with high prolactin levels.

backgroundProlactin receptor (PRLR) signaling is implicated in breast and prostate cancer. LFA102, a humanized monoclonal antibody (mAb) that binds to and inhibits the PRLR, has exhibited promising preclinical antitumor activity.

methodsPatients with PRLR-positive metastatic breast cancer (MBC) or metastatic castration-resistant prostate cancer (mCRPC) received doses of LFA102 at 3-60 mg/kg intravenously once every 4 weeks. Objectives were to determine the maximum tolerated dose (MTD) and/or recommended dose for expansion (RDE) to investigate the safety/tolerability of LFA102 and to assess pharmacokinetics (PK), pharmacodynamics (PD), and antitumor activity.

resultsA total of 73 patients were enrolled at 5 dose levels. The MTD was not reached because of lack of dose-limiting toxicities. The RDE was established at 60 mg/kg based on PK and PD analysis and safety data. The most common all-cause adverse events (AEs) were fatigue (44%) and nausea (33%) regardless of relationship. Grade 3/4 AEs reported to be related to LFA102 occurred in 4% of patients. LFA102 exposure increased approximately dose proportionally across the doses tested. Serum prolactin levels increased in response to LFA102 administration, suggesting its potential as a biomarker for PRLR inhibition. No antitumor activity was detected.

conclusionTreatment with LFA102 was safe and well tolerated, but did not show antitumor activity as monotherapy at the doses tested.

Indexed as

AdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedBreast NeoplasmsFemaleHumansMaleMaximum Tolerated DoseMiddle AgedNeoplasm MetastasisProstatic Neoplasms, Castration-ResistantReceptors, ProlactinAntibodies, Monoclonal, HumanizedLFA102 monoclonal antibodyReceptors, Prolactin

Identifiers

PMID27091421
PMCPMC4861370
OpenAlexW2339358819

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.