Evidence map›Paper›PMID 28050790›Full record

ArticleInvestigational new drugs2017

First-in-human study of the antibody DR5 agonist DS-8273a in patients with advanced solid tumors.

Andres Forero, Johanna C Bendell, Prasanna Kumar, Linda Janisch, Michael Rosen, Qiang Wang, Catherine Copigneaux, Madhuri Desai, Giorgio Senaldi, Michael L Maitland

Abstract readClinical Trial, Phase IMulticenter Study
PubMed Publisher
In one paragraph

Article in Investigational new drugs, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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

23 citing papers in PubMed.

  1. Article
  2. DR5 CAR-T cells target melanoma and suppress MDSCs with minimal toxicity.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  3. Advances in the study of death receptor 5.Frontiers in pharmacology · 2025
    Review
  4. Review
  5. Agonist Antibodies for Cancer Immunotherapy: History, Hopes, and Challenges.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Cancer immunotherapy beyond immune checkpoint inhibitors.Journal of hematology & oncology · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Andres ForeroDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, 35294-3300, USA.
Johanna C BendellSarah Cannon Research Institute, 250 25th Avenue N, Suite 200, Nashville, TN, 37203, USA.
Prasanna KumarDaiichi Sankyo, Inc, 399 Thornall Street, Edison, NJ, 08837, USA.
Linda JanischSection of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, IL, 60637, USA.
Michael RosenDaiichi Sankyo, Inc, 399 Thornall Street, Edison, NJ, 08837, USA.
Qiang WangDaiichi Sankyo, Inc, 399 Thornall Street, Edison, NJ, 08837, USA.
Catherine CopigneauxDaiichi Sankyo, Inc, 399 Thornall Street, Edison, NJ, 08837, USA.
Madhuri DesaiDaiichi Sankyo, Inc, 399 Thornall Street, Edison, NJ, 08837, USA.
Giorgio SenaldiDaiichi Sankyo, Inc, 399 Thornall Street, Edison, NJ, 08837, USA.
Michael L MaitlandSection of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, IL, 60637, USA. michael.maitland@inova.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background DR5 is a transmembrane receptor that transduces extracellular ligand-binding to activate apoptosis signaling cascades. This phase 1 study evaluated the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics of a new monoclonal antibody potent DR5 agonist, DS-8273a, in subjects with advanced solid tumors. Methods The study comprised dose escalation and dose expansion cohorts. The dose escalation cohorts intended to determine the safety and to identify the maximum tolerated dose (MTD) or maximum administered dose (MAD) and to characterize the pharmacokinetics and pharmacodynamics by a conventional 3 + 3 design (starting at 2 mg/kg and escalating through 8, 16 and 24 mg/kg once every 3 weeks). In the dose expansion cohort, additional subjects were treated at the MAD for further evaluation of PK and safety. Results Thirty two subjects were enrolled and treated, 16 in the dose escalation cohorts and 16 in the dose expansion cohort. No subjects experienced a dose limiting toxicity (DLT). Treatment emergent adverse events were observed in 29 (91%) subjects, 14 (44%) of which were attributed to study-drug; all drug-related events were grade 1 and 2 in severity, and were mainly fatigue, nausea, vomiting and diarrhea. Measures of plasma exposure increased dose-proportionally and the mean terminal elimination half-life was 11 days. Blood samples available from a subset of patients treated at 24 mg/kg revealed declines in myeloid derived suppressor cells (MDSC) at 2 weeks. No objective responses were observed in any subjects. Conclusions DS-8273a was well tolerated and demonstrated linear pharmacokinetics. Decreases in MDSC were temporally associated with DS-8273a exposure. This agent could be studied further in combination with other agents, pending further proof-of-target-engagement.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalAdultAgedCell CountDiarrheaFatigueFemaleHumansMaleMaximum Tolerated DoseMiddle AgedMyeloid-Derived Suppressor CellsNauseaNeoplasmsReceptors, TNF-Related Apoptosis-Inducing LigandAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalDS-8273aReceptors, TNF-Related Apoptosis-Inducing LigandTNFRSF10B protein, humanApoptosisDR5DS-8273aMyeloid derived suppressor cellsPharmacokineticsPhase 1

Identifiers

What OpenQuestion holds

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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.