Evidence map›Paper›PMID 29926131›Full record

ArticleCancer chemotherapy and pharmacology2018

A phase I study of LY3164530, a bispecific antibody targeting MET and EGFR, in patients with advanced or metastatic cancer.

Amita Patnaik, Michael Gordon, Frank Tsai, Kyriakos P Papadopoulos, Drew Rasco, Muralidhar Beeram, Siqing Fu, Filip Janku, Scott M Hynes, Sushma R Gundala and 4 more

Erratum issuedOpen access · hybridAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Cancer chemotherapy and pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  6. Tumor biomarkers for diagnosis, prognosis and targeted therapy.Signal transduction and targeted therapy · 2024
    Review
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  8. A Multipronged Unbiased Strategy Guides the Development of an Anti-EGFR/EPHA2-Bispecific Antibody for Combination Cancer Therapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
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  16. Article
  17. Current and future treatment options forTherapeutic advances in medical oncology · 2021
    Review
  18. Review
  19. Bispecific antibodies targeting dual tumor-associated antigens in cancer therapy.Journal of cancer research and clinical oncology · 2020
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Amita PatnaikSouth Texas Accelerated Research Therapeutics (START), 4383 Medical Drive, Suite 4026, San Antonio, TX, USA. Amita.Patnaik@startsa.com.
Michael GordonHonorHealth Research Institute, Scottsdale, AZ, USA.
Frank TsaiHonorHealth Research Institute, Scottsdale, AZ, USA.
Kyriakos P PapadopoulosSouth Texas Accelerated Research Therapeutics (START), 4383 Medical Drive, Suite 4026, San Antonio, TX, USA.ORCID 0000-0002-0667-2620
Drew RascoSouth Texas Accelerated Research Therapeutics (START), 4383 Medical Drive, Suite 4026, San Antonio, TX, USA.
Muralidhar BeeramSouth Texas Accelerated Research Therapeutics (START), 4383 Medical Drive, Suite 4026, San Antonio, TX, USA.
Siqing FuCancer Medicine Division, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA.
Filip JankuCancer Medicine Division, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA.ORCID 0000-0002-8123-4065
Scott M HynesEli Lilly and Company, Indianapolis, IN, USA.
Sushma R GundalaEli Lilly and Company, Indianapolis, IN, USA.ORCID 0000-0001-6545-7763
Melinda D WillardEli Lilly and Company, Indianapolis, IN, USA.
Wei ZhangEli Lilly and Company, Indianapolis, IN, USA.
Aimee Bence LinEli Lilly and Company, Indianapolis, IN, USA.
David HongCancer Medicine Division, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA.ORCID 0000-0001-8721-1609
Eli Lilly (United States) · USSouth Texas Accelerated Research Therapeutics · USThe University of Texas MD Anderson Cancer Center · USHonorHealth · US

Funding

Center for Clinical and Translational Sciences (CCTS)UL1TR000371 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$13.4M
NCATS NIH HHS UL1 TR000371
6 · The paper itself

Abstract

purposeThe phase I study characterized the safety, pharmacokinetics, anti-tumor activity, and recommended phase II dose/schedule of LY3164530 in patients with advanced or metastatic cancer.

methodsPatients received LY3164530 on days 1 and 15 (Schedule 1: 300, 600, 1000, and 1250 mg) or Days 1, 8, 15, and 22 (Schedule 2: 500 and 600 mg) of each 28 days cycle. Dose escalation used a modified toxicity probability interval model.

resultsDose escalation defined a maximum tolerated dose (MTD) of 1000 mg on Schedule 1 and 500 mg on Schedule 2. Treatment-emergent adverse events related to study treatment were consistent with epidermal growth factor receptor (EGFR) inhibition and included maculopapular rash/dermatitis acneiform (83%, Grade 3/4 17%), hypomagnesemia (55%, Grade 3/4 7%), paronychia (35%), fatigue (28%, Grade 3/4 3%), skin fissures (24%), and hypokalemia (21%, Grade 3/4 7%). Partial response was achieved in three patients on Schedule 2 with colorectal cancer (n = 2) or squamous cell cancer. Overall response rate (ORR) was 10.3%, disease control rate (ORR + stable disease [SD]) was 51.7 and 17.2% of patients had SD ≥ 4 months. The in vivo stability of the bispecific antibody was confirmed. Schedule 2 provided greater and more consistent inhibition of mesenchymal-epithelial transition (MET)/EGFR throughout the dosing interval than Schedule 1.

conclusionsAlthough this study defined the LY3164530 MTD and pharmacokinetics on both schedules, significant toxicities associated with EGFR inhibition and lack of a potential predictive biomarker limit future development. Nonetheless, the results provide insight into the development of bispecific antibody therapy.

Indexed as

AdultAgedAntibodies, BispecificBiomarkers, TumorDose-Response Relationship, DrugDrug Administration ScheduleErbB ReceptorsFemaleHumansImmunohistochemistryMaleMiddle AgedNeoplasm MetastasisNeoplasmsProto-Oncogene Proteins c-metAntibodies, BispecificBiomarkers, TumorEGFR protein, humanErbB ReceptorsMET protein, humanProto-Oncogene Proteins c-metBispecificEGFRMETPhase I

Identifiers

PMID29926131
PMCPMC6105165
OpenAlexW2809653263

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Registered trials

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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.