Evidence map›Paper›PMID 31412935›Full record

ArticleJournal for immunotherapy of cancer2019

Safety, tolerability, pharmacokinetics, and pharmacodynamics of the afucosylated, humanized anti-EPHA2 antibody DS-8895a: a first-in-human phase I dose escalation and dose expansion study in patients with advanced solid tumors.

Kohei Shitara, Taroh Satoh, Satoru Iwasa, Kensei Yamaguchi, Kei Muro, Yoshito Komatsu, Tomohiro Nishina, Taito Esaki, Jun Hasegawa, Yasuyuki Kakurai and 5 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Journal for immunotherapy of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02004717 (Phase 1, Open-label Study to Assess the Safety, Tolerability, and Pharmacokinetics of DS-8895a in Subjects With Advanced Solid Tumors), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.5field-weighted citation impact, top 20% 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.

NCT02004717 phase1completednot on this map

Phase 1, Open-label Study to Assess the Safety, Tolerability, and Pharmacokinetics of DS-8895a in Subjects With Advanced Solid Tumors

TypeinterventionalSponsorDaiichi Sankyo Co., Ltd.Ran2013 to 2017Enrolled37ConditionsSolid TumorsArmsDS-8895a
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Theranostics usingEuropean journal of nuclear medicine and molecular imaging · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. EphA2 in Cancer: Molecular Complexity and Therapeutic Opportunities.International journal of molecular sciences · 2024
    Review
  10. Targeting the EphA2 pathway: could it be the way for bone sarcomas?Cell communication and signaling : CCS · 2024
    Review
  11. Article
  12. Review
  13. Review
  14. Novel [ACS omega · 2023
    Article
  15. Review
  16. Eph Receptors in Cancer.Biomedicines · 2023
    Review
  17. Article
  18. Review
  19. Article
  20. Article
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

15 authors at 11 institutions in 3 countries.

Kohei ShitaraNational Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa City, Chiba, Japan. kshitara@east.ncc.go.jp.
Taroh SatohOsaka University Graduate School of Medicine, Osaka, Japan.
Satoru IwasaNational Cancer Center Hospital, Tokyo, Japan.
Kensei YamaguchiCancer Institute Hospital of Japan Foundation for Cancer Research, Tokyo, Japan.
Kei MuroAichi Cancer Center Hospital and Research Institute, Aichi, Japan.
Yoshito KomatsuHokkaido University Hospital, Hokkaido, Japan.
Tomohiro NishinaNational Shikoku Cancer Center Hospital, Ehime, Japan.
Taito EsakiNational Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Jun HasegawaDaiichi Sankyo Co., Ltd, Tokyo, Japan.
Yasuyuki KakuraiDaiichi Sankyo Co., Ltd, Tokyo, Japan.
Emi KamiyamaDaiichi Sankyo Co., Ltd, Tokyo, Japan.
Tomoko NakataDaiichi Sankyo Co., Ltd, Tokyo, Japan.
Kota NakamuraDaiichi Sankyo Co., Ltd, Tokyo, Japan.
Hayato SakakiDaiichi Sankyo Co., Ltd, Tokyo, Japan.
Ichinosuke HyodoUniversity of Tsukuba, Ibaraki, Japan.
Daiichi-Sankyo (Japan) · JPDaiichi Sankyo (United Kingdom) · GBAichi Cancer Center · JPHokkaido University Hospital · JPJapanese Foundation For Cancer Research · JPNational Cancer Center · USNational Cancer Center Hospital East · JPNational Hospital Organization Kyushu Cancer Center · JPOsaka University · JPShikoku Cancer Center · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundErythropoietin-producing hepatocellular receptor A2 (EPHA2) is overexpressed on the cell surface in many cancers and predicts poor prognosis. DS-8895a is a humanized anti-EPHA2 IgG1 monoclonal antibody afucosylated to enhance antibody-dependent cellular cytotoxicity activity. We conducted a two-step, phase I, multicenter, open-label study to determine the safety, tolerability, and pharmacokinetics of DS-8895a in patients with advanced solid tumors.

methodsStep 1 was a dose escalation cohort in advanced solid tumor patients (six dose levels, 0.1-20 mg/kg) to determine Step 2 dosing. Step 2 was a dose expansion cohort in EPHA2-positive esophageal and gastric cancer patients. DS-8895a was intravenously administered every 2 weeks for the duration of the study, with a 28-day period to assess dose-limiting toxicity (DLT). Safety, pharmacokinetics, tumor response, and potential biomarkers were evaluated.

resultsThirty-seven patients (Step 1: 22, Step 2: 15 [9: gastric cancer, 6: esophageal cancer]) were enrolled. Although one DLT (Grade 4 platelet count decreased) was observed in Step 1 (dose level 6, 20 mg/kg), the maximum tolerated dose was not reached; the highest dose (20 mg/kg) was used in Step 2. Of the 37 patients, 24 (64.9%) experienced drug-related adverse events (AEs) including three (8.1%) with Grade ≥ 3 AEs. Infusion-related reactions occurred in 19 patients (51.4%) but were manageable. All patients discontinued the study (evident disease progression, 33; AEs, 4). Maximum and trough serum DS-8895a concentrations increased dose-dependently. One gastric cancer patient achieved partial response and 13 patients achieved stable disease. Serum inflammatory cytokines transiently increased at completion of and 4 h after the start of DS-8895a administration. The proportion of CD16-positive natural killer (NK) cells (CD3

conclusionsTwenty mg/kg DS-8895a infused intravenously every 2 weeks was generally safe and well tolerated in patients (n = 21) with advanced solid tumors. The exposure of DS-8895a seemed to increase dose-dependently and induce activated NK cells.

trial registrationPhase 1 Study of DS-8895a in patients with advanced solid tumors ( NCT02004717 ; 7 November 2013 to 2 February 2017); retrospectively registered on 9 December 2013.

Indexed as

Antibodies, Monoclonal, HumanizedDose-Response Relationship, ImmunologicEphrin-A2Esophageal NeoplasmsFemaleHumansMiddle AgedReceptor, EphA2Stomach NeoplasmsAntibodies, Monoclonal, HumanizedEPHA2 protein, humanEphrin-A2Receptor, EphA2Advanced solid tumorsAntibody-dependent cellular cytotoxicityDS-8895aErythropoietin-producing hepatocellular receptor A2Esophageal cancerGastric cancerPhase I study

Identifiers

PMID31412935
PMCPMC6694490
OpenAlexW2967373997

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Registered trials

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.