Evidence map›Paper›PMID 32161368›Full record

ArticleBritish journal of cancer2020

Two first-in-human studies of xentuzumab, a humanised insulin-like growth factor (IGF)-neutralising antibody, in patients with advanced solid tumours.

Johann de Bono, Chia-Chi Lin, Li-Tzong Chen, Jesus Corral, Vasiliki Michalarea, Karim Rihawi, Michael Ong, Jih-Hsiang Lee, Chih-Hung Hsu, James Chih-Hsin Yang and 13 more

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in British journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.7field-weighted citation impact, top 6% 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.

NCT01317420 phase1completednot on this map

A Phase I Dose Escalation Trial of BI 836845 Administered Intravenously Once Every Three Weeks in Patients With Advanced Solid Tumours During Escalation and Weekly in Selected Tumour Types During Expansion, With Repeated Administrations in Patients Showing Clinical Benefit

TypeinterventionalSponsorBoehringer IngelheimRan2011 to 2016Enrolled64ConditionsNeoplasmsArmsBI 836845
NCT01403974 phase1completednot on this map

A Phase I Dose Escalation Trial of Weekly Intravenous Administrations of BI 836845 in Patients With Advanced Solid Cancers With Repeated Administrations in Patients Showing Clinical Benefit

TypeinterventionalSponsorBoehringer IngelheimRan2011 to 2015Enrolled61ConditionsNeoplasmsArmsBI 836845
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
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  4. Article
  5. Article
  6. Progress in Designing Cytokine Antagonist Antibodies for Cancer Therapy.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Structural Models for a Series of Allosteric Inhibitors of IGF1R Kinase.International journal of molecular sciences · 2024
    Article
  12. Structural Models for a Series of Allosteric Inhibitors of IGF1R Kinase.bioRxiv : the preprint server for biology · 2024
    Article
  13. Review
  14. Review
  15. IGF-1R targeting in cancer - does sub-cellular localization matter?Journal of experimental & clinical cancer research : CR · 2023
    Review
  16. Article
  17. Review
  18. Review
  19. Review
  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

23 authors at 13 institutions in 7 countries.

Johann de Bono *Drug Development Unit, Royal Marsden Hospital & Institute of Cancer Research, Downs Road, Sutton, UK. jdebono@icr.ac.uk.
Chia-Chi Lin *Department of Oncology, National Taiwan University Hospital, 7 Chung Shan S. Rd., Taipei, Taiwan.
Li-Tzong ChenDepartment of Internal Medicine, National Cheng Kung University Hospital, National Cheng Kung University, 138 Sheng Li Road, Tainan, Taiwan.
Jesus CorralMedical Oncology Department, Clinica Universidad de Navarra, Calle Marquesado de Sta. Marta 1, Madrid, Spain.
Vasiliki MichalareaDrug Development Unit, Royal Marsden Hospital & Institute of Cancer Research, Downs Road, Sutton, UK.
Karim RihawiDrug Development Unit, Royal Marsden Hospital & Institute of Cancer Research, Downs Road, Sutton, UK.
Michael OngThe Ottawa Hospital Cancer Centre, 501 Smyth Road, Ottawa, ON, Canada.
Jih-Hsiang LeeDepartment of Oncology, National Taiwan University Hospital, 7 Chung Shan S. Rd., Taipei, Taiwan.
Chih-Hung HsuDepartment of Oncology, National Taiwan University Hospital, 7 Chung Shan S. Rd., Taipei, Taiwan.
James Chih-Hsin YangDepartment of Oncology, National Taiwan University Hospital, 7 Chung Shan S. Rd., Taipei, Taiwan.
Her-Shyong ShiahThe Ph.D. Program for Cancer Biology and Drug Discovery, College of Medical Science and Technology, Taipei Medical University, 250 Wuxing Street, Taipei, Taiwan.
Chia-Jui YenDepartment of Internal Medicine, National Cheng Kung University Hospital, National Cheng Kung University, 138 Sheng Li Road, Tainan, Taiwan.
Alan AnthoneyUniversity of Leeds and Leeds Teaching Hospitals Trust, Beckett Street, Leeds, UK.
Maria JoveUniversity of Leeds and Leeds Teaching Hospitals Trust, Beckett Street, Leeds, UK.
Susanne BuschkeTranslational Medicine & Clinical Pharmacology, Boehringer Ingelheim Pharma GmbH & Co. KG, Birkendorfer Str. 65, Biberach an der Riß, Germany.
René FuertigTranslational Medicine & Clinical Pharmacology, Boehringer Ingelheim Pharma GmbH & Co. KG, Birkendorfer Str. 65, Biberach an der Riß, Germany.
Ulrike SchmidTranslational Medicine & Clinical Pharmacology, Boehringer Ingelheim Pharma GmbH & Co. KG, Birkendorfer Str. 65, Biberach an der Riß, Germany.
Rainer-Georg GoeldnerBiostatistics and Data Sciences, Boehringer Ingelheim Pharma GmbH & Co KG, Birkendorfer Str. 65, Biberach an der Riß, Germany.
Natalja StrelkowaBiostatistics and Data Sciences, Boehringer Ingelheim Pharma GmbH & Co KG, Birkendorfer Str. 65, Biberach an der Riß, Germany.
Dennis Chin-Lun HuangMedical Department, Boehringer Ingelheim Taiwan Ltd, 12F, No. 2, Sec 3, Minsheng East Road, Taipei, Taiwan.
Thomas BogenriederDepartment of Urology, University Hospital Grosshadern, Ludwig-Maximilians-University, 1 Geschwister-Scholl-Platz, Munich, Germany.
Chris Twelves *University of Leeds and Leeds Teaching Hospitals Trust, Beckett Street, Leeds, UK.
Ann-Lii Cheng *Department of Oncology, National Taiwan University Hospital, 7 Chung Shan S. Rd., Taipei, Taiwan.
Boehringer Ingelheim (Germany) · DENational Taiwan University Hospital · TWLeeds Teaching Hospitals NHS Trust · GBRoyal Marsden Hospital · GBBoehringer Ingelheim (Austria) · ATBoehringer Ingelheim (Taiwan) · TWClinica Universidad de Navarra · ESInstitute of Cancer Research · GBNational Cheng Kung University Hospital · TWNational Health Research Institutes · TWNational Taiwan University · TWOttawa Hospital · CATaipei Medical University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundXentuzumab, an insulin-like growth factor (IGF)-1/IGF-2-neutralising antibody, binds IGF-1 and IGF-2, inhibiting their growth-promoting signalling. Two first-in-human trials assessed the maximum-tolerated/relevant biological dose (MTD/RBD), safety, pharmacokinetics, pharmacodynamics, and activity of xentuzumab in advanced/metastatic solid cancers.

methodsThese phase 1, open-label trials comprised dose-finding (part I; 3 + 3 design) and expansion cohorts (part II; selected tumours; RBD [weekly dosing]). Primary endpoints were MTD/RBD.

resultsStudy 1280.1 involved 61 patients (part I: xentuzumab 10-1800 mg weekly, n = 48; part II: 1000 mg weekly, n = 13); study 1280.2, 64 patients (part I: 10-3600 mg three-weekly, n = 33; part II: 1000 mg weekly, n = 31). One dose-limiting toxicity occurred; the MTD was not reached for either schedule. Adverse events were generally grade 1/2, mostly gastrointestinal. Xentuzumab showed dose-proportional pharmacokinetics. Total plasma IGF-1 increased dose dependently, plateauing at ~1000 mg/week; at ≥450 mg/week, IGF bioactivity was almost undetectable. Two partial responses occurred (poorly differentiated nasopharyngeal carcinoma and peripheral primitive neuroectodermal tumour). Integration of biomarker and response data by Bayesian Logistic Regression Modeling (BLRM) confirmed the RBD.

conclusionsXentuzumab was well tolerated; MTD was not reached. RBD was 1000 mg weekly, confirmed by BLRM. Xentuzumab showed preliminary anti-tumour activity. CLINICAL

trial registrationNCT01403974; NCT01317420.

Indexed as

AdultAgedAntibodies, Monoclonal, HumanizedAntibodies, NeutralizingDose-Response Relationship, DrugFemaleHumansInsulin-Like Growth Factor IInsulin-Like Growth Factor IIMaleMaximum Tolerated DoseMiddle AgedNeoplasmsYoung AdultAntibodies, Monoclonal, HumanizedAntibodies, NeutralizingIGF1 protein, humanInsulin-Like Growth Factor IInsulin-Like Growth Factor IIxentuzumab

Identifiers

PMID32161368
PMCPMC7188670
OpenAlexW3012535443

What OpenQuestion holds

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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.