Evidence map›Paper›PMID 34997701›Full record

ArticleClinical and translational science2022

Translational findings for odronextamab: From preclinical research to a first-in-human study in patients with CD20+ B-cell malignancies.

Min Zhu, Kara Olson, Jessica R Kirshner, Masood Khaksar Toroghi, Hong Yan, Lauric Haber, Craig Meagher, Dina M Flink, Srikanth R Ambati, John D Davis and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical and translational science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02290951 (An Open-Label, Multi-Center Phase 1 Study to Investigate the Safety and Tolerability of REGN1979, an Anti-CD20 x Anti-CD3 Bispecific Monoclonal Antibody, in Patients With CD20+ B-Cell Malignancies Previously Treated With CD20-Directed Antibody Therapy), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 21% 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.

NCT02290951 phase1completednot on this map

An Open-Label, Multi-Center Phase 1 Study to Investigate the Safety and Tolerability of REGN1979, an Anti-CD20 x Anti-CD3 Bispecific Monoclonal Antibody, in Patients With CD20+ B-Cell Malignancies Previously Treated With CD20-Directed Antibody Therapy (ELM-1)

TypeinterventionalSponsorRegeneron PharmaceuticalsRan2015 to 2025Enrolled200ConditionsNon-Hodgkin Lymphoma, Chronic Lymphocytic LeukemiaArmsOdronextamab multiple dose levels
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Clinical Pharmacology of Cytokine Release Syndrome with T-Cell-Engaging Bispecific Antibodies: Current Insights and Drug Development Strategies.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. 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

13 authors at 1 institution in 1 country.

Min ZhuDepartment of Pharmacometrics, Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.
Kara OlsonDepartment of Research, Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.
Jessica R KirshnerDepartment of Research, Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.
Masood Khaksar ToroghiDepartment of Pharmacometrics, Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.
Hong YanDepartment of Pharmacometrics, Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.
Lauric HaberDepartment of Research, Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.
Craig MeagherDepartment of Research, Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.
Dina M FlinkDepartment of Clinical Development, Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.
Srikanth R AmbatiDepartment of Clinical Development, Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.
John D DavisDepartment of Pharmacometrics, Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.
A Thomas DiCioccioDepartment of Pharmacometrics, Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.
Eric J SmithDepartment of Research, Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.
Marc W RetterDepartment of Pharmacometrics, Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.
Regeneron (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Odronextamab is a fully-human IgG4-based CD20xCD3 bispecific antibody that binds to CD3 on T cells and CD20 on B cells, triggering T-cell-mediated cytotoxicity independent of T-cell-receptor recognition. Adequate safety, tolerability, and encouraging durable complete responses have been observed in an ongoing first-in-human (FIH) study of odronextamab in patients with relapsed/refractory (R/R) B-cell non-Hodgkin lymphoma (B-NHL; NCT02290951). We retrospectively evaluated the pharmacokinetic, pharmacodynamic, and antitumor characteristics of odronextamab in a series of in vitro/in vivo preclinical experiments, to assess their translational value to inform dose escalation for the FIH study. Half-maximal effective concentration values from in vitro cytokine release assays (range: 0.05-0.08 mg/L) provided a reasonable estimate of odronextamab concentrations in patients associated with cytokine release at a 0.5 mg dose (maximum serum concentration: 0.081 mg/L) on week 1/day 1, which could therefore be used to determine the week 1 clinical dose. Odronextamab concentrations resulting in 100% inhibition of tumor growth in a Raji xenograft tumor mouse model (1-10 mg/L) were useful to predict efficacious concentrations in patients and inform dose-escalation strategy. Although predicted human pharmacokinetic parameters derived from monkey data overestimated projected odronextamab exposure, they provided a conservative estimate for FIH starting doses. With step-up dosing, the highest-tested weekly odronextamab dose in patients (320 mg) exceeded the 1 mg/kg single dose in monkeys without step-up dosing. In conclusion, combination of odronextamab in vitro cytokine data, efficacious concentration data from mouse tumor models, and pharmacokinetic evaluations in monkeys has translational value to inform odronextamab FIH study design in patients with R/R B-NHL.

Indexed as

Antibodies, BispecificAntineoplastic AgentsLymphoma, B-CellAnimalsAntigens, CD20CytokinesHumansMiceRetrospective StudiesAntibodies, BispecificAntigens, CD20Antineoplastic AgentsCytokines

Identifiers

PMID34997701
PMCPMC9010254
OpenAlexW4206809978

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.