Evidence map›Paper›PMID 37731023›Full record

ArticleBritish journal of cancer2023

A first-in-human phase 1 study of nofazinlimab, an anti-PD-1 antibody, in advanced solid tumors and in combination with regorafenib in metastatic colorectal cancer.

Daphne Day, John J Park, Jermaine Coward, Ben Markman, Charlotte Lemech, James C Kuo, Amy Prawira, Michael P Brown, Sarwan Bishnoi, Dusan Kotasek and 9 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in British journal of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03475251 (A Phase Ia/Ib, Open-Label, Multiple-Dose, Dose-Escalation and Expansion Study of the Anti-PD-1 Monoclonal Antibody CS1003 in Subjects With Advanced Solid Tumors), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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.

NCT03475251 phase1completednot on this map

A Phase Ia/Ib, Open-Label, Multiple-Dose, Dose-Escalation and Expansion Study of the Anti-PD-1 Monoclonal Antibody CS1003 in Subjects With Advanced Solid Tumors

TypeinterventionalSponsorCStone PharmaceuticalsRan2018 to 2021Enrolled108ConditionsAdvanced CancerArmsCS1003, Regorafenib
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. 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

19 authors at 8 institutions in 2 countries.

Daphne DayDepartment of Medical Oncology, Monash Health, Clayton, VIC, Australia. Daphne.Day@monash.edu.ORCID 0000-0001-8262-2441
John J ParkDepartment of Clinical Medicine, Faculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, NSW, Australia.
Jermaine CowardMedical Oncology, Icon Cancer Care - South Brisbane, South Brisbane, QLD, Australia.
Ben MarkmanDepartment of Medical Oncology, Monash Health, Clayton, VIC, Australia.
Charlotte LemechDrug Development, Scientia Clinical Research, Randwick, NSW, Australia.
James C KuoDrug Development, Scientia Clinical Research, Randwick, NSW, Australia.
Amy PrawiraSchool of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia.
Michael P BrownCancer Clinical Trials Unit, Royal Adelaide Hospital, Adelaide, SA, Australia.ORCID 0000-0002-5796-1932
Sarwan BishnoiMedical Oncology, Ashford Cancer Centre Research and ICON Cancer Centre, Kurralta Park and Division of Medicine, University of Adelaide, Adelaide, SA, Australia.
Dusan KotasekMedical Oncology, Ashford Cancer Centre Research and ICON Cancer Centre, Kurralta Park and Division of Medicine, University of Adelaide, Adelaide, SA, Australia.
R Matthew StrotherMedical Oncology, Christchurch Hospital, Christchurch, Canterbury, New Zealand.
Rasha CosmanSchool of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia.
Rila SuTranslational Medicine and Early Development, CStone Pharmaceuticals (Suzhou) Co., Ltd., Suzhou, China.
Yiding MaClinical Department, CStone Pharmaceuticals (Suzhou) Co., Ltd., Suzhou, China.
Zenglian YueTranslational Medicine and Early Development, CStone Pharmaceuticals (Suzhou) Co., Ltd., Suzhou, China.
Hui-Han HuTranslational Medicine and Early Development, CStone Pharmaceuticals (Suzhou) Co., Ltd., Suzhou, China.
Rachel WuClinical Department, CStone Pharmaceuticals (Suzhou) Co., Ltd., Suzhou, China.
Peiqi LiTranslational Medicine and Early Development, CStone Pharmaceuticals (Suzhou) Co., Ltd., Suzhou, China.
Archie N TseTranslational Medicine and Early Development, CStone Pharmaceuticals (Suzhou) Co., Ltd., Suzhou, China.
UNSW Sydney · AUCentre for Cancer Biology · AUChristchurch Hospital · NZMacquarie University · AUMonash Health · AUMonash Medical Centre · AURoyal Adelaide Hospital · AUThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe assessed nofazinlimab, an anti-PD-1 antibody, in solid tumors and combined with regorafenib in metastatic colorectal cancer (mCRC).

methodsThis phase 1 study comprised nofazinlimab dose escalation (phase 1a) and expansion (phase 1b), and regorafenib dose escalation (80 or 120 mg QD, days 1-21 of 28-day cycles) combined with 300-mg nofazinlimab Q4W (part 2a) to determine safety, efficacy, and RP2D.

resultsIn phase 1a (N = 21), no dose-limiting toxicity occurred from 1 to 10 mg/kg Q3W, with 200 mg Q3W determined as the monotherapy RP2D. In phase 1b (N = 87), 400-mg Q6W and 200-mg Q3W regimens were found comparable. In part 2a (N = 14), both regimens were deemed plausible RP2Ds. Fatigue was the most frequent treatment-emergent adverse event (AE) in this study. Any-grade and grade 3/4 nofazinlimab-related AEs were 71.4% and 14.3%, 56.3% and 5.7%, and 57.1% and 21.4% in phases 1a, 1b, and part 2a, respectively. ORRs were 14.3% and 25.3% in phases 1a and 1b, respectively. In part 2a, no patients had radiological responses.

conclusionsNofazinlimab monotherapy was well tolerated and demonstrated preliminary anti-tumor activity in multiple tumor types. Regorafenib plus nofazinlimab had a manageable safety profile but was not associated with any response in mCRC. CLINICAL TRIAL REGISTR ATION: Clinicaltrials.gov (NCT03475251).

Indexed as

Colonic NeoplasmsRectal NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsHumansPhenylurea CompoundsPyridinesPhenylurea CompoundsPyridinesregorafenib

Identifiers

PMID37731023
PMCPMC10646086
OpenAlexW4386910972

What OpenQuestion holds

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LicenceCC BY
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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.