Evidence map›Paper›PMID 39296979›Full record

ArticleFrontiers in oncology2024

A phase III study to access the safety and efficacy of prolgolimab 250 mg fixed dose administered every 3 weeks versus prolgolimab 1 mg/kg every 2 weeks in patients with metastatic melanoma (FLAT).

Lev Demidov, Galina Kharkevich, Natalia Petenko, Vladimir Moiseenko, Svetlana Protsenko, Tatiana Semiglazova, Anastasia Zimina, Nadezhda Kovalenko, Natalia Fadeeva, Dmitry Kirtbaya and 13 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Frontiers in oncology, 2024. 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT03269565 phase2unknown statusnot on this map

An International Multicenter Open-label Randomized Trial of the Efficacy, Pharmacokinetics, Safety, and Immunogenicity of BCD-100 (JSC BIOCAD, Russia) as Monotherapy in Patients With Unresectable/Metastatic Melanoma.

TypeinterventionalSponsorBiocadRan2017 to 2021Enrolled126ConditionsMelanomaArmsBCD-100
NCT05783882 phase3unknown statusnot on this map

Multicenter Open-label Study of the Efficacy, Pharmacokinetica and Safety of Prolgolimab 250 mg Q3W in Patients With Unresectable or Metastatic Melanoma

TypeinterventionalSponsorBiocadRan2022 to 2023Enrolled114ConditionsUnresectable or Metastatic MelanomaArmsProlgolimab
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

23 authors.

Lev DemidovFSBI "N.N. Blokhin National Medical Research Center of Oncology", Ministry of Health (MoH) of the Russian Federation, Moscow, Russia.
Galina KharkevichFSBI "N.N. Blokhin National Medical Research Center of Oncology", Ministry of Health (MoH) of the Russian Federation, Moscow, Russia.
Natalia PetenkoFSBI "N.N. Blokhin National Medical Research Center of Oncology", Ministry of Health (MoH) of the Russian Federation, Moscow, Russia.
Vladimir MoiseenkoState Budgetary Healthcare Institution (SBHI) "St. Petersburg Clinical Scientific and Practical Center for Specialized Types of Medical Care (Oncology)", Saint Petersburg, Russia.
Svetlana ProtsenkoFSBI "N.N. Petrov National Medical Research Center of Oncology", Ministry of Health (MoH) of the Russian Federation, Saint Petersburg, Russia.
Tatiana SemiglazovaFSBI "N.N. Petrov National Medical Research Center of Oncology", Ministry of Health (MoH) of the Russian Federation, Saint Petersburg, Russia.
Anastasia ZiminaBudgetary Healthcare Institution (BHI) of the Omsk Region "Clinical Oncology Dispensary", Omsk, Russia.
Nadezhda KovalenkoState Budgetary Healthcare Institution (SBHI) "Volgograd Regional Clinical Oncology Dispensary", Volgograd, Russia.
Natalia FadeevaState Autonomous Institution of Healthcare (SAHI) "Chelyabinsk Regional Clinical Center of Oncology and Nuclear Medicine", Chelyabinsk, Russia.
Dmitry KirtbayaState Budgetary Healthcare Institution (SBHI) "Oncological Dispensary No. 2", Ministry of Health (MoH) of the Krasnodar Region, Krasnodar, Russia.
Igor BelogortsevOncology Department, State Budgetary Healthcare Institution (SBHI) Leningrad Regional Clinical Hospital, Saint Petersburg, Russia.
Denis TantsyrevRegional State Budgetary Healthcare Institution (SBHI) "Altai Regional Oncology Center", Barnaul, Russia.
Svetlana OdintsovaOncology Department, Joint-Stock Company "Modern Medical Technologies", Saint Petersburg, Russia.
Alfia NesterovaState Autonomous Institution of Healthcare (SAHI) "Professor M.Z. Sigal Republican Clinical Oncology Dispensary of the Ministry of Health of the Republic of Tatarstan", Kazan, Russia.
Karina VorontsovaMoscow State Budgetary Healthcare Institution "A.S. Loginov MCSC of the Moscow City Healthcare Department", Moscow, Russia.
Yulia MakarychevaState Budgetary Healthcare Institution (SBHI) "Samara Regional Clinical Oncology Dispensary", Samara, Russia.
Yulia LinkovaClinical Research Department, Joint-Stock Company (JSC) Biocad, Saint Petersburg, Russia.
Arina Zinkina-OrikhanClinical Research Department, Joint-Stock Company (JSC) Biocad, Saint Petersburg, Russia.
Anna SiliutinaClinical Research Department, Joint-Stock Company (JSC) Biocad, Saint Petersburg, Russia.
Irina SorokinaMoscow State Budgetary Healthcare Institution "A.S. Loginov MCSC of the Moscow City Healthcare Department", Moscow, Russia.
Daria LiaptsevaClinical Research Department, Joint-Stock Company (JSC) Biocad, Saint Petersburg, Russia.
Vladimir ChistyakovClinical Research Department, Joint-Stock Company (JSC) Biocad, Saint Petersburg, Russia.
Anton LutskyClinical Research Department, Joint-Stock Company (JSC) Biocad, Saint Petersburg, Russia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prolgolimab is the first Russian PD-1 inhibitor approved for the first-line treatment of unresectable or metastatic melanoma and advanced non-small cell lung cancer. It was approved in two weight-based regimens of 1 mg/kg Q2W and 3 mg/kg Q3W, but because of re-evaluation of weight-based dosing paradigm, studying of a fixed-dose regimen was considered perspective. Methods: We conducted a multicenter, single-arm, open-label efficacy, pharmacokinetics, and safety study to obtain data that would allow the approval of the new flat dosing regimen of prolgolimab in patients with previously untreated unresectable or metastatic melanoma (BCD-100-8/FLAT, NCT05783882). The primary objective was to prove the non-inferiority of prolgolimab 250 mg Q3W versus prolgolimab 1 mg/kg Q2W for the treatment of patients with unresectable or metastatic melanoma in terms of ORR according to RECIST 1.1. Patients from the MIRACULUM study (BCD-100-2/MIRACULUM, NCT03269565) comprised a historical control group. Results: One hundred fourteen patients received prolgolimab 250 mg Q3W, and 61 patients received prolgolimab (Prolgo) 1 mg/kg Q2W (historical control). Objective response was achieved by 33.3% [95% confidence interval (CI): 24.8, 42.8] of patients in the Prolgo 250 mg group compared with 32.8% (95% CI: 21.3, 46.0) of patients in the Prolgo 1 mg/kg group. Risk difference was 0.00, 95% CI (-0.12; NA), Conclusion: The obtained results showed that the selected fixed dosing regimen of prolgolimab 250 mg Q3W is characterized by efficacy and safety parameters comparable to that observed for the 1 mg/kg Q2W regimen.

Indexed as

fixed doseimmunotherapymelanomaPD-1 inhibitorprolgolimab

Identifiers

PMID39296979
PMCPMC11408354

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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.