Evidence map›Paper›PMID 42127887›Full record

ArticleESMO open2026

Safety, pharmacokinetics, pharmacodynamics, and antitumor activity of cergutuzumab amunaleukin: a phase I study in patients with advanced and/or metastatic solid tumors.

U Lassen, E M J van Brummelen, I Melero, E Angevin, H Joensuu, N H Segal, M Mau-Sørensen, N Steeghs, M E Rodríguez-Ruiz, K Homicsko and 15 more

Abstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in ESMO open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

25 authors.

U LassenPhase 1 Unit, Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
E M J van BrummelenThe Netherlands Cancer Institute, Amsterdam, The Netherlands.
I MeleroImmunology and Oncology Departments, Clinica Universidad de Navarra, CIMA and CIBERONC, Pamplona, Spain.
E AngevinDrug Development Department (DITEP), Institut Gustave Roussy, Villejuif, France.
H JoensuuDepartment of Oncology, Helsinki University Hospital and Helsinki University, Helsinki, Finland.
N H SegalMemorial Sloan Kettering Cancer Center, New York, USA.
M Mau-SørensenPhase 1 Unit, Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
N SteeghsThe Netherlands Cancer Institute, Amsterdam, The Netherlands.
M E Rodríguez-RuizImmunology and Oncology Departments, Clinica Universidad de Navarra, CIMA and CIBERONC, Pamplona, Spain.
K HomicskoDepartment of Clinical Oncology, CHUV, Lausanne, Switzerland; Ludwig Institute for Cancer Research, Lausanne Branch, Lausanne, Switzerland.
J TaberneroMedical Oncology Department, Vall d'Hebron University Hospital and Institute of Oncology (VHIO), UVic-UCC, IIS IR-HUVH, CIBERONC, Barcelona, Spain.
M CañameroRoche Innovation Center, Munich, Germany.
D DejardinRoche Innovation Center, Basel, Switzerland.
C HabigtRoche Innovation Center, Munich, Germany.
E RossmannRoche Innovation Center, Basel, Switzerland.
E GuarinRoche Innovation Center, Basel, Switzerland.
G BabitzkiRoche Innovation Center, Munich, Germany.
H E S BaumannRoche Innovation Center, Basel, Switzerland.
A P SilvaRoche Innovation Center, Basel, Switzerland.
C AdessiRoche Innovation Center, Basel, Switzerland.
C BoetschRoche Innovation Center, Basel, Switzerland.
S EversRoche Innovation Center, Zurich, Switzerland.
J CharoRoche Innovation Center, Zurich, Switzerland.
V TeichgräberRoche Innovation Center, Zurich, Switzerland.
G ArgilésMemorial Sloan Kettering Cancer Center, New York, USA; Vall d'Hebron Institute of Oncology (VHIO), IIS IR-HUVH, CIBERONC Barcelona, Spain; Departament de Cirurgia, Universitat Autònoma de Barcelona, Barcelona, Spain. Electronic address: ArgilesG@mskcc.org.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundCergutuzumab amunaleukin (CA) is a novel immunocytokine comprising an interleukin-2 variant moiety with abolished CD25 (interleukin-2 receptor α) binding, fused to a bivalent anti-carcinoembryonic antigen (CEA) monoclonal antibody. This first-in-human phase I study evaluated the maximum tolerated dose (MTD), safety, pharmacokinetics, pharmacodynamics, and antitumor activity of CA. MATERIAL AND

methodsPatients had CEA-positive advanced and/or metastatic solid tumors that had progressed on standard-of-care treatment. The study consisted of two parts: patients received single-dose CA 0.1-6 mg (n = 5) in part I and multiple ascending doses of 10-40 mg every 2 weeks (q2w; n = 31) or 6-30 mg weekly (qw; n = 24) in part II. Patients with advanced renal cell carcinoma or melanoma (CEA-negative) were permitted in part II.

resultsSixty patients were enrolled. Most common primary tumor sites in part I, part II q2w, and part II qw were the colon (40%, 44%, and 57%, respectively) and rectum (40%, 19%, and 14%, respectively). Four dose-limiting toxicities (DLTs) established an MTD of 30 mg q2w [grade (Gr)4 hypophosphatemia and thrombocytopenia at 40 mg; Gr2 capillary leak syndrome and Gr3 fatigue at 30 mg]. Dose escalation was halted in the qw regimen due to DLTs at 25 mg (Gr3 hypotension and thrombocytopenia). The most frequently reported adverse events were pyrexia (68%) and infusion-related reaction (52%). The pharmacokinetics of CA were consistent with target-mediated drug disposition, but approximate dose-proportional exposure was observed at 6-40 mg doses. In the blood, CA preferentially and significantly expanded CD8+ T cells and natural killer cells, but not regulatory T cells (T

conclusionsConsistent with its mechanism of action, CA had a manageable safety profile and expanded immune effector cells but not T

Indexed as

Antineoplastic AgentsInterleukin-2NeoplasmsAdultAgedAged, 80 and overDose-Response Relationship, DrugFemaleHumansMaleMaximum Tolerated DoseMiddle AgedNeoplasm MetastasisAntineoplastic AgentsInterleukin-2immunotherapypharmacodynamicspharmacokineticssolid tumortreatment-related adverse event

Identifiers

PMID42127887
PMCPMC13196355

What OpenQuestion holds

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Registered trials

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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.