1483PD - INNO-206 is an active drug for relapsed advanced soft tissue sarcoma

Date 01 October 2012
Event ESMO Congress 2012
Session Sarcoma
Topics Anti-Cancer Agents & Biologic Therapy
Soft Tissue Sarcomas
Presenter Sant Chawla
Authors S.P. Chawla1, V.S. Chua2, A. Hendifar2, D. Quon2, S. Negre2, K.N. Ganjoo3, K. Sankhala4, Y. Lavinski5, S. Wieland6, D. Levitt6
  • 1Med. Oncology, Sarcoma Oncology Center, 90403 - Los Angeles/US
  • 2Clinical Research, Sarcoma Oncology Center, 90403 - Los Angeles/US
  • 3Medical Oncology, Stanford University Medical School, Palo Alto/US
  • 4Medical Oncology, University of Texas Health Science Center, San Antonio/US
  • 5Research, MutualHealth LLC, Newport Beach/US
  • 6Clinical Development, CytRx Corporation, Los Angeles/US

 

Abstract

Background

We have studied the safety and tumor response of a doxorubicin conjugate, INNO-206, in patients with metastatic STS who progressed on prior chemotherapy. INNO-206 is a conjugate of doxorubicin attached to an acid-sensitive linker that binds covalently to cysteine-34 in circulating albumin.

Methods

INNO-206 was administered IV at 350 mg/m2 (260 mg/m2 dox. eq.) every 21 days for up to 8 consecutive cycles. Tumor response was monitored every other month and treatment continued until tumor progression or unacceptable toxicity. Standard safety monitoring was performed and cardiac function was followed periodically using MUGA or cardiac ultrasound.

Results

As of May 1, 2012, 19 patients were entered in the study. 13/19 patients had STS of various types. Of the initial 19 patients treated at the 350 mg/m2 dose, no individuals experienced a grade 3 or 4 non-hematological toxicity during Cycle 1. The majority of patients demonstrated transient grade 3 or 4 neutropenias that resolved prior to the next cycle with and without G-CSF treatment. No patient exhibited relevant cardiotoxicity as determined by MUGA or cardiac ultrasound. Of 19 patients, serious adverse events included febrile neutropenia (3) sepsis (1) and mucositis (1). Of the 13 patients with STS, 5 objective partial responses (3 of whom received prior doxorubicin) are ongoing as well as 7 patients with stable disease (median 6.43 months, range 1-10.7+ months). 1/13 patients had progressive disease at the first evaluation. 2/19 patients died with the first cycle (1 PD, 1 sepsis).

Conclusion

INNO-206 is an active drug for the treatment of patients with advanced STS who have failed prior chemotherapy. Cumulative doses of 2000 mg/m2 of doxorubicin equivalents have been achieved, which is over 3½ x the peak cumulative dose of standard doxorubicin. Adverse events are primarily hematological and no cardiotoxicity has been observed.

Disclosure

S. Chawla: Corporate sponsored research from CytRx Corporation.

S. Wieland: Salary and stock ownership from CytRx Corporation.

D. Levitt: Salaryand stockownership from CytRx Corporation.

All other authors have declared no conflicts of interest.