Oops, you're using an old version of your browser so some of the features on this page may not be displaying properly.

MINIMAL Requirements: Google Chrome 24+Mozilla Firefox 20+Internet Explorer 11Opera 15–18Apple Safari 7SeaMonkey 2.15-2.23

Interim analysis of a phase I dose escalation trial of ASG-22CE (ASG-22ME; enfortumab vedotin), an antibody drug conjugate (ADC), in patients (Pts) with metastatic urothelial cancer (mUC)

Date

09 Oct 2016

Session

Poster display

Presenters

Jonathan Rosenberg

Citation

Annals of Oncology (2016) 27 (6): 266-295. 10.1093/annonc/mdw373

Authors

J.E. Rosenberg1, E. Heath2, R. Perez3, J. Merchan4, J. Lang5, D. Ruether6, D. Petrylak7, R. Sangha8, D.C. Smith9, S. Sridhar10, E. Gartner11, M. Vincent12, R. Chu13, B. Anand13, F. Donate14, A. Melhem-Bertrandt15, J. Zhang16

Author affiliations

  • 1 Genitourinary Oncology, Memorial Sloan-Kettering Cancer Center, 10065 - New York/US
  • 2 Medical Oncology, Karmanos Cancer Institute, 48201 - Detroit/US
  • 3 Medical Oncology, University of Kansas Cancer Center, Fairway/US
  • 4 Medical Oncology, University of Miami Sylvester Comprehensive Cancer Center, Miami/US
  • 5 Genitourinary Oncology, UW Carbone Cancer Center, Madison/US
  • 6 Medical Oncology, Tom Baker Cancer Centre, Calgary/CA
  • 7 Medical Oncology, Smilow Cancer Hospital at Yale-New Haven, 208032 - New Haven/US
  • 8 Oncology, University of Alberta Cross Cancer Institute, T6G 1Z2 - Edmonton/CA
  • 9 Department Of Internal Medicine And Department Of Urology, University of Michigan, Ann Arbor/US
  • 10 Oncology, Princess Margaret Hospital, Toronto/CA
  • 11 Development, Seattle Genetics, Inc., Seattle/US
  • 12 Clinical Research And Development, Agensys, Inc., 90404 - Santa Monica/US
  • 13 Development, Agensys Inc., 90404 - Santa Monica/US
  • 14 Translational Research, Agensys Inc., 90404 - Santa Monica/US
  • 15 Clinical Research, Astellas Pharma, Northbrook/US
  • 16 Medical Oncology, H. Lee Moffitt Cancer Center University of South Florida, Tampa/US
More

Resources

Abstract 3624

Background

Nectin-4 is a protein expressed on several tumors, including mUC. Enfortumab vedotin is an ADC that delivers a small molecule microtubule-disrupting agent, monomethyl auristatin E (MMAE), to tumors expressing Nectin-4.

Methods

Pts with solid tumors, including mUC, treated with ≥ 1 prior chemo were enrolled using a modified continual reassessment method design. Pts were prescreened for Nectin-4 expression (IHC assay) and enrolled if H-score ≥150. Disease assessments were performed every 8 weeks (wks) using RECIST v 1.1. Enfortumab vedotin was administered IV wkly for 3 out of every 4 wks. 4 dose levels were studied: 0.5, 0.75, 1, or 1.25 mg/kg.

Results

As of 4/29/16, 49 solid tumor pts were enrolled; 42 with mUC reported here. Of analyzed tumor tissues, 98% were Nectin-4 positive (93% had H-score ≥ 150). Median age 67 y; 100% ECOG PS ≤ 1; 25 mUC pts (60%) had ≥ 2 prior therapies (tx). Of 33 response evaluable pts, 10 had a partial response (PR) (ORR =30%), including 4/10 pts (40%) with liver metastasis and 3/12 (25%) who failed checkpoint inhibitor tx. Antitumor activity is seen at all dose levels. Median duration on treatment is 12 wks. Both median progression free survival and duration of response are 16 wks. 38 pts (91%) had adverse events (AEs). The most common tx related AE was fatigue (38%). 23 pts (55%) had Grade (G) 3/4 AEs, 10 pts (24%) considered related. 9 pts (21%) had ocular AEs (G1/2). 2 pts had protocol defined dose limiting toxicities. There were 2 deaths, unrelated to tx. Serum concentration of enfortumab vedotin decreased multi-exponentially with half-life ∼1.6 days. Exposure was dose proportional. Expansion cohorts are open at 1.25 mg/kg: updated results will be presented.

mUC Pts Only

Dose (mg/kg) 0.5 0.75 1 1.25
Evaluable pts* (n = 33) 2 12 12 7
ORR (CR + PR) n (%) 1 (50) 4 (33) 1 (8) 4 (57)

* ≥ 1 dose of drug and ≥ 1 post-baseline DA.

Conclusions

This novel Nectin-4 targeted ADC, enfortumab vedotin, is well tolerated in mUC pts with encouraging antitumor activity. These results warrant further studies in mUC.

Clinical trial identification

ASG-22CE-13-2

Legal entity responsible for the study

Agensys Inc.

Funding

Agensys Inc. and Seattle Genetics Inc.

Disclosure

J.E. Rosenberg: Boehringer Ingelheim, Bristol Meyers Squibb, Dendreon, Janssen Oncology, Johnson & Johnson, Oncogenex, Onyx, Lilly, Merck, Genentech/Roche, Illumina, Agensys and Mirati Therapeutics E. Heath: Agensys Inc., Bayer, Dendreon, Sanofi, Tokai Pharma, Seattle Genetics, Genentech/Roche, Millennium, Celdex, Inovio Pharma and Celgene. R. Perez, B. Anand, F. Donate: Agensys Inc. J. Merchan: Lilly, Tracon Pharmaceutical, Acceleron, Agensys, Rexahn Pharmaceutical. J. Lang: Salus Discovery, Agensys, Medivation, Innocrin Pharmaceutical, and Salus LLC. D. Petrylak: Bayer, Bellicum Pharma, Dendreon, Sanofi, Johnson & Johnson, Exelixis, Ferring, Millenium, Medivation, Pfizer, Porgenics, Genentech Inc., Astellas, Oncogenix, Merck, GTX and Novartis. R. Sangha: Boehringer Ingelheim, Astra Zeneca, Merck, Bristol Meyers Squibb, Pfizer, and Roche Glycart. D.C. Smith: Agensys Inc., Aragon Pharma, Atterocor, Bayer, Boston Biomedical, Celgene, Eisai, Exelixis, ImClone Systems, Incyte, Lilly, Millennium, Novartis, Oncogenex, Oncomed, PSMA, Puma Biotech, Seattle Genetics, Regeneron, Teva, Tekmira and BMS/Medarex. S. Sridhar: Astellas Pharma, Janssen, Sanofi, Bayer, Roche/Genentech and BMS. E. Gartner: Seattle Genetics Inc. M. Vincent: Pfizer and Amgen. R. Chu: Agensys Inc., Vertex, and Gilead. A. Melhem-Bertrandt: Astellas Pharmaceutical. J. Zhang: Bayer and Astellas Pharma. All other authors have declared no conflicts of interest.

Resources from the same session

This site uses cookies. Some of these cookies are essential, while others help us improve your experience by providing insights into how the site is being used.

For more detailed information on the cookies we use, please check our Privacy Policy.

Customise settings