Phase I/II sequencing study of azacitidine, epacadostat, and pembrolizumab in advanced solid tumors
Cancer epigenetics; Cancer immunotherapy
| Autores: | , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2023 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:11351/9837 |
| Acceso en línea: | https://hdl.handle.net/11351/9837 http://hdl.handle.net/11351/9837 |
| Access Level: | acceso abierto |
| Palabra clave: | Càncer - Tractament Càncer - Aspectes genètics Medicaments antineoplàstics - Ús terapèutic DISEASES::Neoplasms Other subheadings::Other subheadings::Other subheadings::/drug therapy CHEMICALS AND DRUGS::Chemical Actions and Uses::Pharmacologic Actions::Therapeutic Uses::Antineoplastic Agents Other subheadings::Other subheadings::/therapeutic use ENFERMEDADES::neoplasias Otros calificadores::Otros calificadores::Otros calificadores::/farmacoterapia COMPUESTOS QUÍMICOS Y DROGAS::acciones y usos químicos::acciones farmacológicas::usos terapéuticos::antineoplásicos Otros calificadores::Otros calificadores::/uso terapéutico |
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Phase I/II sequencing study of azacitidine, epacadostat, and pembrolizumab in advanced solid tumorsLuke, JasonFakih, MarwanSchneider, CharlesChiorean, E. GabrielaBendell, JohannaKristeleit, RebeccaBrana, IreneCàncer - TractamentCàncer - Aspectes genèticsMedicaments antineoplàstics - Ús terapèuticDISEASES::NeoplasmsOther subheadings::Other subheadings::Other subheadings::/drug therapyCHEMICALS AND DRUGS::Chemical Actions and Uses::Pharmacologic Actions::Therapeutic Uses::Antineoplastic AgentsOther subheadings::Other subheadings::/therapeutic useENFERMEDADES::neoplasiasOtros calificadores::Otros calificadores::Otros calificadores::/farmacoterapiaCOMPUESTOS QUÍMICOS Y DROGAS::acciones y usos químicos::acciones farmacológicas::usos terapéuticos::antineoplásicosOtros calificadores::Otros calificadores::/uso terapéuticoCancer epigenetics; Cancer immunotherapyEpigenética del cáncer; Inmunoterapia contra el cáncerEpigenètica del càncer; Immunoteràpia del càncerBackground Indoleamine 2,3-dioxygenase 1 (IDO1), an interferon-inducible enzyme, contributes to tumor immune intolerance. Immune checkpoint inhibition may increase interferon levels; combining IDO1 inhibition with immune checkpoint blockade represents an attractive strategy. Epigenetic agents trigger interferon responses and may serve as an immunotherapy priming method. We evaluated whether epigenetic therapy plus IDO1 inhibition and immune checkpoint blockade confers clinical benefit to patients with advanced solid tumors. Methods ECHO-206 was a Phase I/II study where treatment-experienced patients with advanced solid tumors (N = 70) received azacitidine plus an immunotherapy doublet (epacadostat [IDO1 inhibitor] and pembrolizumab). Sequencing of treatment was also assessed. Primary endpoints were safety/tolerability (Phase I), maximum tolerated dose (MTD) or pharmacologically active dose (PAD; Phase I), and investigator-assessed objective response rate (ORR; Phase II). Results In Phase I, no dose-limiting toxicities were reported, the MTD was not reached; a PAD was not determined. ORR was 5.7%, with four partial responses. The most common treatment-related adverse events (AEs) were fatigue (42.9%) and nausea (42.9%). Twelve (17.1%) patients experienced ≥1 fatal AE, one of which (asthenia) was treatment-related. Conclusions Although the azacitidine-epacadostat-pembrolizumab regimen was well tolerated, it was not associated with substantial clinical response in patients with advanced solid tumors previously exposed to immunotherapy.This study was sponsored by Incyte Corporation.Springer NatureInstitut Català de la Salut[Luke JJ] UPMC Hillman Cancer Center, Pittsburgh, PA, USA. [Fakih M] City of Hope Comprehensive Cancer Center, Duarte, CA, USA. [Schneider C] Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA. [Chiorean EG] University of Washington School of Medicine, Fred Hutchinson Cancer Research Center, Seattle, WA, USA. [Bendell J] Sarah Cannon Research Institute/Tennessee Oncology, Nashville, TN, USA. [Kristeleit R] Guy’s and St. Thomas’ NHS Foundation Trust, London, UK. [Kurzrock R] University of California San Diego School of Medicine, La Jolla, CA, USA. [Blagden SP] Early Phase Clinical Trials Unit, University of Oxford, Oxford, England, UK. [Brana I] Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institute of Oncology (VHIO), Barcelona, SpainVall d'Hebron Barcelona Hospital Campus202320232023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttps://hdl.handle.net/11351/9837http://hdl.handle.net/11351/9837Scientiareponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésBritish Journal of Cancer;128https://doi.org/10.1038/s41416-023-02267-1Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:11351/98372026-05-29T05:05:01Z |
| dc.title.none.fl_str_mv |
Phase I/II sequencing study of azacitidine, epacadostat, and pembrolizumab in advanced solid tumors |
| title |
Phase I/II sequencing study of azacitidine, epacadostat, and pembrolizumab in advanced solid tumors |
| spellingShingle |
Phase I/II sequencing study of azacitidine, epacadostat, and pembrolizumab in advanced solid tumors Luke, Jason Càncer - Tractament Càncer - Aspectes genètics Medicaments antineoplàstics - Ús terapèutic DISEASES::Neoplasms Other subheadings::Other subheadings::Other subheadings::/drug therapy CHEMICALS AND DRUGS::Chemical Actions and Uses::Pharmacologic Actions::Therapeutic Uses::Antineoplastic Agents Other subheadings::Other subheadings::/therapeutic use ENFERMEDADES::neoplasias Otros calificadores::Otros calificadores::Otros calificadores::/farmacoterapia COMPUESTOS QUÍMICOS Y DROGAS::acciones y usos químicos::acciones farmacológicas::usos terapéuticos::antineoplásicos Otros calificadores::Otros calificadores::/uso terapéutico |
| title_short |
Phase I/II sequencing study of azacitidine, epacadostat, and pembrolizumab in advanced solid tumors |
| title_full |
Phase I/II sequencing study of azacitidine, epacadostat, and pembrolizumab in advanced solid tumors |
| title_fullStr |
Phase I/II sequencing study of azacitidine, epacadostat, and pembrolizumab in advanced solid tumors |
| title_full_unstemmed |
Phase I/II sequencing study of azacitidine, epacadostat, and pembrolizumab in advanced solid tumors |
| title_sort |
Phase I/II sequencing study of azacitidine, epacadostat, and pembrolizumab in advanced solid tumors |
| dc.creator.none.fl_str_mv |
Luke, Jason Fakih, Marwan Schneider, Charles Chiorean, E. Gabriela Bendell, Johanna Kristeleit, Rebecca Brana, Irene |
| author |
Luke, Jason |
| author_facet |
Luke, Jason Fakih, Marwan Schneider, Charles Chiorean, E. Gabriela Bendell, Johanna Kristeleit, Rebecca Brana, Irene |
| author_role |
author |
| author2 |
Fakih, Marwan Schneider, Charles Chiorean, E. Gabriela Bendell, Johanna Kristeleit, Rebecca Brana, Irene |
| author2_role |
author author author author author author |
| dc.contributor.none.fl_str_mv |
Institut Català de la Salut [Luke JJ] UPMC Hillman Cancer Center, Pittsburgh, PA, USA. [Fakih M] City of Hope Comprehensive Cancer Center, Duarte, CA, USA. [Schneider C] Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA. [Chiorean EG] University of Washington School of Medicine, Fred Hutchinson Cancer Research Center, Seattle, WA, USA. [Bendell J] Sarah Cannon Research Institute/Tennessee Oncology, Nashville, TN, USA. [Kristeleit R] Guy’s and St. Thomas’ NHS Foundation Trust, London, UK. [Kurzrock R] University of California San Diego School of Medicine, La Jolla, CA, USA. [Blagden SP] Early Phase Clinical Trials Unit, University of Oxford, Oxford, England, UK. [Brana I] Vall d’Hebron Hospital Universitari, Barcelona, Spain. Vall d’Hebron Institute of Oncology (VHIO), Barcelona, Spain Vall d'Hebron Barcelona Hospital Campus |
| dc.subject.none.fl_str_mv |
Càncer - Tractament Càncer - Aspectes genètics Medicaments antineoplàstics - Ús terapèutic DISEASES::Neoplasms Other subheadings::Other subheadings::Other subheadings::/drug therapy CHEMICALS AND DRUGS::Chemical Actions and Uses::Pharmacologic Actions::Therapeutic Uses::Antineoplastic Agents Other subheadings::Other subheadings::/therapeutic use ENFERMEDADES::neoplasias Otros calificadores::Otros calificadores::Otros calificadores::/farmacoterapia COMPUESTOS QUÍMICOS Y DROGAS::acciones y usos químicos::acciones farmacológicas::usos terapéuticos::antineoplásicos Otros calificadores::Otros calificadores::/uso terapéutico |
| topic |
Càncer - Tractament Càncer - Aspectes genètics Medicaments antineoplàstics - Ús terapèutic DISEASES::Neoplasms Other subheadings::Other subheadings::Other subheadings::/drug therapy CHEMICALS AND DRUGS::Chemical Actions and Uses::Pharmacologic Actions::Therapeutic Uses::Antineoplastic Agents Other subheadings::Other subheadings::/therapeutic use ENFERMEDADES::neoplasias Otros calificadores::Otros calificadores::Otros calificadores::/farmacoterapia COMPUESTOS QUÍMICOS Y DROGAS::acciones y usos químicos::acciones farmacológicas::usos terapéuticos::antineoplásicos Otros calificadores::Otros calificadores::/uso terapéutico |
| description |
Cancer epigenetics; Cancer immunotherapy |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023 2023 2023 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/11351/9837 http://hdl.handle.net/11351/9837 |
| url |
https://hdl.handle.net/11351/9837 http://hdl.handle.net/11351/9837 |
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Inglés |
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Inglés |
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British Journal of Cancer;128 https://doi.org/10.1038/s41416-023-02267-1 |
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Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
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Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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application/pdf application/pdf application/pdf application/pdf |
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Springer Nature |
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Springer Nature |
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Scientia reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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