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A phase 1b study of zilovertamab in combination with paclitaxel for locally advanced/unresectable or metastatic HER2-negative breast cancer
by
Molinolo, Alfredo
, Widhopf, George F.
, Parker, Barbara A.
, Pittman, Emily I.
, Rassenti, Laura Z.
, Jamieson, Catriona
, Pu, Minya
, Weihe, Elizabeth
, Shatsky, Rebecca A.
, Ghia, Emanuela M.
, Cabrera, Betty
, Batra-Sharma, Hemali
, Breitmeyer, James B.
, Schwab, Richard B.
, Messer, Karen
, Kipps, Thomas J.
, Helsten, Teresa
in
Antibodies, Monoclonal, Humanized
/ Antigens
/ Antimitotic agents
/ Antineoplastic agents
/ Antineoplastic Combined Chemotherapy Protocols - adverse effects
/ Biomedical and Life Sciences
/ Biomedicine
/ Breast cancer
/ Breast Neoplasms - drug therapy
/ Breast Neoplasms - genetics
/ Breast Neoplasms - pathology
/ Cancer
/ Cancer Research
/ Cancer therapies
/ Chemotherapy
/ Development and progression
/ Endocrine therapy
/ Enrollments
/ ErbB-2 protein
/ Extracellular signal-regulated kinase
/ Female
/ Fulvestrant
/ Gene expression
/ Humans
/ Kinases
/ Leukemia
/ Medical research
/ Medicine, Experimental
/ Metastases
/ Metastasis
/ Metastatic breast cancer
/ Monoclonal antibodies
/ NF-κB protein
/ Oncology
/ Paclitaxel
/ Paclitaxel - therapeutic use
/ Patients
/ Pharmacokinetics
/ Proteins
/ Receptor, ErbB-2 - genetics
/ ROR1
/ Solid tumors
/ Surgical Oncology
/ Tomography
/ Toxicity
/ Zilovertamab
2024
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A phase 1b study of zilovertamab in combination with paclitaxel for locally advanced/unresectable or metastatic HER2-negative breast cancer
by
Molinolo, Alfredo
, Widhopf, George F.
, Parker, Barbara A.
, Pittman, Emily I.
, Rassenti, Laura Z.
, Jamieson, Catriona
, Pu, Minya
, Weihe, Elizabeth
, Shatsky, Rebecca A.
, Ghia, Emanuela M.
, Cabrera, Betty
, Batra-Sharma, Hemali
, Breitmeyer, James B.
, Schwab, Richard B.
, Messer, Karen
, Kipps, Thomas J.
, Helsten, Teresa
in
Antibodies, Monoclonal, Humanized
/ Antigens
/ Antimitotic agents
/ Antineoplastic agents
/ Antineoplastic Combined Chemotherapy Protocols - adverse effects
/ Biomedical and Life Sciences
/ Biomedicine
/ Breast cancer
/ Breast Neoplasms - drug therapy
/ Breast Neoplasms - genetics
/ Breast Neoplasms - pathology
/ Cancer
/ Cancer Research
/ Cancer therapies
/ Chemotherapy
/ Development and progression
/ Endocrine therapy
/ Enrollments
/ ErbB-2 protein
/ Extracellular signal-regulated kinase
/ Female
/ Fulvestrant
/ Gene expression
/ Humans
/ Kinases
/ Leukemia
/ Medical research
/ Medicine, Experimental
/ Metastases
/ Metastasis
/ Metastatic breast cancer
/ Monoclonal antibodies
/ NF-κB protein
/ Oncology
/ Paclitaxel
/ Paclitaxel - therapeutic use
/ Patients
/ Pharmacokinetics
/ Proteins
/ Receptor, ErbB-2 - genetics
/ ROR1
/ Solid tumors
/ Surgical Oncology
/ Tomography
/ Toxicity
/ Zilovertamab
2024
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A phase 1b study of zilovertamab in combination with paclitaxel for locally advanced/unresectable or metastatic HER2-negative breast cancer
by
Molinolo, Alfredo
, Widhopf, George F.
, Parker, Barbara A.
, Pittman, Emily I.
, Rassenti, Laura Z.
, Jamieson, Catriona
, Pu, Minya
, Weihe, Elizabeth
, Shatsky, Rebecca A.
, Ghia, Emanuela M.
, Cabrera, Betty
, Batra-Sharma, Hemali
, Breitmeyer, James B.
, Schwab, Richard B.
, Messer, Karen
, Kipps, Thomas J.
, Helsten, Teresa
in
Antibodies, Monoclonal, Humanized
/ Antigens
/ Antimitotic agents
/ Antineoplastic agents
/ Antineoplastic Combined Chemotherapy Protocols - adverse effects
/ Biomedical and Life Sciences
/ Biomedicine
/ Breast cancer
/ Breast Neoplasms - drug therapy
/ Breast Neoplasms - genetics
/ Breast Neoplasms - pathology
/ Cancer
/ Cancer Research
/ Cancer therapies
/ Chemotherapy
/ Development and progression
/ Endocrine therapy
/ Enrollments
/ ErbB-2 protein
/ Extracellular signal-regulated kinase
/ Female
/ Fulvestrant
/ Gene expression
/ Humans
/ Kinases
/ Leukemia
/ Medical research
/ Medicine, Experimental
/ Metastases
/ Metastasis
/ Metastatic breast cancer
/ Monoclonal antibodies
/ NF-κB protein
/ Oncology
/ Paclitaxel
/ Paclitaxel - therapeutic use
/ Patients
/ Pharmacokinetics
/ Proteins
/ Receptor, ErbB-2 - genetics
/ ROR1
/ Solid tumors
/ Surgical Oncology
/ Tomography
/ Toxicity
/ Zilovertamab
2024
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A phase 1b study of zilovertamab in combination with paclitaxel for locally advanced/unresectable or metastatic HER2-negative breast cancer
Journal Article
A phase 1b study of zilovertamab in combination with paclitaxel for locally advanced/unresectable or metastatic HER2-negative breast cancer
2024
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Overview
Background
Zilovertamab is a humanized monoclonal antibody targeting ROR1, an onco-embryonic antigen expressed by malignant cells of a variety of solid tumors, including breast cancer. A prior phase 1 study showed that zilovertamab was well tolerated and effective in inhibiting ROR1-signaling, which leads to activation of
ERK1/2
,
NF-κB
, and
NRF2
target genes. This phase 1b study evaluated the safety and tolerability of zilovertamab with paclitaxel in patients with advanced breast cancer.
Patients and methods
Eligible patients had locally advanced, unresectable, or metastatic HER2
−
breast cancer with Eastern Cooperative Group performance status of 0–2 and without prior taxane therapy in the advanced setting. Study treatment included 600 mg of zilovertamab administered intravenously (IV) on Days 1 and 15 of Cycle 1 and then Day 1 of each 28-day cycle along with paclitaxel weekly at 80 mg/m
2
IV.
Results
Study patients had received a median of 4 prior therapies (endocrine therapy + chemotherapy) for locally advanced, unresectable, or metastatic disease. No patient discontinued therapy due to toxicity ascribed to zilovertamab. Adverse events were consistent with the known safety profile of paclitaxel. Of 16 patients, 6 (38%) had a partial response, and 6/16 (38%) patients had stable disease as best tumor response.
Conclusion
The combination of zilovertamab and paclitaxel was safe and well tolerated in heavily pre-treated advanced breast cancer patients. Further evaluation of ROR1 targeting in breast cancer patients with zilovertamab is warranted.
Trial Registration
: NCT02776917. Registered on ClinicalTrials.gov on 05/17/2016.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
Antibodies, Monoclonal, Humanized
/ Antigens
/ Antineoplastic Combined Chemotherapy Protocols - adverse effects
/ Biomedical and Life Sciences
/ Breast Neoplasms - drug therapy
/ Breast Neoplasms - pathology
/ Cancer
/ Extracellular signal-regulated kinase
/ Female
/ Humans
/ Kinases
/ Leukemia
/ Oncology
/ Paclitaxel - therapeutic use
/ Patients
/ Proteins
/ ROR1
/ Toxicity
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