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Phase 2 study of ABT-510 in patients with previously untreated advanced renal cell carcinoma
Scot Ebbinghaus1, Maha Hussain, Nizar Tannir
1Arizona Cancer Center, Tucson, AZ, USA. Scot_Ebbinghaus@merck.com
Purpose:
Angiogenesis is a characteristic of renal cell carcinoma. ABT-510 is an angiogenesis inhibitor that mimics the antiangiogenic properties of thrombospondin-1. This study was designed to assess the safety and efficacy of ABT-510 in patients with advanced renal cell carcinoma.
Experimental Design:
Patients with previously untreated metastatic or unresectable renal cell carcinoma were randomized to treatment with one of two doses of ABT-510, self-administered s.c. twice daily in 28-day treatment periods without intervening rest periods. End points were progression-free survival (PFS), objective response rate, overall survival, and toxicity.
Results:
The objective response rate was 4% in the 10 mg twice daily group, and there were two unconfirmed PRs in the 100 mg twice daily group. Respective median PFS was 4.2 and 3.3 months, with a 6-month PFS of 39% and 32%. Median overall survival was 27.8 months (10 mg twice daily) and 26.1 months (100 mg twice daily). The most frequent adverse events were injection site reactions (84%), fatigue (50%), headache (20%), and nausea (19%). The incidence of treatment-related, grade 3/4 adverse events was low and included three bleeding episodes (gastrointestinal hemorrhage, intracranial hemorrhage, and hemoptysis) and one thrombotic event (deep vein thrombosis). No deaths were attributed to ABT-510.
Conclusions:
There was little evidence of clinical activity for ABT-510, and further evaluation as a single agent for treating advanced renal cell carcinoma is not warranted. The evidence of a favorable safety profile may justify further evaluation in combination therapy.
Insights
ABT-510 showed limited efficacy as a single agent for advanced renal cell carcinoma. Its favorable safety profile suggests potential for combination therapy in future studies.
Area of Science:
- Oncology
- Pharmacology
Background:
- Angiogenesis is a key feature of renal cell carcinoma (RCC).
- ABT-510 is an angiogenesis inhibitor designed to mimic thrombospondin-1's antiangiogenic effects.
Purpose of the Study:
- To evaluate the safety and efficacy of ABT-510 in patients with advanced renal cell carcinoma.
- Assessing progression-free survival (PFS), objective response rate, overall survival, and toxicity.
Main Methods:
- Randomized trial of previously untreated patients with metastatic or unresectable RCC.
- Two doses of ABT-510 administered subcutaneously twice daily in 28-day cycles.
Main Results:
- Objective response rates were 4% (10 mg BID) and two unconfirmed partial responses (PRs) (100 mg BID).
- Median PFS was 4.2 and 3.3 months, respectively. Median overall survival was approximately 27 months for both groups.
- Most common adverse events included injection site reactions and fatigue. Grade 3/4 events were infrequent, with three bleeding episodes and one thrombotic event.
Conclusions:
- ABT-510 demonstrated minimal clinical activity as a monotherapy for advanced RCC.
- Further investigation of ABT-510 in combination therapy may be warranted due to its safety profile.
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