First-in-Human Phase 1 Trial of Agarose Beads Containing Murine RENCA Cells in Advanced Solid Tumors

Barry H Smith1, Tapan Parikh1, Zoe P Andrada1

  • 1The Rogosin Institute, Cancer Research, New York, NY, USA.

Abstract

Insights

Mouse renal adenocarcinoma cells (RMBs) show promise in treating advanced cancers. This study found RMB therapy to be safe and potentially effective in patients with treatment-resistant metastatic cancers.

Area of Science:

  • Oncology
  • Cancer Cell Biology
  • Immunotherapy

Background:

  • Mouse renal adenocarcinoma cells (RMBs) secrete factors that inhibit cancer cell proliferation and extend survival in animal models.
  • These effects are partially mediated by myocyte-enhancing factor (MEF2D) through EGFR and AKT signaling pathways.

Purpose of the Study:

  • To evaluate the safety of RMB therapy in patients with advanced, treatment-resistant metastatic cancers.
  • To assess the preliminary efficacy, specifically survival, of RMBs as a secondary objective.

Main Methods:

  • A single-arm clinical trial involving 31 patients with advanced cancers.
  • Patients received up to four intraperitoneal implantations of RMBs (8 or 16 macrobeads/kg) via laparoscopy.
  • Safety and efficacy were monitored through physical examinations, laboratory tests, and PET-CT imaging.

Main Results:

  • RMBs were well-tolerated in patients at both tested dose levels.
  • Adverse events were primarily Grade 1/2, with no treatment-related serious adverse events observed.

Conclusions:

  • RMB therapy demonstrates a favorable safety profile in patients with advanced malignancies.
  • Preliminary data suggest encouraging potential efficacy, warranting further investigation in a Phase 2 trial.

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