在患有晚期固体瘤的患者中,对zavondemstat (TACH101),一流的KDM4抑制剂进行第一阶段研究
Apostolia M Tsimberidou1, Farshid Dayyani2, David Sommerhalder3
1Department of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
The oncologist
|June 28, 2025
概括
一种表观遗传抑制剂Zavondemstat在患有晚期癌症的患者中安全且耐受良好. 初步结果显示了令人鼓舞的临床益处,需要进一步调查这种新型癌症治疗方法.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 表观遗传学 在表观遗传学中,表观遗传学是指表观遗传学.
背景情况:
- 第I阶段,对KDM4基因组脱甲基酶抑制剂zavondemstat (TACH101) 的首次人体研究.
- 在先前接受过大量治疗的患有晚期或转移性癌症的患者中进行了研究.
研究的目的:
- 评估zavondemstat的安全性,药理动力学和初步疗效.
- 确定剂量限制性毒性 (DLT),最大耐受剂量 (MTD) 和推的II期剂量 (RP2D).
主要方法:
- 口服zavondemstat每周在28天周期的时间表上使用.
- 贝叶斯最佳间隔设计用于剂量升级,探索间歇和连续剂量.
- 使用RECIST v1.1.1.进行安全性,药理动力学和放射性反应的评估.
主要成果:
- 在6个剂量队列中招募了30名患者;MTD未达到.
- 大多数常见的与治疗相关的不良事件 (TRAEs) 是轻微的 (1-2级),包括腹,疲劳和食欲下降.
- 44%的响应可评估患者实现了稳定疾病 (SD),其中2名患者 (9%) 实现了SD≥6个月.
结论:
- 扎文德姆斯塔特 (Zavondemstat) 显示出良好的安全性,并且耐受性良好.
- 在严重预先治疗的晚期癌症患者中观察到令人鼓舞的初步临床益处.
- 进一步的临床评估 zavondemstat是合理的.
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