PMID- 20068101 OWN - NLM STAT- MEDLINE DCOM- 20100412 LR - 20201219 IS - 1557-3265 (Electronic) IS - 1078-0432 (Linking) VI - 16 IP - 2 DP - 2010 Jan 15 TI - Safety, pharmacokinetics, and pharmacodynamics of AMG 102, a fully human hepatocyte growth factor-neutralizing monoclonal antibody, in a first-in-human study of patients with advanced solid tumors. PG - 699-710 LID - 10.1158/1078-0432.CCR-09-1365 [doi] AB - PURPOSE: The aims were to assess the safety, pharmacokinetics, maximum tolerated dose, and antitumor activity of AMG 102, a fully human hepatocyte growth factor/scatter factor (HGF/SF)-neutralizing monoclonal antibody, in patients with solid tumors. EXPERIMENTAL DESIGN: Patients (N = 40) with refractory advanced solid tumors were enrolled into six sequential dose-escalation cohorts (0.5, 1, 3, 5, 10, or 20 mg/kg AMG 102 i.v. every 2 weeks) and a dose-expansion cohort (20 mg/kg AMG 102 every 2 weeks). Safety, anti-AMG 102 antibody formation, pharmacokinetics, tumor response, and exploratory biomarkers were assessed. RESULTS: AMG 102 was well tolerated up to the planned maximum dose of 20 mg/kg, and the maximum tolerated dose was not reached. Treatment-related adverse events were generally mild and included fatigue (13%), constipation (8%), nausea (8%), vomiting (5%), anorexia (5%), myalgia (5%), and hypertension (5%). Two patients experienced dose-limiting toxicities: one patient (0.5 mg/kg cohort) experienced grade 3 hypoxia and grade 3 dyspnea and one patient (1 mg/kg cohort) experienced grade 3 upper gastrointestinal hemorrhage. No anti-AMG 102 antibodies were detected, and AMG 102 had linear pharmacokinetics within the dose range investigated. Sixteen of 23 (70%) evaluable patients had a best response of stable disease with progression-free survival ranging from 7.9 to 40 weeks. Circulating levels of the biomarker HGF/SF (bound and unbound) increased in a dose-dependent manner, whereas soluble c-Met concentrations were generally similar across doses. CONCLUSIONS: AMG 102 is safe and well tolerated, has a favorable pharmacokinetic profile, and will be further investigated as a monotherapy and in combination with other agents. FAU - Gordon, Michael S AU - Gordon MS AD - Premiere Oncology of Arizona, Scottsdale, Arizona 85258, USA. mgordon@premiereoncology.com FAU - Sweeney, Christopher S AU - Sweeney CS FAU - Mendelson, David S AU - Mendelson DS FAU - Eckhardt, S Gail AU - Eckhardt SG FAU - Anderson, Abraham AU - Anderson A FAU - Beaupre, Darrin M AU - Beaupre DM FAU - Branstetter, Daniel AU - Branstetter D FAU - Burgess, Teresa L AU - Burgess TL FAU - Coxon, Angela AU - Coxon A FAU - Deng, Hongjie AU - Deng H FAU - Kaplan-Lefko, Paula AU - Kaplan-Lefko P FAU - Leitch, Ian M AU - Leitch IM FAU - Oliner, Kelly S AU - Oliner KS FAU - Yan, Lucy AU - Yan L FAU - Zhu, Min AU - Zhu M FAU - Gore, Lia AU - Gore L LA - eng PT - Clinical Trial, Phase I PT - Journal Article DEP - 20100112 PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - 51WEW898IJ (rilotumumab) RN - 67256-21-7 (Hepatocyte Growth Factor) SB - IM MH - Adult MH - Aged MH - Animals MH - Antibodies, Monoclonal/*administration & dosage/*adverse effects/*pharmacokinetics MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/administration & dosage/adverse effects/pharmacokinetics MH - Disease Progression MH - Dose-Response Relationship, Drug MH - Drug Resistance, Neoplasm/drug effects MH - Female MH - Hepatocyte Growth Factor/immunology MH - Humans MH - Male MH - Maximum Tolerated Dose MH - Mice MH - Middle Aged MH - Neoplasms/*drug therapy MH - Tumor Cells, Cultured MH - Xenograft Model Antitumor Assays MH - Young Adult EDAT- 2010/01/14 06:00 MHDA- 2010/04/13 06:00 CRDT- 2010/01/14 06:00 PHST- 2010/01/14 06:00 [entrez] PHST- 2010/01/14 06:00 [pubmed] PHST- 2010/04/13 06:00 [medline] AID - 1078-0432.CCR-09-1365 [pii] AID - 10.1158/1078-0432.CCR-09-1365 [doi] PST - ppublish SO - Clin Cancer Res. 2010 Jan 15;16(2):699-710. doi: 10.1158/1078-0432.CCR-09-1365. Epub 2010 Jan 12.