PMID- 21906811 OWN - NLM STAT- MEDLINE DCOM- 20120213 LR - 20191210 IS - 1879-114X (Electronic) IS - 0149-2918 (Linking) VI - 33 IP - 9 DP - 2011 Sep TI - Monoclonal antibody TB-403: a first-in-human, Phase I, double-blind, dose escalation study directed against placental growth factor in healthy male subjects. PG - 1142-9 LID - 10.1016/j.clinthera.2011.08.007 [doi] AB - BACKGROUND: TB-403 (RO5323441) is a humanized monoclonal antibody directed against placental growth factor (PlGF). Preclinical studies have demonstrated that targeting PlGF can result in significant inhibition of tumor growth and metastasis. OBJECTIVES: The purpose of this study was to assess the safety profile, tolerability, and pharmacokinetics of TB-403, developed for the treatment of solid tumors. METHODS: Healthy male subjects were exposed to a single intravenous infusion of TB-403 or placebo. Blood samples for hematology, clinical chemistry, coagulation factors, and urinalysis were collected; vital signs and ECGs were recorded; and serial blood samples were drawn for pharmacokinetic and immunogenicity measurements and circulating levels of pharmacodynamics markers PlGF and (VEGF) vascular endothelial growth factor. Sixteen subjects received either placebo or TB-403 at doses ranging from 0.3 to 5.0 mg/kg. RESULTS: Mild (grade 1 or 2) nasopharyngitis, headache, neck pain, and joint pain were the most frequently reported adverse events (AEs). There were no serious AEs in the study, and none of the AEs led to withdrawal. None of the safety laboratory assessments was considered clinically significant, and none was reported as an AE. There were no apparent differences in terms of safety profiles among the 3 dose levels of active treatment compared with placebo. Clearance, volume of distribution, and terminal t((1/2)) (mean values) for TB-403 in all 3 cohorts were in the range of 4.2 to 4.9 (mL/d/kg), 56 to 79 (mL/kg), and 8 to 13 (days), respectively. CONCLUSION: The highest dose of TB-403 (5.0 mg/kg) was well tolerated in this study of a single intravenous infusion to healthy males. This result allowed a higher starting dose level in a subsequent Phase I study in cancer patients, the patient population for which this antibody is developed. CI - Copyright (c) 2011 Elsevier HS Journals, Inc. All rights reserved. FAU - Martinsson-Niskanen, Titti AU - Martinsson-Niskanen T AD - BioInvent International AB, Lund, Sweden. titti.martinsson.niskanen@bioinvent.com FAU - Riisbro, Rikke AU - Riisbro R FAU - Larsson, Leonard AU - Larsson L FAU - Winstedt, Lena AU - Winstedt L FAU - Stenberg, Yvonne AU - Stenberg Y FAU - Pakola, Steve AU - Pakola S FAU - Stassen, Jean-Marie AU - Stassen JM FAU - Glazer, Steven AU - Glazer S LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20110908 PL - United States TA - Clin Ther JT - Clinical therapeutics JID - 7706726 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - 0 (PGF protein, human) RN - 0 (Pregnancy Proteins) RN - 0 (VEGFA protein, human) RN - 0 (Vascular Endothelial Growth Factor A) RN - 144589-93-5 (Placenta Growth Factor) RN - 46MVG4H2LF (TB-403) SB - IM MH - Adult MH - Antibodies, Monoclonal/administration & dosage/*adverse effects/immunology/*pharmacokinetics MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/administration & dosage/*adverse effects/immunology/*pharmacokinetics MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Drug Administration Schedule MH - Humans MH - Infusions, Intravenous MH - Male MH - Middle Aged MH - Placenta Growth Factor MH - Pregnancy Proteins/*antagonists & inhibitors/blood MH - Protein Binding MH - Vascular Endothelial Growth Factor A/antagonists & inhibitors/blood MH - Young Adult EDAT- 2011/09/13 06:00 MHDA- 2012/02/14 06:00 CRDT- 2011/09/13 06:00 PHST- 2011/06/01 00:00 [received] PHST- 2011/08/10 00:00 [revised] PHST- 2011/08/10 00:00 [accepted] PHST- 2011/09/13 06:00 [entrez] PHST- 2011/09/13 06:00 [pubmed] PHST- 2012/02/14 06:00 [medline] AID - S0149-2918(11)00545-5 [pii] AID - 10.1016/j.clinthera.2011.08.007 [doi] PST - ppublish SO - Clin Ther. 2011 Sep;33(9):1142-9. doi: 10.1016/j.clinthera.2011.08.007. Epub 2011 Sep 8.