PMID- 23787063 OWN - NLM STAT- MEDLINE DCOM- 20140408 LR - 20211203 IS - 1872-8332 (Electronic) IS - 0169-5002 (Linking) VI - 81 IP - 3 DP - 2013 Sep TI - A phase II clinical trial of the vascular disrupting agent BNC105P as second line chemotherapy for advanced Malignant Pleural Mesothelioma. PG - 422-427 LID - S0169-5002(13)00218-3 [pii] LID - 10.1016/j.lungcan.2013.05.006 [doi] AB - BNC105P is a tubulin polymerisation inhibitor that selectively disrupts tumour vasculature and suppresses cancer cell proliferation. This agent has exhibited preclinical and phase I activity in Malignant Pleural Mesothelioma (MPM). This phase II, single arm trial investigated the efficacy and safety of BNC105P as second line therapy in MPM. Participants had progressive MPM after first line pemetrexed/platinum chemotherapy, ECOG PS 0-1, adequate organ function, and measurable disease. BNC105P 16 mg/m(2) was administered intravenously on day 1 and 8 every 21 days until progression or undue toxicity. The primary endpoint was centrally reviewed objective response rate (RR). Tumour response was assessed every two cycles using modified RECIST. 30 patients were enrolled in 10 months, predominantly male (90%), ECOG PS 1 (77%), epithelioid histology (67%), and non-metastatic disease (67%). All patients received at least one dose of study drug, with a median of 2 cycles. No significant haematologic, biochemical, or cardiac adverse events (AEs) were observed. Grade 3 or 4 AEs occurred in 10 patients (33%). There were 2 deaths on study: 1 cardiorespiratory, the other to pneumonia. We observed 1 partial response (3%); 13 patients had stable disease (43%). Median progression free survival was 1.5 months (95% CI 1.4-2.4); median overall survival was 8.2 months (95% CI 3.8-11.9). BNC105P was safe and tolerable. The sole response was insufficient to warrant further research as a single agent. CI - Copyright (c) 2013 Elsevier Ireland Ltd. All rights reserved. FAU - Nowak, Anna K AU - Nowak AK AD - Department of Medical Oncology, Sir Charles Gairdner Hospital, Hospital Ave, Nedlands, WA 6009, Australia; School of Medicine and Pharmacology, University of Western Australia, M503 35 Stirling Hwy, Crawley, WA 6009, Australia; National Centre for Asbestos Related Diseases, M503 35 Stirling Hwy, Crawley, WA 6009, Australia. Electronic address: anna.nowak@uwa.edu.au. FAU - Brown, Chris AU - Brown C AD - NHMRC Clinical Trials Centre, University of Sydney, Medical Foundation Building, 92-94 Parramatta Road, Camperdown, NSW 2050, Australia. FAU - Millward, Michael J AU - Millward MJ AD - Department of Medical Oncology, Sir Charles Gairdner Hospital, Hospital Ave, Nedlands, WA 6009, Australia; School of Medicine and Pharmacology, University of Western Australia, M503 35 Stirling Hwy, Crawley, WA 6009, Australia. FAU - Creaney, Jenette AU - Creaney J AD - School of Medicine and Pharmacology, University of Western Australia, M503 35 Stirling Hwy, Crawley, WA 6009, Australia; National Centre for Asbestos Related Diseases, M503 35 Stirling Hwy, Crawley, WA 6009, Australia. FAU - Byrne, Michael J AU - Byrne MJ AD - Department of Medical Oncology, Sir Charles Gairdner Hospital, Hospital Ave, Nedlands, WA 6009, Australia; School of Medicine and Pharmacology, University of Western Australia, M503 35 Stirling Hwy, Crawley, WA 6009, Australia; National Centre for Asbestos Related Diseases, M503 35 Stirling Hwy, Crawley, WA 6009, Australia. FAU - Hughes, Brett AU - Hughes B AD - The Prince Charles Hospital, Rode Road, Chermside, Queensland 4032, Australia. FAU - Kremmidiotis, Gabriel AU - Kremmidiotis G AD - Bionomics Limited, 31 Dalgleish Street, Thebarton, SA 5031, Australia. FAU - Bibby, David C AU - Bibby DC AD - Bionomics Limited, 31 Dalgleish Street, Thebarton, SA 5031, Australia. FAU - Leske, Annabell F AU - Leske AF AD - Bionomics Limited, 31 Dalgleish Street, Thebarton, SA 5031, Australia. FAU - Mitchell, Paul L R AU - Mitchell PLR AD - Austin-Ludwig Medical Oncology Unit, Austin Health, Studley Road, Heidelberg, VIC 3084, Australia. FAU - Pavlakis, Nick AU - Pavlakis N AD - Department of Medical Oncology, Royal North Shore Hospital, St. Leonards, NSW 2065, Australia; Faculty of Medicine, University of Sydney, Camperdown, NSW 2050, Australia. FAU - Boyer, Michael AU - Boyer M AD - Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW 2050, Australia. FAU - Stockler, Martin R AU - Stockler MR AD - NHMRC Clinical Trials Centre, University of Sydney, Medical Foundation Building, 92-94 Parramatta Road, Camperdown, NSW 2050, Australia. LA - eng PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20130617 PL - Ireland TA - Lung Cancer JT - Lung cancer (Amsterdam, Netherlands) JID - 8800805 RN - 0 (Antineoplastic Agents) RN - 0 (BNC 105P) RN - 0 (Benzofurans) RN - 0 (Biomarkers) RN - 0 (GPI-Linked Proteins) RN - 0 (Organophosphates) RN - 0 (Tubulin Modulators) RN - J27WDC343N (Mesothelin) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents/*therapeutic use MH - Benzofurans/administration & dosage/adverse effects/*therapeutic use MH - Biomarkers/blood/metabolism MH - Female MH - GPI-Linked Proteins/blood/metabolism MH - Humans MH - Lung Neoplasms/diagnostic imaging/*drug therapy/mortality/*pathology MH - Male MH - Mesothelin MH - Mesothelioma/diagnostic imaging/*drug therapy/mortality/*pathology MH - Mesothelioma, Malignant MH - Middle Aged MH - Neoplasm Staging MH - Organophosphates/administration & dosage/adverse effects/*therapeutic use MH - Pleural Neoplasms/diagnostic imaging/*drug therapy/mortality/*pathology MH - Radiography MH - Treatment Outcome MH - Tubulin Modulators/administration & dosage/adverse effects/*therapeutic use MH - Tumor Burden OTO - NOTNLM OT - BNC105P OT - Biomarkers OT - Clinical trial OT - Mesothelioma OT - Phase II OT - Vascular Disrupting Agent EDAT- 2013/06/22 06:00 MHDA- 2014/04/09 06:00 CRDT- 2013/06/22 06:00 PHST- 2013/01/18 00:00 [received] PHST- 2013/05/06 00:00 [revised] PHST- 2013/05/10 00:00 [accepted] PHST- 2013/06/22 06:00 [entrez] PHST- 2013/06/22 06:00 [pubmed] PHST- 2014/04/09 06:00 [medline] AID - S0169-5002(13)00218-3 [pii] AID - 10.1016/j.lungcan.2013.05.006 [doi] PST - ppublish SO - Lung Cancer. 2013 Sep;81(3):422-427. doi: 10.1016/j.lungcan.2013.05.006. Epub 2013 Jun 17.