PMID- 30425090 OWN - NLM STAT- MEDLINE DCOM- 20190703 LR - 20231020 IS - 1557-3265 (Electronic) IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 25 IP - 8 DP - 2019 Apr 15 TI - Phase I Study of AMG 337, a Highly Selective Small-molecule MET Inhibitor, in Patients with Advanced Solid Tumors. PG - 2403-2413 LID - 10.1158/1078-0432.CCR-18-1341 [doi] AB - PURPOSE: This first-in-human, open-label phase I study evaluated AMG 337, an oral, highly selective small-molecule inhibitor of MET in advanced solid tumors.Patients and Methods: Patients enrolled into dose-escalation cohorts received AMG 337 up to 400 mg once daily or up to 250 mg twice daily, following a modified 3+3+3 design. Dose expansion was conducted in MET-amplified patients at the maximum tolerated dose (MTD). Primary endpoints included assessment of adverse events (AEs), establishment of the MTD, and pharmacokinetics; clinical response was a secondary endpoint. RESULTS: The safety analysis set included 111 patients who received >/=1 dose of AMG 337. Thirteen patients had >/=1 AE qualifying as dose-limiting toxicity. The MTD was determined to be 300 mg once daily; the MTD for twice-daily dosing was not reached. Most frequent treatment-related AEs were headache (63%) and nausea (31%). Grade >/=3 treatment-related AEs occurred in 23 patients (21%), most commonly headache (n = 6) and fatigue (n = 5). Maximum plasma concentration occurred at 3.0 hours following 300-mg once-daily dosing, indicating AMG 337 absorption soon after treatment. Objective response rate was 9.9% (11/111; 95% CI, 5.1%-17.0%) in all patients and 29.6% (8/27; 95% CI, 13.8%-50.2%) in MET-amplified patients; median (range) duration of response was 202 (51-1,430+) days in all patients and 197 (64-1,430+) days in MET-amplified patients. CONCLUSIONS: Oral AMG 337 was tolerated with manageable toxicities, with an MTD and recommended phase II dose of 300 mg once daily. The promising response rate observed in patients with heavily pretreated MET-amplified tumors warrants further investigation.See related commentary by Ma, p. 2375. CI - (c)2018 American Association for Cancer Research. FAU - Hong, David S AU - Hong DS AD - Department of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, Texas. dshong@mdanderson.org. FAU - LoRusso, Patricia AU - LoRusso P AD - Medical Oncology, Yale Cancer Center, New Haven, Connecticut. FAU - Hamid, Omid AU - Hamid O AD - Melanoma Center, The Angeles Clinic and Research Institute, Los Angeles, California. FAU - Janku, Filip AU - Janku F AD - Department of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Kittaneh, Muaiad AU - Kittaneh M AD - Hematology/Oncology, Loyola University Chicago Stritch School of Medicine, Chicago, Illinois. FAU - Catenacci, Daniel V T AU - Catenacci DVT AD - Hematology/Oncology, University of Chicago, Chicago, Illinois. FAU - Chan, Emily AU - Chan E AD - Department of Medicine, Vanderbilt-Ingram Cancer Center, Nashville, Tennessee. FAU - Bekaii-Saab, Tanios AU - Bekaii-Saab T AD - Department of Internal Medicine, Mayo Clinic, Phoenix, Arizona. FAU - Gadgeel, Shirish M AU - Gadgeel SM AD - Department of Medicine, Vanderbilt-Ingram Cancer Center, Nashville, Tennessee. AD - Thoracic Oncology, Karmanos Cancer Institute, Detroit, Michigan. AD - Department of Internal Medicine, Division of Hematology/Oncology, University of Michigan, Ann Arbor, Michigan. FAU - Loberg, Robert D AU - Loberg RD AD - Oncology Biomarkers, Amgen Inc., Thousand Oaks, California. FAU - Amore, Benny M AU - Amore BM AD - Clinical Pharmacology, Modeling and Simulation, Amgen Inc., South San Francisco, California. FAU - Hwang, Yuying C AU - Hwang YC AD - Global Biostatistical Sciences, Amgen Inc., Thousand Oaks, California. FAU - Tang, Rui AU - Tang R AD - Global Biostatistical Sciences, Amgen Inc., Thousand Oaks, California. FAU - Ngarmchamnanrith, Gataree AU - Ngarmchamnanrith G AD - Early Development, Hematology and Oncology, Amgen Inc., Thousand Oaks, California. FAU - Kwak, Eunice L AU - Kwak EL AD - Hematology/Oncology, Massachusetts General Hospital Cancer Center, Boston, Massachusetts. LA - eng GR - P30 CA022453/CA/NCI NIH HHS/United States GR - UL1 TR001863/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20181113 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 (AMG 337) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyridones) RN - 0 (Triazoles) SB - IM CIN - Clin Cancer Res. 2019 Apr 15;25(8):2375-2378. PMID: 30770350 MH - Humans MH - Maximum Tolerated Dose MH - *Neoplasms MH - *Protein Kinase Inhibitors MH - Pyridones MH - Treatment Outcome MH - Triazoles PMC - PMC6892342 MID - NIHMS1060528 EDAT- 2018/11/15 06:00 MHDA- 2019/07/04 06:00 PMCR- 2020/04/15 CRDT- 2018/11/15 06:00 PHST- 2018/04/30 00:00 [received] PHST- 2018/08/28 00:00 [revised] PHST- 2018/11/08 00:00 [accepted] PHST- 2018/11/15 06:00 [pubmed] PHST- 2019/07/04 06:00 [medline] PHST- 2018/11/15 06:00 [entrez] PHST- 2020/04/15 00:00 [pmc-release] AID - 1078-0432.CCR-18-1341 [pii] AID - 10.1158/1078-0432.CCR-18-1341 [doi] PST - ppublish SO - Clin Cancer Res. 2019 Apr 15;25(8):2403-2413. doi: 10.1158/1078-0432.CCR-18-1341. Epub 2018 Nov 13.