PMID- 34039310 OWN - NLM STAT- MEDLINE DCOM- 20211018 LR - 20240402 IS - 1471-2407 (Electronic) IS - 1471-2407 (Linking) VI - 21 IP - 1 DP - 2021 May 26 TI - Safety and efficacy profile of mogamulizumab (Poteligeo) in the treatment of cancers: an update evidence from 14 studies. PG - 618 LID - 10.1186/s12885-021-08363-w [doi] LID - 618 AB - BACKGROUND: CC chemokine receptor 4 (CCR4), the receptor for CCL22 and CCL17, is expressed on the surface of effector Tregs that have the highest suppressive effects on antitumor immune response. CCR4 is also widely expressed on the surface of tumor cells from patients with adult T-cell leukemia/lymphoma (ATL), peripheral T-cell lymphoma (PTCL) and cutaneous T-cell lymphoma (CTCL). Mogamulizumab is a humanized, IgG1 kappa monoclonal antibody that is directed against CCR4. By reducing the number of CCR4-positive Tregs and tumor cells, the mogamulizumab can reduce tumor burden and boost antitumor immunity to achieve antitumor effects. METHODS: We examined the PubMed and ClinicalTrials.gov until 1 February 2020. Considering variability in different studies, we selected the adverse events (AEs), overall survival (OS), progression-free survival (PFS), objective responses rate (ORR) and Hazard Ratio (HR) for PFS to evaluate the safety and efficacy profile of mogamulizumab. RESULTS: When patients were treated with mogamulizumab monotherapy, the most common all-grade AEs were lymphopenia, infusion reaction, fever, rash and chills while the most common grade >/= 3 AEs were lymphopenia, neutropenia and rash. When patients were treated with combined therapy of mogamulizumab and other drugs, the most common all-grade AEs were neutropenia, anaemia, lymphopenia and gastrointestinal disorder, while the most common grade >/= 3 AEs was lymphopenia. For patients treated with mogamulizumab monotherapy, the pooled ORR and mean PFS were 0.430 (95% CI: 0.393-0.469) and 1.060 months (95% CI: 1.043-1.077), respectively. For patients treated with combined therapy of mogamulizumab and other drugs, the pooled ORR was 0.203 (95% CI: 0.022-0.746) while the pooled PFS and OS were 2.093 months (95% CI: 1.602-2.584) and 6.591 months (95% CI: 6.014-7.167), respectively. CONCLUSIONS: Based on present evidence, we believed that mogamulizumab had clinically meaningful antitumor activity with acceptable toxicity which is a novel therapy in treating patients with cancers. FAU - Zhang, Ting AU - Zhang T AD - Department of Biotherapy, State Key Laboratory of Biotherapy, West China Hospital, Cancer Center, Sichuan University, No. 37 Guo Xue Alley, Chengdu, 610041, Sichuan, China. AD - West China Hospital, West China School of Medicine, Sichuan University, Chengdu, China. FAU - Sun, Jing AU - Sun J AD - Qingdao central hospital, Qingdao University, Qingdao, Shandong, China. FAU - Li, Jinying AU - Li J AD - Department of radiotherapy, Qingdao central hospital, Qingdao University, Qingdao, Shandong, China. FAU - Zhao, Yunuo AU - Zhao Y AD - Department of Biotherapy, State Key Laboratory of Biotherapy, West China Hospital, Cancer Center, Sichuan University, No. 37 Guo Xue Alley, Chengdu, 610041, Sichuan, China. AD - West China Hospital, West China School of Medicine, Sichuan University, Chengdu, China. FAU - Zhang, Tao AU - Zhang T AD - Department of Biotherapy, State Key Laboratory of Biotherapy, West China Hospital, Cancer Center, Sichuan University, No. 37 Guo Xue Alley, Chengdu, 610041, Sichuan, China. AD - West China Hospital, West China School of Medicine, Sichuan University, Chengdu, China. FAU - Yang, Ruoning AU - Yang R AD - Department of Biotherapy, State Key Laboratory of Biotherapy, West China Hospital, Cancer Center, Sichuan University, No. 37 Guo Xue Alley, Chengdu, 610041, Sichuan, China. AD - West China Hospital, West China School of Medicine, Sichuan University, Chengdu, China. FAU - Ma, Xuelei AU - Ma X AUID- ORCID: 0000-0002-9148-5001 AD - Department of Biotherapy, State Key Laboratory of Biotherapy, West China Hospital, Cancer Center, Sichuan University, No. 37 Guo Xue Alley, Chengdu, 610041, Sichuan, China. drmaxuelei@gmail.com. LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20210526 PL - England TA - BMC Cancer JT - BMC cancer JID - 100967800 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (CCR4 protein, human) RN - 0 (Receptors, CCR4) RN - YI437801BE (mogamulizumab) SB - IM MH - Antibodies, Monoclonal, Humanized/*administration & dosage/adverse effects MH - Antineoplastic Combined Chemotherapy Protocols/*administration & dosage/adverse effects MH - Drug-Related Side Effects and Adverse Reactions/*epidemiology/etiology MH - Humans MH - Neoplasms/*drug therapy/mortality MH - Progression-Free Survival MH - Randomized Controlled Trials as Topic MH - Receptors, CCR4/*antagonists & inhibitors PMC - PMC8157723 OTO - NOTNLM OT - CCR4 OT - Malignant lymphoma OT - Meta-analysis OT - Mogamulizumab OT - Solid tumors COIS- The authors declare that they have no competing interests. EDAT- 2021/05/28 06:00 MHDA- 2021/10/21 06:00 PMCR- 2021/05/26 CRDT- 2021/05/27 05:36 PHST- 2020/07/28 00:00 [received] PHST- 2021/05/17 00:00 [accepted] PHST- 2021/05/27 05:36 [entrez] PHST- 2021/05/28 06:00 [pubmed] PHST- 2021/10/21 06:00 [medline] PHST- 2021/05/26 00:00 [pmc-release] AID - 10.1186/s12885-021-08363-w [pii] AID - 8363 [pii] AID - 10.1186/s12885-021-08363-w [doi] PST - epublish SO - BMC Cancer. 2021 May 26;21(1):618. doi: 10.1186/s12885-021-08363-w.