PMID- 35657653 OWN - NLM STAT- MEDLINE DCOM- 20220713 LR - 20220715 IS - 1744-7658 (Electronic) IS - 1354-3784 (Linking) VI - 31 IP - 7 DP - 2022 Jul TI - A phase 1b/2 study of PF-06747775 as monotherapy or in combination with Palbociclib in patients with epidermal growth factor receptor mutant advanced non-small cell lung cancer. PG - 747-757 LID - 10.1080/13543784.2022.2075341 [doi] AB - INTRODUCTION: This Phase 1/2 study (NCT02349633) explored the safety and antitumor activity of PF-06747775 (oral, third-generation epidermal growth factor receptor [EGFR] tyrosine kinase inhibitor) in patients with advanced non-small cell lung cancer after progression on an EGFR inhibitor. METHODS: Phase 1 was a dose-escalation study of PF-06747775 monotherapy (starting dose: 25 mg once daily [QD]). Phase 1b/2 evaluated PF-06747775 monotherapy at recommended Phase 2 dose (RP2D; Cohort 1); PF-06747775 200 mg QD plus palbociclib (starting dose: 100 mg QD orally; Cohort 2A); and PF-06747775 monotherapy at RP2D in a Japanese lead-in cohort. RESULTS: Sixty-five patients were treated. Median treatment duration was 40.1 weeks. Monotherapy maximum tolerated dose was not determined. Two patients in Cohort 2A had dose-limiting toxicities. The monotherapy RP2D was estimated to be 200 mg QD. Most frequently reported adverse events (AEs) were diarrhea (69.2%), paronychia (69.2%), and rash (60.0%). Most AEs were grades 1-3. Overall, objective response rate (90% confidence interval [CI]) was 41.5% (31.2-52.5%). Median (range) duration of response was 11.09 (2.70-34.57) months. Median progression-free survival (90% CI) was 8.1 (5.4-23.3) months. CONCLUSIONS: PF-06747775 had a manageable safety profile and the study design highlights important considerations for future anti-EGFR agent development. FAU - Cho, Byoung Chul AU - Cho BC AD - Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Republic of Korea. FAU - Goldberg, Sarah B AU - Goldberg SB AD - Department of Medicine, Yale School of Medicine, New Haven, CT, USA. FAU - Kim, Dong-Wan AU - Kim DW AD - Cancer Research Institute, Seoul National University College of Medicine and Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea. FAU - Socinski, Mark A AU - Socinski MA AD - Thoracic Oncology, Advent Health Cancer Institute, Orlando, FL, USA. FAU - Burns, Timothy F AU - Burns TF AD - Department of Medicine, University of Pittsburgh Medical Center Hillman Cancer Center, Pittsburgh, PA, USA. FAU - Lwin, Zarnie AU - Lwin Z AD - Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia. FAU - Pathan, Nuzhat AU - Pathan N AD - Translational Oncology, Pfizer Inc, San Diego, CA, USA. FAU - Ma, Wei Dong AU - Ma WD AD - Biostatistics, Pfizer Inc, New York, USA. FAU - Masters, Joanna C AU - Masters JC AD - Translational Oncology, Pfizer Inc, San Diego, CA, USA. FAU - Cossons, Nandini AU - Cossons N AD - Lead Study Clinician, Pfizer Inc, UK. FAU - Wilner, Keith AU - Wilner K AD - Translational Oncology, Pfizer Inc, San Diego, CA, USA. FAU - Nishio, Makoto AU - Nishio M AD - Department of Thoracic Medical Oncology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan. FAU - Husain, Hatim AU - Husain H AD - Department of Medicine, UCSD Moores Cancer Center, La Jolla, CA, USA. LA - eng PT - Clinical Trial, Phase I PT - Clinical Trial, Phase II PT - Journal Article DEP - 20220603 PL - England TA - Expert Opin Investig Drugs JT - Expert opinion on investigational drugs JID - 9434197 RN - 0 (Piperazines) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyridines) RN - EC 2.7.10.1 (ErbB Receptors) RN - G9ZF61LE7G (palbociclib) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects MH - *Carcinoma, Non-Small-Cell Lung/drug therapy/genetics MH - ErbB Receptors/genetics MH - Humans MH - *Lung Neoplasms/drug therapy/genetics MH - Piperazines/therapeutic use MH - Protein Kinase Inhibitors/adverse effects MH - Pyridines OTO - NOTNLM OT - (5-8): advanced non-small cell lung cancer OT - PF-06747775 OT - epidermal growth factor receptor OT - phase 1/2 study OT - tyrosine kinase inhibitor EDAT- 2022/06/04 06:00 MHDA- 2022/07/14 06:00 CRDT- 2022/06/03 11:53 PHST- 2022/06/04 06:00 [pubmed] PHST- 2022/07/14 06:00 [medline] PHST- 2022/06/03 11:53 [entrez] AID - 10.1080/13543784.2022.2075341 [doi] PST - ppublish SO - Expert Opin Investig Drugs. 2022 Jul;31(7):747-757. doi: 10.1080/13543784.2022.2075341. Epub 2022 Jun 3.