PMID- 35920783 OWN - NLM STAT- MEDLINE DCOM- 20221004 LR - 20221209 IS - 1549-490X (Electronic) IS - 1083-7159 (Print) IS - 1083-7159 (Linking) VI - 27 IP - 10 DP - 2022 Oct 1 TI - Results of NC-6300 (Nanoparticle Epirubicin) in an Expansion Cohort of Patients with Angiosarcoma. PG - 809-e765 LID - 10.1093/oncolo/oyac155 [doi] AB - BACKGROUND: NC-6300 is a novel epirubicin (EPI) drug conjugated polymeric micelle developed using cutting-edge micellar nanoparticle technology. The nanoparticle epirubicin conjugates EPI to a polymer via a pH-sensitive linker which enables the selective EPI release into tumor. Tumor activity was observed in a monotherapy phase Ib trial, where two of two patients with angiosarcoma achieved a partial response. To further explore the activity of NC-6300 in angiosarcoma, an expansion cohort was undertaken. METHODS: Ten patients with angiosarcoma were enrolled in the expansion cohort. Patients were dosed using the recommended dose of 150 mg/m2 intravenously (IV) once every 3 weeks. The primary endpoint was progression-free survival. RESULTS: The most common adverse events (AEs) of any grade, regardless of the causal relationship with NC-6300, were neutropenia (90%), fatigue, and thrombocytopenia (60% each) and nausea (50%). The most common grades 3 and 4 AEs were neutropenia (80%), thrombocytopenia (40%), and anemia and leukopenia (20% each). The median progression-free survival (mPFS) for all subjects was 5.4 months. The mPFS was 3.8 months in subjects with prior anthracycline treatment and 8.2 months in subjects without prior anthracycline treatment. CONCLUSION: NC-6300 was well tolerated, showing promising activity in angiosarcoma patients without prior anthracycline treatment. NC-6300 warrants further investigation (ClinicalTrials.gov Identifier: NCT03168061). CI - (c) The Author(s) 2022. Published by Oxford University Press. FAU - Riedel, Richard F AU - Riedel RF AUID- ORCID: 0000-0001-5412-8710 AD - Duke Cancer Institute, Duke University Medical Center, Durham, NC, USA. FAU - Chua, Victoria AU - Chua V AD - Sarcoma Oncology Research Center, Santa Monica, CA, USA. FAU - Moradkhani, Ania AU - Moradkhani A AD - Sarcoma Oncology Research Center, Santa Monica, CA, USA. FAU - Krkyan, Natalie AU - Krkyan N AD - Sarcoma Oncology Research Center, Santa Monica, CA, USA. FAU - Ahari, Amir AU - Ahari A AD - Sarcoma Oncology Research Center, Santa Monica, CA, USA. FAU - Osada, Atsushi AU - Osada A AD - NanoCarrier Co., Ltd., Tokyo, Japan. FAU - Chawla, Sant P AU - Chawla SP AD - Sarcoma Oncology Research Center, Santa Monica, CA, USA. LA - eng SI - ClinicalTrials.gov/NCT03168061 PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Oncologist JT - The oncologist JID - 9607837 RN - 0 (Anthracyclines) RN - 0 (Antibiotics, Antineoplastic) RN - 0 (Micelles) RN - 0 (NC 6300) RN - 0 (Polymers) RN - 0 (Proteins) RN - 3Z8479ZZ5X (Epirubicin) SB - IM MH - Anthracyclines MH - Antibiotics, Antineoplastic/therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Epirubicin/adverse effects/analogs & derivatives MH - *Hemangiosarcoma/chemically induced/drug therapy MH - Humans MH - Micelles MH - *Nanoparticles MH - *Neutropenia/chemically induced MH - Polymers MH - Proteins MH - *Thrombocytopenia/chemically induced PMC - PMC9526480 OTO - NOTNLM OT - NC-6300 OT - angiosarcoma OT - epirubicin OT - metastatic OT - nanoparticle OT - soft tissue sarcoma OT - unresectable EDAT- 2022/08/04 06:00 MHDA- 2022/10/05 06:00 PMCR- 2022/08/03 CRDT- 2022/08/03 10:43 PHST- 2022/02/24 00:00 [received] PHST- 2022/06/21 00:00 [accepted] PHST- 2022/08/04 06:00 [pubmed] PHST- 2022/10/05 06:00 [medline] PHST- 2022/08/03 10:43 [entrez] PHST- 2022/08/03 00:00 [pmc-release] AID - 6654611 [pii] AID - oyac155 [pii] AID - 10.1093/oncolo/oyac155 [doi] PST - ppublish SO - Oncologist. 2022 Oct 1;27(10):809-e765. doi: 10.1093/oncolo/oyac155.