PMID- 38349570 OWN - NLM STAT- MEDLINE DCOM- 20240214 LR - 20240309 IS - 1432-0851 (Electronic) IS - 0340-7004 (Print) IS - 0340-7004 (Linking) VI - 73 IP - 3 DP - 2024 Feb 13 TI - INDUCE-2: A Phase I/II, open-label, two-part study of feladilimab in combination with tremelimumab in patients with advanced solid tumors. PG - 44 LID - 10.1007/s00262-023-03623-z [doi] LID - 44 AB - Combining immunotherapies with distinct mechanisms of action has the potential to overcome treatment resistance and improve outcomes. The inducible T-cell co-stimulator (ICOS) agonist feladilimab is directed at enhancing T-cell activation and function, thereby promoting an antitumor response. INDUCE-2 (NCT03693612) was a Phase I/II, open-label, two-part study evaluating the anti-ICOS agonist feladilimab in combination with the anti-CTLA-4 antibody tremelimumab in patients with select advanced solid tumors. Objectives of Part 1 were to determine the safety, tolerability, and recommended phase 2 dose (RP2D) of feladilimab in combination with tremelimumab. In Part 2, the antitumor activity of the combination (administered at the RP2D determined in Part 1) was to be assessed in patients with relapsed/refractory head and neck squamous cell carcinoma. Primary endpoints included the rates of dose-limiting toxicities (DLTs), adverse events (AEs), AEs of special interest, and serious AEs. Secondary endpoints included overall response rate, while biomarker assessment was exploratory. A total of 26 patients were enrolled, 18 (69%) of whom had completed the study at end date. One patient, in the highest dose group (24/225 mg feladilimab/tremelimumab), experienced a DLT 18 days after the first dose of study treatment. All patients experienced at least one AE; AEs led to treatment discontinuation in four (15%) patients. Partial response was observed in one patient. Feladilimab in combination with tremelimumab was well-tolerated but showed limited efficacy. Based on the totality of data from Part 1, it was decided not to continue with Part 2. CI - (c) 2024. The Author(s). FAU - Hilton, John F AU - Hilton JF AD - The Ottawa Hospital Cancer Centre, Ottawa, ON, Canada. FAU - Ott, Patrick A AU - Ott PA AD - Dana Farber Cancer Institute, Boston, MA, USA. FAU - Hansen, Aaron R AU - Hansen AR AD - Princess Margaret Cancer Centre, Toronto, ON, Canada. FAU - Li, Zujun AU - Li Z AD - New York University, New York, NY, USA. FAU - Mathew, Matthen AU - Mathew M AUID- ORCID: 0000-0003-3254-0039 AD - Columbia University Irving Medical Center, New York, NY, USA. FAU - Messina, Cristina H AU - Messina CH AD - GSK, Collegeville, PA, USA. FAU - Dave, Vimal AU - Dave V AD - GSK, Bengaluru, Karnataka, India. FAU - Ji, Xiao AU - Ji X AD - GSK, Collegeville, PA, USA. FAU - Karpinich, Natalie O AU - Karpinich NO AD - GSK, Collegeville, PA, USA. FAU - Hirschfeld, Steven AU - Hirschfeld S AD - GSK, Collegeville, PA, USA. FAU - Ballas, Marc AU - Ballas M AD - GSK, Collegeville, PA, USA. FAU - Zandberg, Dan P AU - Zandberg DP AUID- ORCID: 0000-0002-1002-8301 AD - UPMC Hillman Cancer Center, 5150 Centre Avenue, Pittsburgh, PA, 15232, USA. zandbergdp@upmc.edu. LA - eng PT - Clinical Trial, Phase I PT - Clinical Trial, Phase II PT - Journal Article DEP - 20240213 PL - Germany TA - Cancer Immunol Immunother JT - Cancer immunology, immunotherapy : CII JID - 8605732 RN - QEN1X95CIX (tremelimumab) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antibodies, Monoclonal) SB - IM MH - Humans MH - *Antibodies, Monoclonal, Humanized/therapeutic use MH - Antibodies, Monoclonal/therapeutic use MH - Immunotherapy MH - *Head and Neck Neoplasms PMC - PMC10864474 OTO - NOTNLM OT - Biomarkers OT - Clinical-trial results OT - Immunology OT - Immunotherapy OT - Tumor microenvironment COIS- JFH: advisory/consulting for Bristol Myers Squibb, AstraZeneca, Pfizer, Novartis, Eli-Lilly, and Merck; member of a DMC Committee for Bristol Myers Squibb. PAO: grants/research support recipient from Neon Therapeutics, Bristol Myers Squibb, Merck, AstraZeneca /MedImmune, ArmoBiosciences, Pfizer, Novartis, CytomX, Genentech, Celldex; ad hoc consulting for Neon Therapeutics, Bristol Myers Squibb, Merck, ArmoBiosciences, Pfizer, Novartis, CytomX, Genentech, Celldex, Array; scientific advisory board for Evaxion, Phio, and Immunetune. ARH: advisory/consulting and research support from Genentech/Roche, Merck, GSK, Bristol Myers Squibb, Novartis, Boston Biomedical, Boehringer Ingelheim. ZL: advisory/board member and honorarium recipient for Boehringer Ingelheim. MM: equity in Navinta. CHM, VD, and MB: former employees of and hold stocks/shares in GSK. XJ, NOK, SH: employees of and hold stocks/shares in GSK. DPZ: advisory for Blueprint Medicines and Prelude Therapeutics; consulting for Macrogenics; research support for role as principal investigator from Merck, Bristol Myers Squibb, AstraZeneca, GSK, Aduro, Astellas, Macrogenics, Lilly, Bicara, Checkmate Pharma, Novasenta. EDAT- 2024/02/13 12:47 MHDA- 2024/02/14 12:47 PMCR- 2024/02/13 CRDT- 2024/02/13 11:20 PHST- 2023/08/31 00:00 [received] PHST- 2023/12/25 00:00 [accepted] PHST- 2024/02/14 12:47 [medline] PHST- 2024/02/13 12:47 [pubmed] PHST- 2024/02/13 11:20 [entrez] PHST- 2024/02/13 00:00 [pmc-release] AID - 10.1007/s00262-023-03623-z [pii] AID - 3623 [pii] AID - 10.1007/s00262-023-03623-z [doi] PST - epublish SO - Cancer Immunol Immunother. 2024 Feb 13;73(3):44. doi: 10.1007/s00262-023-03623-z.