Dataset Information

A first-in-human Phase I dose-escalation trial of the novel therapeutic peptide, ALM201, demonstrates a favourable safety profile in unselected patients with ovarian cancer and other advanced solid tumours.

ABSTRACT:

Background

We aimed to assess the safety, tolerability and pharmacokinetics of a novel anti-angiogenic peptide.

Methods

We used an open-label, multicentre, dose-escalation Phase I trial design in patients with solid tumours. ALM201 was administered subcutaneously once daily for 5 days every week in unselected patients with solid tumours.

Results

Twenty (8 male, 12 female) patients with various solid tumours were treated (18 evaluable for toxicity) over eight planned dose levels (10-300 mg). ALM201 was well-tolerated at all dose levels without CTCAE grade 4 toxicities. Adverse events were predominantly grades 1-2, most commonly, localised injection-site reactions (44.4%), vomiting (11%), fatigue (16.7%), arthralgia (5.6%) and headache (11%). Thrombosis occurred in two patients at the 100 mg and 10 mg dose levels. The MTD was not reached, and a recommended Phase II dose (RP2D) based on feasibility was declared. Plasma exposure increased with dose (less than dose-proportional at the two highest dose levels). No peptide accumulation was evident. The median treatment duration was 11.1 (range 3-18) weeks. Four of 18 evaluable patients (22%) had stable disease.

Conclusions

Doses up to 300 mg of ALM201 subcutaneously are feasible and well-tolerated. Further investigation of this agent in selected tumour types/settings would benefit from patient-selection biomarkers.

SUBMITTER: El Helali A

PROVIDER: S-EPMC9276671 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Publications

A first-in-human Phase I dose-escalation trial of the novel therapeutic peptide, ALM201, demonstrates a favourable safety profile in unselected patients with ovarian cancer and other advanced solid tumours.

El Helali Aya A Plummer Ruth R Jayson Gordon C GC Coyle Vicky M VM Drew Yvette Y Mescallado Nerissa N Harris Noor N Clamp Andrew R AR McCann Janine J Swaisland Helen H Kennedy Richard D RD Cranston Aaron N AN Wilson Richard H RH

British journal of cancer 20220514 1

<h4>Background</h4>We aimed to assess the safety, tolerability and pharmacokinetics of a novel anti-angiogenic peptide.<h4>Methods</h4>We used an open-label, multicentre, dose-escalation Phase I trial design in patients with solid tumours. ALM201 was administered subcutaneously once daily for 5 days every week in unselected patients with solid tumours.<h4>Results</h4>Twenty (8 male, 12 female) patients with various solid tumours were treated (18 evaluable for toxicity) over eight planned dose le ...[more]

PMID: 35568736

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Dataset Information

A first-in-human Phase I dose-escalation trial of the novel therapeutic peptide, ALM201, demonstrates a favourable safety profile in unselected patients with ovarian cancer and other advanced solid tumours.

Background

Methods

Results

Conclusions

Publications

A first-in-human Phase I dose-escalation trial of the novel therapeutic peptide, ALM201, demonstrates a favourable safety profile in unselected patients with ovarian cancer and other advanced solid tumours.

Similar Datasets

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