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Safety and Pharmacokinetics of Motesanib in Combination with Panitumumab and Gemcitabine-Cisplatin in Patients with Advanced Cancer
Joint Authors
Ingram, Megan
McGreivy, Jesse
Stein, Mark
Schwartzberg, Lee S.
Otterson, Gregory A.
Burris, Howard
Stephenson, Joe
Sun, Yu-Nien
Ye, Yining
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-04-14
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Purpose.
The aim of this study was to assess the safety and tolerability of motesanib (an orally administered small-molecule antagonist of vascular endothelial growth factor receptors 1, 2, and 3, platelet-derived growth factor receptor, and Kit) when administered in combination with panitumumab, gemcitabine, and cisplatin.
Methods.
This was an open-label, multicenter phase 1b study in patients with advanced solid tumors with an ECOG performance status ≤1 and for whom a gemcitabine/cisplatin regimen was indicated.
Patients received motesanib (0 mg [control], 50 mg once daily [QD], 75 mg QD, 100 mg QD, 125 mg QD, or 75 mg twice daily [BID]) with panitumumab (9 mg/kg), gemcitabine (1250 mg/m2) and cisplatin (75 mg/m2) in 21-day cycles.
The primary endpoint was the incidence of dose-limiting toxicities (DLTs).
Results.
Forty-one patients were enrolled and received treatment (including 8 control patients).
One of eight patients in the 50 mg QD cohort and 5/11 patients in the 125 mg QD cohort experienced DLTs.
The maximum tolerated dose was established as 100 mg QD.
Among patients who received motesanib (n=33), 29 had motesanib-related adverse events.
Fourteen patients had serious motesanib-related events.
Ten patients had motesanib-related venous thromboembolic events and three had motesanib-related arterial thromboembolic events, two of which were considered serious.
One patient had a complete response and nine had partial responses as their best objective response.
Conclusions.
The combination of motesanib, panitumumab, and gemcitabine/cisplatin could not be administered consistently and, at the described doses and schedule, may be intolerable.
However, encouraging antitumor activity was noted in some cases.
American Psychological Association (APA)
Burris, Howard& Stephenson, Joe& Otterson, Gregory A.& Stein, Mark& McGreivy, Jesse& Sun, Yu-Nien…[et al.]. 2011. Safety and Pharmacokinetics of Motesanib in Combination with Panitumumab and Gemcitabine-Cisplatin in Patients with Advanced Cancer. Journal of Oncology،Vol. 2011, no. 2011, pp.1-11.
https://search.emarefa.net/detail/BIM-503567
Modern Language Association (MLA)
Burris, Howard…[et al.]. Safety and Pharmacokinetics of Motesanib in Combination with Panitumumab and Gemcitabine-Cisplatin in Patients with Advanced Cancer. Journal of Oncology No. 2011 (2011), pp.1-11.
https://search.emarefa.net/detail/BIM-503567
American Medical Association (AMA)
Burris, Howard& Stephenson, Joe& Otterson, Gregory A.& Stein, Mark& McGreivy, Jesse& Sun, Yu-Nien…[et al.]. Safety and Pharmacokinetics of Motesanib in Combination with Panitumumab and Gemcitabine-Cisplatin in Patients with Advanced Cancer. Journal of Oncology. 2011. Vol. 2011, no. 2011, pp.1-11.
https://search.emarefa.net/detail/BIM-503567
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-503567