Clinical Trials

Date: 2017-01-04

Type of information: Treatment of the first patient

phase: 1

Announcement: treatment of the first patient

Company: OncoMed Pharmaceuticals (USA - CA)

Product: navicixizumab - anti-DLL4/VEGF bispecific antibody (OMP-305B83)

Action mechanism: bispecific antibody. OncoMed's anti-DLL4/VEGF bispecific antibody is designed to inhibit the function of both DLL4 and VEGF and thereby induce potent anti-tumor responses while mitigating certain angiogenic-related toxicities. It was developed utilizing OncoMed's BiMAb™ bispecific platform technology, which enables the design of bispecific antibodies comparable to traditional monoclonal antibodies but possessing dual target-binding specificity. In preclinical studies OncoMed's anti-DLL4/VEGF bispecific antibody demonstrated robust in vivo anti-tumor efficacy across a range of solid tumor xenografts, including colon, ovarian, lung and pancreatic cancers, among others. Further, in preclinical studies dual inhibition of DLL4 and VEGF appears to exhibit synergistic anti-tumor activity at doses where blockade of either target alone elicited sub-optimal activity.

Disease: metastatic colorectal cancer

Therapeutic area: Cancer - Oncology

Country:

Trial details:

Latest news:

• • On January 4, 2017, OncoMed Pharmaceuticals announced dosing of the first patient in a Phase 1b clinical trial of anti-DLL4/VEGF bispecific antibody (OMP-305B83) plus chemotherapy in patients with second-line metastatic colorectal cancer. Thirty patients with metastatic colorectal cancer who have failed first-line treatment, typically bevicizumab plus FOLFOX (folinic acid, fluorouracil, oxaliplatin) chemotherapy, will receive second-line treatment in the Phase 1b multicenter, open-label dose escalation and expansion study of the anti-DLL4/VEGF bispecific antibody in combination with FOLFIRI (folinic acid, fluorouracil and irinotecan) chemotherapy. This trial is designed to determine the safety, preliminary efficacy, immunogenicity, pharmacokinetics and biomarker effects of the anti-DLL4/VEGF bispecific antibody plus FOLFIRI. A second Phase 1b study in patients with platinum resistant ovarian cancer is expected to begin enrolling patients soon. In an ongoing Phase 1a dose escalation and expansion study of OncoMed's anti-DLL4/VEGF bispecific antibody as a single agent, interim data was presented on 51 patients with previously treated advanced solid tumors who were treated in the dose escalation portion of the trial. Additional patients are currently being enrolled in the expansion phase of the study. Anti-DLL4/VEGF bispecific antibody was generally well tolerated with hypertension, headache and pulmonary hypertension being the most common drug related toxicities. Single-agent anti-tumor activity was observed: two of 46 evaluable patients had a partial response and 12 other patients had a reduction in their tumor volume. One of the two colorectal patients on study had a reduction in tumor volume. • On November 29, 2016, OncoMed Pharmaceuticals presented initial first-in-human data from its ongoing Phase 1 clinical trials of OMP-305B83 at the 28th EORTC-NCI-AACR Molecular Targets and Cancer Therapeutics Symposium being held in Munich, Germany. Anti-DLL4/VEGF Bispecific — Interim Phase 1a Data in Advanced Solid Tumors:  As of the data cut off of October 17, 2016, a total of 51 patients with advanced solid tumors had received single-agent doses ranging from 0.5 to 12.5 mg/kg every three weeks in the ongoing Phase 1a clinical trial of OncoMed's anti-DLL4/VEGF bispecific antibody. Safety and Pharmacokinetics: Anti-DLL4/VEGF bispecific was generally well tolerated with hypertension, headache, fatigue and pulmonary hypertension being the most common drug-related toxicities. One dose-limiting toxicity of diverticulitis occurred at 2.5 mg/kg. Hypertension side effects were successfully managed with anti-hypertensives and most pulmonary hypertension adverse events were reversible and of mild to moderate severity. A dose of 7.5 mg/kg once every three weeks was set for the Phase 1a expansion cohort following the observation of Grade 3 and 4 toxicities at the 10 mg/kg dose. The anti-DLL4/VEGF bispecific had a half-life of 14 days and anti-drug antibody response occurred primarily at low doses (?3.5 mg/kg). Efficacy: Two of the 46 patients (4%) evaluable for anti-tumor effects had unconfirmed partial responses, while another sixteen (35%) patients achieved stable disease. The partial responses occurred in patients with ovarian cancer and uterine carcinosarcoma. Five of eight evaluable ovarian patients had reductions in tumor volume and remained on therapy for 129, 170, 185, 309 and 323 days as of the data cut off. Data from the ongoing Phase 1a trial of the anti-DLL4/VEGF bispecific were presented in a poster titled, "A first-in-man Phase 1a study of the bispecific anti-DLL4/anti-VEGF antibody OMP-305B83 in patients with previously treated solid tumors "(Poster #P057; Abstract #87) by Dr. Kathleen Moore of the Stephenson Oklahoma Cancer Center at the University of Oklahoma.

Is general: Yes