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Mavrikios A, Baldini C, Loriot Y, Aix SP, Champiat S, Danlos FX, Quevrin C, Gazzah A, Bahleda R, Deutsch E, Levy A. 140P Stereotactic radiotherapy improves disease control in oligoprogressive patients included in early clinical trials, with focus on NSCLC. J Thorac Oncol 2023. [DOI: 10.1016/s1556-0864(23)00395-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023]
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Assi T, Honoré C, Bahleda R, Henon C, Verret B, Faron M, Ngo C, Le Pechoux C, Levy A, Le Cesne A. 48MO Characteristics and outcomes of 76 patients with pleomorphic liposarcoma: The Gustave Roussy experience. ESMO Open 2023. [DOI: 10.1016/j.esmoop.2023.101085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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Mavrikios A, Baldini C, Loriot Y, Ponce Aix S, Champiat S, Danlos FX, Quevrin C, Gazzah A, Bahleda R, Deutsch E, Levy A. 85P Stereotactic radiotherapy improves disease control in oligoprogressive patients included in early clinical trials. ESMO Open 2023. [DOI: 10.1016/j.esmoop.2023.100943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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Herbel N, Goldschmidt V, Michot JM, Laparra A, Géraud A, Ouali K, Danlos FX, Martin Romano P, Vuagnat P, Bernard-Tessier A, Gazzah A, Bahleda R, Hollebecque A, Marabelle A, Postel-Vinay S, Massard C, Ribrag V, Ponce Aix S, Champiat S, Baldini C. 86P Validation of the Gustave Roussy Immune (GRIm) score in patients treated with bispecific CD3 T cell engagers in phase I clinical trials. ESMO Open 2023. [DOI: 10.1016/j.esmoop.2023.100944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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Alonso de Castro B, Gomez Randulfe M, Ouali K, Beshiri K, Gavira Diaz J, Baldini C, Champiat S, Michot JM, Bahleda R, Danlos FX, Gazzah A, Hollebecque A, Bayle A, Loriot Y, Varga A, Marabelle A, Postel-Vinay S, Ponce Aix S. 41P BRCA2 pathogenic variant (PV): A novel agnostic biomarker for immune checkpoint blockers (ICB)? ESMO Open 2023. [DOI: 10.1016/j.esmoop.2023.101007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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Seknazi L, Goldschmidt V, Champiat S, Hollebecque A, Martin-Romano P, Bahleda R, Gazzah A, Michot J, Sarkozy C, Vuagnat P, Ouali K, Bayle A, Danlos F, Mahjoubi L, Massard C, Ponce Aix S, Paillaud E, Baldini C. Use of the Geriatric Core Dataset for older patients included in early phase trials. J Geriatr Oncol 2022. [DOI: 10.1016/s1879-4068(22)00399-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Cunha M, Ammari S, Michot JM, Laparra A, Geraud A, Martin Romano P, Vuagnat P, C. Sarkozy, Gazzah A, Bahleda R, Ouali K, Danlos FX, Goldschmidt V, Hollebecque A, Marabelle A, Postel-Vinay S, Massard C, Ponce Aix S, Champiat S, Baldini C. 472P Prognostic markers in patients (pts) with solid tumors submitted to bispecific T-cell engagers in phase I (phI) clinical trials. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Cousin S, Bellera C, J-P. Guegan, Valentin T, Bahleda R, Metges JP, Cassier P, Cantarel C, Spalato Ceruso M, Kind M, Soubeyran I, Palussiere J, Bessede A, Italiano A. 1494P Regomune - a phase II study of regorafenib + avelumab in solid tumors: Results of the soft tissue sarcoma (STS) cohort. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.1597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Albert S, Italiano A, Toulmonde M, Cousin S, Bahleda R, Brahmi M, Watson S, Auzanneau C, Douiri N, Poignie L, Lortal B, Le Loarer F, Bellera C. 1525TiP TORNADO: A randomized multicenter open-label phase II study evaluating retifanlimab in combination with neoadjuvant chemotherapy in patients with selected retroperitoneal sarcomas. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.1914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Alouani E, Gazzah A, Mercier S, Bahleda R, Hollebecque A, Michot JM, Baldini C, Champiat S, Marabelle A, Postel-Vinay S, Ribrag V, Loriot Y, Ponce S, Mahjoubi L. 461P Overview of patients inclusions and outcomes into modern phase I trials at Gustave Roussy over the last 5 years, OVATION study. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Ngo C, Grinda T, Boilève A, Levy A, Le-Pechoux C, Haddag L, Valent A, Lazure T, Briand S, Honoré C, Faron M, Mir O, Bahleda R, Verret B, Le Cesne A. Durable response to crizotinib in metastatic angiomatoid fibrous histiocytoma with EWSR1-CREB1 fusion and ALK overexpression. Ann Oncol 2022; 33:848-850. [PMID: 35568279 DOI: 10.1016/j.annonc.2022.05.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Accepted: 05/07/2022] [Indexed: 11/25/2022] Open
Affiliation(s)
- Carine Ngo
- Department of Biology and Pathology, Gustave Roussy, 114 Rue Edouard Vaillant, 94800 Villejuif, France; Université Paris-Saclay, Faculté de Médecine, 94270 Le Kremlin-Bicêtre, France
| | - Thomas Grinda
- Department of Cancer Medicine, Gustave Roussy, 114 Rue Edouard Vaillant, 94800 Villejuif, France
| | - Alice Boilève
- Department of Cancer Medicine, Gustave Roussy, 114 Rue Edouard Vaillant, 94800 Villejuif, France; Université Paris-Saclay, Faculté de Médecine, 94270 Le Kremlin-Bicêtre, France
| | - Antonin Levy
- Department of Radiation Oncology, Gustave Roussy, 114 Rue Edouard Vaillant, 94800 Villejuif, France; Université Paris-Saclay, Faculté de Médecine, 94270 Le Kremlin-Bicêtre, France
| | - Cecile Le-Pechoux
- Department of Radiation Oncology, Gustave Roussy, 114 Rue Edouard Vaillant, 94800 Villejuif, France
| | - Leila Haddag
- Department of Radiology, Gustave Roussy, 114 Rue Edouard Vaillant, 94800 Villejuif, France
| | - Alexander Valent
- Department of Biology and Pathology, Gustave Roussy, 114 Rue Edouard Vaillant, 94800 Villejuif, France
| | - Thierry Lazure
- Department of Pathology, Bicêtre Hospital, Université Paris-Saclay, 78, rue du Général Leclerc, 94270 Le Kremlin-Bicêtre, France
| | - Sylvain Briand
- Department of Orthopaedics and Traumatology, Bicêtre Hospital, Université Paris-Saclay, 78, rue du Général Leclerc, 94270 Le Kremlin-Bicêtre, France
| | - Charles Honoré
- Department of Surgery, Gustave Roussy, 114 Rue Edouard Vaillant, 94800 Villejuif, France
| | - Matthieu Faron
- Department of Surgery, Gustave Roussy, 114 Rue Edouard Vaillant, 94800 Villejuif, France
| | - Olivier Mir
- Department of Ambulatory Cancer Care, Gustave Roussy, 94800 Villejuif, France
| | - Ratio Bahleda
- Department of Cancer Medicine, Gustave Roussy, 114 Rue Edouard Vaillant, 94800 Villejuif, France
| | - Benjamin Verret
- Department of Cancer Medicine, Gustave Roussy, 114 Rue Edouard Vaillant, 94800 Villejuif, France
| | - Axel Le Cesne
- Department of Cancer Medicine, Gustave Roussy, 114 Rue Edouard Vaillant, 94800 Villejuif, France.
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Nassif EF, Blay JY, Massard C, Dufresne A, Brahmi M, Cassier P, Ray-Coquard I, Pautier P, Leary A, Sunyach MP, Bahleda R, Levy A, Le Pechoux C, Honoré C, Mir O, Le Cesne A. Early phase trials in soft-tissue sarcomas: clinical benefit of inclusion in early lines of treatment, molecular screening, and histology-driven trials. ESMO Open 2022; 7:100425. [PMID: 35255445 PMCID: PMC9058915 DOI: 10.1016/j.esmoop.2022.100425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Revised: 01/28/2022] [Accepted: 01/31/2022] [Indexed: 11/17/2022] Open
Affiliation(s)
- E F Nassif
- Cancer Medicine Department, Centre Léon Bérard, Lyon, France. https://twitter.com/NassifElise
| | - J-Y Blay
- Cancer Medicine Department, Centre Léon Bérard, Lyon, France. https://twitter.com/jeanyvesblay
| | - C Massard
- Drug Development Department (DITEP), Gustave Roussy, Villejuif, France. https://twitter.com/drcmassard
| | - A Dufresne
- Cancer Medicine Department, Centre Léon Bérard, Lyon, France
| | - M Brahmi
- Cancer Medicine Department, Centre Léon Bérard, Lyon, France
| | - P Cassier
- Early Phase Trial Unit, Centre Léon Bérard, Lyon, France
| | - I Ray-Coquard
- Cancer Medicine Department, Centre Léon Bérard, Lyon, France. https://twitter.com/CoquardRay
| | - P Pautier
- Cancer Medicine Department, Gustave Roussy, Villejuif, France
| | - A Leary
- Cancer Medicine Department, Gustave Roussy, Villejuif, France
| | - M-P Sunyach
- Radiation Oncology Department, Centre Léon Bérard, Lyon, France
| | - R Bahleda
- Drug Development Department (DITEP), Gustave Roussy, Villejuif, France
| | - A Levy
- Radiation Oncology Department, Gustave Roussy, Villejuif, France
| | - C Le Pechoux
- Radiation Oncology Department, Gustave Roussy, Villejuif, France
| | - C Honoré
- Surgical Oncology Department, Gustave Roussy, Villejuif, France
| | - O Mir
- Ambulatory Cancer Care Department, Gustave Roussy, Villejuif, France
| | - A Le Cesne
- International Department, Gustave Roussy, Villejuif, France.
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Schöffski P, Bahleda R, Wagner A, Burgess M, Junker N, Chisamore M, Peterson P, Ceccarelli M, William T. 154P Results of an open-label, phase Ia/Ib study of olaratumab plus pembrolizumab in patients with unresectable, locally advanced or metastatic soft tissue sarcoma. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.10.173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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14
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Nassif E, Blay JY, Bahleda R, Dufresne A, Mehdi B, Ray-Coquard I, Pautier P, Leary A, Levy A, Le Pechoux C, Honoré C, Mir O, Massard C, Le Cesne A. 1551P Efficacy of early phase trials for soft-tissue sarcoma patients: The Centre Léon Bérard and Gustave Roussy experience. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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15
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Bayle A, Baldini C, Romano PM, Michot JM, Champiat S, Bahleda R, Gazzah A, Marabelle A, Verlingue L, Geraud A, Morel D, Michiels S, Ribrag V, Hollebecque A, Albiges L, Besse B, Soria JC, Massard C, Barlesi F, Postel-Vinay S. 1617P Sustained cancer clinical trial activity during the COVID-19 pandemic. Ann Oncol 2021. [PMCID: PMC8454374 DOI: 10.1016/j.annonc.2021.08.1610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Wainberg Z, Matos I, Delord J, Cassier P, Gil-Martin M, Kim T, LoRusso P, Bahleda R, Italiano A, Mendus D, Hoang T, Xue C, Wen X, Carvalho O, Pham T, Patil N, Meng R, Bendell J, Cervantes A, Cho B. LBA-5 Phase Ib study of the anti-TIGIT antibody tiragolumab in combination with atezolizumab in patients with metastatic esophageal cancer. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.06.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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17
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Pobel C, Facchinetti F, Bahleda R, Verlingue L, Gazzah A, Varga A, Baldini C, Champiat S, Marabelle A, Ningarhari M, Geraud A, Loriot Y, Massard C, Soria JC, Friboulet L, Hollebecque A. 34MO Outcomes according to FGFR alteration types in patients with a solid tumour treated by a pan-FGRF tyrosine kinase inhibitor in phase I/II trials. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.01.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Sun R, Sundahl N, Hecht M, Putz F, Lancia A, Milic M, Carré A, Lerousseau M, Theo E, Battistella E, Andres EA, Louvel G, Durand-Labrunie J, Bockel S, Bahleda R, Robert C, Boutros C, Vakalopoulou M, Paragios N, Frey B, Massard C, Fietkau R, Ost P, Gaipl U, Deutsch E. PD-0425: Radiomics for selection of patients treated with immuno-radiotherapy: pooled analysis from 6 studies. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00447-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Bahleda R, Meric-Bernstam F, Goyal L, Tran B, He Y, Yamamiya I, Benhadji KA, Matos I, Arkenau HT. Phase I, first-in-human study of futibatinib, a highly selective, irreversible FGFR1-4 inhibitor in patients with advanced solid tumors. Ann Oncol 2020; 31:1405-1412. [PMID: 32622884 PMCID: PMC9743148 DOI: 10.1016/j.annonc.2020.06.018] [Citation(s) in RCA: 93] [Impact Index Per Article: 23.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 06/16/2020] [Accepted: 06/22/2020] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Futibatinib is an oral, irreversible, highly selective fibroblast growth factor receptor (FGFR)1-4 inhibitor with potent preclinical activity against tumors harboring FGFR aberrations. This first-in-human, phase I dose-escalation trial (NCT02052778) evaluates the safety and pharmacokinetics/pharmacodynamics of futibatinib in advanced solid tumors. PATIENTS AND METHODS Following a standard 3+3 dose-escalation design, eligible patients with advanced solid tumors refractory to standard therapies received 8-200 mg futibatinib three times a week (t.i.w.) or 4-24 mg once daily (q.d.). RESULTS A total of 86 patients were enrolled in the nine t.i.w. (n = 42) and five q.d. cohorts (n = 44); 71 patients (83%) had tumors harboring FGF/FGFR aberrations. Three of nine patients in the 24-mg q.d. cohort experienced dose-limiting toxicities, including grade 3 increases in alanine transaminase, aspartate transaminase, and blood bilirubin (n = 1 each). The maximum tolerated dose (MTD) was determined to be 20 mg q.d.; no MTD was defined for the t.i.w. schedule. Across cohorts (n = 86), the most common treatment-emergent adverse events (TEAEs) were hyperphosphatemia (59%), diarrhea (37%), and constipation (34%); 48% experienced grade 3 TEAEs. TEAEs led to dose interruptions, dose reductions, and treatment discontinuations in 55%, 14%, and 3% of patients, respectively. Pharmacokinetics were dose proportional across all q.d. doses but not all t.i.w. doses evaluated, with saturation observed between 80 and 200 mg t.i.w. Serum phosphorus increased dose dependently with futibatinib on both schedules, but a stronger exposure-response relationship was observed with q.d. dosing, supporting 20 mg q.d. as the recommended phase II dose (RP2D). Overall, partial responses were observed in five patients [FGFR2 fusion-positive intrahepatic cholangiocarcinoma (n = 3) and FGFR1-mutant primary brain tumor (n = 2)], and stable disease in 41 (48%). CONCLUSIONS Futibatinib treatment resulted in manageable safety, pharmacodynamic activity, and preliminary responses in patients with advanced solid tumors. The results of this phase I dose-escalation trial support 20 mg q.d. futibatinib as the RP2D. CLINICAL TRIAL REGISTRATION FOENIX-101 (ClinicalTrials.gov, NCT02052778).
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Affiliation(s)
- R. Bahleda
- Early Drug Development Department (DITEP), Gustave Roussy Cancer Center, Villejuif, France,Correspondence to: Dr Rastislav Bahleda, Early Drug Development Department (DITEP), Pièce 803/+4, Gustave Roussy Cancer Campus and University Paris-Sud, 114, rue Edouard-Vaillant, 94805 Villejuif Cedex, France. Tel: +33-01-42-11-43-85; Fax: +33-01-42-11-64-44, (R. Bahleda)
| | - F. Meric-Bernstam
- Department of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, USA
| | - L. Goyal
- Department of Medical Oncology, Massachusetts General Hospital Cancer Center, Boston, USA
| | - B. Tran
- Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia
| | - Y. He
- Taiho Oncology, Inc., Princeton, USA
| | | | | | - I. Matos
- Department of Medical Oncology, Vall d’Hebron Institute of Oncology (VHIO), Barcelona, Spain
| | - H.-T. Arkenau
- Medical Oncology, Sarah Cannon Research Institute and Cancer Institute University College London, London, UK
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Meyo MT, Sun R, Champiat S, Michot JM, Baldini C, Gazzah A, Bahleda R, Martin-Romano P, Hollebecque A, Varga A, Marabelle A, Massard C. 1050P Does immunotherapy impact the outcomes of future anti-tumour therapies? Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.1170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Even C, Texier M, Le Tourneau C, Bahleda R, Borcoman E, Vinches M, Toussaint P, Marabelle A, Breuskin I, Cupissol D, Fayette J. 970P MEDINDUCTION: Phase I trial evaluating the safety of durvalumab in combination with docetaxel, cisplatin and 5-FU (DCF) as induction therapy for locally advanced squamous cell carcinoma of the head and neck (SCCHN). Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.1085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Henon C, Blay JY, Massard C, Mir O, Bahleda R, Dumont S, Postel-Vinay S, Adam J, Soria JC, Le Cesne A. Long lasting major response to pembrolizumab in a thoracic malignant rhabdoid-like SMARCA4-deficient tumor. Ann Oncol 2020; 30:1401-1403. [PMID: 31114851 DOI: 10.1093/annonc/mdz160] [Citation(s) in RCA: 57] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Affiliation(s)
- C Henon
- Department of Cancer Medicine, Gustave Roussy Cancer Campus, Villejuif
| | - J-Y Blay
- Department of Medical Oncology, Centre Léon Bérard, Université Claude Bernard, Lyon
| | - C Massard
- Drug Development Department (DITEP), Gustave Roussy Cancer Campus, Université Paris-Sud, Université Paris-Saclay, Villejuif
| | - O Mir
- Department of Ambulatory Care, Gustave Roussy Cancer Campus, Villejuif
| | - R Bahleda
- Drug Development Department (DITEP), Gustave Roussy Cancer Campus, Université Paris-Sud, Université Paris-Saclay, Villejuif
| | - S Dumont
- Department of Cancer Medicine, Gustave Roussy Cancer Campus, Villejuif
| | - S Postel-Vinay
- Drug Development Department (DITEP), Gustave Roussy Cancer Campus, Université Paris-Sud, Université Paris-Saclay, Villejuif; INSERM, ATIP-Avenir, UMR981, Villejuif
| | - J Adam
- Department of Pathology, Gustave Roussy Cancer Campus, Villejuif, France
| | - J-C Soria
- Drug Development Department (DITEP), Gustave Roussy Cancer Campus, Université Paris-Sud, Université Paris-Saclay, Villejuif
| | - A Le Cesne
- Department of Cancer Medicine, Gustave Roussy Cancer Campus, Villejuif.
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Moro-Sibilot D, Cozic N, Pérol M, Mazières J, Otto J, Souquet PJ, Bahleda R, Wislez M, Zalcman G, Guibert SD, Barlési F, Mennecier B, Monnet I, Sabatier R, Bota S, Dubos C, Verriele V, Haddad V, Ferretti G, Cortot A, De Fraipont F, Jimenez M, Hoog-Labouret N, Vassal G. Crizotinib in c-MET- or ROS1-positive NSCLC: results of the AcSé phase II trial. Ann Oncol 2019; 30:1985-1991. [PMID: 31584608 DOI: 10.1093/annonc/mdz407] [Citation(s) in RCA: 111] [Impact Index Per Article: 22.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND In 2013, the French National Cancer Institute initiated the AcSé program to provide patients with secure access to targeted therapies outside of their marketed approvals. Efficacy and safety was then assessed using a two-stage Simon phase II trial design. When the study design was designed, crizotinib was approved only as monotherapy for adults with anaplastic lymphoma kinase plus non-small-cell lung cancers (NSCLC). PATIENTS AND METHODS Advanced NSCLC patients with c-MET ≥6 copies, c-MET-mutated, or ROS-1-translocated tumours were enrolled in one of the three cohorts. Patients were treated with crizotinib 250 mg twice daily. Efficacy was assessed using the objective response rate (ORR) after two cycles of crizotinib as primary outcome. Secondary outcomes included disease control rate at four cycles, best ORR, progression-free survival, overall survival, and drug tolerance. RESULTS From August 2013 to March 2018, 5606 patients had their tumour tested for crizotinib targeted molecular alterations: 252 patients had c-MET ≥6 copies, 74 c-MET-mutation, and 78 ROS-1-translocated tumour. Finally, 25 patients in the c-MET ≥6 copies cohort, 28 in the c-MET-mutation cohort, and 37 in the ROS-1-translocation cohort were treated in the phase II trial. The ORR was 16% in the c-MET ≥6 copies cohort, 10.7% in the mutated, and 47.2% in the ROS-1 cohort. The best ORR during treatment was 32% in the c-MET-≥6 copies cohort, 36% in the c-MET-mutated, and 69.4% in the ROS-1-translocation cohort. Safety data were consistent with that previously reported. CONCLUSIONS Crizotinib activity in patients with ROS1-translocated tumours was confirmed. In the c-MET-mutation and c-MET ≥6 copies cohorts, despite insufficient ORR after two cycles of crizotinib, there are signs of late response not sufficient to justify the development of crizotinib in this indication. The continued targeting of c-MET with innovative therapies appears justified. CLINICAL TRIAL NUMBER NCT02034981.
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Affiliation(s)
- D Moro-Sibilot
- Thoracic Oncology Unit, Grenoble-Alpes University Hospital, Grenoble; Intergroupe Francophone de Cancérologie Thoracique (IFCT), Paris.
| | - N Cozic
- Department of Biostatistics and Epidemiology, Gustave Roussy Cancer Campus, INSERM U1018, ESP, Paris-Saclay and Paris-Sud Universities, Villejuif
| | - M Pérol
- Department of Medical Oncology, Léon Bérard Cancer Centre, Lyon
| | - J Mazières
- Pneumology Department, Toulouse University Hospital and Paul Sabatier University, Toulouse
| | - J Otto
- Department of Medicine, Antoine Lacassagne Cancer Centre, Nice
| | - P J Souquet
- Department of Pneumology and Thoracic Oncology, Lyon Sud Hospital Center, Hospices Civils de Lyon, Pierre Bénite
| | - R Bahleda
- Drug Development Department (DITEP), Gustave Roussy Cancer Campus, Villejuif
| | - M Wislez
- Pneumology Department, Tenon Hospital, AP-HP and "Pierre and Marie Curie" University, Paris
| | - G Zalcman
- Thoracic Oncology Department-CIC INSERM 1425, Bichat University Hospital, AP-HP, Paris; Paris-Diderot University, Paris
| | | | - F Barlési
- Multidisciplinary Oncology & Therapeutic Innovations Department, APHM and Aix Marseille University, INSERM, CNRS, CRCM, Marseille
| | - B Mennecier
- Pneumology Department, Strasbourg University Hospital, Strasbourg
| | - I Monnet
- Pneumology Department, CHIC Creteil, Créteil
| | - R Sabatier
- Department of Medical Oncology, Inserm 1068, CNRS UMR7258, CRCM, Paoli-Calmettes Institute and Aix-Marseille University, Marseille
| | - S Bota
- Pneumology Department, Charles Nicolle Hospital, Rouen University Hospital, Rouen
| | - C Dubos
- Pneumology Department, François Baclesse Cancer Centre, Caen
| | - V Verriele
- Anatomy and Pathological Cytologies Department, Paul Papin Cancer Centre, ICO, Angers
| | - V Haddad
- Department of Tumour Biology, Léon Bérard Cancer Centre, Lyon
| | - G Ferretti
- Radiology and Medical Imaging Department, Grenoble-Alpes University Hospital, Grenoble
| | - A Cortot
- Department of Thoracic Oncology, Lille University Hospital and University of Lille, Lille
| | - F De Fraipont
- Molecular Genetic Unit: Hereditary Diseases and Oncology, Grenoble-Alpes University Hospital, Grenoble
| | - M Jimenez
- Research and Development UNICANCER, Paris
| | | | - G Vassal
- Clinical Research Division, Gustave Roussy Cancer Campus, Villejuif, France
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Baldini C, Romano P, Vincent H, Vuagnat P, Champiat S, Michot J, Bahleda R, Gazzah A, Vinay S, Hollebecque A, Angevin E, Ribrag V, Loriot Y, Marabelle A, Massard C, Varga A. SAFETY PROFILE OF COMBINATION THERAPY WITH IMMUNE CHECKPOINT BLOCKERS AND VEGF INHIBITORS IN OLDER PATIENTS TREATED IN EARLY PHASE CLINICAL TRIALS. J Geriatr Oncol 2019. [DOI: 10.1016/s1879-4068(19)31299-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Boutros C, Chaput N, Lanoy E, Larive A, Mateus C, Routier E, Roy S, Sun R, Lancia A, Tao Y, Ibrahim N, Khoury-Abboud R, Massard C, Bahleda R, Schwob D, Caramella C, Cassard L, Soria JC, Robert C, Deutsch E. Ancillary evaluation of systemic immune antitumour response (SIAR) and tumour growth rate (TGR) of patients (pts) with metastatic melanoma (MM) treated with radiotherapy (RT) combined with ipilimumab (ipi) in the phase I study Mel-Ipi-Rx. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz255.056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Boulfoul W, Baldini C, Borget I, Martin Romano P, Verlingue L, Lacroix L, Angevin E, Rouleau E, Varga A, Postel Vinay S, Gazzah A, Bahleda R, Marabelle A, Ribrag V, Vuagnat P, Champiat S, Michot JM, Hollebecque A, Soria JC, Massard C. Precision medicine for patients with primary brain tumours: Molecular screening for cancer treatment optimization (MOSCATO) prospective trial. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz243.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Sun R, Lancia A, Sundahl N, Milic M, Carre A, Lerousseau M, Estienne T, Battistella E, Klausner G, Bahleda R, Alvarez-Andres E, Robert C, Boutros C, Vakalopoulou M, Paragios N, Ost P, Massard C, Deutsch E. Evaluation of a radiomic signature of CD8 cells in patients treated with immunotherapy-radiotherapy in three clinical trials. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz239.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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28
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Bizot A, Romano-Martin P, Baldini C, Champiat S, Varga A, Gazzah A, Bahleda R, Vuagnat P, Hollebecque A, Michot JM, Ribrag V, Massard C, Vinay SP. Are epigenetic therapies modifying sensitivity to conventional chemotherapy? Ann Oncol 2019. [DOI: 10.1093/annonc/mdz244.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Baldini C, Younan N, Castanon Alvarez E, Bahleda R, Hollebecque A, Dhermain F, Ammari S, Alentorn A, Dumont S, Frenel J, Di Stefano A, Bielle F, Hoang-Xuan K, Delattre J, Soria J, Sanson M, Idbaih A, Massard C, Touat M. OS4.3 Feasibility and benefit of Molecular Profiling to Guide Enrollment of Patients with Recurrent Gliomas in Early Phase Trials. Neuro Oncol 2019. [DOI: 10.1093/neuonc/noz126.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
BACKGROUND
Participation of glioma patients in early phase clinical trials has recently shown to be safe, although clinical benefits reported in this population were marginal. We aimed to evaluate whether an enrichment strategy based on molecular profiling associates with improved outcome in gliomas patients participating in early phase trials.
MATERIAL AND METHODS
Records of patients enrolled in early phase trials of cytotoxic therapies, small molecule inhibitors or monoclonal antibodies from 2008 to 2017 were analyzed for clinicopathological characteristics, toxicity, response, median progression-free survival (PFS) and overall survival (OS). The primary objective was to evaluate the feasibility and benefit of using molecular profiling to guide enrollment.
RESULTS
Ninety-one patients were enrolled, of whom 47/91 (51.6%) were molecularly oriented. Molecular targets included IDH1/2 (n=15) and BRAF (11) mutations, FGFR1-3 fusions (n= 10) and mutations (n = 4), mismatch repair deficiency (8), and MDM2 amplification (1). Grade 3/4 adverse events were reported in 9/91 (9.9%) patients. In patients with IDH1/2-wild-type high-grade glioma (n=45), the overall response rate (24.0% [95% CI 11.5–43.4] vs 0.0% [95% CI 0.0–16.1], P=0.027) was significantly higher in molecularly-oriented vs non-molecularly-oriented patients. Updated outcome results, and clinical and molecular factors associated with response, PFS and OS in multivariate analyses will be presented at the conference.
CONCLUSION
Using molecular profiling to guide enrollment in early phase trials is feasible and offers potential benefit to gliomas patients. Further studies are warranted to identify the population most likely to benefit from this approach.
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Affiliation(s)
| | - N Younan
- Hopital Pitié Salpétrière, Paris, France
| | | | | | | | | | - S Ammari
- Gustave Roussy, Villejuif, France
| | - A Alentorn
- Hopital La Pitié Salpêtrière, Paris, France
| | - S Dumont
- Gustave Roussy, Villejuif, France
| | - J Frenel
- Centre René Gauducheau, Saint-Herblain, France
| | | | - F Bielle
- Hopital La Pitié Salpêtrière, Paris, France
| | | | - J Delattre
- Hopital La Pitié Salpêtrière, Paris, France
| | - J Soria
- Gustave Roussy, Villejuif, France
| | - M Sanson
- Gustave Roussy, Villejuif, France
| | - A Idbaih
- Hopital La Pitié Salpêtrière, Paris, France
| | | | - M Touat
- Hopital La Pitié Salpêtrière, Paris, France
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Michot J, Camara-Clayette V, Detolle A, Chahine C, Lazarovici J, Danu A, Bosq J, Ghez D, Romano-Martin P, Dartigues P, Arfi-Rouche J, Bahleda R, Rahali W, Varga A, Baldini C, Tselikas L, Paume C, Lecourt H, Cotteret S, Vergé V, Soria J, Massard C, Ribrag V. FEASIBILITY AND BENEFIT OF MOLECULARLY-INFORMED ENROLLMENT INTO EARLY PHASE CLINICAL TRIALS FOR PATIENTS WITH RELAPSED OR REFRACTORY DIFFUSE LARGE B-CELL LYMPHOMA. Hematol Oncol 2019. [DOI: 10.1002/hon.142_2630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- J. Michot
- Hematology; Gustave Roussy; Villejuif France
| | | | - A. Detolle
- Hematology; Gustave Roussy; Villejuif France
| | - C. Chahine
- Hematology; Gustave Roussy; Villejuif France
| | | | - A. Danu
- Hematology; Gustave Roussy; Villejuif France
| | - J. Bosq
- Hematology; Gustave Roussy; Villejuif France
| | - D. Ghez
- Hematology; Gustave Roussy; Villejuif France
| | | | | | | | - R. Bahleda
- Hematology; Gustave Roussy; Villejuif France
| | - W. Rahali
- Hematology; Gustave Roussy; Villejuif France
| | - A. Varga
- Drug Development Department; Gustave Roussy; Villejuif France
| | - C. Baldini
- Drug Development Department; Gustave Roussy; Villejuif France
| | - L. Tselikas
- Drug Development Department; Gustave Roussy; Villejuif France
| | - C. Paume
- Drug Development Department; Gustave Roussy; Villejuif France
| | - H. Lecourt
- Drug Development Department; Gustave Roussy; Villejuif France
| | - S. Cotteret
- Hematology; Gustave Roussy; Villejuif France
| | - V. Vergé
- Hematology; Gustave Roussy; Villejuif France
| | - J. Soria
- Drug Development Department; Gustave Roussy; Villejuif France
| | - C. Massard
- Drug Development Department; Gustave Roussy; Villejuif France
| | - V. Ribrag
- Hematology; Gustave Roussy; Villejuif France
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31
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Tran B, Meric-Bernstam F, Arkenau HT, Bahleda R, Kelley R, Hierro C, Ahn D, Zhu A, Javle M, Winkler R, He H, Huang J, Goyal L. Efficacy of TAS-120, an irreversible fibroblast growth factor receptor inhibitor (FGFRi), in patients with cholangiocarcinoma and FGFR pathway alterations previously treated with chemotherapy and other FGFRi’s. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy432.007] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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32
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Colevas A, Bahleda R, Braiteh F, Balmanoukian A, Brana I, Chau N, Sarkar I, Molinero L, Grossman W, Kabbinavar F, Fassò M, O’Hear C, Powderly J. Safety and clinical activity of atezolizumab in head and neck cancer: results from a phase I trial. Ann Oncol 2018; 29:2247-2253. [DOI: 10.1093/annonc/mdy411] [Citation(s) in RCA: 76] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
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33
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Vuagnat P, Baldini C, Verlingue L, Martin Romano P, Varga A, Hollebecque A, Postel-Vinay S, Gazzah A, Bahleda R, Marabelle A, Ribrag V, Champiat S, Michot JM, Soria JC, Massard C. Molecular alterations and matched treatment in older patients: Results from the MOSCATO 01 trial. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy303.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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34
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Bernard-Tessier A, Baldini C, Castanon Alvarez E, Ammari S, Martin Romano P, Champiat S, Hollebecque A, Postel-Vinay S, Varga A, Bahleda R, Gazzah A, Michot JM, Ribrag V, Armand JP, Marabelle A, Soria JC, Massard C. Patterns of progression to immune checkpoint targeted monoclonal antibodies in phase I trials. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy288.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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35
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Vozy A, Simonaggio A, Auclin E, Mezquita L, Baldini C, Martin-Romano P, Pistilli B, Gazzah A, Bahleda R, Ribrag V, Postel-Vinay S, Champiat S, Soria JC, André F, Massard C, Besse B, Delaloge S, Varga A. Applicability of the lung immune prognostic index (LIPI) to metastatic triple negative breast cancer (mTNBC) patients treated with immune checkpoint targeted monoclonal antibodies (ICT mAbs). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy272.286] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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36
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Meric-Bernstam F, Arkenau H, Tran B, Bahleda R, Kelley R, Hierro C, Ahn D, Zhu A, Javle M, Winkler R, He H, Huang J, Goyal L. Efficacy of TAS-120, an irreversible fibroblast growth factor receptor (FGFR) inhibitor, in cholangiocarcinoma patients with FGFR pathway alterations who were previously treated with chemotherapy and other FGFR inhibitors. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy149] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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37
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Gauci ML, Lanoy E, Champiat S, Michot JM, Varga A, Bahleda R, Angevin E, Gazzah A, Verlingue L, Bigot F, Aspeslagh S, Castanon E, Baldini C, Postel-Vinay S, Massard C, Hollebecque A, Soria JC, Marabelle A. Long term survival in patients responding to an Anti-PD-1/PD-L1 therapy and disease outcome upon treatment discontinuation. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx376.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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38
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Herin H, Castanon E, Dyevre V, Aspeslagh S, Marabelle A, Postel-Vinay S, Varga A, Gazzah A, Ribrag V, Bahleda R, Michot JM, Mir O, Massard C, Hollebecque A, Soria JC, Baldini C. Immunotherapy phase I trials in patients over 70 years with advanced solid tumours: The Gustave Roussy experience. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx376.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Faure M, Hollebecque A, Bahleda R, Soria JC, Dyevre V. FGFR pathway genomic aberrations and response to FGFRs inhibitors. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx390.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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40
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Bahleda R, Braiteh F, Balmanoukian A, Braña I, Hodi F, Garbo L, Liu B, Molinero L, O'Hear C, Shen X, Colevas A. Long-Term Safety and Clinical Outcomes of Atezolizumab in Head and Neck Cancer: Phase Ia Trial Results. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx374.001a] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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El Dakdouki Y, Verlingue L, Massard C, Bahleda R, Hollebecque A, Mahjoubi L, Rouleau E, Lacroix L, Auger N, Scoazec JY, Solary E, Marabelle A, André F, Soria JC, Postel-Vinay S. Landscape of DNA damage response (DDR) genes alterations in the prospective MOSCATO and MATCH R trials. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx391.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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42
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Gazzah A, Boni V, Soria J, Calles A, Even C, Doger B, Mahjoubi L, Bahleda R, Ould-Kaci M, Esler A, Nazabadioko S, Calvo E. Phase Ib study of afatinib plus standard-dose cetuximab in patients with advanced solid tumours. Eur J Cancer 2016. [DOI: 10.1016/s0959-8049(16)33014-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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43
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Isakoff S, Bahleda R, Saleh M, Bordoni R, Shields A, Dauer J, Curley M, Baum J, McClure T, Louis C, Soria J. A phase 1 study of MM-141, a novel tetravalent monoclonal antibody targeting IGF-1R and ErbB3, in relapsed or refractory solid tumors. Eur J Cancer 2016. [DOI: 10.1016/s0959-8049(16)33008-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Soria JC, Gan HK, Blagden SP, Plummer R, Arkenau HT, Ranson M, Evans TRJ, Zalcman G, Bahleda R, Hollebecque A, Lemech C, Dean E, Brown J, Gibson D, Peddareddigari V, Murray S, Nebot N, Mazumdar J, Swartz L, Auger KR, Fleming RA, Singh R, Millward M. A phase I, pharmacokinetic and pharmacodynamic study of GSK2256098, a focal adhesion kinase inhibitor, in patients with advanced solid tumors. Ann Oncol 2016; 27:2268-2274. [PMID: 27733373 DOI: 10.1093/annonc/mdw427] [Citation(s) in RCA: 97] [Impact Index Per Article: 12.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 08/30/2016] [Accepted: 08/31/2016] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Focal adhesion kinase (FAK) is important in cancer growth, survival, invasion, and migration. The purpose of this study was to determine the maximum tolerated dose (MTD), safety, pharmacokinetics (PK), and pharmacodynamics (PD) of the FAK inhibitor, GSK2256098, in cancer patients. PATIENTS AND METHODS The dose of GSK2256098 was escalated, in cohorts of patients with advanced cancer, from 80 to 1500 mg, oral twice daily (BID), until the MTD was determined. Serial blood samples were obtained from all patients, and the PK was determined. Paired tumor biopsies were obtained in select patients, and the level of phospho-FAK (pFAK) was determined. RESULTS Sixty-two patients (39 males, 23 females; median age 61 y.o., range 21-84) received GSK2256098. Dose-limiting toxicities of grade 2 proteinuria (1000 mg BID), grade 2 fatigue, nausea, vomiting (1250 mg BID), and grade 3 asthenia and grade 2 fatigue (1500 mg BID) were reported with the MTD identified as 1000 mg BID. The most frequent adverse events (AEs) were nausea (76%), diarrhea (65%), vomiting (58%), and decreased appetite (47%) with the majority of AEs being grades 1-2. The PK was generally dose proportional with a geometric mean elimination half-life range of 4-9 h. At the 750, 1000, and 1500 mg BID dose levels evaluated, the pFAK, Y397 autophosphorylation site, was reduced by ∼80% from baseline. Minor responses were observed in a patient with melanoma (-26%) and three patients with mesothelioma (-13%, -15%, and -17%). In the 29 patients with recurrent mesothelioma, the median progression-free survival was 12 weeks with 95% CI 9.1, 23.4 weeks (23.4 weeks merlin negative, n = 14; 11.4 weeks merlin positive, n = 9; 10.9 weeks merlin status unknown, n = 6). CONCLUSIONS GSK2256098 has an acceptable safety profile, has evidence of target engagement at doses at or below the MTD, and has clinical activity in patients with mesothelioma, particularly those with merlin loss.
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Affiliation(s)
- J C Soria
- Drug Development Department at Gustave Roussy Cancer Campus, University Paris-Sud, Paris, France
| | - H K Gan
- Olivia Newton-John Cancer Research Institute, Austin Health, Melbourne, Australia
- School of Cancer Medicine, Latrobe University, Melbourne, Australia
| | - S P Blagden
- Imperial College, Hammersmith Hospital, London
| | - R Plummer
- Northern Centre for Cancer Care, Newcastle
| | | | - M Ranson
- University of Manchester, Christie Hospital, Manchester
| | - T R J Evans
- University of Glasgow, Beatson West of Scotland Cancer Centre, Glasgow, UK
| | - G Zalcman
- Early Phases Clinical Trials Unit at Caen University Hospital, Caen, France
| | - R Bahleda
- Drug Development Department at Gustave Roussy Cancer Campus, University Paris-Sud, Paris, France
| | - A Hollebecque
- Drug Development Department at Gustave Roussy Cancer Campus, University Paris-Sud, Paris, France
| | - C Lemech
- Sarah Cannon Research Institute, London
| | - E Dean
- University of Manchester, Christie Hospital, Manchester
| | - J Brown
- University of Glasgow, Beatson West of Scotland Cancer Centre, Glasgow, UK
| | - D Gibson
- GlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, USA
| | - V Peddareddigari
- GlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, USA
| | - S Murray
- GlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, USA
| | - N Nebot
- GlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, USA
| | - J Mazumdar
- GlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, USA
| | - L Swartz
- GlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, USA
| | - K R Auger
- GlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, USA
| | - R A Fleming
- GlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, USA
| | - R Singh
- GlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, USA
| | - M Millward
- School of Medicine and Pharmacology, University of Western Australia, Sir Charles Gairdner Hospital, Perth, Australia
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Bigot F, Alvarez EC, Hollebecque A, Carmona A, Postel-Vinay S, Angevin E, Armand JP, Ribrag V, Aspeslagh S, Varga A, Bahleda R, Gazzah A, Bonnet C, Michot JM, Marabelle A, Soria JC, Massard C. Identification of new prognostic factors in phase I patients treated by immunotherapy. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw368.33] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Bonnet C, Alvarez EC, Michot JM, Bigot F, Varga A, Gazzah A, Bahleda R, Marabelle A, Hollebecque A, Aspeslagh S, Angevin E, Armand JP, Albiges L, Loriot Y, Postel-Vinay S, Soria JC, Massard C. Patients with metastatic prostate cancer enrolled in phase 1 trials: Outcomes and molecular alterations. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw368.48] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Kossai M, Duchemann B, Boutros C, Caramella C, Hollebecque A, Angevin E, Gazzah A, Bahleda R, Ileana E, Massard C, Vielh P, Soria J, Besse B. Antitumor activity in advanced cancer patients with thymic malignancies enrolled in early clinical drug development programs (Phase I trials) at Gustave Roussy. Lung Cancer 2015; 89:306-10. [DOI: 10.1016/j.lungcan.2015.06.014] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2015] [Revised: 06/08/2015] [Accepted: 06/14/2015] [Indexed: 12/12/2022]
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Deutsch E, Le Péchoux C, Faivre L, Rivera S, Tao Y, Pignon JP, Angokai M, Bahleda R, Deandreis D, Angevin E, Hennequin C, Besse B, Levy A, Soria JC. Phase I trial of everolimus in combination with thoracic radiotherapy in non-small-cell lung cancer. Ann Oncol 2015; 26:1223-1229. [PMID: 25701455 DOI: 10.1093/annonc/mdv105] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2014] [Accepted: 02/12/2015] [Indexed: 01/29/2023] Open
Abstract
BACKGROUND This phase I study evaluated the safety and efficacy of the oral mTOR inhibitor everolimus in combination with thoracic radiotherapy followed by consolidation chemotherapy in locally advanced or oligometastatic untreated non-small-cell lung cancer (NSCLC). PATIENTS AND METHODS Everolimus dose was escalated in incremental steps [sequential cohorts of three patients until the occurrence of dose-limiting toxicity (DLT)] and administered orally weekly (weekly group: dose of 10, 20 or 50 mg) or daily (daily group: 2.5, 5 or 10 mg), 1 week before, and during radiotherapy until 3.5 weeks after the end of radiotherapy. Two cycles of chemotherapy (cisplatin-navelbine) were administrated 4.5 weeks after the end of radiotherapy. RESULTS Twenty-six patients were included in two centers, 56% had adenocarcinoma and 84% had stage III disease. In the weekly group (12 assessable patients), everolimus could be administered safely up to the maximum planned weekly dose of 50 mg; however, one patient experienced a DLT of interstitial pneumonitis at the weekly dose level of 20 mg. In the daily group (9 assessable patients): one DLT of interstitial pneumonitis with a fatal outcome was observed at the daily dose level of 2.5 mg; two other DLTs (one grade 3 esophagitis and one bilateral interstitial pneumonitis) were found at the daily dose level of 5 mg. Overall there were five patients with G3-4 interstitial pneumonitis related to treatment. Among 22 assessable patients for response, there were 9 (41%) partial response and 7 (32%) stable disease. At a median follow-up of 29 months, the 2-year overall survival and progression-free survival actuarial rates were 31% and 12%, respectively. CONCLUSION In previously untreated and unselected NSCLC patients, the recommended phase II dose of everolimus in combination with thoracic radiotherapy is 50 mg/week. Pulmonary toxicity is of concern and should be carefully monitored to establish the potential role of mTOR inhibitor with concomitant radiotherapy. EUDRACT N 2007-001698-27.
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Affiliation(s)
- E Deutsch
- Department of Radiation Oncology; Drug Development Department (DITEP), Gustave Roussy, Paris-Sud University, Villejuif; Paris-Sud University, Kremlin-Bicêtre Medical University, DHU TORINO, SIRIC SOCRATES, LABEX LERMIT; INSERM 1030 Molecular Radiotherapy, Cancer research institute, Villejuif.
| | - C Le Péchoux
- Department of Radiation Oncology; Institut d'Oncologie Thoracique (IOT)
| | | | - S Rivera
- Department of Radiation Oncology; Drug Development Department (DITEP), Gustave Roussy, Paris-Sud University, Villejuif
| | - Y Tao
- Department of Radiation Oncology; Drug Development Department (DITEP), Gustave Roussy, Paris-Sud University, Villejuif
| | | | | | - R Bahleda
- Drug Development Department (DITEP), Gustave Roussy, Paris-Sud University, Villejuif
| | | | - E Angevin
- Drug Development Department (DITEP), Gustave Roussy, Paris-Sud University, Villejuif
| | - C Hennequin
- Department of Radiation Oncology, Saint Louis Hospital, Paris
| | - B Besse
- Institut d'Oncologie Thoracique (IOT); Department of Medicine, Gustave Roussy, Villejuif, France
| | - A Levy
- Department of Radiation Oncology; Drug Development Department (DITEP), Gustave Roussy, Paris-Sud University, Villejuif; INSERM 1030 Molecular Radiotherapy, Cancer research institute, Villejuif; Institut d'Oncologie Thoracique (IOT)
| | - J-C Soria
- Drug Development Department (DITEP), Gustave Roussy, Paris-Sud University, Villejuif; Paris-Sud University, Kremlin-Bicêtre Medical University, DHU TORINO, SIRIC SOCRATES, LABEX LERMIT; Institut d'Oncologie Thoracique (IOT)
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Michot JM, Benajiba L, Baldini C, Faivre L, Danu A, Hollebecque A, Massard C, Varga A, Bahleda R, Gazzah A, Soria JC, Ribrag V. Outcome of patients with relapsed/refractory lymphoma in a large cohort inside a phase 1 clinic department. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv090.7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Soria JC, DeBraud F, Bahleda R, Adamo B, Andre F, Dienstmann R, Delmonte A, Cereda R, Isaacson J, Litten J, Allen A, Dubois F, Saba C, Robert R, D'Incalci M, Zucchetti M, Camboni MG, Tabernero J. Corrections to "Phase I/IIa study evaluating the safety, efficacy, pharmacokinetics, and pharmacodynamics of lucitanib in advanced solid tumors". Ann Oncol 2015; 26:445. [PMID: 32590894 DOI: 10.1093/annonc/mdu547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- J-C Soria
- Department of Drug Development, Gustave-Roussy Cancer Campus, Villejuif, France
| | - F DeBraud
- European Institute of Oncology, Milan, Italy
| | - R Bahleda
- Department of Drug Development, Gustave-Roussy Cancer Campus, Villejuif, France
| | - B Adamo
- Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - F Andre
- Department of Drug Development, Gustave-Roussy Cancer Campus, Villejuif, France
| | - R Dienstmann
- Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain; Sage Bionetworks, Fred Hutchinson Cancer Research Center, Seattle
| | - A Delmonte
- European Institute of Oncology, Milan, Italy
| | - R Cereda
- Clovis Oncology, Inc., San Francisco; Clovis Oncology, Inc., Boulder, USA; Clovis Oncology, Inc., Milan, Italy
| | - J Isaacson
- Clovis Oncology, Inc., San Francisco; Clovis Oncology, Inc., Boulder, USA; Clovis Oncology, Inc., Milan, Italy
| | - J Litten
- Clovis Oncology, Inc., San Francisco; Clovis Oncology, Inc., Boulder, USA; Clovis Oncology, Inc., Milan, Italy
| | - A Allen
- Clovis Oncology, Inc., San Francisco; Clovis Oncology, Inc., Boulder, USA; Clovis Oncology, Inc., Milan, Italy
| | - F Dubois
- Institut de Recherche International Servier, Suresnes, France
| | - C Saba
- Institut de Recherche International Servier, Suresnes, France
| | - R Robert
- Institut de Recherche International Servier, Suresnes, France
| | - M D'Incalci
- Istituto di Ricerche Farmacologiche Mario Negri, Via La Masa, Milan, Italy
| | - M Zucchetti
- Istituto di Ricerche Farmacologiche Mario Negri, Via La Masa, Milan, Italy
| | - M G Camboni
- Clovis Oncology, Inc., San Francisco; Clovis Oncology, Inc., Boulder, USA; Clovis Oncology, Inc., Milan, Italy
| | - J Tabernero
- Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain
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