Wednesday, February 20, 2013

Top 3 Alarming (-)-MK 801 Maleate A 205804 Concrete Realities

The combination of (-)-MK 801 Maleate MetMAb with bevacizumab was tested within a phase I study which consisted of three parts: 3 t 3 dose escalation of MetMAb evaluating 1, 4, 10, 15, 20, and 30 mg/kg intravenously every 3 weeks, expansion at 15 mg/kg intravenously every 3 weeks, (-)-MK 801 Maleate and combination of MetMAb at 10 and 15 mg/kg plus bevacizumab 15 mg/kg intravenously every 3 weeks.

There were no pharmacokinetic interactions A 205804 with bevacizumab, and MetMAb had a half life of 11 days. CR was observed in one patient with gastric carcinoma after four cycles of single agent MetMAb. The combination of MetMAb with bevacizumab was safe and well tolerated. A phase II trial of MetMAb in combination with bevacizumab plus paclitaxel in patients with triple negative breast cancer is currently ongoing. In a randomized, double blind phase II study, MetMAb 15 mg/kg intravenously plus erlotinib was compared with erlotinib plus placebo in 128 patients with advanced NSCLC. The study included patients with all histologies following at least one chemotherapy containing regimen for stage IIIB/ IV disease.

In a predefined population with c MET overexpression, PFS in the MetMAb plus erlotinib combination group was approximately 3 months A 205804 compared with 1. 5 months in the erlotinib plus placebo group. A trend for overall survival benefit in these patients was also seen with MetMAb plus erlotinib. The overall survival benefit was not exclusive to EGFR mutation or MET FISHt but was also observed in patients who were FISH/IHCt, suggesting that IHC may be a more sensitive predictor of benefit from MetMAb. Of note, the removal of patients with EGFR mutation did not appear to affect these results. Foretinib is an oral multikinase inhibitor developed to target c MET and several other receptor tyrosine kinases involved in tumor angiogenesis.

Most frequently reported treatment related adverse events were grade 1/2 hypertension, proteinuria and fatigue. Elevation in aspartate transaminase occurred in 10 patients, with one grade 3 event.

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