First-in-Human Study Of MT-6402, A PD-L1 Targeting Engineered Toxin Body, In Patients With Relapsed Or Refractory Advanced Solid Tumors.pdf

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Preview of First-in-Human Study of MT-6402, a PD-L1 Targeting Engineered Toxin Body, in Patients with Relapsed or Refractory Advanced Solid Tumors
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📊 Size: 1.08 MB
👤 Author: Lisa Greaves
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Summary

An Engineered Toxin Body Targeting PD-L1

This interim analysis presents a first-in-human study of MT-6402, an engineered toxin body (ETB) designed to target programmed death-ligand 1 (PD-L1) in patients with advanced solid tumors. The study aims to evaluate the safety, pharmacokinetics, and preliminary efficacy of MT-6402.

## Key Points:
- Study Design: A phase 1 dose escalation and expansion trial involving 19 patients with PD-L1 expressing tumors.
- Dose Escalation: Patients were divided into cohorts receiving different doses (16 µg/kg, 24 µg/kg, 32 µg/kg, and 42 µg/kg).
- Safety: The most common treatment-related adverse events (AEs) included anemia, back pain, cough, dyspnea, fever, and nausea. No severe toxicities (grade 4 or 5 AEs) were observed.
- Pharmacokinetics: MT-6402 demonstrated consistent exposure across doses, with no accumulation after repeat dosing. Anti-drug antibodies developed in all patients.
- Pharmacodynamics: The drug effectively reduced PD-L1 positive peripheral monocytes and dendritic cells, depleted myeloid-derived suppressor cells (MDSCs), and shifted T cell phenotypes towards effector states.
- Efficacy: One patient with a high PD-L1 tumor expression level experienced a response after dose reduction due to grade 2 cytokine release syndrome (CRS). Biopsies showed changes in the tumor microenvironment associated with clinical response.
- Future Plans: Expansion cohorts are planned, focusing on specific populations based on HLA status, CMV status, and PD-L1 tumor expression levels.

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  • File Format: PDF
  • File Size: 1.08 MB
  • Pages: 1
  • Language: EN
  • Author: Lisa Greaves
  • Total Downloads: 366
  • Last Updated: 1 month ago

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