Glembatumumab vedotin for patients with metastatic, gpNMB overexpressing, triple-negative breast cancer (“METRIC”): a randomized multicenter study

Abstract The METRIC study (NCT#0199733) explored a novel antibody–drug conjugate, glembatumumab vedotin (GV), targeting gpNMB that is overexpressed in ~40% of patients with triple-negative breast cancer (TNBC) and associated with poor prognosis. The study was a randomized, open-label, phase 2b study...

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Autores principales: Linda T. Vahdat, Peter Schmid, Andres Forero-Torres, Kimberly Blackwell, Melinda L. Telli, Michelle Melisko, Volker Möbus, Javier Cortes, Alberto J. Montero, Cynthia Ma, Rita Nanda, Gail S. Wright, Yi He, Thomas Hawthorne, Rebecca G. Bagley, Abdel-Baset Halim, Christopher D. Turner, Denise A. Yardley
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:17180d15d53a444b97cb83ce78fb74802021-12-02T17:18:05ZGlembatumumab vedotin for patients with metastatic, gpNMB overexpressing, triple-negative breast cancer (“METRIC”): a randomized multicenter study10.1038/s41523-021-00244-62374-4677https://doaj.org/article/17180d15d53a444b97cb83ce78fb74802021-05-01T00:00:00Zhttps://doi.org/10.1038/s41523-021-00244-6https://doaj.org/toc/2374-4677Abstract The METRIC study (NCT#0199733) explored a novel antibody–drug conjugate, glembatumumab vedotin (GV), targeting gpNMB that is overexpressed in ~40% of patients with triple-negative breast cancer (TNBC) and associated with poor prognosis. The study was a randomized, open-label, phase 2b study that evaluated progression-free survival (PFS) of GV compared with capecitabine in gpNMB-overexpressing TNBC. Patients who had previously received anthracycline and taxane-based therapy were randomized 2:1 to receive, GV (1.88 mg/kg IV q21 days) or capecitabine (2500 mg/m2 PO daily d1–14 q21 days). The primary endpoint was RECIST 1.1 PFS per independent, blinded central review. In all, 327 patients were randomized to GV (213 treated) or capecitabine (92 treated). Median PFS was 2.9 months for GV vs. 2.8 months for capecitabine. The most common grade ≥3 toxicities for GV were neutropenia, rash, and leukopenia, and for capecitabine were fatigue, diarrhea, and palmar-plantar erythrodysesthesia. The study did not meet the primary endpoint of improved PFS over capecitabine or demonstrate a relative risk/benefit improvement over capecitabine.Linda T. VahdatPeter SchmidAndres Forero-TorresKimberly BlackwellMelinda L. TelliMichelle MeliskoVolker MöbusJavier CortesAlberto J. MonteroCynthia MaRita NandaGail S. WrightYi HeThomas HawthorneRebecca G. BagleyAbdel-Baset HalimChristopher D. TurnerDenise A. YardleyNature PortfolioarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENnpj Breast Cancer, Vol 7, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Linda T. Vahdat
Peter Schmid
Andres Forero-Torres
Kimberly Blackwell
Melinda L. Telli
Michelle Melisko
Volker Möbus
Javier Cortes
Alberto J. Montero
Cynthia Ma
Rita Nanda
Gail S. Wright
Yi He
Thomas Hawthorne
Rebecca G. Bagley
Abdel-Baset Halim
Christopher D. Turner
Denise A. Yardley
Glembatumumab vedotin for patients with metastatic, gpNMB overexpressing, triple-negative breast cancer (“METRIC”): a randomized multicenter study
description Abstract The METRIC study (NCT#0199733) explored a novel antibody–drug conjugate, glembatumumab vedotin (GV), targeting gpNMB that is overexpressed in ~40% of patients with triple-negative breast cancer (TNBC) and associated with poor prognosis. The study was a randomized, open-label, phase 2b study that evaluated progression-free survival (PFS) of GV compared with capecitabine in gpNMB-overexpressing TNBC. Patients who had previously received anthracycline and taxane-based therapy were randomized 2:1 to receive, GV (1.88 mg/kg IV q21 days) or capecitabine (2500 mg/m2 PO daily d1–14 q21 days). The primary endpoint was RECIST 1.1 PFS per independent, blinded central review. In all, 327 patients were randomized to GV (213 treated) or capecitabine (92 treated). Median PFS was 2.9 months for GV vs. 2.8 months for capecitabine. The most common grade ≥3 toxicities for GV were neutropenia, rash, and leukopenia, and for capecitabine were fatigue, diarrhea, and palmar-plantar erythrodysesthesia. The study did not meet the primary endpoint of improved PFS over capecitabine or demonstrate a relative risk/benefit improvement over capecitabine.
format article
author Linda T. Vahdat
Peter Schmid
Andres Forero-Torres
Kimberly Blackwell
Melinda L. Telli
Michelle Melisko
Volker Möbus
Javier Cortes
Alberto J. Montero
Cynthia Ma
Rita Nanda
Gail S. Wright
Yi He
Thomas Hawthorne
Rebecca G. Bagley
Abdel-Baset Halim
Christopher D. Turner
Denise A. Yardley
author_facet Linda T. Vahdat
Peter Schmid
Andres Forero-Torres
Kimberly Blackwell
Melinda L. Telli
Michelle Melisko
Volker Möbus
Javier Cortes
Alberto J. Montero
Cynthia Ma
Rita Nanda
Gail S. Wright
Yi He
Thomas Hawthorne
Rebecca G. Bagley
Abdel-Baset Halim
Christopher D. Turner
Denise A. Yardley
author_sort Linda T. Vahdat
title Glembatumumab vedotin for patients with metastatic, gpNMB overexpressing, triple-negative breast cancer (“METRIC”): a randomized multicenter study
title_short Glembatumumab vedotin for patients with metastatic, gpNMB overexpressing, triple-negative breast cancer (“METRIC”): a randomized multicenter study
title_full Glembatumumab vedotin for patients with metastatic, gpNMB overexpressing, triple-negative breast cancer (“METRIC”): a randomized multicenter study
title_fullStr Glembatumumab vedotin for patients with metastatic, gpNMB overexpressing, triple-negative breast cancer (“METRIC”): a randomized multicenter study
title_full_unstemmed Glembatumumab vedotin for patients with metastatic, gpNMB overexpressing, triple-negative breast cancer (“METRIC”): a randomized multicenter study
title_sort glembatumumab vedotin for patients with metastatic, gpnmb overexpressing, triple-negative breast cancer (“metric”): a randomized multicenter study
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/17180d15d53a444b97cb83ce78fb7480
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