1. An Integrated Analysis of Dostarlimab Immunogenicity
- Author
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Mingxuan Zhang, Wei Guo, Ellie Im, Ronald R. Bowsher, Sharon Lu, Ashley Milton, Minggeng Gao, Elizabeth Potocka, Kathleen Koeck, Ying Yang, Amanda Clancy, Amy Rosen, and Kai Yu Jen
- Subjects
Adult ,Male ,Oncology ,medicine.medical_specialty ,Drug-Related Side Effects and Adverse Reactions ,medicine.drug_class ,medicine.medical_treatment ,Pharmaceutical Science ,Pharmacy ,Antibodies, Monoclonal, Humanized ,Monoclonal antibody ,030226 pharmacology & pharmacy ,03 medical and health sciences ,0302 clinical medicine ,Therapeutic index ,Cancer immunotherapy ,Neoplasms ,Internal medicine ,PD-1 ,Humans ,Medicine ,Immune Checkpoint Inhibitors ,Antibody ,Response Evaluation Criteria in Solid Tumors ,biology ,business.industry ,Incidence ,Incidence (epidemiology) ,Immunogenicity ,Immuno-oncology ,Middle Aged ,Antibodies, Neutralizing ,Discontinuation ,030220 oncology & carcinogenesis ,biology.protein ,Female ,business ,Research Article ,Follow-Up Studies - Abstract
Monoclonal antibodies that block the interaction between programmed cell death 1 (PD-1) and its ligand (PD-L1) have revolutionized cancer immunotherapy. However, immunogenic responses to these new therapies—such as the development of antidrug antibodies (ADAs) and neutralizing antibodies (NAbs)—may represent a significant challenge to both efficacy and safety in some patients. Dostarlimab (TSR-042) is an approved, humanized, anti-PD-1 monoclonal antibody that has shown efficacy in multiple solid tumor types. Here, we report the results of an immunogenicity analysis of dostarlimab monotherapy in patients enrolled in the GARNET trial, a multicenter, open-label, single-arm phase 1 study. Overall, 477 of 478 patients (99.8%) were included in the analysis of dostarlimab antibody prevalence, and 349 out of 478 enrolled patients (73.0%) were evaluable for treatment-emergent antibodies to dostarlimab. The incidence of treatment-emergent ADAs was 2.5% at the recommended therapeutic dose (500 mg Q3W for the first 4 doses, 1000 mg Q6W until discontinuation), which is comparable to other anti-PD-(L)1 drugs. NAbs were detected in only 1.3% of patients. In the small percentage of patients who developed ADAs, there was no evidence of altered efficacy or safety of dostarlimab at the recommended dosing regimen. These findings demonstrated that treatment with dostarlimab was associated with a low risk of eliciting clinically meaningful ADAs over the course of this study, and dostarlimab is already approved by health authorities. Supplementary Information The online version contains supplementary material available at 10.1208/s12248-021-00624-7.
- Published
- 2021
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