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DRUG:

humanised dinutuximab (Hu14.18K322A)

i
Other names: Hu14.18K322A, Hu14.18
Associations
Company:
Essential Pharma, St. Jude Children's Research Hospital
Drug class:
GD2 ganglioside inhibitor
Associations
4ms
Therapy for Children With Advanced Stage Neuroblastoma (clinicaltrials.gov)
P2, N=153, Active, not recruiting, St. Jude Children's Research Hospital | Trial completion date: Dec 2023 --> Dec 2024
Trial completion date • Metastases
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MYCN (MYCN Proto-Oncogene BHLH Transcription Factor)
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MYCN amplification
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cisplatin • doxorubicin hydrochloride • cyclophosphamide • etoposide IV • vincristine • topotecan • melphalan • mesna • Proleukin (aldesleukin) • busulfan • Unituxin (dinutuximab) • Leukine (sargramostim) • Neupogen (filgrastim) • humanised dinutuximab (Hu14.18K322A)
1year
KIR/KIR-ligand genotypes and clinical outcomes following chemoimmunotherapy in patients with relapsed or refractory neuroblastoma: a report from the Children's Oncology Group. (PubMed, J Immunother Cancer)
These findings are consistent with those of prior studies showing that KIR/KIR-ligand genotypes are associated with clinical outcomes following anti-GD2 immunotherapy in children with neuroblastoma. The current study confirms the importance of KIR/KIR-ligand genotype in the context of I/T/DIN/GM-CSF chemoimmunotherapy administered to patients with relapsed or refractory disease in a clinical trial. These results are important because this regimen is now widely used for treatment of patients at time of first relapse/first declaration of refractory disease. Efforts to assess the role of NK cells and genes that influence their function in response to immunotherapy are ongoing.
Clinical data • Journal • IO biomarker
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NCAM1 (Neural cell adhesion molecule 1) • CSF2 (Colony stimulating factor 2) • KLRB1 (Killer Cell Lectin Like Receptor B1)
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temozolomide • irinotecan • Torisel (temsirolimus) • Unituxin (dinutuximab) • humanised dinutuximab (Hu14.18K322A)
2years
Improved Outcome in Children With Newly Diagnosed High-Risk Neuroblastoma Treated With Chemoimmunotherapy: Updated Results of a Phase II Study Using hu14.18K322A. (PubMed, J Clin Oncol)
Adding hu14.18K322A to induction chemotherapy improved early objective responses, significantly reduced tumor volumes in most patients, improved end-of-induction response rates, and yielded an encouraging 3-year EFS. These results, if validated in a larger study, may be practice changing.
Clinical • P2 data • Journal
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CSF2 (Colony stimulating factor 2)
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melphalan • busulfan • humanised dinutuximab (Hu14.18K322A)
over2years
Global Neuroblastoma Network: An international multidisciplinary neuroblastoma tumor board for resource-limited countries. (PubMed, Pediatr Blood Cancer)
This report shows the utility of an international tumor board for LMIC focused on a challenging solid tumor where local expertise may be limited, with international multidisciplinary expert participation and educational sessions.
Journal
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MYCN (MYCN Proto-Oncogene BHLH Transcription Factor)
|
humanised dinutuximab (Hu14.18K322A)
3years
Therapy for Children With Advanced Stage Neuroblastoma (clinicaltrials.gov)
P2, N=153, Active, not recruiting, St. Jude Children's Research Hospital | Trial completion date: Jul 2021 --> Dec 2023 | Trial primary completion date: Jan 2021 --> Dec 2021
Clinical • Trial completion date • Trial primary completion date
|
MYCN (MYCN Proto-Oncogene BHLH Transcription Factor) • IL2 (Interleukin 2) • CSF2 (Colony stimulating factor 2)
|
MYCN amplification
|
cisplatin • doxorubicin hydrochloride • etoposide IV • vincristine • topotecan • melphalan • mesna • Proleukin (aldesleukin) • busulfan • Unituxin (dinutuximab) • Leukine (sargramostim) • Neupogen (filgrastim) • cyclophosphamide intravenous • humanised dinutuximab (Hu14.18K322A)
over3years
A Phase II Trial of Hu14.18K322A in Combination with Induction Chemotherapy in Children with Newly Diagnosed High-Risk Neuroblastoma. (PubMed, Clin Cancer Res)
Adding hu14.18K322A to induction chemotherapy produced early PR or better in most patients, reduced tumor volumes, improved CSs at the end of induction, and yielded an encouraging 2-year EFS. These results, if validated in a larger study, may change the standard of care for children with high-risk neuroblastoma.
Clinical • P2 data • Journal • Combination therapy
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CSF2 (Colony stimulating factor 2)
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melphalan • busulfan • humanised dinutuximab (Hu14.18K322A)