Phase I Trial to Evaluate the Tolerance, Pharmacokinetics and Efficacy of the Broad-Spectrum ErbB Family Inhibitor Larotinib Mesylate in Patients With Advanced Solid Tumors

Background: The presented phase I, first-in-human study evaluated the tolerance, pharmacokinetics, and preliminary efficacy of larotinib mesylate in patients with advanced solid tumors.Methods: Cancer patients were assigned to receive larotinib mesylate at 50-400 mg dose levels until disease progres...

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Main Authors: Jingrui Liu (Author), Hong Zhang (Author), Xiaoxue Zhu (Author), Hong Chen (Author), Xiaojiao Li (Author), Yanhua Ding (Author)
Format: Book
Published: Frontiers Media S.A., 2021-02-01T00:00:00Z.
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100 1 0 |a Jingrui Liu  |e author 
700 1 0 |a Hong Zhang  |e author 
700 1 0 |a Xiaoxue Zhu  |e author 
700 1 0 |a Hong Chen  |e author 
700 1 0 |a Xiaojiao Li  |e author 
700 1 0 |a Yanhua Ding  |e author 
245 0 0 |a Phase I Trial to Evaluate the Tolerance, Pharmacokinetics and Efficacy of the Broad-Spectrum ErbB Family Inhibitor Larotinib Mesylate in Patients With Advanced Solid Tumors 
260 |b Frontiers Media S.A.,   |c 2021-02-01T00:00:00Z. 
500 |a 1663-9812 
500 |a 10.3389/fphar.2021.636324 
520 |a Background: The presented phase I, first-in-human study evaluated the tolerance, pharmacokinetics, and preliminary efficacy of larotinib mesylate in patients with advanced solid tumors.Methods: Cancer patients were assigned to receive larotinib mesylate at 50-400 mg dose levels until disease progression or intolerance. Dose-limiting toxicities were assessed during Cycles 0 and 1. Pharmacokinetic evaluations were performed after the first dose and at steady-state.Results: Twenty-five patients with solid tumors were enrolled in the dose-escalation study. No DLTs were observed. Acne-like rash (68.0%), diarrhea (48.0%), paronychia (48.0%), and anemia (48.0%) were the most reported treatment-related adverse events. No clear linear pharmacokinetic characteristic could be drawn, and obvious accumulation was observed. Two patients with non-small cell lung cancer experienced a partial response, and 15 patients had stable disease after treatment.Conclusion: Continuous oral administration of larotinib mesylate at 50-400 mg daily demonstrated a favorable safety profile, and anti-tumor activity was observed in patients with advanced solid tumors. 
546 |a EN 
690 |a larotinib 
690 |a phase I 
690 |a dose escalation 
690 |a ErbB family blocker 
690 |a pharmacokinetics 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
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786 0 |n Frontiers in Pharmacology, Vol 12 (2021) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fphar.2021.636324/full 
787 0 |n https://doaj.org/toc/1663-9812 
856 4 1 |u https://doaj.org/article/b51d4c20177744d78a036f1682645d76  |z Connect to this object online.