Phase 1/2a trial of intravenous BAL101553, a novel controller of the spindle assembly checkpoint, in advanced solid tumours

Kristeleit, R. et al. (2020) Phase 1/2a trial of intravenous BAL101553, a novel controller of the spindle assembly checkpoint, in advanced solid tumours. British Journal of Cancer, 123(9), pp. 1360-1369. (doi: 10.1038/s41416-020-1010-8) (PMID:32741975) (PMCID:PMC7591872)

Abstract

Background: BAL101553 (lisavanbulin), the lysine prodrug of BAL27862 (avanbulin), exhibits broad anti-proliferative activity in human cancer models refractory to clinically relevant microtubule-targeting agents. Methods: This two-part, open-label, phase 1/2a study aimed to determine the maximum tolerated dose (MTD) and dose-limiting toxicities (DLTs) of 2-h infusion of BAL101553 in adults with advanced or recurrent solid tumours. The MTD was determined using a modified accelerated titration design in phase I. Patients received BAL101553 at the MTD and at lower doses in the phase 2a expansion to characterise safety and efficacy and to determine the recommended phase 2 dose (RP2D). Results: Seventy-three patients received BAL101553 at doses of 15–80 mg/m2 (phase 1, n = 24; phase 2a, n = 49). The MTD was 60 mg/m2; DLTs observed at doses ≥60 mg/m2 were reversible Grade 2–3 gait disturbance with Grade 2 peripheral sensory neuropathy. In phase 2a, asymptomatic myocardial injury was observed at doses ≥45 mg/m2. The RP2D for 2-h intravenous infusion was 30 mg/m2. The overall disease control rate was 26.3% in the efficacy population. Conclusions: The RP2D for 2-h infusion of BAL101553 was well tolerated. Dose-limiting neurological and myocardial side effects were consistent with the agent’s vascular-disrupting properties. Clinical trial registration: EudraCT: 2010-024237-23.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Rulach, Dr Robert and Slater, Dr Sarah and Evans, Professor Jeff
• Authors: Kristeleit, R., Evans, J., Molife, L. R., Tunariu, N., Shaw, H., Slater, S., Haris, N. R. M., Brown, N. F., Forster, M. D., Diamantis, N., Rulach, R., Greystroke, A., Asghar, U., Rata, M., Anderson, S., Bachmann, F., Hannah, A., Kaindl, T., Lane, H. A., Larger, P. J., Schmitt-Hoffmann, A., Engelhardt, M., Tzankov, A., Plummer, R., and Lopez, J.
• College/School: College of Medical Veterinary and Life Sciences > School of Cancer Sciences
• Journal Name: British Journal of Cancer
• Publisher: Nature Research
• ISSN: 0007-0920
• ISSN (Online): 1532-1827
• Published Online: 03 August 2020
• Copyright Holders: Copyright © 2020 The Authors
• First Published: First published in British Journal of Cancer 123(9): 1360-1369
• Publisher Policy: Reproduced under a Creative Commons License