针对脑肿瘤的免疫肿瘤药物的对流增强输送平台的临床应用概念证明

F. Uckun, S. Qazi, V. Trieu
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在此,我们对IIB期研究NCT00431561的长期随访数据进行了事后分析,该数据涉及tgfbeta2特异性RNA治疗药物OT101/Trabedersen在复发/难治性WHO 3级间变性星形细胞瘤(R/R AA)患者中的临床活性。在两个剂量组(2.5 mg/周期和19.8 mg/周期)中,27例复发/难治性WHO 3级间变性星形细胞瘤(R/R AA)患者通过CEDOT连续输注OT101,连续5个月。27例患者中有14例(51.9%)有持续部分缓解(PR)或完全缓解(CR)。替莫唑胺(TMZ)治疗组(N=11)的中位总生存期(OS)为1136天,显著优于替莫唑胺治疗组(N=11)的中位总生存期(OS)为590天(Log Rank χ2=6.5, p值=0.011)。*通讯:Fatih M. Uckun,免疫肿瘤学项目,Oncotelic Inc, Agoura Hills, CA;阿瑞斯制药公司,圣保罗,明尼苏达州,美国,电子邮件:fatihuckun53@gmail.com
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Proof of concept for the clinical utility of a convection enhanced delivery platform for immuno-oncology drugs against brain tumors
Here we present a post-hoc analysis of the long-term follow-up data for the Phase IIB study NCT00431561 regarding the clinical activity of the TGFbeta2-specific RNA therapeutic OT101/Trabedersen in recurrent/refractory WHO Grade 3 anaplastic astrocytoma (R/R AA) patients. OT101 was administered intratumorally by continuous infusion via CEDOT for 5 consecutive months to 27 recurrent/refractory WHO Grade 3 anaplastic astrocytoma (R/R AA) patients in two dose cohorts (2.5 mg/cycle and 19.8 mg/cycle). 14 of the 27 patients (51.9%) had a sustained partial response (PR) or complete response (CR). The median overall survival (OS) time of 1136 days was significantly better than the 590 days median OS (Log Rank χ2=6.5, P-value=0.011) of the temozolomide (TMZ)-treated control patient population (N=11). *Correspondence to: Fatih M. Uckun, Immuno-Oncology Program, Oncotelic Inc, Agoura Hills, CA; Ares Pharmaceuticals, St. Paul, MN, USA, E-mail: fatihuckun53@gmail.com
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