J 2025

A phase Ia study of the MEK1/2 inhibitor PD-0325901 with the c-MET inhibitor crizotinib in patients with advanced solid cancers

GALLAGHER, Peter; Christian ROLFO; Elena ELEZ; Julien TAIEB; Jennifer HOULDEN et. al.

Basic information

Original name

A phase Ia study of the MEK1/2 inhibitor PD-0325901 with the c-MET inhibitor crizotinib in patients with advanced solid cancers

Authors

GALLAGHER, Peter; Christian ROLFO; Elena ELEZ; Julien TAIEB; Jennifer HOULDEN; Linda COLLINS; Corran ROBERTS; Thierry ANDRE; Mark LAWLER; Federica DI NICOLANTONIO; Margaret GRAYSON; Ruth BOYD; Vlad POPOVICI; Alberto BARDELLI; Robbie CARSON; Hajrah KHAWAJA; Pierre LAURENT-PUIG; Manuel SALTO-TELLEZ; Bryan T. HENNESSY; Tim S. MAUGHAN; Josep TABERNERO; Richard ADAMS; Robert JONES; Marc PEETERS; Mark R. MIDDLETON; Richard H. WILSON; Sandra VAN SCHAEYBROECK and MErCuRIC Trial CONSORTIUM

Edition

BJC REPORTS, LONDON, SPRINGERNATURE, 2025, 2731-9377

Other information

Language

English

Type of outcome

Article in a journal

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

is not subject to a state or trade secret

References:

Organization

Přírodovědecká fakulta – Repository – Repository

UT WoS

001578324800001

Keywords in English

PLUS IRINOTECAN; RAS MUTATIONS; KINASE; KRAS; RESISTANCE; FLUOROURACIL; LEUCOVORIN

Links

EH22_008/0004644, research and development project. LM2023069, research and development project. 602901, interní kód Repo.
Changed: 20/11/2025 00:51, RNDr. Daniel Jakubík

Abstract

In the original language

BackgroundSingle-agent MEK1/2 inhibition has been disappointing in clinical trials targeting RAS mutant (MT) cancers, probably due to upstream receptor activation, resulting in resistance. We previously found that dual c-MET/MEK1/2 inhibition attenuated RASMT colorectal cancer (CRC) xenograft growth. In this study, we assessed safety of MEK1/2 inhibitor PD-0325901 with c-MET inhibitor crizotinib and determined the optimal biological doses for subsequent clinical trials.MethodsIn this dose-escalation phase I trial, patients with advanced solid tumours received PD-0325901 with crizotinib, using a rolling-6 design to determine the maximum tolerable dose (MTD) and safety/tolerability. Blood samples for pharmacokinetics and skin biopsies were collected.ResultsTwenty-five patients were recruited in 4 cohorts up to doses of crizotinib 200 mg B.D continuously with PD-0325901 8 mg B.D, days 1-21 every 28 days. One in six patients exhibited a dose-limiting toxicity at this dose level. Drug-related adverse events were in keeping with single-agent toxicity profiles. The best clinical response was stable disease in seven patients (29%).ConclusionsPD-0325901/crizotinib can be given together at pharmacologically-active doses. The MTD for PD-0325901/crizotinib was 8 mg B.D (days 1-21) and 200 mg B.D continuously in a 28-days cycle. The combination was further explored with an alternate MEK1/2 inhibitor in RASMT CRC patients.EudraCT-Number2014-000463-40

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