2016
DOI: 10.1093/annonc/mdw004
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A randomized, double-blind, placebo-controlled phase II study to assess the efficacy and safety of mapatumumab with sorafenib in patients with advanced hepatocellular carcinoma

Abstract: The addition of mapatumumab to sorafenib did not improve TTP or other efficacy end points, nor did it substantially change the toxicity profile of sorafenib in patients with advanced HCC. Based on these results, further development of the combination of mapatumumab and sorafenib in HCC is not planned.

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Cited by 37 publications
(20 citation statements)
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“…Recently, multiple studies have documented the efficacy of mapatumumab, a human agonistic monoclonal antibody against DR4 [ 45 47 ]; however, the use of mapatumumab has not shown clinical benefits in clinical trials [ 48 , 49 ]. In these studies, mapatumumab was adjunctively used with other anti-cancer or molecular targeted agents.…”
Section: Discussionmentioning
confidence: 99%
“…Recently, multiple studies have documented the efficacy of mapatumumab, a human agonistic monoclonal antibody against DR4 [ 45 47 ]; however, the use of mapatumumab has not shown clinical benefits in clinical trials [ 48 , 49 ]. In these studies, mapatumumab was adjunctively used with other anti-cancer or molecular targeted agents.…”
Section: Discussionmentioning
confidence: 99%
“…Dulanermin (rhTRAIL) [62,71,72,73,74,75] did not show clear clinical responses, possibly due to its short half-life (<60 min). DR4-specific agonist mapatumumab [63,76,77,78,79,80,81,82,83], DR5-specific agonists drozitumab [64,65,84], conatumumab [66,67,85], lexatumumab [68,86,87,88,89], HGS-TR2J [90,91], tigatuzumab [69,92,93,94,95,96], and LBY135 [70] were all discontinued after phase 1 or 2 trials without impactful benefits despite their safety (Supplementary Table S1). The reasons why compelling pre-clinical findings with these agonist antibodies did not translate into more robust clinical efficacy remain poorly characterized.…”
Section: Extrinsic Pathway Targetingmentioning
confidence: 99%
“…Developed by the Human Genome Science (HGS) in 2005, this fully human DR4-agonistic demonstrated selective and high binding to DR4, as well as cytotoxicity efficiency [98]. Mapatumumab has been evaluated in several phase I and II clinical trials [99,100,101,102,103,104,105,106,107,108], but none of the assays met the initial objectives, prompting discontinuation of its clinical development. Other mouse moAbs targeting DR4 and displaying pro-apoptotic potential have been described in preclinical studies, including m921/922 [109], 4H6/4G7 [110], AY4 [111], and TR1-mAbs [112], but as far as we are aware of, none are being evaluated in the clinic.…”
Section: First Antibodies In Clinical Trialsmentioning
confidence: 99%