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Abstract
Colorectal cancer (CRC) is a heterogeneous and complex disease with limited treatment options. Targeting transforming growth factor β (TGF-β) and programmed death ligand 1 pathways may enhance antitumor efficacy. Bintrafusp alfa is a first-in-class bifunctional fusion protein composed of the extracellular domain of TGF-β receptor II (a TGF-β “trap”) fused to a human IgG1 monoclonal antibody blocking programmed cell death ligand 1. We report results from an expansion cohort of a phase I study (NCT02517398) in patients with heavily pretreated advanced CRC treated with bintrafusp alfa. As of May 15, 2020, 32 patients with advanced CRC had received bintrafusp alfa for a median duration of 7.1 weeks. The objective response rate was 3.1% and the disease control rate was 6.3% (1 partial response, 1 stable disease); 2 patients were not evaluable. The safety profile was consistent with previously reported data.
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1 US Oncology Research , Fairfax, VA , USA
2 Hematology Oncology Associates of the Treasure Coast , FL , USA
3 Department of Internal Medicine, UC Davis Comprehensive Cancer Center , Sacramento, CA , USA
4 Department of Medicine, Washington University School of Medicine, Siteman Cancer Center , St. Louis, MO , USA
5 Department of Medicine, Keck School of Medicine, University of Southern California Norris Comprehensive Cancer Center , Los Angeles, CA , USA
6 University Cancer & Blood Center , Athens, GA , USA
7 Cancer Treatment Centers of America, Southeastern Regional Medical Center , Newnan, GA , USA
8 Merck Healthcare KGaA , Darmstadt , Germany
9 EMD Serono Research & Development Institute , Billerica, MA , USA an affiliate of Merck KGaA
10 Merck Biopharma Co., Ltd. , Tokyo , Japan an affiliate of Merck KGaA
11 Center for Cancer Research, National Cancer Institute, National Institutes of Health , Bethesda, MD , USA
12 Department of Gastrointestinal Medical Oncology, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center , Houston, TX , USA