Table 2.
C1 dosing, mg | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cohort | N | Step dosing | D1 | D8 | D15 | D22 | Target dose, mg | Frequency | DLTs | Tolerable | PSA50 | PSA90 | RECIST OR | |
Low dose | 1 | 2 | None | 0.001 | 0.001 | Weekly | 0/1 | Y | 0/1 | 0/1 | 0/1 | |||
2 | 4 | None | 0.003 | 0.003 | Weekly | 0/4 | Y | 0/4 | 0/4 | 0/4 | ||||
3 | 4 | None | 0.01 | 0.01 | Weekly | 0/4 | Y | 0/4 | 0/4 | 0/3 | ||||
4 | 4 | None | 0.03 | 0.03 | Weekly | 0/4 | Y | 1a/4 | 1/4 | 0/2 | ||||
5 | 10 | None | 0.1 | 0.1 | Weekly | 2/9 | Y | 3/10 | 3/10 | 0/4 | ||||
6 | 6 | None | 0.3 | 0.3 | Weekly | 2/6 | N | 4/6 | 1/6 | 0/4 | ||||
7a | 15 | 1 step | 0.1 | 0.3 | 0.3 | Weekly | 2/12 | Y | 9/14 | 3/14 | 1/12 | |||
High dose | 7b | 12 | 2 step | 0.1 | 0.3 | 1.0 | 1.0 | Weekly | 1/8 | Y | 6/10 | 3/10 | 4/10 | |
7c | 7 | 2 step | 0.1 | 0.3 | 1.0 | N/A | 1.0 | Every 2 weeksb | 1/7 | Y | 3/7 | 2/7 | 2/6 | |
8 | 5 | 1 step | 0.3 | 1.0 | 1.0 | Weekly | 2/4 | N | 2/5 | 2/5 | 1/5 | |||
9 | 5 | 2 step | 0.1 | 0.3 | 0.75 | 0.75 | Weekly | 2/5 | Y | 4/4 | 2/4 | 2/4 | ||
10c | 5 | 1 step | 0.1 | 1.0 | 1.0 | Weekly | 3/4 | N | 2/5 | 2/5 | 2/5 | |||
11 | 6 | 3 step | 0.1 | 0.3 | 1.0 | 1.5 | 1.5 | Weekly | 2/5 | Y | 5/5 | 3/5 | 4/4 | |
12 | 6 | 3 step | 0.1 | 0.3 | 0.75 | 1.5 | 1.5 | Weekly | 0/5 | Y | 2/5 | 2/5 | 0/2 | |
13 | 7 | 3 step | 0.1 | 0.3 | 1.0 | 2.0 | 2.0 | Weekly | 3/4 | N | 2/3 | 0/3 | 0/1 |
NOTE: Low dose, target dose <0.75 mg; high dose, target dose ≥0.75 mg. For DLTs, PSA50, PSA90, and RECIST OR, the denominator reflects number of patients evaluable for that endpoint.
Abbreviations: C, cycle; D, day; DLT, dose-limiting toxicity; N/A, not applicable; OR, objective response.
aPatient responded following intra-patient dose escalation to the next higher dose level.
bEvery 2 weeks administration after target dose was reached; step doses were weekly.
cTwo patients in Cohort 10 did not receive the specified step dosing schedule as DLTs were seen in initial patients receiving 10-fold step dose. An additional 0.3-mg step dose was added to the schedule for these patients (0.1 mg D1, 0.3 mg D8, 1.0 mg D15+).