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COOL - Community in Oncology On Lung Cancer
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The Platelet-Derived Growth Factor (PDGF) Family of Ligands and Receptors, and PDGFR Signaling Pathways
Östman A, Heldin C-H. Adv Cancer Res. 2007;97:247-274; Loizos N et al. Mol Cancer Ther. 2005;4:369-379; Schmitt J, Matei D. Clin Ovarian Cancer. 2008;1:120-126;Imclone Systems, Data on File.
PDGFRa is overexpressed in multiple tumor types, including lung, with expression being associated to aggressive phenotypes and increased metastasis
PDGFR is expressed in both tumor and stromal cells
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Olaratumab (IMC-3G3) is a fully human IgG1 monoclonal antibody targeted against platelet-derived growth factor receptor-α (PDGFRα)
Loizos N et al. Mol Cancer Ther. 2005;4:369-379; ImClone Systems. Data on file; Matei D et al. Oncogene 2006;25:2060-2069; Youssoufian H et al. J Clin Oncol. 2008;26:15s. Abstract 14617; Östman A, Heldin C-H. Adv Cancer Res. 2007;97:247-274; Schmitt J, Matei D. Clin Ovarian Cancer. 2008;1:120-126.
In preclinical studies:
Binds to PDGFRα with high affinity; Kd=40 pM Blocks receptor activation in tumor and stromal cells Inhibits activation of downstream effector molecules May cause anticancer activity by
directly inhibiting tumor growthinhibiting angiogenesis and the
surrounding tumor milieu
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Studies of olaratumab in NSCLCOngoing trials
Study ID Ph Eligibility/Line Arm(s) N (projected)
NCT00918203 II Stage IIIB/IV, first line Paclitaxel + Carboplatin IMC-3G3 + Paclitaxel +
Carboplatin136
www.clinicaltrials.gov (accessed on August 28th, 2010)
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A Randomized Phase 2 Study of IMC-3G3 With or Without Carboplatin and Paclitaxel in Patients With Previously Untreated Locally Advanced or Metastatic NSCLC
• NSCLC stage IIIB or IV
• No prior chemotherapy
or targeted therapy in
the metastatic setting
• Squamous histology
eligible
• CNS metastases
allowed
• Age ≥18
• ECOG performance
status ≤1
RANDOMIZE
IMC-3G3
IMC-3G3 15 mg/kg day 1, 8
+Taxol 200 mg/m2 day 1
+Carboplatin AUC=6 day 1
every 3 weeks x 6
Paclitaxel 200 mg/m2 day 1
+Carboplatin AUC=6 day 1
every 3 weeks x 6
N=136Primary Objective: PFS
www.clinicaltrials.gov; NCT00918203 (accessed on August 28th, 2010)4
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