34 results on '"de La Bourdonnaye G"'
Search Results
2. Atacicept in patients with rheumatoid arthritis and an inadequate response to tumor necrosis factor antagonist therapy: Results of a phase II, randomized, placebo-controlled, dose-finding trial
- Author
-
Genovese, M. C., Kinnman, N., de La Bourdonnaye, G., Rossi, Pena C., and Tak, P. P.
- Published
- 2011
- Full Text
- View/download PDF
3. Assessing the impact of switching to the Tobacco Heating System on cardiovascular disease: Translating basic science into clinical benefit
- Author
-
Pater, C., primary, Baker, G., additional, De La Bourdonnaye, G., additional, Elamin, A., additional, Goujon, C., additional, Haziza, C., additional, Heremans, A., additional, Hoeng, J., additional, Ivanov, N., additional, Luedicke, F., additional, Maeder, S., additional, Phillips, B., additional, Picavet, P., additional, Pouly, S., additional, Poussin, C., additional, Pratte, P., additional, Tran, C.T., additional, Vanschveeuwiijck, P., additional, and Peitsch, M., additional
- Published
- 2020
- Full Text
- View/download PDF
4. A038 Assessing the Impact of Switching to the Tobacco Heating System on Cardiovascular Disease: Translating Basic Science Into Clinical Benefit
- Author
-
Pater, C., primary, Baker, G., additional, de La Bourdonnaye, G., additional, Elamin, A., additional, Goujon, C., additional, Haziza, C., additional, Heremans, A., additional, Hoeng, J., additional, Ivanov, N., additional, Luedicke, F., additional, Maeder, S., additional, Phillips, B., additional, Picavet, P., additional, Pouly, S., additional, Poussin, C., additional, Pratte, P., additional, Tran, C.T., additional, Vanscheeuwiijck, P., additional, and Peitsch, M., additional
- Published
- 2020
- Full Text
- View/download PDF
5. 716 Assessing the Impact of Switching to the Tobacco Heating System on Cardiovascular Disease: Translating Basic Science into Clinical Benefit
- Author
-
Pater, C., primary, Baker, G., additional, de La Bourdonnaye, G., additional, Elamin, A., additional, Goujon, C., additional, Haziza, C., additional, Heremans, A., additional, Hoeng, J., additional, Ivanov, N., additional, Luedicke, F., additional, Maeder, S., additional, Phillips, B., additional, Picavet, P., additional, Pouly, S., additional, Poussin, C., additional, Pratte, P., additional, Tran, C., additional, Vanscheeuwiijck, P., additional, and Peitsch, M., additional
- Published
- 2020
- Full Text
- View/download PDF
6. Assessing the impact of switching to the tobacco heating system on cardiovascular events: Translating basic science into clinical benefit
- Author
-
Pater, C., primary, Blanc, N., additional, van der Plas, A., additional, Haziza, C., additional, Elamin, A., additional, Pouly, S., additional, de la Bourdonnaye, G., additional, Tran, C.T., additional, and Luedicke, F., additional
- Published
- 2019
- Full Text
- View/download PDF
7. Cardiovascular Effects Observed When Using The Tobacco Heating System (Ths) Compared With Continued Smoking
- Author
-
Pater, C., primary, Haziza, C., additional, Elamin, A., additional, Tran, C.T., additional, Pouly, S., additional, de La Bourdonnaye, G., additional, and Luedicke, F., additional
- Published
- 2019
- Full Text
- View/download PDF
8. Extracellular matrix of normal brain tissue is affected by temozolomide during anti-glioblastoma treatment
- Author
-
Tsidulko, A., primary, Bezier, C., additional, de La Bourdonnaye, G., additional, Suhovskih, A.V., additional, Kazanskaya, G., additional, Aidagulova, S., additional, and Grigorieva, E.V., additional
- Published
- 2018
- Full Text
- View/download PDF
9. Measuring Changes In Patterns of Tobacco Product Use Over Time: Transition Probability Approaches
- Author
-
Afolalu, EF, primary, Prieto, L, additional, de La Bourdonnaye, G, additional, Sponsiello-Wang, Z, additional, and Weitkunat, R, additional
- Published
- 2017
- Full Text
- View/download PDF
10. 43P - Extracellular matrix of normal brain tissue is affected by temozolomide during anti-glioblastoma treatment
- Author
-
Tsidulko, A., Bezier, C., de La Bourdonnaye, G., Suhovskih, A.V., Kazanskaya, G., Aidagulova, S., and Grigorieva, E.V.
- Published
- 2018
- Full Text
- View/download PDF
11. PRM266 - Measuring Changes In Patterns of Tobacco Product Use Over Time: Transition Probability Approaches
- Author
-
Afolalu, EF, Prieto, L, de La Bourdonnaye, G, Sponsiello-Wang, Z, and Weitkunat, R
- Published
- 2017
- Full Text
- View/download PDF
12. Quantification of the Effect of Smoking and Smoking Cessation on Lipid Parameters – A Metaanalysis
- Author
-
Gonzalez-Zuloeta, A.M., primary, de La Bourdonnaye, G., additional, Baker, G.S., additional, Luedicke, F., additional, and Weitkunat, R., additional
- Published
- 2013
- Full Text
- View/download PDF
13. Automotive compressor: effect of an electric throttle in the upstream circuit on the surge limit
- Author
-
Podevin Pierre, Danlos Amélie, Deligant Michaël, Punov Plamen, Clenci Adrian, and De La Bourdonnaye Guillaume
- Subjects
Engineering (General). Civil engineering (General) ,TA1-2040 - Abstract
On vehicles equipped with a turbocharged engine, there is a risk of compressor surge. This surge generates instabilities that lead to driving inconvenience, or even mechanical failure of the supercharging system. In general, the surge appears rather in transient operation: sudden closing of the throttle valve on gasoline engine, regulation of the EGR on diesel engine linked also to turbine regulation (VNT device or Waste Gate). On a turbocharger test stand, we set up the surge line in a “conventional way”: stationary experiments. Then we set up this line in transient conditions for different positions of an electric throttle placed upstream the compressor. It appears that: the surge limit is pushing back to lower flow rates when it is determined in transient; the surge limit is pushing back to lower flow rates when closing the throttle valve. The tests were carried on by the transient analysis of the surge during a quick closing-opening of the electric throttle valve.
- Published
- 2018
- Full Text
- View/download PDF
14. Atacicept in patients with rheumatoid arthritis and an inadequate response to tumor necrosis factor antagonist therapy: results of a Phase I I, randomized, placebo-controlled, dose-finding trial.
- Author
-
Genovese, M. C., Kinnman, N., and de La Bourdonnaye, G.
- Subjects
RHEUMATOID arthritis ,TUMOR necrosis factors ,PLACEBOS ,RECOMBINANT fusion proteins ,RANDOMIZED controlled trials ,DRUG efficacy - Abstract
This article reported a Phase II study of atacicept in patients with rheumatoid arthritis who had failed tumor necrosis factor antagonist therapy. The efficacy, safety, and biological activity of three doses of atacicept were described. [ABSTRACT FROM AUTHOR]
- Published
- 2011
15. Structural analysis of the stable form of fibroblast growth factor 2 - FGF2-STAB.
- Author
-
de La Bourdonnaye G, Marek M, Ghazalova T, Damborsky J, Pachl P, Brynda J, Stepankova V, and Chaloupkova R
- Abstract
Fibroblast growth factor 2 (FGF2) is a signaling protein that plays a significant role in tissue development and repair. FGF2 binds to fibroblast growth factor receptors (FGFRs) alongside its co-factor heparin, which protects FGF2 from degradation. The binding between FGF2 and FGFRs induces intracellular signaling pathways such as RAS-MAPK, PI3K-AKT, and STAT. FGF2 has strong potential for application in cell culturing, wound healing, and cosmetics but the potential is severely limited by its low protein stability. The thermostable variant FGF2-STAB was constructed by computer-assisted protein engineering to overcome the natural limitation of FGF2. Previously reported characterization of FGF2-STAB revealed an enhanced ability to induce MAP/ERK signaling while having a lower dependence on heparin when compared with FGF2-wt. Here we report the crystal structure of FGF2-STAB solved at 1.3 Å resolution. Protein stabilization is achieved by newly formed hydrophobic interactions, polar contacts, and one additional hydrogen bond. The overall structure of FGF2-STAB is similar to FGF2-wt and does not reveal information on the experimentally observed lower dependence on heparin. A noticeable difference in flexibility in the receptor binding region can explain the differences in signaling between FGF2-STAB and its wild-type counterpart. Our structural analysis provided molecular insights into the stabilization and unique biological properties of FGF2-STAB., Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: [Veronika Stepankova reports financial support was provided by Enantis. Jiri Damborsky reports a relationship with Enantis that includes: equity or stocks. Veronika Stepankova reports a relationship with Enantis that includes: equity or stocks. Radka Chaloupkova reports a relationship with Enantis that includes: equity or stocks. Gabin de La Bourdonnaye reports a relationship with Enantis that includes: employment. Tereza Ghazalova reports a relationship with Enantis that includes: employment. Radka Chaloupkova, Veronika Stepankova, Jiri Damborsky has patent #Thermostable fgf2 polypeptide, use thereof, WO2017089016A1 issued to Masaryk University and Enantis. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper]., (© 2024 The Author(s).)
- Published
- 2024
- Full Text
- View/download PDF
16. Impact of switching from cigarette smoking to tobacco heating system use on biomarkers of potential harm in a randomized trial.
- Author
-
Ansari SM, Hession PS, David M, Blanc N, de La Bourdonnaye G, Pouly S, and Haziza C
- Subjects
- Humans, Male, Adult, Female, Middle Aged, Heating, Harm Reduction, Biomarkers blood, Cigarette Smoking adverse effects, Smoking Cessation, Tobacco Products adverse effects
- Abstract
Background: Smoking cessation reduces the risk of developing smoking-related diseases. Although smoking prevalence has declined, many continue smoking cigarettes. Switching completely to smoke-free alternatives like the Tobacco Heating System (THS) 2.2-a heated tobacco product for which there is evidence demonstrating significantly reduced formation and exposure to harmful chemicals compared to cigarettes-has the potential to reduce the harm caused by continuing to smoke cigarettes., Methods: We conducted a 6-month clinical study (NCT02396381) with a 6-month extension (NCT02649556), initially randomizing 984 adult smokers to continue smoking or switch to THS (non-mentholated), of which 672 continued into the extension study. Endpoints were evaluated at baseline and at 3, 6, and 12 months. We longitudinally assessed biomarkers of potential harm (BoPHs) known to be reversible upon smoking cessation as indicators of pathways involved in the pathogenesis of cardiovascular or respiratory diseases and carcinogenicity. The need to cough and safety profile were also assessed. Impact on eight key BoPHs was used as a proxy to evaluate harm reduction potential., Results: At 12 months, comparison of BoPH levels between the predominant THS use and cigarette smoking groups showed a positive effect in favor of switching, partially or in full, to THS., Conclusion: These results provide additional evidence of the harm reduction potential of THS for smokers who would otherwise continue smoking, but they need to be verified in long-term confirmatory studies., Clinical Trial Registration: Clinicaltrials.gov Identifier: NCT0264955. Date of registration: January 7, 2016 https://clinicaltrials.gov/ct2/show/NCT02649556.
- Published
- 2024
- Full Text
- View/download PDF
17. Computer-aided engineering of stabilized fibroblast growth factor 21.
- Author
-
de La Bourdonnaye G, Ghazalova T, Fojtik P, Kutalkova K, Bednar D, Damborsky J, Rotrekl V, Stepankova V, and Chaloupkova R
- Abstract
FGF21 is an endocrine signaling protein belonging to the family of fibroblast growth factors (FGFs). It has emerged as a molecule of interest for treating various metabolic diseases due to its role in regulating glucogenesis and ketogenesis in the liver. However, FGF21 is prone to heat, proteolytic, and acid-mediated degradation, and its low molecular weight makes it susceptible to kidney clearance, significantly reducing its therapeutic potential. Protein engineering studies addressing these challenges have generally shown that increasing the thermostability of FGF21 led to improved pharmacokinetics. Here, we describe the computer-aided design and experimental characterization of FGF21 variants with enhanced melting temperature up to 15 °C, uncompromised efficacy at activation of MAPK/ERK signaling in Hep G2 cell culture, and ability to stimulate proliferation of Hep G2 and NIH 3T3 fibroblasts cells comparable with FGF21-WT. We propose that stabilizing the FGF21 molecule by rational design should be combined with other reported stabilization strategies to maximize the pharmaceutical potential of FGF21., Competing Interests: Jiri Damborsky, Veronika Stepankova, and Radka Chaloupkova are shareholders of Enantis Ltd, which is the first biotechnology spin-off company of Masaryk University. Gabin de La Bourdonnaye, Tereza Ghazalova, and Katerina Kutalkova are employees of Enantis Ltd. The authors Petr Fojtik, David Bednar, and Vladimir Rotrekl have no conflicts of interest with the contents of this article., (© 2024 The Authors.)
- Published
- 2024
- Full Text
- View/download PDF
18. Meta-analysis of the effects of smoking and smoking cessation on triglyceride levels.
- Author
-
van der Plas A, Antunes M, Pouly S, de La Bourdonnaye G, Hankins M, and Heremans A
- Abstract
Smoking increases lipid levels, including triglycerides, leading to increased cardiovascular disease risk. We performed a meta-analysis to quantify the effects of smoking and smoking cessation on triglyceride levels. The PubMed and Scopus databases were searched to identify studies reporting either triglyceride levels in smokers and non-smokers or the effects of smoking cessation on triglyceride levels. Fixed- and random-effects models were used to perform the analyses when three or more studies/comparisons were available. We identified 169 and 21 studies evaluating the effects of smoking and smoking cessation, respectively, on triglyceride levels. Triglyceride levels were 0.50 mmol/L (95% confidence interval: 0.49-0.50 mmol/L) higher in smokers than non-smokers, but the effect differed widely across studies. No statistically significant effect was observed on triglyceride levels between baseline and 6 weeks (mean difference [MD] = 0.02 [-0.09, 0.12] mmol/L), 2 months (MD = 0.03 [-0.21, 0.27] mmol/L), 3 months (MD = 0.08 [-0.03, 0.21] mmol/L), or 1 year (MD = 0.04 [-0.06, 0.14] mmol/L) after quitting. However, a slightly significant decrease in triglyceride levels was observed at 1 month after cessation (MD = -0.15 [-0.15, -0.01] mmol/L). The results of this meta-analysis provide a basis for understanding the effects of smoking and smoking cessation on triglyceride levels, which could have important implications for public health., Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: All authors are employed by Philip Morris International., (© 2023 The Authors.)
- Published
- 2023
- Full Text
- View/download PDF
19. Smoking and apolipoprotein levels: A meta-analysis of published data.
- Author
-
Kauss AR, Antunes M, de La Bourdonnaye G, Pouly S, Hankins M, Heremans A, and van der Plas A
- Abstract
Background: Apolipoproteins are major components of lipoproteins such as high-density lipoprotein (HDL) and very-low-density lipoprotein and are considered nontraditional markers in the risk assessment for cardiovascular disease. The goal of this review was to quantify the effects of smoking and smoking cessation on serum levels of apolipoproteins AI, AII, and B and the ratio of apolipoproteins B and AI., Methods: PubMed and Scopus were searched up to June 2021 to identify publications that reported the levels of apolipoproteins AI, AII, and B and the apolipoprotein B/AI ratio in smokers and nonsmokers as well as articles reporting the effect of smoking cessation on the same endpoints. Meta-analyses were performed when a sufficient number (n ≥ 3) of articles evaluating the same outcome were available., Results: Forty-nine studies had assessed apolipoprotein levels in smokers and nonsmokers. The meta-analyses comparing the levels of apolipoproteins AI and AII showed decreased levels in smokers relative to nonsmokers. On the other hand, the apolipoprotein B levels and apolipoprotein B/AI ratio were increased in smokers relative to nonsmokers. Insufficient publications were available on which to perform meta-analyses on the effects of smoking cessation on apolipoprotein levels., Conclusions: Smoking is associated with reduced levels of apolipoproteins AI and AII (in line with reduced levels of HLD-cholesterol) and increased apolipoprotein B levels and apolipoprotein B/AI ratio, thereby confirming the negative impact of smoking on lipid metabolism, which contributes to increased cardiovascular risk. More data are needed to elucidate the effects of smoking cessation on these cardiovascular risk endpoints., Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: All authors are employed by Philip Morris International., (© 2022 The Authors.)
- Published
- 2022
- Full Text
- View/download PDF
20. Reduced levels of biomarkers of exposure in smokers switching to the Carbon-Heated Tobacco Product 1.0: a controlled, randomized, open-label 5-day exposure trial.
- Author
-
Tran CT, Bosilkovska M, de La Bourdonnaye G, Blanc N, and Haziza C
- Subjects
- Adult, Biomarkers blood, Biomarkers urine, Cytochrome P-450 CYP1A2 blood, Female, Humans, Male, Middle Aged, Smoking Prevention, Young Adult, Biomarkers metabolism, Electronic Nicotine Delivery Systems, Smokers
- Abstract
In addition to smoking cessation, for those who would otherwise continue to smoke, replacing cigarettes with less harmful alternatives can reduce the harms of smoking. Heating instead of burning tobacco reduces, or eliminates, the formation of harmful and potentially harmful constituents (HPHC) that are found in cigarette smoke. The Carbon-Heated Tobacco Product (CHTP), a heat-not-burn tobacco product, mimics the cigarette smoking ritual. This randomized, open-label, two-arm, parallel-group, short-term confinement study tested the hypothesis that the geometric means of the BoExp levels for subjects switching to CHTP 1.0 for 5 days are lower relative to those continuing to smoke cigarettes. Biomarkers of exposure (BoExp), including nicotine, urinary excretion of mutagenic constituents (Ames test), and cytochrome P450 (CYP) 1A2 activity, were measured in blood and/or 24-h urine samples during ad libitum product use. Nicotine exposure remained at similar levels in individuals using CHTP as in those continuing to smoke cigarettes. Switching to CHTP resulted in marked decreases in all other urinary BoExp (56-97%), carboxyhemoglobin (59%), urinary mutagenic constituents, and CYP1A2 activity compared with continued cigarette smoking. Our results provide evidence of decreased exposure to 15 selected HPHCs in smokers switching from cigarettes to exclusive CHTP use.Trial registration ClinicalTrials.gov: NCT02503254; Date of first registration: 20/07/2015 https://www.clinicaltrials.gov/ct2/show/NCT02503254 .Study protocol Study protocol published at: https://www.clinicaltrials.gov/ProvidedDocs/54/NCT02503254/Prot_000.pdf .
- Published
- 2020
- Full Text
- View/download PDF
21. Impact of switching to a heat-not-burn tobacco product on CYP1A2 activity.
- Author
-
van der Plas A, Pouly S, Blanc N, Haziza C, de La Bourdonnaye G, Titz B, Hoeng J, Ivanov NV, Taranu B, and Heremans A
- Abstract
Background: Cigarette smoking induces cytochrome P450 1A2 (CYP1A2) expression and activity, while smoking cessation normalizes the levels of this enzyme. The aim of this publication is to summarize the data on CYP1A2 gene expression and activity in preclinical and clinical studies on the Tobacco Heating System (THS), currently marketed as IQOS® with HEETs® , and to summarize the potential effects on CYP1A2 to be expected upon switching to reduced-risk products (RRPs)., Methods: We summarized PMI's preclinical and clinical data on the effects of switching from cigarette smoking to THS., Results: Data from four preclinical mouse and rat studies showed that, upon either cessation of cigarette smoke exposure or switching to THS exposure, the upregulation of CYP1A2 observed with exposure to cigarette smoke reverted close to fresh-air levels. Data from four clinical studies yielded similar results on CYP1A2 activity within a time frame of five days. Furthermore, the effects of switching to THS were similar to those seen after smoking cessation., Conclusions: Because smoking cessation and switching to either electronic cigarettes or THS seem to have similar effects on CYP1A2 activity, the same measures taken for patients treated with narrow therapeutic index drugs that are metabolized by CYP1A2 and who quit smoking should be recommended for those switching to RRPs., Competing Interests: The authors declare no conflict of interest., (© 2020 The Author(s).)
- Published
- 2020
- Full Text
- View/download PDF
22. Exposure to harmful and potentially harmful constituents decreased in smokers switching to Carbon-Heated Tobacco Product.
- Author
-
Bosilkovska M, Tran CT, de La Bourdonnaye G, Taranu B, Benzimra M, and Haziza C
- Abstract
Background: "Heat-not-burn" tobacco products are designed to heat processed tobacco instead of combusting it, thus significantly reducing the formation of harmful and potentially harmful constituents (HPHCs) found in cigarette smoke, and ultimately reducing the risk of smoking-related diseases. The Carbon-Heated Tobacco Product (CHTP), a heat-not-burn tobacco product similar in appearance and use ritual to cigarettes, has been developed for smokers who would otherwise continue smoking as an alternative to cigarettes. To evaluate reduced risk of harm potential of CHTP, it is critical to quantify exposure to HPHCs and consequent biological pathway disturbances involved in disease onset in smokers who switch to CHTP., Methods: In this 2-arm, parallel-group study, adult healthy smokers, not willing to quit, were randomized to switch to CHTP 1.2 (n = 80) or to continue using cigarettes (n = 40) for 5 days in confinement followed by 85 days in an ambulatory setting. Endpoints included biomarkers of exposure (BoExp) to HPHCs, and to nicotine, urinary excretion of mutagenic constituents (Ames assay), CYP1A2 activity, biomarkers of effect, and safety., Results: In switchers to CHTP, BoExp were 40%-95% lower compared to smokers after 5 days of product use, with sustained reductions (36%-93%) observed on Day 90. Urine mutagenicity and CYP1A2 activity were also lower in the CHTP group. Exposure to nicotine was higher in the CHTP group at Day 5, but was similar between the two groups at Day 90. Favorable changes in some biomarkers of effect were observed in the CHTP group showing reductions in white blood cell count, soluble intracellular adhesion molecule-1, and 11-dehydro-thromboxane B2, respectively, indicative of reduced inflammation, endothelial dysfunction, and platelet activation., Conclusions: Switching from cigarettes to CHTP resulted in significantly reduced exposure to HPHCs and was associated with observed improvements in some biomarkers of effect representative of pathomechanistic pathways underlying the development of smoking-related diseases., Competing Interests: Declaration of Competing Interest All authors are employees of Philip Morris International (PMI) or work for PMI under contractual agreements., (Copyright © 2020 The Author(s). Published by Elsevier B.V. All rights reserved.)
- Published
- 2020
- Full Text
- View/download PDF
23. Reduction in Exposure to Selected Harmful and Potentially Harmful Constituents Approaching Those Observed Upon Smoking Abstinence in Smokers Switching to the Menthol Tobacco Heating System 2.2 for 3 Months (Part 1).
- Author
-
Haziza C, de La Bourdonnaye G, Donelli A, Poux V, Skiada D, Weitkunat R, Baker G, Picavet P, and Lüdicke F
- Subjects
- Adult, Aged, Antipruritics administration & dosage, Biomarkers blood, Electronic Nicotine Delivery Systems statistics & numerical data, Female, Health Behavior, Hot Temperature, Humans, Male, Middle Aged, Risk Assessment methods, Smoking psychology, Young Adult, Electronic Nicotine Delivery Systems standards, Harm Reduction, Heating methods, Menthol administration & dosage, Smoke analysis, Smokers psychology, Smoking adverse effects
- Abstract
Introduction: The Tobacco Heating System (THS) is a "heat-not-burn" tobacco product designed to generate significantly lower levels of harmful and potentially harmful constituents (HPHCs) and present lower risk of harm than cigarettes. This study assessed the exposure reduction to selected HPHCs in smokers switching to menthol Tobacco Heating System (mTHS) 2.2 compared with smokers continuing smoking menthol cigarettes (mCCs) and smoking abstinence (SA) for 5 days in a confined setting, followed by an 86-day ambulatory period., Methods: A total of 160 healthy adult US smokers participated in this randomized, three-arm parallel group, controlled clinical study. Biomarkers of exposure to 16 HPHCs were measured in blood and 24-hour urine. Safety was monitored throughout the study. Information was also gathered on product evaluation, product use, subjective effects, and clinical risk markers (co-publication Part 2)., Results: Nicotine uptake was comparable in both exposure groups (mTHS:mCC ratio of 96% on day 90). On day 5, biomarker of exposure levels to other HPHCs were reduced by 51%-96% in the mTHS group compared with the mCC group, and these reductions were sustained for most biomarkers of exposure over ambulatory period. After 90 days of use, the level of satisfaction with mTHS and suppression of urge to smoke were comparable to mCC., Conclusion: Switching from mCCs to mTHS significantly reduced the exposure to HPHCs to levels approaching those observed in subjects who abstained from smoking for the duration of the study., Implications: This study compared the impact of switching to mTHS on biomarkers of exposure, relative to continued smoking or SA., Trial Registration: NCT01989156 (ClinicalTrials.gov)., (© The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco.)
- Published
- 2020
- Full Text
- View/download PDF
24. Favorable Changes in Biomarkers of Potential Harm to Reduce the Adverse Health Effects of Smoking in Smokers Switching to the Menthol Tobacco Heating System 2.2 for 3 Months (Part 2).
- Author
-
Haziza C, de La Bourdonnaye G, Donelli A, Skiada D, Poux V, Weitkunat R, Baker G, Picavet P, and Lüdicke F
- Subjects
- Adult, Aged, Antipruritics administration & dosage, Electronic Nicotine Delivery Systems statistics & numerical data, Female, Health Behavior, Hot Temperature, Humans, Male, Middle Aged, Risk Assessment methods, Smokers psychology, Smokers statistics & numerical data, Smoking psychology, Young Adult, Biomarkers blood, Electronic Nicotine Delivery Systems standards, Harm Reduction, Heating methods, Menthol administration & dosage, Smoke analysis, Smoking adverse effects
- Abstract
Introduction: Tobacco Heating System (THS) 2.2, a candidate modified-risk tobacco product, aims at offering an alternative to cigarettes for smokers while substantially reducing the exposure to harmful and potentially harmful constituents found in cigarette smoke., Methods: One hundred and sixty healthy adult US smokers participated in this randomized, three-arm parallel group, controlled clinical study. Subjects were randomized in a 2:1:1 ratio to menthol Tobacco Heating System 2.2 (mTHS), menthol cigarette, or smoking abstinence for 5 days in confinement and 86 subsequent ambulatory days. Endpoints included biomarkers of exposure to harmful and potentially harmful constituents (reported in our co-publication, Part 1) and biomarkers of potential harm (BOPH)., Results: Compliance (protocol and allocated product exposure) was 51% and 18% in the mTHS and smoking abstinence arms, respectively, on day 90. Nonetheless, favorable changes in BOPHs of lipid metabolism (total cholesterol and high- and low-density cholesterol), endothelial dysfunction (soluble intercellular adhesion molecule-1), oxidative stress (8-epi-prostaglandin F2α), and cardiovascular risk factors (eg, high-sensitivity C-reactive protein) were observed in the mTHS group. Favorable effects in other BOPHs, including ones related to platelet activation (11-dehydrothromboxane B2) and metabolic syndrome (glucose), were more pronounced in normal weight subjects., Conclusions: The results suggest that the reduced exposure demonstrated when switching to mTHS is associated with overall improvements in BOPHs, which are indicative of pathomechanistic pathways underlying the development of smoking-related diseases, with some stronger effects in normal weight subjects., Implications: Switching to mTHS was associated with favorable changes for some BOPHs indicative of biological pathway alterations (eg, oxidative stress and endothelial dysfunction). The results suggest that switching to mTHS has the potential to reduce the adverse health effects of smoking and ultimately the risk of smoking-related diseases. Switching to mTHS for 90 days led to reductions in a number of biomarkers of exposure in smokers, relative to those who continued smoking cigarettes, which were close to those observed when stopping smoking (reported in our co-publication, Part 1). Initial findings suggest reduced levels of 8-epi-prostaglandin F2α and intercellular adhesion molecule 1, when switching to mTHS for 90 days. These changes are comparable to what is observed upon smoking cessation. In normal weight subjects, additional favorable changes were seen in 11-dehydrothromboxane B2, fibrinogen, homocysteine, hs-CRP, percentage of predicted forced expiratory volume in 1 second, systolic blood pressure, diastolic blood pressure, glucose, high-density lipoprotein, apolipoprotein A1, and triglycerides., Trial Registration: NCT01989156., (© The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco.)
- Published
- 2020
- Full Text
- View/download PDF
25. Fibroblast Growth Factor 2 Protein Stability Provides Decreased Dependence on Heparin for Induction of FGFR Signaling and Alters ERK Signaling Dynamics.
- Author
-
Koledova Z, Sumbal J, Rabata A, de La Bourdonnaye G, Chaloupkova R, Hrdlickova B, Damborsky J, and Stepankova V
- Abstract
Fibroblast growth factor 2 (FGF2) plays important roles in tissue development and repair. Using heparan sulfates (HS)/heparin as a cofactor, FGF2 binds to FGF receptor (FGFR) and induces downstream signaling pathways, such as ERK pathway, that regulate cellular behavior. In most cell lines, FGF2 signaling displays biphasic dose-response profile, reaching maximal response to intermediate concentrations, but weak response to high levels of FGF2. Recent reports demonstrated that the biphasic cellular response results from competition between binding of FGF2 to HS and FGFR that impinge upon ERK signaling dynamics. However, the role of HS/heparin in FGF signaling has been controversial. Several studies suggested that heparin is not required for FGF-FGFR complex formation and that the main role of heparin is to protect FGF from degradation. In this study, we investigated the relationship between FGF2 stability, heparin dependence and ERK signaling dynamics using FGF2 variants with increased thermal stability (FGF2-STABs). FGF2-STABs showed higher efficiency in induction of FGFR-mediated proliferation, lower affinity to heparin and were less dependent on heparin than wild-type FGF2 (FGF2-wt) for induction of FGFR-mediated mitogenic response. Interestingly, in primary mammary fibroblasts, FGF2-wt displayed a sigmoidal dose-response profile, while FGF2-STABs showed a biphasic response. Moreover, at low concentrations, FGF2-STABs induced ERK signaling more potently and displayed a faster dynamics of full ERK activation and higher amplitudes of ERK signaling than FGF2-wt. Our results suggest that FGF2 stability and heparin dependence are important factors in FGF-FGFR signaling complex assembly and ERK signaling dynamics., (Copyright © 2019 Koledova, Sumbal, Rabata, de La Bourdonnaye, Chaloupkova, Hrdlickova, Damborsky and Stepankova.)
- Published
- 2019
- Full Text
- View/download PDF
26. Influence of smoking on levels of urinary 8-iso Prostaglandin F2α.
- Author
-
van der Plas A, Pouly S, de La Bourdonnaye G, Baker G, and Lüdicke F
- Abstract
Background: To evaluate the reduced-risk potential of alternative tobacco products, biomarkers that are involved in the biological pathways affected by cigarette smoking and smoking cessation are needed. Isoprostanes, a measure of oxidative stress, appear to be influenced by smoking and reversible upon smoking cessation and therefore could be a good biomarker. This review aims at quantifying the effect of smoking and smoking cessation on levels of urinary 8-iso prostaglandin F
2α (8-epi-PGF2α ), an isoprostane., Methods: PubMed and Scopus databases were searched for publications that reported 8-epi-PGF2α levels in smokers and nonsmokers as well as articles reporting the effect of smoking cessation on 8-epi-PGF2α levels., Results: Eighteen studies assessing 8-epi-PGF2α levels by smoking status were identified. Five of the papers reported the results as quantity excreted in 24-hour urine (μg/24 h), and 15 reported creatinine adjusted values. The meta-analyses show increased levels of 8-epi-PGF2α in current smokers compared with nonsmokers (mean difference = 0.16, 95% confidence interval [95%CI]: 0.14-0.19 μg/24 h with inconsistency statistic [I2 ] = 98%; mean difference = 172.38, 95%CI: 152.75-192.01 pg/mg creatinine with I2 = 89%, respectively). There were too few publications to perform a meta-analysis assessing the effects of smoking cessation on 8-epi-PGF2α levels., Conclusions: Due to the high heterogeneity among the studies included in these meta-analyses, it is difficult to generalize the results; however, our study indicates increased levels of 8-epi-PGF2α and therefore increased oxidative stress in smokers compared with nonsmokers. More studies are still needed to assess if 8-epi-PGF2α levels are reversible after cessation.- Published
- 2018
- Full Text
- View/download PDF
27. Conventional Anti-glioblastoma Chemotherapy Affects Proteoglycan Composition of Brain Extracellular Matrix in Rat Experimental Model in vivo .
- Author
-
Tsidulko AY, Bezier C, de La Bourdonnaye G, Suhovskih AV, Pankova TM, Kazanskaya GM, Aidagulova SV, and Grigorieva EV
- Abstract
Temozolomide (TMZ) is a conventional chemotherapy drug for adjuvant treatment of glioblastoma multiforme (GBM), often accompanied by dexamethasone (DXM) to prevent brain oedema and alleviate clinical side effects. Here, we aimed to investigate an ability of the drugs to affect normal brain tissue in terms of proteoglycan (PG) composition/content in experimental rat model in vivo . Age- and brain zone-specific transcriptional patterns of PGs were demonstrated for 8, 60, and 120 days old rats, and syndecan-1, glypican-1, decorin, biglycan, and lumican were identified as the most expressed PGs. DXM treatment affected both PG core proteins expression (mainly syndecan-1, glypican-1, decorin, biglycan, lumican, versican, brevican, and NG2) and heparan sulphate (HS)/chondroitin sulphate (CS) content in organotypic brain slice culture ex vivo and experimental animals in vivo in a dose-dependent manner. TMZ treatment did not result in the significant changes in PG core proteins expression both in normal rat brain hippocampus and cortex in vivo (although generics did), but demonstrated significant effects onto polysaccharide HS/CS content in the brain tissue. The effects were age- and brain zone-specific and similar with the age-related PGs expression changes in rat brain. Combination of TMZ with DXM resulted in the most profound deterioration in PGs composition and content in the brain tissue both at core protein and glycosaminoglycan levels. Taken together, the obtained results demonstrate that conventional anti-glioblastoma therapy affects proteoglycan structure and composition in normal brain tissue, potentially resulting in deterioration of brain extracellular matrix and formation of the favourable tumorigenic niche for the expansion of the residual glioma cells. During the TMZ chemotherapy, dose and regimen of DXM treatment matter, and repetitive low DXM doses seem to be more sparing treatment compared with high DXM dose(s), which should be avoided where possible, especially in combination with TMZ.
- Published
- 2018
- Full Text
- View/download PDF
28. Influence of smoking and smoking cessation on levels of urinary 11-dehydro thromboxane B 2 .
- Author
-
van der Plas A, Pouly S, de La Bourdonnaye G, Ng WT, Baker G, and Lüdicke F
- Abstract
Background: Thromboxane is a key clinical risk endpoint of smoking-induced inflammation which has been associated in the pathogenesis of cardiovascular disease. The goal of this review is to quantify the effect of smoking and smoking cessation on one of its urinary metabolites, 11-dehydrothromboxane
B2 ., Methods: PubMed and SCOPUS were searched to identify publications which report urinary 11-dehydrothromboxaneB2 levels in smokers and non-smokers, as well as articles reporting the effect of smoking cessation on urinary 11-dehydrothromboxaneB2 excretion., Results: We found ten studies assessing urinary 11-dehydrothroboxaneB2 levels in smokers and non-smokers. Four papers reported the amount of urinary 11-dehydrothromboxaneB2 excreted in 24 h while six reported the amount excreted adjusted for creatinine. The meta-analyses comparing the excretion of urinary 11-dehydrothromboxane in current smokers to non-smokers report increased levels in current smokers (mean difference = 0.31 μg/24-h [95%CI: 0.27-0.34] and 166.45 pg/mg creatinine [95%CI: 120.51-212.40]). There were not enough publications to perform meta-analyses on the effects of smoking cessation on urinary 11-dehydrothromboxaneB2 excretion., Conclusions: Urinary 11-dehydrothromboxaneB2 levels are increased in cigarette smokers, however, more data are needed to elucidate the effects of smoking cessation on urinary 11-dehydrothromboxaneB2 excretion.- Published
- 2018
- Full Text
- View/download PDF
29. Heparan Sulfate Biosynthetic System Is Inhibited in Human Glioma Due to EXT1/2 and HS6ST1/2 Down-Regulation.
- Author
-
Ushakov VS, Tsidulko AY, de La Bourdonnaye G, Kazanskaya GM, Volkov AM, Kiselev RS, Kobozev VV, Kostromskaya DV, Gaytan AS, Krivoshapkin AL, Aidagulova SV, and Grigorieva EV
- Subjects
- Adult, Biosynthetic Pathways, Brain Neoplasms metabolism, Down-Regulation, Female, Glioblastoma genetics, Glioblastoma metabolism, Glioma metabolism, Heparitin Sulfate genetics, Humans, Male, Middle Aged, N-Acetylglucosaminyltransferases metabolism, Sulfotransferases metabolism, Tumor Microenvironment, Exostosin 2, Exostosin 1, Brain Neoplasms genetics, Glioma genetics, Heparitin Sulfate metabolism, N-Acetylglucosaminyltransferases genetics, Sulfotransferases genetics
- Abstract
Heparan sulfate (HS) is an important component of the extracellular matrix and cell surface, which plays a key role in cell-cell and cell-matrix interactions. Functional activity of HS directly depends on its structure, which determined by a complex system of HS biosynthetic enzymes. During malignant transformation, the system can undergo significant changes, but for glioma, HS biosynthesis has not been studied in detail. In this study, we performed a comparative analysis of the HS biosynthetic system in human gliomas of different grades. RT-PCR analysis showed that the overall transcriptional activity of the main HS biosynthesis-involved genes ( EXT1 , EXT2 , NDST1 , NDST2 , GLCE , HS2ST1 , HS3ST1 , HS3ST2 , HS6ST1 , HS6ST2 , SULF1 , SULF2 , HPSE ) was decreased by 1.5-2-fold in Grade II-III glioma ( p < 0.01) and by 3-fold in Grade IV glioma (glioblastoma multiforme, GBM) ( p < 0.05), as compared with the para-tumourous tissue. The inhibition was mainly due to the elongation (a decrease in EXT1/2 expression by 3-4-fold) and 6- O -sulfation steps (a decrease in 6OST1/2 expression by 2-5-fold) of the HS biosynthesis. Heparanase ( HPSE ) expression was identified in 50% of GBM tumours by immunostaining, and was characterised by a high intratumoural heterogeneity of the presence of the HPSE protein. The detected disorganisation of the HS biosynthetic system in gliomas might be a potential molecular mechanism for the changes of HS structure and content in tumour microenvironments, contributing to the invasion of glioma cells and the development of the disease., Competing Interests: The authors declare no conflict of interest.
- Published
- 2017
- Full Text
- View/download PDF
30. Evaluation of the Tobacco Heating System 2.2. Part 8: 5-Day randomized reduced exposure clinical study in Poland.
- Author
-
Haziza C, de La Bourdonnaye G, Skiada D, Ancerewicz J, Baker G, Picavet P, and Lüdicke F
- Subjects
- Adult, Aerosols, Biomarkers blood, Biomarkers urine, Consumer Product Safety, Cytochrome P-450 CYP1A2 metabolism, Equipment Design, Female, Humans, Inhalation Exposure adverse effects, Male, Middle Aged, Poland, Risk Assessment, Smoking blood, Smoking urine, Smoking Cessation methods, Smoking Prevention, Time Factors, Toxicity Tests methods, Young Adult, Electronic Nicotine Delivery Systems adverse effects, Harm Reduction, Hot Temperature, Smoke adverse effects, Smoking adverse effects, Tobacco Industry, Tobacco Products toxicity
- Abstract
The Tobacco Heating System (THS) 2.2, a candidate Modified Risk Tobacco Product (MRTP), is designed to heat tobacco without burning it. Tobacco is heated in order to reduce the formation of harmful and potentially harmful constituents (HPHC), and reduce the consequent exposure, compared with combustible cigarettes (CC). In this 5-day exposure, controlled, parallel-group, open-label clinical study, 160 smoking, healthy subjects were randomized to three groups and asked to: (1) switch from CCs to THS 2.2 (THS group; 80 participants); (2) continue to use their own non-menthol CC brand (CC group; 41 participants); or (3) to refrain from smoking (smoking abstinence (SA) group; 39 participants). Biomarkers of exposure, except those associated with nicotine exposure, were significantly reduced in the THS group compared with the CC group, and approached the levels observed in the SA group. Increased product consumption and total puff volume were reported in the THS group. However, exposure to nicotine was similar to CC at the end of the confinement period. Reduction in urge-to-smoke was comparable between the THS and CC groups and THS 2.2 product was well tolerated., (Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2016
- Full Text
- View/download PDF
31. Biomarker of exposure level data set in smokers switching from conventional cigarettes to Tobacco Heating System 2.2, continuing smoking or abstaining from smoking for 5 days.
- Author
-
Haziza C, de La Bourdonnaye G, Skiada D, Ancerewicz J, Baker G, Picavet P, and Lüdicke F
- Abstract
Levels of biomarkers of exposure to selected harmful and potentially harmful smoke constituents found in cigarette smoke, in addition to nicotine were measured in 160 smokers randomized for 5 days to continuing smoking conventional cigarettes (41 participants), switching to Tobacco Heating System 2.2 (THS 2.2) (80 participants), or abstaining from smoking (39 participants). The data reported here are descriptive statistics of the levels of each biomarker of exposure expressed as concentrations adjusted to creatinine; at baseline, and at the end of the study, and their relative change from baseline. Reductions in the levels of biomarkers of exposure when expressed as quantity excreted, are also reported. Detailed descriptions of bioanalytical assays used are also provided. The data presented here are related to the article entitled "Evaluation of the Tobacco Heating System 2.2. Part 8: 5-Day randomized reduced exposure clinical study in Poland" (Haziza et al., 2016) [1].
- Published
- 2016
- Full Text
- View/download PDF
32. Assessment of the reduction in levels of exposure to harmful and potentially harmful constituents in Japanese subjects using a novel tobacco heating system compared with conventional cigarettes and smoking abstinence: A randomized controlled study in confinement.
- Author
-
Haziza C, de La Bourdonnaye G, Merlet S, Benzimra M, Ancerewicz J, Donelli A, Baker G, Picavet P, and Lüdicke F
- Subjects
- Adult, Aged, Female, Humans, Japan, Male, Middle Aged, Young Adult, Electronic Nicotine Delivery Systems instrumentation, Heating, Smoking adverse effects, Tobacco Products adverse effects
- Abstract
Smoking conventional cigarettes (CCs) exposes smokers to harmful and potentially harmful constituents (HPHCs). The Tobacco Heating System 2.2 (THS 2.2), a candidate modified risk tobacco product, was developed to reduce or eliminate the formation of HPHCs, while preserving as much as possible the taste, sensory experience, nicotine delivery profile and ritual characteristics of CC. This randomized, controlled, open-label study in confinement for 5 day exposure aimed to demonstrate the reduction in exposure to selected HPHCs, to assess nicotine uptake and subjective effects, in participants switching to THS 2.2 (n = 80) compared to participants continuing smoking CCs (n = 40) and abstaining from smoking (n = 40). The subjects were randomized according to sex and daily CC consumption. The levels of biomarkers of exposure to HPHCs were significantly reduced in participants switching to THS 2.2, compared to CC use. More importantly, the magnitude of exposure reduction observed was close to that which was seen in participants who abstained from smoking for 5 days, while nicotine uptake was maintained. Reduction in urge-to-smoke was comparable between THS and CC groups, however THS 2.2 was slightly less satisfactory than CCs. The new, alternative tobacco product THS 2.2 was well tolerated., (Copyright © 2016 Philip Morris Products S.A. Published by Elsevier Inc. All rights reserved.)
- Published
- 2016
- Full Text
- View/download PDF
33. Open-label phase 1b study of FOLFIRI plus cetuximab plus IMO-2055 in patients with colorectal cancer who have progressed following chemotherapy for advanced or metastatic disease.
- Author
-
Chan E, Kwak EL, Hwang J, Heiskala M, de La Bourdonnaye G, and Mita M
- Subjects
- Aged, Antibodies, Monoclonal, Humanized administration & dosage, Antibodies, Monoclonal, Humanized adverse effects, Antineoplastic Combined Chemotherapy Protocols administration & dosage, Antineoplastic Combined Chemotherapy Protocols adverse effects, Camptothecin administration & dosage, Camptothecin adverse effects, Camptothecin therapeutic use, Cetuximab, Colorectal Neoplasms metabolism, Colorectal Neoplasms pathology, Disease Progression, Dose-Response Relationship, Drug, Drug Administration Schedule, Female, Fluorouracil administration & dosage, Fluorouracil adverse effects, Fluorouracil therapeutic use, Humans, Leucovorin administration & dosage, Leucovorin adverse effects, Leucovorin therapeutic use, Male, Maximum Tolerated Dose, Middle Aged, Neoplasm Invasiveness, Neoplasm Metastasis, Oligonucleotides administration & dosage, Oligonucleotides adverse effects, Toll-Like Receptor 9 agonists, Antibodies, Monoclonal, Humanized therapeutic use, Antineoplastic Combined Chemotherapy Protocols therapeutic use, Camptothecin analogs & derivatives, Colorectal Neoplasms drug therapy, Oligonucleotides therapeutic use
- Abstract
Purpose: The immune modulatory oligonucleotide IMO-2055 (EMD 1201081) is a phosphorothioate oligodeoxynucleotide agonist of Toll-like receptor 9. In preclinical studies, IMO-2055 was shown to activate natural killer cells and to support the antitumor activity of monoclonal antibodies. This phase 1b, open-label, 3 + 3 dose-escalation trial was performed to determine the recommended phase 2 dose of IMO-2055 combined with FOLFIRI/cetuximab in patients with previously treated, advanced/metastatic colorectal cancer (NCT00719199)., Methods: Patients received 14-day cycles of cetuximab (days 1/8; 400 mg/m(2) day 1 cycle 1, 250 mg/m(2) for subsequent days/cycles), irinotecan (day 1; 180 mg/m(2)), folinic acid (day 1; 400 mg/m(2) racemic or 200 mg/m(2) L-form), 5-fluorouracil (day 1; 400 mg/m(2) intravenous bolus, followed by 2,400 mg/m(2) as 46-h infusion), and escalating IMO-2055 doses (days 1/8; 0.16, 0.32, 0.48 mg/kg). Fifteen patients received IMO-2055, including six, three, and six patients who were treated at the dose levels 0.16, 0.32, and 0.48 mg/kg, respectively., Results: One dose-limiting toxicity was observed (grade 3 fatigue; at dose level 0.16 mg/kg). The most common adverse events were injection site reactions, diarrhea, fatigue, hypomagnesemia, and stomatitis. One patient achieved a confirmed partial response; 12 had stable disease, including five with stable disease ≥4.0 months., Conclusions: IMO-2055 combined with FOLFIRI/cetuximab was well tolerated at all dose levels tested. IMO-2055 0.48 mg/kg was considered as the recommended phase 2 dose.
- Published
- 2015
- Full Text
- View/download PDF
34. Antitumor activity and safety of combination therapy with the Toll-like receptor 9 agonist IMO-2055, erlotinib, and bevacizumab in advanced or metastatic non-small cell lung cancer patients who have progressed following chemotherapy.
- Author
-
Smith DA, Conkling P, Richards DA, Nemunaitis JJ, Boyd TE, Mita AC, de La Bourdonnaye G, Wages D, and Bexon AS
- Subjects
- Adult, Aged, Aged, 80 and over, Antibodies, Monoclonal, Humanized administration & dosage, Antibodies, Monoclonal, Humanized adverse effects, Antibodies, Monoclonal, Humanized pharmacokinetics, Antineoplastic Combined Chemotherapy Protocols adverse effects, Antineoplastic Combined Chemotherapy Protocols pharmacokinetics, Bevacizumab, Carcinoma, Non-Small-Cell Lung pathology, Dose-Response Relationship, Drug, Erlotinib Hydrochloride, Humans, Lung Neoplasms pathology, Middle Aged, Neoplasm Metastasis, Oligonucleotides administration & dosage, Oligonucleotides adverse effects, Oligonucleotides pharmacokinetics, Protein Kinase Inhibitors administration & dosage, Protein Kinase Inhibitors adverse effects, Protein Kinase Inhibitors pharmacokinetics, Quinazolines administration & dosage, Quinazolines pharmacokinetics, Toll-Like Receptor 9 agonists, Treatment Outcome, Antineoplastic Combined Chemotherapy Protocols therapeutic use, Carcinoma, Non-Small-Cell Lung drug therapy, Lung Neoplasms drug therapy
- Abstract
Background: IMO-2055 is a Toll-like receptor 9 (TLR9) agonist that potentially enhances the efficacy of antitumor agents through immune stimulation. The objective of this phase Ib dose-escalation trial (3 + 3 design) was to determine the recommended phase II dose (RP2D) of IMO-2055 when combined with erlotinib and bevacizumab in patients with advanced non-small cell lung cancer (NSCLC)., Methods: Patients with stage 3/4 NSCLC and progressive disease (PD) following chemotherapy received IMO-2055 0.08, 0.16, 0.32, or 0.48 mg/kg once weekly plus erlotinib 150 mg daily and bevacizumab 15 mg/kg every 3 weeks. Patients could receive treatment until PD or unacceptable toxicity., Results: Thirty-six patients were enrolled; 35 received at least one treatment dose. Two dose-limiting toxicities were observed across the dose range (Grade 3 dehydration and fatigue) with neither suggestive of a consistent toxicity pattern. IMO-2055 0.32 mg/kg was adopted as RP2D based on clinical and pharmacodynamic data. The most common treatment-emergent adverse events (TEAEs) were diarrhea (74 %), nausea (51 %), fatigue (51 %), rash (51 %), and injection-site reactions (49 %). Four patients experienced serious TEAEs considered to be study drug related. Five patients died, all due to PD. High-grade neutropenia and electrolyte disturbances previously reported with TLR9 agonists combined with platinum-based therapy were not observed in this study. Five of 33 patients evaluable for response (15 %) achieved partial response; another 20 (61 %) had stable disease, including 13 with stable disease ≥4 months., Conclusions: IMO-2055 demonstrated good tolerability and possible antitumor activity in combination with erlotinib and bevacizumab in heavily pretreated patients with advanced NSCLC.
- Published
- 2014
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.