Kyung Hae Jung, Patricia M LoRusso, Howard A Burris, Michael S Gordon, Yung-Jue Bang, Matthew D Hellmann, Andres Cervantes, Maria Ochoa de Olza, Aurélien Marabelle, F Stephen Hodi, Myung-Ju Ahn, Leisha A Emens, Fabrice Barlesi, Omid Hamid, Emiliano Calvo, David F McDermott, Hatem Soliman, Ina Rhee, Ray Lin, Tony Pourmohamad, Julia Suchomel, Amy Tsuhako, Kari M Morrissey, Sami Mahrus, Roland Morley, Andrea Pirzkall, S Lindsey Davis
PURPOSE: IDO1 induces immune suppression in T cells through L-tryptophan (Trp) depletion and kyneurinine (Kyn) accumulation in the local tumor microenvironment, suppressing effector T-cells and hyperactivating Tregs. Navoximod is an investigational small molecule inhibitor of IDO1. This Phase I study evaluated safety, tolerability, PK and PD of navoximod in combination with atezolizumab, a PD-L1 inhibitor, in patients with advanced cancer. EXPERIMENTAL DESIGN: The study consisted of a 3+3 dose-escalation stage (n=66) and a tumor-specific expansion stage (n=92)...
February 15, 2019: Clinical Cancer Research: An Official Journal of the American Association for Cancer Research