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@ARTICLE{Loges:300110,
author = {S. Loges$^*$ and M. Heuser and J. Chromik and G.
Sutamtewagul and S. Kapp-Schwoerer and M. Crugnola and N. Di
Renzo and R. Lemoli and D. Mattei and W. Fiedler and Y.
Alvarado-Valero and I. Ben-Batalla$^*$ and J.
Waizenegger$^*$ and L.-M. Rieckmann$^*$ and M. Janning$^*$
and M. Collienne$^*$ and C. D. Imbusch$^*$ and N. Beumer$^*$
and D. Micklem and L. H Nilsson and N. Madeleine and N.
McCracken and C. Oliva and C. Gorcea-Carson and B. T.
Gjertsen},
title = {{B}emcentinib as monotherapy and in combination with
low-dose cytarabine in acute myeloid leukemia patients unfit
for intensive chemotherapy: a phase 1b/2a trial.},
journal = {Nature Communications},
volume = {16},
number = {1},
issn = {2041-1723},
address = {[London]},
publisher = {Springer Nature},
reportid = {DKFZ-2025-00608},
pages = {2846},
year = {2025},
note = {#EA:A420#},
abstract = {Beyond first line, the prognosis of relapsed/refractory
(R/R) acute myeloid leukemia (AML) patients is poor with
limited treatment options. Bemcentinib is an orally
bioavailable, potent, highly selective inhibitor of AXL, a
receptor tyrosine kinase associated with poor prognosis,
chemotherapy resistance and decreased antitumor immune
response. We report bemcentinib monotherapy and
bemcentinib+low-dose cytarabine combination therapy arms
from the completed BerGenBio-funded open-label Phase 1/2b
trial NCT02488408 ( www.clinicaltrials.gov ), in patients
unsuitable for intensive chemotherapy. The primary objective
in the monotherapy arm was identification of maximum
tolerated dose with secondary objectives to identify
dose-limiting toxicities, safety and efficacy, and
bemcentinib pharmacokinetic profile. In the combination arm,
the primary objective was safety and tolerability, with
efficacy and pharmacokinetics as secondary objectives.
Safety and tolerability were based on standard clinical
laboratory safety tests and Common Terminology Criteria for
Adverse Events version 4. Bemcentinib monotherapy (32 R/R, 2
treatment-naïve AML and 2 myelodysplasia patients) was
well-tolerated and a loading/maintenance dose of 400/200 mg
was selected for combination treatment, comprising 30 R/R
and 6 treatment-naïve AML patients. The most common grade
3/4 treatment-related adverse events were cytopenia, febrile
neutropenia and asymptomatic QTcF prolongation, with no
grade 5 events reported. In conclusion, bemcentinib+low-dose
cytarabine was safe and well tolerated.},
keywords = {Humans / Cytarabine: administration $\&$ dosage /
Cytarabine: adverse effects / Cytarabine: therapeutic use /
Cytarabine: pharmacokinetics / Leukemia, Myeloid, Acute:
drug therapy / Male / Middle Aged / Female / Aged /
Antineoplastic Combined Chemotherapy Protocols: adverse
effects / Antineoplastic Combined Chemotherapy Protocols:
therapeutic use / Antineoplastic Combined Chemotherapy
Protocols: pharmacokinetics / Antineoplastic Combined
Chemotherapy Protocols: administration $\&$ dosage / Adult /
Axl Receptor Tyrosine Kinase / Maximum Tolerated Dose /
Receptor Protein-Tyrosine Kinases: antagonists $\&$
inhibitors / Proto-Oncogene Proteins: antagonists $\&$
inhibitors / Cytarabine (NLM Chemicals) / Axl Receptor
Tyrosine Kinase (NLM Chemicals) / AXL protein, human (NLM
Chemicals) / Receptor Protein-Tyrosine Kinases (NLM
Chemicals) / Proto-Oncogene Proteins (NLM Chemicals)},
cin = {A420 / B330},
ddc = {500},
cid = {I:(DE-He78)A420-20160331 / I:(DE-He78)B330-20160331},
pnm = {311 - Zellbiologie und Tumorbiologie (POF4-311)},
pid = {G:(DE-HGF)POF4-311},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40122885},
doi = {10.1038/s41467-025-58179-6},
url = {https://inrepo02.dkfz.de/record/300110},
}