TY - JOUR
T1 - Intratumoral Comparison of Nanoparticle Entrapped Docetaxel (CPC634) with Conventional Docetaxel in Patients with Solid Tumors
AU - Atrafi, Florence
AU - van Eerden, Ruben A.G.
AU - van Hylckama Vlieg, Marte A.M.
AU - Hoop, Esther Oomende
AU - de Bruijn, Peter
AU - Lolkema, Martijn P.
AU - Moelker, Adriaan
AU - Rijcken, Cristianne J.
AU - Hanssen, Rob
AU - Sparreboom, Alex
AU - Eskens, Ferry A.L.M.
AU - Mathijssen, Ron H.J.
AU - Koolen, Stijn L.W.
N1 - Funding Information:
This investigator initiated study was funded by Cristal Therapeutics (unrestricted grant).
Publisher Copyright:
©2020 American Association for Cancer Research.
PY - 2020/7/15
Y1 - 2020/7/15
N2 - Purpose: CPC634 is a novel nanoparticle entrapping docetaxel, developed to enhance the intratumoral chemotherapy exposure. This randomized cross-over study compared the intratumoral and plasma pharmacokinetics of CPC634 with conventional docetaxel. Patients and Methods: Adult patients with solid tumors were randomized to receive CPC634 (75 mg/m2) in cycle 1, and conventional docetaxel (75 mg/m2) in cycle 2 or vice versa. The study was powered to identify a 25% increase of intratumoral total docetaxel exposure after CPC634 infusion compared with conventional docetaxel. Four patients were allocated per tumor sampling time point, that is, 24, 48, 72, and 96 hours, 7 and 14 days after infusion during both cycles. Total docetaxel and released docetaxel from the nanoparticle were determined in tumor tissue derived from a metastatic lesion and in plasma. Pharmacokinetic data were analyzed using linear mixed modeling. Results: In total, 24 evaluable patients were included. In the tumor, CPC634 exhibited a 461% higher total docetaxel (P < 0.001) and a comparable released docetaxel concentration (P ¼ 0.43). Plasma AUCinf was 27% higher (P ¼ 0.001) and Cmax was 91% lower (P < 0.001) for CPC634 released docetaxel. The median observed neutrophil count nadir after conventional docetaxel treatment was lower (0.50 109/L) compared with CPC634 (4.30 109/L; P < 0.001). Conclusions: Here, we demonstrated that CPC634 enhanced the intratumoral total docetaxel exposure compared with conventional docetaxel. The lower incidence of neutropenia during CPC634 treatment is presumably related to lower plasma Cmax of released docetaxel. The unique pharmacokinetic profile of CPC634 nanoparticles has the potential to improve docetaxel treatment. A phase II efficacy trial of CPC634 is currently ongoing.
AB - Purpose: CPC634 is a novel nanoparticle entrapping docetaxel, developed to enhance the intratumoral chemotherapy exposure. This randomized cross-over study compared the intratumoral and plasma pharmacokinetics of CPC634 with conventional docetaxel. Patients and Methods: Adult patients with solid tumors were randomized to receive CPC634 (75 mg/m2) in cycle 1, and conventional docetaxel (75 mg/m2) in cycle 2 or vice versa. The study was powered to identify a 25% increase of intratumoral total docetaxel exposure after CPC634 infusion compared with conventional docetaxel. Four patients were allocated per tumor sampling time point, that is, 24, 48, 72, and 96 hours, 7 and 14 days after infusion during both cycles. Total docetaxel and released docetaxel from the nanoparticle were determined in tumor tissue derived from a metastatic lesion and in plasma. Pharmacokinetic data were analyzed using linear mixed modeling. Results: In total, 24 evaluable patients were included. In the tumor, CPC634 exhibited a 461% higher total docetaxel (P < 0.001) and a comparable released docetaxel concentration (P ¼ 0.43). Plasma AUCinf was 27% higher (P ¼ 0.001) and Cmax was 91% lower (P < 0.001) for CPC634 released docetaxel. The median observed neutrophil count nadir after conventional docetaxel treatment was lower (0.50 109/L) compared with CPC634 (4.30 109/L; P < 0.001). Conclusions: Here, we demonstrated that CPC634 enhanced the intratumoral total docetaxel exposure compared with conventional docetaxel. The lower incidence of neutropenia during CPC634 treatment is presumably related to lower plasma Cmax of released docetaxel. The unique pharmacokinetic profile of CPC634 nanoparticles has the potential to improve docetaxel treatment. A phase II efficacy trial of CPC634 is currently ongoing.
UR - http://www.scopus.com/inward/record.url?scp=85087591926&partnerID=8YFLogxK
U2 - 10.1158/1078-0432.CCR-20-0008
DO - 10.1158/1078-0432.CCR-20-0008
M3 - Article
C2 - 32321718
SN - 1078-0432
VL - 26
SP - 3537
EP - 3545
JO - Clinical Cancer Research
JF - Clinical Cancer Research
IS - 14
ER -