2012
DOI: 10.1158/1535-7163.mct-12-0358
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Targeting the Apoptotic Pathway in Chondrosarcoma Using Recombinant Human Apo2L/TRAIL (Dulanermin), a Dual Proapoptotic Receptor (DR4/DR5) Agonist

Abstract: Recombinant human Apo2L/TRAIL (dulanermin) is based on the ligand for death receptors (DR4 and DR5), which promotes apoptosis. We report a patient with refractory chondrosarcoma who demonstrated a prolonged response to dulanermin, and explore mechanisms of response and resistance. This heavily pretreated patient had progressive metastatic chondrosarcoma to the lung. On dulanermin (8 mg/kg IV on days 1 through 5 in a 21-day cycle) the patient achieved a sustained partial response with only sub-centimeter nodule… Show more

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Cited by 55 publications
(33 citation statements)
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“…Recombinant human TRAIL/Apo2L, also known as PRO1762 developed by Amgen/Genentech, has been the subject of numerous Phase 1, 1a, 2, and 3 clinical trials over the past decade, with minimal adverse effects reported (45,46). There are many intracellular proteins, such as the inhibitors of apoptosis protein (IAPs) family members, that also confer TRAIL resistance to normal cells (47).…”
Section: Discussionmentioning
confidence: 99%
“…Recombinant human TRAIL/Apo2L, also known as PRO1762 developed by Amgen/Genentech, has been the subject of numerous Phase 1, 1a, 2, and 3 clinical trials over the past decade, with minimal adverse effects reported (45,46). There are many intracellular proteins, such as the inhibitors of apoptosis protein (IAPs) family members, that also confer TRAIL resistance to normal cells (47).…”
Section: Discussionmentioning
confidence: 99%
“…These clinical studies demonstrated, in line with preclinical results, that the therapeutic concept of apoptosis induction via DR4 and/or DR5 is generally well tolerated. Although antitumor activity was observed for individual patients, the overall response rates were disappointing and could not confirm the promising preclinical results for the different TRAIL-R agonists (12)(13)(14)(15)(16)(17)(18)(19)(20)(21). Despite potent antitumor efficacy of all TRAIL-R agonists in xenograft tumor models derived from various human cancer cell lines during preclinical development, translation of the preclinical antitumor efficacy into the clinical setting has not yet been successful.…”
Section: Introductionmentioning
confidence: 97%
“…A leading strategy is to target death receptor 4 (DR4) and/or DR5, which are overexpressed on various tumors. A recombinant soluble version of the cognate ligand, human Apo2L/TRAIL (dulanermin), and several agonistic anti-DR4 or anti-DR5 antibodies have been studied in preclinical models and in patients (10)(11)(12)(13)(14)(15)(16). Despite remarkable preclinical efficacy, only rare clinical responses have been observed.…”
mentioning
confidence: 99%