Faculty of Veterinary Medicine, Department of Advanced Pharmaceutics, Hokkaido University, Sapporo, Japan.
Cancer Research Unit, One Health Research Center, Hokkaido University, Sapporo, Japan.
PLoS One. 2023 Oct 4;18(10):e0291727. doi: 10.1371/journal.pone.0291727. eCollection 2023.
Immune checkpoint inhibitors (ICIs) have been developed for canine tumour treatment, and pilot clinical studies have demonstrated their antitumour efficacy in dogs with oral malignant melanoma (OMM). Although ICIs have been approved for various human malignancies, their clinical benefits in other tumour types remain to be elucidated in dogs. Here, we conducted a clinical study of c4G12, a canine chimeric anti-PD-L1 antibody, to assess its safety and efficacy in dogs with various advanced malignant tumours (n = 12) at the Veterinary Teaching Hospital of Hokkaido University from 2018 to 2023. Dogs with digit or foot pad malignant melanoma (n = 4), osteosarcoma (n = 2), hemangiosarcoma (n = 1), transitional cell carcinoma (n = 1), nasal adenocarcinoma (n = 1), B-cell lymphoma (n = 1), or undifferentiated sarcoma (n = 2) were treated with 2 or 5 mg/kg c4G12 every 2 weeks. Treatment-related adverse events of any grade were observed in eight dogs (66.7%), including elevated aspartate aminotransferase (grade 3) in one dog (8.3%) and thrombocytopenia (grade 4) in another dog (8.3%). Among dogs with target disease at baseline (n = 8), as defined by the response evaluation criteria for solid tumours in dogs (cRECIST), one dog with nasal adenocarcinoma and another with osteosarcoma experienced a partial response (PR), with an objective response rate of 25.0% (2 PR out of 8 dogs; 95% confidence interval: 3.2-65.1%). These results suggest that c4G12 is safe and tolerable and shows antitumor effects in dogs with malignant tumours other than OMM. Further clinical studies are warranted to identify the tumour types that are most likely to benefit from c4G12 treatment.
免疫检查点抑制剂(ICIs)已被开发用于犬肿瘤治疗,初步临床研究表明其在患有口腔恶性黑色素瘤(OMM)的犬中具有抗肿瘤作用。尽管 ICI 已被批准用于多种人类恶性肿瘤,但在犬中,其在其他肿瘤类型中的临床获益仍需阐明。在这里,我们在北海道大学兽医教学医院进行了一项关于 c4G12 的临床研究,c4G12 是一种犬嵌合抗 PD-L1 抗体,用于评估其在 2018 年至 2023 年期间患有各种晚期恶性肿瘤的犬中的安全性和疗效(n = 12)。患有数字或脚垫恶性黑色素瘤(n = 4)、骨肉瘤(n = 2)、血管肉瘤(n = 1)、移行细胞癌(n = 1)、鼻腔腺癌(n = 1)、B 细胞淋巴瘤(n = 1)或未分化肉瘤(n = 2)的犬接受 2 或 5 mg/kg c4G12 每 2 周一次。8 只犬(66.7%)出现了任何等级的与治疗相关的不良事件,包括一只犬(8.3%)的天门冬氨酸转氨酶升高(3 级)和另一只犬(8.3%)的血小板减少(4 级)。在基线时具有目标疾病的犬(n = 8)中,根据犬实体瘤反应评价标准(cRECIST)定义,一只患有鼻腔腺癌的犬和另一只患有骨肉瘤的犬经历了部分缓解(PR),客观缓解率为 25.0%(8 只犬中有 2 只 PR;95%置信区间:3.2-65.1%)。这些结果表明,c4G12 是安全且可耐受的,并在患有除 OMM 以外的恶性肿瘤的犬中显示出抗肿瘤作用。需要进一步的临床研究来确定最有可能从 c4G12 治疗中获益的肿瘤类型。