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Clin Cancer Res. 2020 Dec 01;26(23):6132-6140. doi: 10.1158/1078-0432.CCR-20-2586. Epub 2020 Sep 30.

A Phase Ib Study of Onvansertib, a Novel Oral PLK1 Inhibitor, in Combination Therapy for Patients with Relapsed or Refractory Acute Myeloid Leukemia.

Clinical cancer research : an official journal of the American Association for Cancer Research

Amer M Zeidan, Maya Ridinger, Tara L Lin, Pamela S Becker, Gary J Schiller, Prapti A Patel, Alexander I Spira, Michaela L Tsai, Errin Samuëlsz, Sandra L Silberman, Mark Erlander, Eunice S Wang

Affiliations

  1. Yale University and Yale Cancer Center, New Haven, Connecticut. [email protected].
  2. Cardiff Oncology, San Diego, California.
  3. Division of Hematologic Malignancies and Cellular Therapeutics, University of Kansas, Kansas City, Kansas.
  4. Division of Hematology, Department of Medicine, University of Washington and Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
  5. Division of Hematology and Oncology, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California.
  6. University Hospital Bone Marrow Transplant Clinic, Dallas, Texas.
  7. Virginia Cancer Specialists, Fairfax, Virginia.
  8. Minnesota Oncology, Minneapolis, Minnesota.
  9. SLS Oncology LLC, Durham, North Carolina.
  10. Department of Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, New York.

PMID: 32998961 DOI: 10.1158/1078-0432.CCR-20-2586

Abstract

PURPOSE: The Polo-like kinase 1 (PLK1) is a master regulator of mitosis and overexpressed in acute myeloid leukemia (AML). We conducted a phase Ib study of the PLK1 inhibitor, onvansertib, in combination with either low-dose cytarabine (LDAC) or decitabine in patients with relapsed or refractory (R/R) AML.

PATIENTS AND METHODS: Onvansertib was administered orally, in escalating doses, on days 1-5 in combination with either LDAC (20 mg/m

RESULTS: Forty patients were treated with onvansertib (12-90 mg/m

CONCLUSIONS: The onvansertib and decitabine combination was well tolerated and had antileukemic activity particularly in patients with target engagement and decreased mutant ctDNA following treatment. This combination will be further investigated in the ongoing phase II trial.

©2020 American Association for Cancer Research.

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