Safety and clinical efficacy of an anti-PD-L1 antibody (c4G12) in dogs with advanced malignant tumours.

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 tu...

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Main Authors: Naoya Maekawa, Satoru Konnai, Kenji Hosoya, Sangho Kim, Ryohei Kinoshita, Tatsuya Deguchi, Ryo Owaki, Yurika Tachibana, Madoka Yokokawa, Hiroto Takeuchi, Yumiko Kagawa, Satoshi Takagi, Hiroshi Ohta, Yukinari Kato, Satoshi Yamamoto, Keiichi Yamamoto, Yasuhiko Suzuki, Tomohiro Okagawa, Shiro Murata, Kazuhiko Ohashi
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0291727
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author Naoya Maekawa
Satoru Konnai
Kenji Hosoya
Sangho Kim
Ryohei Kinoshita
Tatsuya Deguchi
Ryo Owaki
Yurika Tachibana
Madoka Yokokawa
Hiroto Takeuchi
Yumiko Kagawa
Satoshi Takagi
Hiroshi Ohta
Yukinari Kato
Satoshi Yamamoto
Keiichi Yamamoto
Yasuhiko Suzuki
Tomohiro Okagawa
Shiro Murata
Kazuhiko Ohashi
author_facet Naoya Maekawa
Satoru Konnai
Kenji Hosoya
Sangho Kim
Ryohei Kinoshita
Tatsuya Deguchi
Ryo Owaki
Yurika Tachibana
Madoka Yokokawa
Hiroto Takeuchi
Yumiko Kagawa
Satoshi Takagi
Hiroshi Ohta
Yukinari Kato
Satoshi Yamamoto
Keiichi Yamamoto
Yasuhiko Suzuki
Tomohiro Okagawa
Shiro Murata
Kazuhiko Ohashi
author_sort Naoya Maekawa
collection DOAJ
description 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.
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spelling doaj.art-295c408651194fcf866d2177d2d31e142023-10-06T05:32:23ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011810e029172710.1371/journal.pone.0291727Safety and clinical efficacy of an anti-PD-L1 antibody (c4G12) in dogs with advanced malignant tumours.Naoya MaekawaSatoru KonnaiKenji HosoyaSangho KimRyohei KinoshitaTatsuya DeguchiRyo OwakiYurika TachibanaMadoka YokokawaHiroto TakeuchiYumiko KagawaSatoshi TakagiHiroshi OhtaYukinari KatoSatoshi YamamotoKeiichi YamamotoYasuhiko SuzukiTomohiro OkagawaShiro MurataKazuhiko OhashiImmune 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.https://doi.org/10.1371/journal.pone.0291727
spellingShingle Naoya Maekawa
Satoru Konnai
Kenji Hosoya
Sangho Kim
Ryohei Kinoshita
Tatsuya Deguchi
Ryo Owaki
Yurika Tachibana
Madoka Yokokawa
Hiroto Takeuchi
Yumiko Kagawa
Satoshi Takagi
Hiroshi Ohta
Yukinari Kato
Satoshi Yamamoto
Keiichi Yamamoto
Yasuhiko Suzuki
Tomohiro Okagawa
Shiro Murata
Kazuhiko Ohashi
Safety and clinical efficacy of an anti-PD-L1 antibody (c4G12) in dogs with advanced malignant tumours.
PLoS ONE
title Safety and clinical efficacy of an anti-PD-L1 antibody (c4G12) in dogs with advanced malignant tumours.
title_full Safety and clinical efficacy of an anti-PD-L1 antibody (c4G12) in dogs with advanced malignant tumours.
title_fullStr Safety and clinical efficacy of an anti-PD-L1 antibody (c4G12) in dogs with advanced malignant tumours.
title_full_unstemmed Safety and clinical efficacy of an anti-PD-L1 antibody (c4G12) in dogs with advanced malignant tumours.
title_short Safety and clinical efficacy of an anti-PD-L1 antibody (c4G12) in dogs with advanced malignant tumours.
title_sort safety and clinical efficacy of an anti pd l1 antibody c4g12 in dogs with advanced malignant tumours
url https://doi.org/10.1371/journal.pone.0291727
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