title: Phase IB trial of oral talactoferrin in the treatment of patients with metastatic solid tumors.
abstract: OBJECTIVE
  We evaluated safety and activity of talactoferrin, a novel immunomodulatory protein in a phase IB trial of patients with refractory solid tumors.
  
  
  METHODS
  Thirty-six patients with metastatic cancer who had progressed on, or were ineligible for, standard chemotherapy received single-agent oral talactoferrin. Following dose-escalation, with no DLTs , patients were randomized to 4.5 or 9 g/day talactoferrin.
  
  
  RESULTS
  Talactoferrin was well tolerated with apparent anti-cancer activity, particularly in NSCLC and RCC. One patient had a PR (RECIST) and 17 patients (47%) had stable disease (50% disease control rate). Median PFS in the twelve NSCLC and seven RCC patients was 4.2 and 7.3 months, respectively. There was no apparent difference in anti-tumor activity or adverse events between talactoferrin doses.
  
  
  CONCLUSIONS
  Oral talactoferrin was well tolerated. Although evaluated in a small number of patients, talactoferrin appeared to have anti-cancer activity, particularly in NSCLC and RCC and should be evaluated further.
authors.affiliation: Michael E. DeBakey VA Medical Center and Baylor College of Medicine, Houston, TX, USA. thayes@bcm.edu
authors.forename: Teresa G
authors.initials: TG
authors.lastname: Hayes
authors.forename: Gerald S
authors.initials: GS
authors.lastname: Falchook
authors.forename: Atul
authors.initials: A
authors.lastname: Varadhachary
mesh_terms: D000284:Administration, Oral; D000368:Aged; D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000009:adverse effects / Q000494:pharmacology / Q000627:therapeutic use*; D002289:Carcinoma, Non-Small-Cell Lung / Q000000981:diagnostic imaging / Q000188:drug therapy; D002292:Carcinoma, Renal Cell / Q000000981:diagnostic imaging / Q000188:drug therapy; D049109:Cell Proliferation / Q000187:drug effects; D003710:Demography; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy; D007781:Lactoferrin / Q000008:administration & dosage / Q000009:adverse effects / Q000494:pharmacology / Q000627:therapeutic use*; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis / Q000188:drug therapy*; D009369:Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014057:Tomography, X-Ray Computed
chemical_list: D000970:Antineoplastic Agents; C515276:talactoferrin alfa; D007781:Lactoferrin