Evidence map›Paper›PMID 40354065›Full record

Trial reportCancer research communications2025

First-in-Human Study to Evaluate the Safety and Efficacy of Anti-GDF15 Antibody AZD8853 in Patients with Advanced/Metastatic Solid Tumors.

Benedito A Carneiro, Olumide B Gbolahan, Albiruni Abdul Abdul Razak, John F Hilton, Arthur W Lambert, John Hood, Michael Pluta, Veronique Bragulat, Elhan Sanai, Rakesh Kumar and 2 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Cancer research communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05397171 (A Phase I/IIa First-in-human, Open-label Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of AZD8853 in Participants With Selected Advanced/Metastatic Solid Tumours), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05397171 phase1 / phase2terminatednot on this map

A Phase I/IIa First-in-human, Open-label Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of AZD8853 in Participants With Selected Advanced/Metastatic Solid Tumours

TypeinterventionalSponsorAstraZenecaRan2022 to 2023Enrolled17ConditionsUrinary Bladder Neoplasms, Colorectal Cancer, Carcinoma, Non-Small-Cell LungArmsAZD8853, Zirconium-89 crefmirlimab berdoxam
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
  2. The causes of cachexia: key signals and the brain.Nature reviews. Endocrinology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Benedito A CarneiroDivision of Hematology/Oncology, Legorreta Cancer Center, Brown University, Providence, Rhode Island.ORCID 0000-0002-5468-1126
Olumide B GbolahanDepartment of Hematology and Medical Oncology, Emory University, Atlanta, Georgia.ORCID 0000-0002-0598-4809
Albiruni Abdul Abdul RazakPhase 1 Program, Department of Medical Oncology, Princess Margaret Cancer Centre, Toronto, Canada.ORCID 0000-0001-7657-9950
John F HiltonCancer Therapeutics Program, Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Canada.ORCID 0000-0002-6280-8633
Arthur W LambertTranslational Medicine, AstraZeneca, Waltham, Massachusetts.ORCID 0000-0002-2989-7961
John HoodClinical Pharmacology, AstraZeneca, Cambridge, United Kingdom.ORCID 0009-0007-9752-065X
Michael PlutaOncology Biometrics, AstraZeneca, Cambridge, United Kingdom.ORCID 0009-0008-9565-6972
Veronique BragulatOncology Early Development Clinical, AstraZeneca, Cambridge, United Kingdom.ORCID 0009-0002-0738-1814
Elhan SanaiOncology Early Development Clinical, AstraZeneca, Cambridge, United Kingdom.ORCID 0009-0000-9615-7173
Rakesh KumarOncology R&D, AstraZeneca, Gaithersburg, Maryland.ORCID 0000-0002-4627-3667
Duncan I JodrellUniversity of Cambridge, Cambridge, United Kingdom.ORCID 0000-0001-9360-1670
Patricia M LoRussoYale University Cancer Center, New Haven, Connecticut.ORCID 0000-0001-7144-036X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGrowth and differentiation factor 15 (GDF15) is overexpressed in multiple solid tumors and is thought to exert immunosuppressive effects in the tumor microenvironment. AZD8853 is an anti-GDF15 mAb. PATIENTS AND

methodsThis first-in-human, phase I/IIa, open-label study (NCT05397171) assessed AZD8853 monotherapy in previously treated patients with advanced/metastatic microsatellite-stable colorectal cancer and urothelial carcinoma. The primary objective was safety including dose-limiting toxicities. Secondary objectives included efficacy, pharmacokinetics, and pharmacodynamics (PD), including free serum GDF15. Exploratory objectives included biomarkers of clinical activity and effects on cancer cachexia.

resultsDuring dose escalation, 16 patients received AZD8853 300 mg (n = 3), 1,000 mg (n = 6), or 3,000 mg (n = 7) intravenously every 3 weeks; 15 patients had microsatellite-stable colorectal cancer; and one patient had urothelial carcinoma. By June 6, 2023, all patients had discontinued treatment. Thirteen (81.3%) patients had treatment-emergent adverse events (TEAE); most commonly diarrhea (31.3%), abdominal pain (31.3%), and decreased appetite (25%). Eight (50.0%) patients had grade ≥3 TEAEs, and six (37.5%) had serious TEAEs, none treatment related. There were no dose-limiting toxicities. The best response per RECIST v1.1 was stable disease in five (31.3%) patients and disease progression in 11 (68.8%) patients. AZD8853 showed linear pharmacokinetics with a half-life of 5 to 10 days, supporting every 3 weeks dosing. AZD8853 suppression of GDF15 was transient. There was no evidence of ctDNA clearance or dose-dependent changes in peripheral T cells. Changes in body weight showed no apparent trends.

conclusionsAZD8853 was well tolerated; however, no objective responses or PD effects were seen, and GDF15 suppression was not sustained. The study was terminated after dose escalation. SIGNIFICANCE: GDF15 is upregulated in the tumor microenvironment and suppresses antitumor immune responses. In this first-in-human trial, the anti-GDF15 antibody AZD8853 was well tolerated in previously treated patients with advanced/metastatic solid tumors, but no objective responses or PD effects were seen and GDF15 suppression was not sustained.

Indexed as

Antibodies, Monoclonal, HumanizedCarcinoma, Transitional CellColorectal NeoplasmsGrowth Differentiation Factor 15AdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedTreatment OutcomeUrinary Bladder NeoplasmsAntibodies, Monoclonal, HumanizedGDF15 protein, humanGrowth Differentiation Factor 15

Identifiers

PMID40354065
PMCPMC12127903

What Socratic holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.