Evidence map›Paper›PMID 40643947›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2025

Phase I Clinical Trial of the Bifunctional EGFR/TGF-β Fusion Protein Ficerafusp Alfa (BCA101) Alone and in Combination with Pembrolizumab for Advanced Solid Tumors.

Alberto Hernando-Calvo, Richard D Carvajal, Paul K Paik, Van Karlyle Morris, Dan P Zandberg, John M Kaczmar, David N Bohr, Ralf D Reiners, Elham Gharakhani, Rachel L Salazar and 4 more

Abstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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

14 authors.

Alberto Hernando-CalvoDivision of Hematology & Medical Oncology, Princess Margaret Cancer Centre, Toronto, Canada.ORCID 0000-0002-1692-1125
Richard D CarvajalColumbia University Irving Medical Center, New York, New York.ORCID 0000-0002-3796-1118
Paul K PaikMemorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-9464-3984
Van Karlyle MorrisDepartment of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-4911-2252
Dan P ZandbergUPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0000-0002-1002-8301
John M KaczmarHollings Cancer Center, Medical University of South Carolina, Charleston, South Carolina.ORCID 0000-0001-6785-7218
David N BohrClinical Operations, Bicara Therapeutics, Boston, Massachusetts.ORCID 0009-0008-8413-3615
Ralf D ReinersClinical Development, Bicara Therapeutics, Boston, Massachusetts.ORCID 0009-0005-9101-767X
Elham GharakhaniClinical Operations, Bicara Therapeutics, Boston, Massachusetts.ORCID 0009-0006-7219-7641
Rachel L SalazarR&D Strategy and Operations, Bicara Therapeutics, Boston, Massachusetts.ORCID 0009-0000-1848-4515
Patrick Hall LizotteBelfer Center for Applied Cancer Science, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0001-9510-0036
Elena V IvanovaBelfer Center for Applied Cancer Science, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-5069-4974
Philippe L BedardDivision of Hematology & Medical Oncology, Princess Margaret Cancer Centre, Toronto, Canada.ORCID 0000-0002-6771-2999
Glenn J HannaDana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-9969-2523

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeTo evaluate the safety, pharmacokinetics, pharmacodynamics, and efficacy of ficerafusp alfa (BCA101), a first-in-class bifunctional protein targeting EGFR and TGF-β, as monotherapy and in combination with pembrolizumab in patients with advanced solid tumors. PATIENTS AND

methodsAt escalating doses in a parallel 3 + 3 design, patients with EGFR-driven advanced solid tumors received weekly intravenous ficerafusp alfa as monotherapy (64-1,500 mg) or in combination (240-1,500 mg) with pembrolizumab (200 mg i.v. every 3 weeks). The primary objective was to determine safety/tolerability. Secondary objectives included assessment of pharmacokinetics, immunogenicity, and preliminary efficacy per investigator-assessed response. Exploratory analyses included pharmacodynamic biomarkers.

resultsAmong 61 patients (monotherapy, n = 46; combination, n = 15), the most common treatment-related adverse events included acneiform dermatitis (46%) and fatigue (20%) with monotherapy and acneiform dermatitis (73%), fatigue (53%), pruritus (40%), epistaxis (40%), and maculopapular rash (40%) with combination therapy. One patient had a dose-limiting toxicity with 1,250-mg monotherapy (grade 3 anemia and hematuria). The MTD was not reached in either cohort. With monotherapy, objective response was observed in one of 42 evaluable patients and 16 (38%) achieved stable disease. With combination therapy, four of 13 evaluable patients (31%) had a confirmed response, including one with head and neck squamous cell carcinoma refractory to anti-PD-1 therapy and cetuximab. Prolonged neutralization of plasma TGF-β1 was observed at doses ≥500 mg.

conclusionsFicerafusp alfa exhibited a manageable safety profile and clinical activity as monotherapy and in combination with pembrolizumab, with exposure increasing proportionally at anticipated therapeutic doses. See related commentary by Choudhury et al., p. 4617.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsNeoplasmsRecombinant Fusion ProteinsAdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedErbB ReceptorsFemaleHumansMaleMiddle AgedTransforming Growth Factor betaTreatment OutcomeAntibodies, Monoclonal, HumanizedEGFR protein, humanErbB ReceptorspembrolizumabRecombinant Fusion ProteinsTransforming Growth Factor beta

Identifiers

PMID40643947
PMCPMC12616243

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.