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NCT02341014

Combination Therapy With Carfilzomib, Romidepsin, Lenalidomide in Patients With Relapsed or Refractory B- and T-cell Lymphomas

Completed Phase 1, PHASE2 Results posted Last updated 4 April 2024
What this trial tests

Phase 1, PHASE2 trial testing Carfilzomib in T-cell Lymphomas in 27 participants. Completed in 11 January 2023.

Timeline
2 January 2015
Primary endpoint
11 January 2023
11 January 2023

Quick facts

Lead sponsorMemorial Sloan Kettering Cancer Center
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment27
Start date2 January 2015
Primary completion11 January 2023
Estimated completion11 January 2023
Sites6 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Memorial Sloan Kettering Cancer Center — full company profile →

Who can join

18 and older, any sex, with T-cell Lymphomas or Relapsed or Refractory. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Maximum Tolerated Dose of Romidepsin Primary · 21 days

Determine the MTD by NCI-CTCAE v4.0.

GroupValue95% CI
Phase Ib: DL 18
Phase Ib: DL 28
Maximum Tolerated Dose of Lenalidomide Primary · 21 days

Determine the MTD by NCI-CTCAE v4.0.

GroupValue95% CI
Phase Ib: DL 115
Phase Ib: DL 215
Maximum Tolerated Dose of Carfilzomib Primary · 21 days

Determine the MTD by NCI-CTCAE v4.0.

GroupValue95% CI
Phase 1b: DL 136
Phase 1b: DL 236
Overall Response Rate (Orr) at the Maximum Tolerated Dose Secondary · 1 year

will be summarized using percentages and confidence intervals will be provided. ORR will be calculated based on the best response at any time during the course of treatment on this protocol.

GroupValue95% CI
Phase 1b: DL 15012 – 88
Phase 1b: DL 25718 – 90
Phase IIa - MTD4215 – 72

Adverse events — posted to ClinicalTrials.gov

Time frame: 1 year. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase Ib: DL 1
Serious: 0/6 (0%)
Deaths: 4/6
Phase Ib: DL 2
Serious: 5/7 (71%)
Deaths: 6/7
Phase Ib: DL 3
Serious: 0
Deaths: 0
Phase Ib: DL 4
Serious: 0
Deaths: 0
Phase IIa - MTD
Serious: 3/14 (21%)
Deaths: 8/14

Serious adverse events (16 terms)

ReactionSystemPhase Ib: DL 1Phase Ib: DL 2Phase Ib: DL 3Phase Ib: DL 4Phase IIa - MTD
FeverGeneral disorders
AnemiaBlood and lymphatic system disorders
ChillsGeneral disorders
Death NOSGeneral disorders
DehydrationMetabolism and nutrition disorders
DiarrheaGastrointestinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
EdemaGeneral disorders
Febrile neutropeniaBlood and lymphatic system disorders
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
Heart failureCardiac disorders
HypotensionVascular disorders
Lung infectionInfections and infestations
Thromboembolic eventVascular disorders
VomitingGastrointestinal disorders
ThrombocytopeniaInvestigations
Other adverse events (9 terms — click to expand)

ReactionSystemPhase Ib: DL 1Phase Ib: DL 2Phase Ib: DL 3Phase Ib: DL 4Phase IIa - MTD
Neutrophil count decreasedInvestigations
Platelet count decreasedInvestigations
AnemiaBlood and lymphatic system disorders
White blood cell decreasedInvestigations
Weight lossInvestigations
HypocalcemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
DiarrheaGastrointestinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders

Most-reported serious reactions: Fever, Anemia, Chills, Death NOS, Dehydration, Diarrhea, Dyspnea, Edema.

Data from ClinicalTrials.gov NCT02341014 adverse events section.

Sponsor's own description

This is an open label phase Ib/IIa study of patients with relapsed/refractory B- and T-cell lymphomas who are treated with carfilzomib, lenalidomide and romidepsin.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Targeting epigenetic regulators for cancer therapy: mechanisms and advances in clinical trials.
    Cheng Y, He C, Wang M, Ma X, et al · · 2019 · cited 760× · PMID 31871779 · DOI 10.1038/s41392-019-0095-0
  2. Mechanisms of Action of Lenalidomide in B-Cell Non-Hodgkin Lymphoma.
    Gribben JG, Fowler N, Morschhauser F. · · 2015 · cited 231× · PMID 26195701 · DOI 10.1200/jco.2014.59.5363
  3. Epigenetic regulation in hematopoiesis and its implications in the targeted therapy of hematologic malignancies.
    Zhao A, Zhou H, Yang J, Li M, et al · · 2023 · cited 81× · PMID 36797244 · DOI 10.1038/s41392-023-01342-6
  4. T follicular helper phenotype predicts response to histone deacetylase inhibitors in relapsed/refractory peripheral T-cell lymphoma.
    Ghione P, Faruque P, Mehta-Shah N, Seshan V, et al · · 2020 · cited 81× · PMID 33002132 · DOI 10.1182/bloodadvances.2020002396
  5. Histone Deacetylases (HDACs) Guided Novel Therapies for T-cell lymphomas.
    Zhang Q, Wang S, Chen J, Yu Z. · · 2019 · cited 72× · PMID 30911277 · DOI 10.7150/ijms.30154
  6. Romidepsin for the Treatment of Peripheral T-Cell Lymphoma.
    Iyer SP, Foss FF. · · 2015 · cited 52× · PMID 26099743 · DOI 10.1634/theoncologist.2015-0043
  7. Novel targeted therapies of T cell lymphomas.
    Iżykowska K, Rassek K, Korsak D, Przybylski GK, et al · · 2020 · cited 49× · PMID 33384022 · DOI 10.1186/s13045-020-01006-w
  8. Targeting Histone Deacetylases: Opportunities for Cancer Treatment and Chemoprevention.
    Ruzic D, Djoković N, Srdić-Rajić T, Echeverria C, et al · · 2022 · cited 46× · PMID 35057104 · DOI 10.3390/pharmaceutics14010209

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