Phase 1 trial of carfilzomib (PR-171) in combination with vorinostat (SAHA) in patients with relapsed or refractory B-cell lymphomas.

作者: Beata Holkova , Maciej Kmieciak , Prithviraj Bose , Victor Y. Yazbeck , Paul M. Barr

DOI: 10.3109/10428194.2015.1075019

关键词:

摘要: A phase 1 study with carfilzomib and vorinostat was conducted in 20 B-cell lymphoma patients. Vorinostat given orally twice daily on days 1, 2, 3, 8, 9, 10, 15, 16, 17 followed by (given as a 30-min infusion) 16. treatment cycle 28 days. Dose escalation initially standard 3 + 3 design, but adapted more conservative accrual rule following dose de-escalation. The maximum tolerated 20 mg/m2 100 mg (twice daily). dose-limiting toxicities were grade 3 pneumonitis, hyponatremia, febrile neutropenia. One patient had partial response two patients stable disease. Correlative studies showed decrease NF-κB activation an increase Bim levels some patients, these changes did not correlate clinical response.

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