Division of Hematology and Oncology, Northwestern University Feinberg School of Medicine and the Robert H. Lurie Comprehensive Cancer Center, Chicago, IL 60611, USA.
Department of Haematology, NIHR/UCLH Clinical Research Facility, University College London Hospitals NHS Foundation Trust, London, UK.
Oncotarget. 2023 Jan 26;14:57-70. doi: 10.18632/oncotarget.28352.
We report an updated analysis from a phase I study of the spleen tyrosine kinase (SYK) and FMS-like tyrosine kinase 3 inhibitor mivavotinib, presenting data for the overall cohort of lymphoma patients, and the subgroup of patients with diffuse large B-cell lymphoma (DLBCL; including an expanded cohort not included in the initial report). Patients with relapsed/refractory lymphoma for which no standard treatment was available received mivavotinib 60-120 mg once daily in 28-day cycles until disease progression/unacceptable toxicity. A total of 124 patients with lymphoma, including 89 with DLBCL, were enrolled. Overall response rates (ORR) in response-evaluable patients were 45% (43/95) and 38% (26/69), respectively. Median duration of response was 28.1 months overall and not reached in DLBCL responders. In subgroups with DLBCL of germinal center B-cell (GCB) and non-GCB origin, ORR was 28% (11/40) and 58% (7/12), respectively. Median progression free survival was 2.0 and 1.6 months in the lymphoma and DLBCL cohorts, respectively. Grade ≥3 treatment-emergent adverse events occurred in 96% of all lymphoma patients, many of which were limited to asymptomatic laboratory abnormalities; the most common were increased amylase (29%), neutropenia (27%), and hypophosphatemia (26%). These findings support SYK as a potential therapeutic target for the treatment of patients with B-cell lymphomas, including DLBCL. Trial registration: ClinicalTrials.gov number: NCT02000934.
我们报告了一项关于脾酪氨酸激酶(SYK)和 FMS 样酪氨酸激酶 3 抑制剂 mivavotinib 的 I 期研究的更新分析,该研究提供了总体淋巴瘤患者队列的数据,以及弥漫性大 B 细胞淋巴瘤(DLBCL;包括初始报告中未包括的扩展队列)患者的亚组数据。对于没有标准治疗方法的复发/难治性淋巴瘤患者,给予 mivavotinib 60-120mg 每日一次,28 天为一个周期,直至疾病进展/不可接受的毒性。共有 124 例淋巴瘤患者,包括 89 例 DLBCL 患者入组。可评估疗效的患者的总缓解率(ORR)分别为 45%(43/95)和 38%(26/69)。总体反应持续时间中位数为 28.1 个月,DLBCL 缓解者未达到。在具有生发中心 B 细胞(GCB)和非 GCB 起源的 DLBCL 亚组中,ORR 分别为 28%(11/40)和 58%(7/12)。淋巴瘤和 DLBCL 队列的中位无进展生存期分别为 2.0 个月和 1.6 个月。所有淋巴瘤患者中有 96%发生了≥3 级治疗相关不良事件,其中许多仅为无症状的实验室异常;最常见的是淀粉酶升高(29%)、中性粒细胞减少(27%)和低磷血症(26%)。这些发现支持 SYK 作为治疗 B 细胞淋巴瘤(包括 DLBCL)患者的潜在治疗靶点。试验注册:ClinicalTrials.gov 编号:NCT02000934。
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