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复发/难治性 B 细胞淋巴瘤(包括弥漫性大 B 细胞淋巴瘤)中脾酪氨酸激酶/FMS 样酪氨酸激酶-3 抑制:米伐莫汀(TAK-659/CB-659)的更新数据。

Spleen tyrosine kinase/FMS-like tyrosine kinase-3 inhibition in relapsed/refractory B-cell lymphoma, including diffuse large B-cell lymphoma: updated data with mivavotinib (TAK-659/CB-659).

机构信息

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.

出版信息

Oncotarget. 2023 Jan 26;14:57-70. doi: 10.18632/oncotarget.28352.


DOI:10.18632/oncotarget.28352
PMID:36702329
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9882996/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d06/9882996/0a9b5dd332d6/oncotarget-14-28352-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d06/9882996/6a3e3ee6fb24/oncotarget-14-28352-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d06/9882996/91cf60f57049/oncotarget-14-28352-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d06/9882996/0a9b5dd332d6/oncotarget-14-28352-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d06/9882996/6a3e3ee6fb24/oncotarget-14-28352-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d06/9882996/91cf60f57049/oncotarget-14-28352-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d06/9882996/0a9b5dd332d6/oncotarget-14-28352-g003.jpg

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引用本文的文献

[1]
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Int J Mol Sci. 2024-10-23

[2]
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本文引用的文献

[1]
Epcoritamab, a Novel, Subcutaneous CD3xCD20 Bispecific T-Cell-Engaging Antibody, in Relapsed or Refractory Large B-Cell Lymphoma: Dose Expansion in a Phase I/II Trial.

J Clin Oncol. 2023-4-20

[2]
Lisocabtagene maraleucel versus standard of care with salvage chemotherapy followed by autologous stem cell transplantation as second-line treatment in patients with relapsed or refractory large B-cell lymphoma (TRANSFORM): results from an interim analysis of an open-label, randomised, phase 3 trial.

Lancet. 2022-6-18

[3]
Axicabtagene Ciloleucel as Second-Line Therapy for Large B-Cell Lymphoma.

N Engl J Med. 2022-2-17

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Lancet Oncol. 2021-6

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Am J Hematol. 2021-5-1

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Efficacy and safety of second-generation CAR T-cell therapy in diffuse large B-cell lymphoma: A meta-analysis.

Mol Clin Oncol. 2020-10

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Lancet Haematol. 2020-7

[8]
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[10]
Phase I Study of TAK-659, an Investigational, Dual SYK/FLT3 Inhibitor, in Patients with B-Cell Lymphoma.

Clin Cancer Res. 2020-7-15

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