A phase II study of ibrutinib in combination with ixazomib in patients with Waldenström macroglobulinaemia

被引:4
作者
Parrondo, Ricardo D. [1 ]
Dutta, Navnita [2 ]
Laplant, Betsy R. [3 ]
Elliott, Jamie [1 ]
Fernandez, Andre [1 ]
Zimmerman, Ashley [1 ]
Cicco, Gina [2 ]
Han, Bing [2 ]
Heslop, Keisha [1 ]
Chapin, Dustin [1 ]
Sher, Taimur [1 ]
Roy, Vivek [1 ]
Rasheed, Ahsan [1 ]
Das, Saurav [1 ]
Chanan-Khan, Asher A. [1 ,2 ]
Paulus, Aneel [2 ]
Ailawadhi, Sikander [1 ,2 ,4 ]
机构
[1] Mayo Clin, Canc Ctr, Jacksonville, FL USA
[2] Mayo Clin, Dept Canc Biol, Jacksonville, FL USA
[3] Mayo Clin, Quantitat Hlth Sci, Rochester, MN USA
[4] Mayo Clin, Div Hematol Oncol, 4500 San Pablo Rd, Mangurian Bldg 3rd Floor, Jacksonville, FL 32224 USA
关键词
clinical trials; non Hodgkin's lymphoma; Waldenstrom's macroglobulinaemia; WALDENSTROM MACROGLOBULINEMIA; RITUXIMAB; DEXAMETHASONE; ZANUBRUTINIB; THERAPY;
D O I
10.1111/bjh.19320
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This phase II study evaluated time-limited (24 cycles) treatment with ibrutinib and ixazomib in newly diagnosed (NDWM; n = 9) and relapsed/refractory (RRWM; n = 12) Waldenstrom macroglobulinaemia (WM). The overall response rate (ORR) was 76.2% (n = 16) in 21 evaluable patients with no patient achieving a complete response (CR). The median duration of treatment was 15.6 months, and after a median follow-up time of 25.7 months, the median progression-free survival (PFS) was 22.9 months. While the primary end-point was not met (CR rate at any time) and 28.5% discontinued treatment due to toxicity, ibrutinib plus ixazomib led to a clinically meaningful ORR and PFS. Combined Bruton's tyrosine kinase (BTK) and proteasome inhibition merits further evaluation in WM.
引用
收藏
页码:1825 / 1829
页数:5
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