Haematologica (Mar 2013)

Multicenter phase II study of plitidepsin in patients with relapsed/refractory non-Hodgkin’s lymphoma

  • Vincent Ribrag,
  • Dolores Caballero,
  • Christophe Fermé,
  • Emanuele Zucca,
  • Reyes Arranz,
  • Javier Briones,
  • Christian Gisselbrecht,
  • Gilles Salles,
  • Alessandro M. Gianni,
  • Henry Gomez,
  • Carmen Kahatt,
  • Claudia Corrado,
  • Sergio Szyldergemajn,
  • Sonia Extremera,
  • Bernardo de Miguel,
  • Martin Cullell-Young,
  • Franco Cavalli

DOI
https://doi.org/10.3324/haematol.2012.069757
Journal volume & issue
Vol. 98, no. 3

Abstract

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This phase II clinical trial evaluated the efficacy, safety and pharmacokinetics of plitidepsin 3.2 mg/m2 administered as a 1-hour intravenous infusion weekly on days 1, 8 and 15 every 4 weeks in 67 adult patients with relapsed/refractory aggressive non-Hodgkin’s lymphoma. Patients were divided into two cohorts: those with non-cutaneous peripheral T-cell lymphoma (n=34) and those with other lymphomas (n=33). Efficacy was evaluated using the International Working Group criteria (1999). Of the 29 evaluable patients with non-cutaneous peripheral T-cell lymphoma, six had a response (overall response rate 20.7%; 95% confidence interval, 8.0%–39.7%), including two complete responses and four partial responses. No responses occurred in the 30 evaluable patients with other lymphomas (including 27 B-cell lymphomas). The most common plitidepsin-related adverse events were nausea, fatigue and myalgia (grade 3 in