Non Hodgkin Lymphoma Clinical Trial
FR901228 in Treating Patients With Relapsed or Refractory Non-Hodgkin’s Lymphoma
Summary
This phase II trial is studying how well FR901228 works in treating patients with relapsed or refractory non-Hodgkin's lymphoma. Drugs used in chemotherapy, such as FR901228, work in different ways to stop tumor cells from dividing so they stop growing or die.
Full Description
OBJECTIVES:
I. Determine the response rate (complete and partial) in patients with relapsed or refractory Burkitt's, mantle cell or diffuse large cell non-Hodgkin's lymphoma treated with FR901228 (depsipeptide).
II. Determine the safety and feasibility of this drug, in terms of incidence and maximum grade of toxicity and courses delayed or doses reduced, in these patients.
III. Determine the 2-year progression-free survival and overall survival of patients treated with this drug.
IV. Correlate tumor expression of BCL-2, BCL-6, BAX, and RAS with response in patients treated with this drug.
OUTLINE: This is a multicenter study.
Patients receive FR901228 (depsipeptide) IV over 4 hours on days 1, 8, and 15. Treatment repeats every 28 days for at least 6 courses in the absence of disease progression or unacceptable toxicity.
Patients are followed every 3 months until disease progression and then every 6 months until 5 years from study registration.
Eligibility Criteria
DISEASE CHARACTERISTICS:
Histologically confirmed aggressive B-cell non-Hodgkin's lymphoma of 1 of the following cellular types:
Diffuse large cell
Mantle cell
Burkitt's
Relapsed or refractory disease
No more than 2 prior regimen for patients with refractory disease
Any number of prior therapies (including peripheral blood stem cell or bone marrow transplantation) allowed for patients with relapsed disease provided there was an objective response to the most recent therapy
Measurable disease
At least 1 lesion ≥ 1.5 cm in diameter
No transformed lymphoma
No CNS lymphoma
Ineligible for, refused, or relapsed after stem cell transplantation
PATIENT CHARACTERISTICS:
Age
18 and over
Performance status
ECOG 0-2
Hematopoietic
Absolute neutrophil count ≥ 1,000/mm^3 (500/mm^3 in patients with extensive bone marrow involvement [> 50%] or hypersplenism with palpable splenomegaly)
Platelet count ≥ 75,000/mm^3 (50,000/mm^3 in patients with extensive bone marrow involvement or hypersplenism with palpable splenomegaly)
Hepatic
Bilirubin ≤ upper limit of normal (ULN)
Alkaline phosphatase ≤ 2 times ULN
AST ≤ 2 times ULN
Renal
Creatinine ≤ ULN
Cardiovascular
QTc < 500 msec by ECG
Cardiac function ≥ 50% by MUGA
No prior serious ventricular arrhythmia
No New York Heart Association class III or IV congestive heart failure
No significant cardiac hypertrophy by ECG
No other significant cardiac disease
Pulmonary
No chronic obstructive pulmonary disease
Other
Not pregnant or nursing
Negative pregnancy test
Fertile patients must use effective contraception
HIV negative
No active infection
No diabetes
No other uncontrolled serious medical condition
PRIOR CONCURRENT THERAPY:
Chemotherapy
Prior cumulative doxorubicin dose < 450 mg/m^2
Prior cumulative mitoxantrone dose < 112 mg/m^2
Prior doxorubicin equivalent dose < 450 mg/m^2 (for patients who have previously received both doxorubicin and mitoxantrone)
Other
Recovered from all prior therapy
No prior histone deacetylase inhibitor therapy
No concurrent medication associated with QTc prolongation, such as dolasetron
Concurrent hydrochlorothiazide, furosemide, or other diuretics allowed provided patient is on concurrent potassium chloride supplementation
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There are 4 Locations for this study
Washington District of Columbia, 20060, United States
Baltimore Maryland, 21231, United States
Detroit Michigan, 48201, United States
Madison Wisconsin, 53792, United States
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