Trial Outcomes & Findings for Study of Mocetinostat in Selected Patients With Mutations of Acetyltransferase Genes in Relapsed and Refractory Diffuse Large B-Cell Lymphoma and Follicular Lymphoma (NCT NCT02282358)
NCT ID: NCT02282358
Last Updated: 2024-03-08
Results Overview
as defined by overall response rate of Mocetinostat at one year in patients with relapsed/refractory DLBCL and FL who have inactivating mutations of acetyltransferase genes. Response will be measured according to the 2007 revised Cheson criteria for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=50% decrease in sum of the product of the diameters (SPD) of up to 6 dominant lesions identified at baseline; Overall Response (OR) = CR + PR.
TERMINATED
PHASE1/PHASE2
7 participants
1 year
2024-03-08
Participant Flow
Participant milestones
| Measure |
Mocetinostat
Participants who harbor mutations for CREBBP and/or EP300 will be started on mocetinostat.
|
|---|---|
|
Overall Study
STARTED
|
7
|
|
Overall Study
COMPLETED
|
6
|
|
Overall Study
NOT COMPLETED
|
1
|
Reasons for withdrawal
| Measure |
Mocetinostat
Participants who harbor mutations for CREBBP and/or EP300 will be started on mocetinostat.
|
|---|---|
|
Overall Study
Nonevaluable
|
1
|
Baseline Characteristics
Study of Mocetinostat in Selected Patients With Mutations of Acetyltransferase Genes in Relapsed and Refractory Diffuse Large B-Cell Lymphoma and Follicular Lymphoma
Baseline characteristics by cohort
| Measure |
Mocetinostat
n=7 Participants
Participants who harbor mutations for CREBBP and/or EP300 will be started on mocetinostat.
|
|---|---|
|
Age, Continuous
|
67 years
n=99 Participants
|
|
Sex: Female, Male
Female
|
2 Participants
n=99 Participants
|
|
Sex: Female, Male
Male
|
5 Participants
n=99 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
0 Participants
n=99 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
7 Participants
n=99 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=99 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=99 Participants
|
|
Race (NIH/OMB)
Asian
|
1 Participants
n=99 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=99 Participants
|
|
Race (NIH/OMB)
Black or African American
|
0 Participants
n=99 Participants
|
|
Race (NIH/OMB)
White
|
6 Participants
n=99 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=99 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=99 Participants
|
|
Region of Enrollment
United States
|
7 Participants
n=99 Participants
|
PRIMARY outcome
Timeframe: 1 yearas defined by overall response rate of Mocetinostat at one year in patients with relapsed/refractory DLBCL and FL who have inactivating mutations of acetyltransferase genes. Response will be measured according to the 2007 revised Cheson criteria for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=50% decrease in sum of the product of the diameters (SPD) of up to 6 dominant lesions identified at baseline; Overall Response (OR) = CR + PR.
Outcome measures
| Measure |
Mocetinostat
n=7 Participants
Participants who harbor mutations for CREBBP and/or EP300 will be started on mocetinostat.
|
|---|---|
|
Efficacy as Defined by Overall Response
Partial Response
|
1 Participants
|
|
Efficacy as Defined by Overall Response
Stable Disease
|
3 Participants
|
|
Efficacy as Defined by Overall Response
Progression of Disease
|
2 Participants
|
|
Efficacy as Defined by Overall Response
Not Evaluable
|
1 Participants
|
SECONDARY outcome
Timeframe: up to 17.8 monthsdefined as time from the date of treatment start to the date of the first documented progressive disease (PD) or death due to any cause) rate using mocetinostat in this selected population will be estimated by the Kaplan-Meier method. Relapsed disease/progressive disease is defined as at least 50% increase of target measurable nodal lesions
Outcome measures
| Measure |
Mocetinostat
n=7 Participants
Participants who harbor mutations for CREBBP and/or EP300 will be started on mocetinostat.
|
|---|---|
|
Event Free Survival
|
4.6 months
Interval 0.3 to 17.8
|
SECONDARY outcome
Timeframe: up to 17.8 monthsis defined as the time from the date of first occurrence of CR or PR whichever is recorded first to the date of the first objectively documented progressive disease (PD) or death due to any cause. The duration of response will be assessed based on the sub-cohort of patients who showed responses also using Kaplan-Meier.
Outcome measures
| Measure |
Mocetinostat
n=7 Participants
Participants who harbor mutations for CREBBP and/or EP300 will be started on mocetinostat.
|
|---|---|
|
Median Progression Free Survival/PFS
|
4.6 months
Interval 1.4 to 13.1
|
SECONDARY outcome
Timeframe: 2 yearswill be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.0.
Outcome measures
| Measure |
Mocetinostat
n=7 Participants
Participants who harbor mutations for CREBBP and/or EP300 will be started on mocetinostat.
|
|---|---|
|
Number of Participants Evaluated for Toxicity According to the (NCI CTCAE) Version 4.0.
|
7 Participants
|
Adverse Events
Mocetinostat 90 mg
Serious adverse events
| Measure |
Mocetinostat 90 mg
n=7 participants at risk
Participants who harbor mutations for CREBBP and/or EP300 will be started on mocetinostat. The dose was escalated in cycle 2 to 90mg in the absence of DLTs.
|
|---|---|
|
Infections and infestations
Enterocolitis Infection
|
14.3%
1/7 • 2 years
|
Other adverse events
| Measure |
Mocetinostat 90 mg
n=7 participants at risk
Participants who harbor mutations for CREBBP and/or EP300 will be started on mocetinostat. The dose was escalated in cycle 2 to 90mg in the absence of DLTs.
|
|---|---|
|
Gastrointestinal disorders
Diarrhea
|
71.4%
5/7 • 2 years
|
|
Gastrointestinal disorders
Dyspepsia
|
42.9%
3/7 • 2 years
|
|
General disorders
Fatigue
|
42.9%
3/7 • 2 years
|
|
Gastrointestinal disorders
Nausea
|
42.9%
3/7 • 2 years
|
|
Nervous system disorders
Dizziness
|
28.6%
2/7 • 2 years
|
|
Skin and subcutaneous tissue disorders
Rash maculo-papular
|
28.6%
2/7 • 2 years
|
|
Investigations
Alanine aminotransferase increased
|
14.3%
1/7 • 2 years
|
|
Investigations
Alkaline phosphatase increased
|
14.3%
1/7 • 2 years
|
|
Investigations
Aspartate aminotransferase increased
|
14.3%
1/7 • 2 years
|
|
Musculoskeletal and connective tissue disorders
Back pain
|
14.3%
1/7 • 2 years
|
|
Psychiatric disorders
Confusion
|
14.3%
1/7 • 2 years
|
|
Gastrointestinal disorders
Constipation
|
14.3%
1/7 • 2 years
|
|
Investigations
Creatinine increased
|
14.3%
1/7 • 2 years
|
|
Gastrointestinal disorders
Gastroesophageal reflux disease
|
14.3%
1/7 • 2 years
|
|
Nervous system disorders
Headache
|
14.3%
1/7 • 2 years
|
|
Metabolism and nutrition disorders
Hyperkalemia
|
14.3%
1/7 • 2 years
|
|
Metabolism and nutrition disorders
Hypoalbuminemia
|
14.3%
1/7 • 2 years
|
|
Metabolism and nutrition disorders
Hypoglycemia
|
14.3%
1/7 • 2 years
|
|
Nervous system disorders
Lethargy
|
14.3%
1/7 • 2 years
|
|
Investigations
Lipase increased
|
14.3%
1/7 • 2 years
|
|
Investigations
Lymphocyte count decreased
|
14.3%
1/7 • 2 years
|
|
Infections and infestations
Mucosal infection
|
14.3%
1/7 • 2 years
|
|
Infections and infestations
Paronychia
|
14.3%
1/7 • 2 years
|
|
Nervous system disorders
Peripheral sensory neuropathy
|
14.3%
1/7 • 2 years
|
|
Investigations
Platelet count decreased
|
14.3%
1/7 • 2 years
|
|
Renal and urinary disorders
Renal and urinary disorders - Other, specify
|
14.3%
1/7 • 2 years
|
|
Skin and subcutaneous tissue disorders
Skin & subcutaneous tissue disorders Other, spec
|
14.3%
1/7 • 2 years
|
|
Vascular disorders
Thromboembolic event
|
14.3%
1/7 • 2 years
|
|
Gastrointestinal disorders
Vomiting
|
14.3%
1/7 • 2 years
|
|
Investigations
White blood cell decreased
|
14.3%
1/7 • 2 years
|
Additional Information
Dr. Andrew Zelenetz, MD, PhD
Memorial Sloan Kettering Cancer Center
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place