Trial Outcomes & Findings for Belinostat Therapy With Zidovudine for Adult T-Cell Leukemia-Lymphoma (NCT NCT02737046)

NCT ID: NCT02737046

Last Updated: 2026-03-10

Results Overview

Number of participants achieving Complete Molecular Response after receiving protocol therapy will be reported. Complete Molecular Response (CMR) is defined as the disappearance of malignant clone(s), as proven by negative T-cell receptor gene rearrangement studies of peripheral blood DNA and bone marrow. CMR will be evaluated based upon T-cell clonality studies to be conducted while subjects are on Belinostat, and while subjects are receiving Zidovudine (AZT)-based maintenance treatment (after Belinostat completion).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

15 participants

Primary outcome timeframe

From end of cycle 3 until at least end of month 12

Results posted on

2026-03-10

Participant Flow

Participant milestones

Participant milestones
Measure
Belinostat + Zidovudine
Belinostat + Zidovudine (AZT) in combination as consolidation therapy, followed by standard zidovudine (AZT)-based maintenance therapy with optional Interferon-Alfa-2b (IFNalfa-2b) or Pegylated Interferon-Alfa-2b (PEG-IFN-alfa-2b) Belinostat: Belinostat will be administered as 1,000 mg/m2 IV infusion over 30 minutes on Days 1-5 every 21 days (Exception as per FDA-approved Package Insert: In patients known to be homozygous for the UGT1A1\*28 allele, the starting belinostat dose must be 750mg/m2) for up to 8 cycles. Zidovudine: Zidovudine shall be administered in the outpatient setting as 300 mg tablets orally (PO),three times daily (TID) for 21 days on cycles 1 to 8, followed by maintenance therapy (+/- IFN-alfa) up to the end of Month 12. Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Pegylated Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Lymphodepleting Therapy: OPTIONAL: For subjects with any increase in lymphocyte count. Cyclophosphamide administered as 375 mg/m2 via intravenous infusion once during Cycle 1 after Day 5 of Belinostat therapy.
Overall Study
STARTED
15
Overall Study
COMPLETED
1
Overall Study
NOT COMPLETED
14

Reasons for withdrawal

Reasons for withdrawal
Measure
Belinostat + Zidovudine
Belinostat + Zidovudine (AZT) in combination as consolidation therapy, followed by standard zidovudine (AZT)-based maintenance therapy with optional Interferon-Alfa-2b (IFNalfa-2b) or Pegylated Interferon-Alfa-2b (PEG-IFN-alfa-2b) Belinostat: Belinostat will be administered as 1,000 mg/m2 IV infusion over 30 minutes on Days 1-5 every 21 days (Exception as per FDA-approved Package Insert: In patients known to be homozygous for the UGT1A1\*28 allele, the starting belinostat dose must be 750mg/m2) for up to 8 cycles. Zidovudine: Zidovudine shall be administered in the outpatient setting as 300 mg tablets orally (PO),three times daily (TID) for 21 days on cycles 1 to 8, followed by maintenance therapy (+/- IFN-alfa) up to the end of Month 12. Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Pegylated Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Lymphodepleting Therapy: OPTIONAL: For subjects with any increase in lymphocyte count. Cyclophosphamide administered as 375 mg/m2 via intravenous infusion once during Cycle 1 after Day 5 of Belinostat therapy.
Overall Study
Adverse Event
5
Overall Study
Physician Decision
1
Overall Study
Lack of Efficacy
8

Baseline Characteristics

Belinostat Therapy With Zidovudine for Adult T-Cell Leukemia-Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Belinostat + Zidovudine
n=15 Participants
Belinostat + Zidovudine (AZT) in combination as consolidation therapy, followed by standard zidovudine (AZT)-based maintenance therapy with optional Interferon-Alfa-2b (IFNalfa-2b) or Pegylated Interferon-Alfa-2b (PEG-IFN-alfa-2b) Belinostat: Belinostat will be administered as 1,000 mg/m2 IV infusion over 30 minutes on Days 1-5 every 21 days (Exception as per FDA-approved Package Insert: In patients known to be homozygous for the UGT1A1\*28 allele, the starting belinostat dose must be 750mg/m2) for up to 8 cycles. Zidovudine: Zidovudine shall be administered in the outpatient setting as 300 mg tablets orally (PO),three times daily (TID) for 21 days on cycles 1 to 8, followed by maintenance therapy (+/- IFN-alfa) up to the end of Month 12. Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Pegylated Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Lymphodepleting Therapy: OPTIONAL: For subjects with any increase in lymphocyte count. Cyclophosphamide administered as 375 mg/m2 via intravenous infusion once during Cycle 1 after Day 5 of Belinostat therapy.
Age, Categorical
<=18 years
0 Participants
n=68 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=68 Participants
Age, Categorical
>=65 years
6 Participants
n=68 Participants
Sex: Female, Male
Female
9 Participants
n=68 Participants
Sex: Female, Male
Male
6 Participants
n=68 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=68 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=68 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=68 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=68 Participants
Race (NIH/OMB)
Asian
0 Participants
n=68 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=68 Participants
Race (NIH/OMB)
Black or African American
11 Participants
n=68 Participants
Race (NIH/OMB)
White
3 Participants
n=68 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=68 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=68 Participants
Region of Enrollment
United States
15 participants
n=68 Participants

PRIMARY outcome

Timeframe: From end of cycle 3 until at least end of month 12

Population: Participants that have received at least three (3) doses of Belinostat and Zidovudine (AZT) consolidation therapy, have evaluable disease at baseline, and at least one post-baseline molecular disease assessment.

Number of participants achieving Complete Molecular Response after receiving protocol therapy will be reported. Complete Molecular Response (CMR) is defined as the disappearance of malignant clone(s), as proven by negative T-cell receptor gene rearrangement studies of peripheral blood DNA and bone marrow. CMR will be evaluated based upon T-cell clonality studies to be conducted while subjects are on Belinostat, and while subjects are receiving Zidovudine (AZT)-based maintenance treatment (after Belinostat completion).

Outcome measures

Outcome measures
Measure
Belinostat + Zidovudine
n=15 Participants
Belinostat + Zidovudine (AZT) in combination as consolidation therapy, followed by standard zidovudine (AZT)-based maintenance therapy with optional Interferon-Alfa-2b (IFNalfa-2b) or Pegylated Interferon-Alfa-2b (PEG-IFN-alfa-2b) Belinostat: Belinostat will be administered as 1,000 mg/m2 IV infusion over 30 minutes on Days 1-5 every 21 days (Exception as per FDA-approved Package Insert: In patients known to be homozygous for the UGT1A1\*28 allele, the starting belinostat dose must be 750mg/m2) for up to 8 cycles. Zidovudine: Zidovudine shall be administered in the outpatient setting as 300 mg tablets orally (PO),three times daily (TID) for 21 days on cycles 1 to 8, followed by maintenance therapy (+/- IFN-alfa) up to the end of Month 12. Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Pegylated Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Lymphodepleting Therapy: OPTIONAL: For subjects with any increase in lymphocyte count. Cyclophosphamide administered as 375 mg/m2 via intravenous infusion once during Cycle 1 after Day 5 of Belinostat therapy.
Number of Participants Achieving Complete Molecular Response in Blood Compartment (CMR)
3 Participants

PRIMARY outcome

Timeframe: Up to 13 months

Population: Participants that have received at least one dose of Belinostat and Zidovudine (AZT) consolidation therapy.

Number of participants experiencing treatment-related serious adverse events (SAEs), and adverse events (AEs). SAEs and AEs will be assessed by and assigned severity and treatment attribution using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 4.03.

Outcome measures

Outcome measures
Measure
Belinostat + Zidovudine
n=15 Participants
Belinostat + Zidovudine (AZT) in combination as consolidation therapy, followed by standard zidovudine (AZT)-based maintenance therapy with optional Interferon-Alfa-2b (IFNalfa-2b) or Pegylated Interferon-Alfa-2b (PEG-IFN-alfa-2b) Belinostat: Belinostat will be administered as 1,000 mg/m2 IV infusion over 30 minutes on Days 1-5 every 21 days (Exception as per FDA-approved Package Insert: In patients known to be homozygous for the UGT1A1\*28 allele, the starting belinostat dose must be 750mg/m2) for up to 8 cycles. Zidovudine: Zidovudine shall be administered in the outpatient setting as 300 mg tablets orally (PO),three times daily (TID) for 21 days on cycles 1 to 8, followed by maintenance therapy (+/- IFN-alfa) up to the end of Month 12. Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Pegylated Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Lymphodepleting Therapy: OPTIONAL: For subjects with any increase in lymphocyte count. Cyclophosphamide administered as 375 mg/m2 via intravenous infusion once during Cycle 1 after Day 5 of Belinostat therapy.
Number of Participants Experiencing Treatment-Related Serious Adverse Events and Adverse Events
Grade 1 or 2 Treatment-Related Serious Adverse Events (SAEs): Hematologic Events
0 participants
Number of Participants Experiencing Treatment-Related Serious Adverse Events and Adverse Events
Grade 1 or 2 Treatment-Related SAEs: Non-Hematologic Events
0 participants
Number of Participants Experiencing Treatment-Related Serious Adverse Events and Adverse Events
Grade 3 or 4 Treatment-Related SAEs: Hematologic Events
3 participants
Number of Participants Experiencing Treatment-Related Serious Adverse Events and Adverse Events
Grade 3 or 4 Treatment-Related SAEs: Non-Hematologic Events
0 participants
Number of Participants Experiencing Treatment-Related Serious Adverse Events and Adverse Events
Grade 1 or 2 Treatment-Related Adverse Events (AEs): Hematologic Events
10 participants
Number of Participants Experiencing Treatment-Related Serious Adverse Events and Adverse Events
Grade 1 or 2 Treatment-Related AEs: Non-Hematologic Events
15 participants
Number of Participants Experiencing Treatment-Related Serious Adverse Events and Adverse Events
Grade 3 or 4 Treatment-Related AEs: Hematologic Events
11 participants
Number of Participants Experiencing Treatment-Related Serious Adverse Events and Adverse Events
Grade 3 or 4 Treatment-Related AEs: Non-Hematologic Events
0 participants

SECONDARY outcome

Timeframe: Up to 12 months

Population: Participants that receive at least one dose of Belinostat and Zidovudine (AZT) consolidation therapy, have evaluable disease at baseline, and at least one post-baseline clinical disease assessment.

Number of participants achieving complete response (CR) or partial response (PR) to study therapy will be reported. Response is assessed on the basis of clinical, radiologic, molecular and pathologic (i.e. bone marrow) criteria.

Outcome measures

Outcome measures
Measure
Belinostat + Zidovudine
n=14 Participants
Belinostat + Zidovudine (AZT) in combination as consolidation therapy, followed by standard zidovudine (AZT)-based maintenance therapy with optional Interferon-Alfa-2b (IFNalfa-2b) or Pegylated Interferon-Alfa-2b (PEG-IFN-alfa-2b) Belinostat: Belinostat will be administered as 1,000 mg/m2 IV infusion over 30 minutes on Days 1-5 every 21 days (Exception as per FDA-approved Package Insert: In patients known to be homozygous for the UGT1A1\*28 allele, the starting belinostat dose must be 750mg/m2) for up to 8 cycles. Zidovudine: Zidovudine shall be administered in the outpatient setting as 300 mg tablets orally (PO),three times daily (TID) for 21 days on cycles 1 to 8, followed by maintenance therapy (+/- IFN-alfa) up to the end of Month 12. Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Pegylated Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Lymphodepleting Therapy: OPTIONAL: For subjects with any increase in lymphocyte count. Cyclophosphamide administered as 375 mg/m2 via intravenous infusion once during Cycle 1 after Day 5 of Belinostat therapy.
Number of Participants Achieving Clinical Response
Participants achieving Complete Response (CR)
3 Participants
Number of Participants Achieving Clinical Response
Participants achieving partial response (PR)
5 Participants

SECONDARY outcome

Timeframe: 12 months

Population: Participants that received at least one dose of Belinostat and Zidovudine (AZT) consolidation therapy.

The Failure-Free Survival (FFS) rate at 12 months estimated by the Kaplan-Meier method will be reported as a percentage probability of participants alive without documented disease progression, relapse after response or death (by any cause) at 12 months after starting study therapy. FFS is defined as the elapsed time in months from study treatment initiation until documented disease progression, relapse after response or death (by any cause, in the absence of progression). In the failure-free subjects, FFS will be censored at the last documented date of failure-free status.

Outcome measures

Outcome measures
Measure
Belinostat + Zidovudine
n=15 Participants
Belinostat + Zidovudine (AZT) in combination as consolidation therapy, followed by standard zidovudine (AZT)-based maintenance therapy with optional Interferon-Alfa-2b (IFNalfa-2b) or Pegylated Interferon-Alfa-2b (PEG-IFN-alfa-2b) Belinostat: Belinostat will be administered as 1,000 mg/m2 IV infusion over 30 minutes on Days 1-5 every 21 days (Exception as per FDA-approved Package Insert: In patients known to be homozygous for the UGT1A1\*28 allele, the starting belinostat dose must be 750mg/m2) for up to 8 cycles. Zidovudine: Zidovudine shall be administered in the outpatient setting as 300 mg tablets orally (PO),three times daily (TID) for 21 days on cycles 1 to 8, followed by maintenance therapy (+/- IFN-alfa) up to the end of Month 12. Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Pegylated Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Lymphodepleting Therapy: OPTIONAL: For subjects with any increase in lymphocyte count. Cyclophosphamide administered as 375 mg/m2 via intravenous infusion once during Cycle 1 after Day 5 of Belinostat therapy.
Failure-Free Survival (FFS) Rate at 12 Months Using Kaplan-Meier Method
27.4 percentage probability at 12 months
Interval 7.3 to 52.7

SECONDARY outcome

Timeframe: 12 months

Population: Participants that received at least one dose of Belinostat and Zidovudine consolidation therapy.

The Overall Survival (OS) rate at 12 months estimated by the Kaplan-Meier method will be reported as the percentage probability of survival beyond 12 months. OS is defined as the elapsed time from study treatment initiation to death or date of censoring. Subjects alive or those lost to follow-up will be censored at the last date known to be alive.

Outcome measures

Outcome measures
Measure
Belinostat + Zidovudine
n=15 Participants
Belinostat + Zidovudine (AZT) in combination as consolidation therapy, followed by standard zidovudine (AZT)-based maintenance therapy with optional Interferon-Alfa-2b (IFNalfa-2b) or Pegylated Interferon-Alfa-2b (PEG-IFN-alfa-2b) Belinostat: Belinostat will be administered as 1,000 mg/m2 IV infusion over 30 minutes on Days 1-5 every 21 days (Exception as per FDA-approved Package Insert: In patients known to be homozygous for the UGT1A1\*28 allele, the starting belinostat dose must be 750mg/m2) for up to 8 cycles. Zidovudine: Zidovudine shall be administered in the outpatient setting as 300 mg tablets orally (PO),three times daily (TID) for 21 days on cycles 1 to 8, followed by maintenance therapy (+/- IFN-alfa) up to the end of Month 12. Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Pegylated Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Lymphodepleting Therapy: OPTIONAL: For subjects with any increase in lymphocyte count. Cyclophosphamide administered as 375 mg/m2 via intravenous infusion once during Cycle 1 after Day 5 of Belinostat therapy.
Overall Survival (OS) Rate at 12 Months Using Kaplan-Meier Method
80 percentage probability at 12 months
Interval 50.0 to 93.1

SECONDARY outcome

Timeframe: Up to 13 months

The number of participants exhibiting disruption of Human T-lymphotropic virus 1 (HTLV-1) latency in vivo after receiving Belinostat therapy will be reported. HTLV-1 latency will be evaluated from serum blood samples.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 13 months

The number of participants exhibiting cytotoxic T-Cell response in vivo after receiving Belinostat therapy will be reported. Cytotoxic T-Cell response will be evaluated from serum blood samples.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 13 months

HTVL-1 pro-viral load among study participants will be reported as a measure of HTLV-1 infected reservoirs in vivo after receiving Belinostat therapy. HTLV-1 viral load will be evaluated from serum blood samples

Outcome measures

Outcome data not reported

Adverse Events

Belinostat + Zidovudine

Serious events: 7 serious events
Other events: 15 other events
Deaths: 11 deaths

Serious adverse events

Serious adverse events
Measure
Belinostat + Zidovudine
n=15 participants at risk
Belinostat + Zidovudine (AZT) in combination as consolidation therapy, followed by standard zidovudine (AZT)-based maintenance therapy with optional Interferon-Alfa-2b (IFNalfa-2b) or Pegylated Interferon-Alfa-2b (PEG-IFN-alfa-2b) Belinostat: Belinostat will be administered as 1,000 mg/m2 IV infusion over 30 minutes on Days 1-5 every 21 days (Exception as per FDA-approved Package Insert: In patients known to be homozygous for the UGT1A1\*28 allele, the starting belinostat dose must be 750mg/m2) for up to 8 cycles. Zidovudine: Zidovudine shall be administered in the outpatient setting as 300 mg tablets orally (PO),three times daily (TID) for 21 days on cycles 1 to 8, followed by maintenance therapy (+/- IFN-alfa) up to the end of Month 12. Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Pegylated Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Lymphodepleting Therapy: OPTIONAL: For subjects with any increase in lymphocyte count. Cyclophosphamide administered as 375 mg/m2 via intravenous infusion once during Cycle 1 after Day 5 of Belinostat therapy.
Cardiac disorders
Chest pain - cardiac
6.7%
1/15 • Number of events 1 • 13 months
Respiratory, thoracic and mediastinal disorders
Chylothorax
6.7%
1/15 • Number of events 1 • 13 months
Psychiatric disorders
Confusion
13.3%
2/15 • Number of events 2 • 13 months
Blood and lymphatic system disorders
Febrile neutropenia
6.7%
1/15 • Number of events 1 • 13 months
Metabolism and nutrition disorders
Hypercalcemia
6.7%
1/15 • Number of events 1 • 13 months
Investigations
Neutrophil count decreased
6.7%
1/15 • Number of events 1 • 13 months
Investigations
Platelet count decreased
6.7%
1/15 • Number of events 2 • 13 months
Infections and infestations
Sepsis
6.7%
1/15 • Number of events 1 • 13 months
Vascular disorders
Thromboembolic event
6.7%
1/15 • Number of events 1 • 13 months
Renal and urinary disorders
Urinary retention
6.7%
1/15 • Number of events 1 • 13 months

Other adverse events

Other adverse events
Measure
Belinostat + Zidovudine
n=15 participants at risk
Belinostat + Zidovudine (AZT) in combination as consolidation therapy, followed by standard zidovudine (AZT)-based maintenance therapy with optional Interferon-Alfa-2b (IFNalfa-2b) or Pegylated Interferon-Alfa-2b (PEG-IFN-alfa-2b) Belinostat: Belinostat will be administered as 1,000 mg/m2 IV infusion over 30 minutes on Days 1-5 every 21 days (Exception as per FDA-approved Package Insert: In patients known to be homozygous for the UGT1A1\*28 allele, the starting belinostat dose must be 750mg/m2) for up to 8 cycles. Zidovudine: Zidovudine shall be administered in the outpatient setting as 300 mg tablets orally (PO),three times daily (TID) for 21 days on cycles 1 to 8, followed by maintenance therapy (+/- IFN-alfa) up to the end of Month 12. Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Pegylated Interferon-Alfa-2b: OPTIONAL: For subjects receiving interferon therapy at baseline, continue Interferon alfa-2b 5 million IU daily or pegylated interferon alfa-2b 1.5 μg/kg once weekly, subcutaneously (SQ) for up to 12 months. Lymphodepleting Therapy: OPTIONAL: For subjects with any increase in lymphocyte count. Cyclophosphamide administered as 375 mg/m2 via intravenous infusion once during Cycle 1 after Day 5 of Belinostat therapy.
Blood and lymphatic system disorders
Anemia
73.3%
11/15 • Number of events 46 • 13 months
Metabolism and nutrition disorders
Anorexia
6.7%
1/15 • Number of events 2 • 13 months
Psychiatric disorders
Anxiety
13.3%
2/15 • Number of events 2 • 13 months
Musculoskeletal and connective tissue disorders
Arthralgia
6.7%
1/15 • Number of events 2 • 13 months
Investigations
Aspartate aminotransferase increased
13.3%
2/15 • Number of events 2 • 13 months
Musculoskeletal and connective tissue disorders
Back pain
13.3%
2/15 • Number of events 2 • 13 months
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other, specify
6.7%
1/15 • Number of events 1 • 13 months
Infections and infestations
Bronchial infection
6.7%
1/15 • Number of events 1 • 13 months
Infections and infestations
Catheter related infection
6.7%
1/15 • Number of events 1 • 13 months
General disorders
Chills
13.3%
2/15 • Number of events 2 • 13 months
Psychiatric disorders
Confusion
13.3%
2/15 • Number of events 2 • 13 months
Gastrointestinal disorders
Constipation
20.0%
3/15 • Number of events 4 • 13 months
Metabolism and nutrition disorders
Dehydration
20.0%
3/15 • Number of events 3 • 13 months
Gastrointestinal disorders
Dental caries
6.7%
1/15 • Number of events 1 • 13 months
Gastrointestinal disorders
Diarrhea
13.3%
2/15 • Number of events 2 • 13 months
Gastrointestinal disorders
Dyspepsia
20.0%
3/15 • Number of events 3 • 13 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
6.7%
1/15 • Number of events 1 • 13 months
Nervous system disorders
Facial nerve disorder
6.7%
1/15 • Number of events 1 • 13 months
Injury, poisoning and procedural complications
Fall
6.7%
1/15 • Number of events 2 • 13 months
General disorders
Fatigue
20.0%
3/15 • Number of events 4 • 13 months
General disorders
Fever
26.7%
4/15 • Number of events 9 • 13 months
General disorders
Flu like symptoms
6.7%
1/15 • Number of events 1 • 13 months
General disorders
General disorders and administration site conditions - Other, specify
6.7%
1/15 • Number of events 1 • 13 months
Gastrointestinal disorders
General disorders and administration site conditions - Other, specify
6.7%
1/15 • Number of events 1 • 13 months
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
6.7%
1/15 • Number of events 1 • 13 months
Nervous system disorders
Headache
26.7%
4/15 • Number of events 4 • 13 months
Hepatobiliary disorders
Hepatic pain
6.7%
1/15 • Number of events 1 • 13 months
Metabolism and nutrition disorders
Hypercalcemia
13.3%
2/15 • Number of events 2 • 13 months
Metabolism and nutrition disorders
Hyperglycemia
6.7%
1/15 • Number of events 1 • 13 months
Metabolism and nutrition disorders
Hyperkalemia
13.3%
2/15 • Number of events 3 • 13 months
Metabolism and nutrition disorders
Hyperuricemia
6.7%
1/15 • Number of events 1 • 13 months
Metabolism and nutrition disorders
Hypoalbuminemia
13.3%
2/15 • Number of events 2 • 13 months
Metabolism and nutrition disorders
Hypocalcemia
20.0%
3/15 • Number of events 4 • 13 months
Metabolism and nutrition disorders
Hypokalemia
20.0%
3/15 • Number of events 3 • 13 months
Metabolism and nutrition disorders
Hyponatremia
13.3%
2/15 • Number of events 4 • 13 months
Metabolism and nutrition disorders
Hypophosphatemia
6.7%
1/15 • Number of events 1 • 13 months
Infections and infestations
Infections and infestations - Other, specify
6.7%
1/15 • Number of events 1 • 13 months
General disorders
Injection site reaction
6.7%
1/15 • Number of events 1 • 13 months
Psychiatric disorders
Insomnia
6.7%
1/15 • Number of events 1 • 13 months
Nervous system disorders
Intracranial hemorrhage
6.7%
1/15 • Number of events 1 • 13 months
Investigations
Investigations - Other, specify
6.7%
1/15 • Number of events 1 • 13 months
Infections and infestations
Lung infection
6.7%
1/15 • Number of events 1 • 13 months
Investigations
Lymphocyte count decreased
26.7%
4/15 • Number of events 13 • 13 months
Investigations
Lymphocyte count increased
13.3%
2/15 • Number of events 2 • 13 months
General disorders
Malaise
6.7%
1/15 • Number of events 1 • 13 months
Infections and infestations
Meningitis
6.7%
1/15 • Number of events 1 • 13 months
Metabolism and nutrition disorders
Metabolism and nutrition disorders - Other, specify
13.3%
2/15 • Number of events 2 • 13 months
Infections and infestations
Mucosal infection
13.3%
2/15 • Number of events 2 • 13 months
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, specify
6.7%
1/15 • Number of events 1 • 13 months
Musculoskeletal and connective tissue disorders
Myalgia
6.7%
1/15 • Number of events 1 • 13 months
Gastrointestinal disorders
Nausea
33.3%
5/15 • Number of events 7 • 13 months
Investigations
Neutrophil count decreased
86.7%
13/15 • Number of events 69 • 13 months
Gastrointestinal disorders
Oral pain
6.7%
1/15 • Number of events 1 • 13 months
General disorders
Pain
13.3%
2/15 • Number of events 3 • 13 months
Musculoskeletal and connective tissue disorders
Pain in extremity
6.7%
1/15 • Number of events 1 • 13 months
Cardiac disorders
Palpitations
6.7%
1/15 • Number of events 1 • 13 months
Infections and infestations
Papulopustular rash
6.7%
1/15 • Number of events 2 • 13 months
Cardiac disorders
Pericarditis
6.7%
1/15 • Number of events 1 • 13 months
Respiratory, thoracic and mediastinal disorders
Pharyngeal hemorrhage
6.7%
1/15 • Number of events 1 • 13 months
Vascular disorders
Phlebitis
6.7%
1/15 • Number of events 1 • 13 months
Investigations
Platelet count decreased
73.3%
11/15 • Number of events 55 • 13 months
Respiratory, thoracic and mediastinal disorders
Pneumothorax
6.7%
1/15 • Number of events 1 • 13 months
Cardiac disorders
Sinus tachycardia
6.7%
1/15 • Number of events 1 • 13 months
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
6.7%
1/15 • Number of events 1 • 13 months
Gastrointestinal disorders
Stomach pain
6.7%
1/15 • Number of events 1 • 13 months
Vascular disorders
Thromboembolic event
6.7%
1/15 • Number of events 1 • 13 months
Nervous system disorders
Tremor
6.7%
1/15 • Number of events 1 • 13 months
Skin and subcutaneous tissue disorders
Urticaria
6.7%
1/15 • Number of events 1 • 13 months
Gastrointestinal disorders
Vomiting
60.0%
9/15 • Number of events 19 • 13 months
Investigations
White blood cell decreased
33.3%
5/15 • Number of events 17 • 13 months
Gastrointestinal disorders
Abdominal pain
20.0%
3/15 • Number of events 3 • 13 months
Renal and urinary disorders
Acute kidney injury
6.7%
1/15 • Number of events 1 • 13 months
Investigations
Alanine aminotransferase increased
13.3%
2/15 • Number of events 3 • 13 months
Metabolism and nutrition disorders
Alkalosis
6.7%
1/15 • Number of events 1 • 13 months

Additional Information

Juan Carlos Ramos MD

University of Miami

Phone: 305-243-4860

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place