PMID- 22547596 OWN - NLM STAT- MEDLINE DCOM- 20120816 LR - 20220419 IS - 1527-7755 (Electronic) IS - 0732-183X (Linking) VI - 30 IP - 18 DP - 2012 Jun 20 TI - Panobinostat in patients with relapsed/refractory Hodgkin's lymphoma after autologous stem-cell transplantation: results of a phase II study. PG - 2197-203 LID - 10.1200/JCO.2011.38.1350 [doi] AB - PURPOSE: Hodgkin's lymphoma (HL) has no standard of care for patients who are relapsed or refractory to autologous stem-cell transplantation (ASCT). This phase II study examined safety and activity of panobinostat in this population. PATIENTS AND METHODS: Panobinostat 40 mg was administered orally three times per week. The primary end point was objective response rate (ORR) based on investigator assessment of radiologic imaging. Secondary end points included ORR by independent central review, time to response (TTR), duration of response (DOR), progression-free survival (PFS), overall survival, and safety. Exploratory biomarker analyses were performed. RESULTS: The 129 treated patients (median age, 32 years; range, 18 to 75 years) were heavily pretreated with a median of four (range, two to seven) prior systemic regimens, and 41% did not respond to the regimen immediately preceding panobinostat. Tumor reductions occurred in 96 patients (74%). Objective response was achieved by 35 patients (27%), including 30 (23%) partial responses and five (4%) complete responses. The median TTR was 2.3 months, median DOR was 6.9 months, and median PFS was 6.1 months. The estimated 1-year overall survival rate was 78%. Common nonhematologic adverse events (AEs)-diarrhea, nausea, vomiting, and fatigue-were generally grade 1 and 2. Most common grade 3 and 4 hematologic AEs-thrombocytopenia, anemia, and neutropenia-were manageable. Early reductions in thymus and activation-regulated chemokine were observed in patients achieving complete or partial response. CONCLUSION: In the largest, prospective, multicenter, international trial conducted in heavily pretreated patients with HL who relapsed or were refractory to ASCT, panobinostat monotherapy demonstrated antitumor activity, resulting in durable responses. FAU - Younes, Anas AU - Younes A AD - MD Anderson Cancer Center, 1515 Holcombe Blvd, Unite 429, Houston, TX 77030, USA. ayounes@mdanderson.org FAU - Sureda, Anna AU - Sureda A FAU - Ben-Yehuda, Dina AU - Ben-Yehuda D FAU - Zinzani, Pier Luigi AU - Zinzani PL FAU - Ong, Tee-Chuan AU - Ong TC FAU - Prince, H Miles AU - Prince HM FAU - Harrison, Simon J AU - Harrison SJ FAU - Kirschbaum, Mark AU - Kirschbaum M FAU - Johnston, Patrick AU - Johnston P FAU - Gallagher, Jennifer AU - Gallagher J FAU - Le Corre, Christophe AU - Le Corre C FAU - Shen, Angela AU - Shen A FAU - Engert, Andreas AU - Engert A LA - eng PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20120430 PL - United States TA - J Clin Oncol JT - Journal of clinical oncology : official journal of the American Society of Clinical Oncology JID - 8309333 RN - 0 (Antineoplastic Agents) RN - 0 (Hydroxamic Acids) RN - 0 (Indoles) RN - 9647FM7Y3Z (Panobinostat) SB - IM CIN - J Clin Oncol. 2012 Jun 20;30(18):2171-2. PMID: 22547611 CIN - Cancer Discov. 2012 Jun;2(6):OF8. PMID: 22684466 MH - Administration, Oral MH - Adolescent MH - Adult MH - Aged MH - Antineoplastic Agents/*administration & dosage/adverse effects MH - Disease-Free Survival MH - Female MH - *Hematopoietic Stem Cell Transplantation MH - Hodgkin Disease/*drug therapy/therapy MH - Humans MH - Hydroxamic Acids/*administration & dosage/adverse effects MH - Indoles MH - Male MH - Panobinostat MH - Recurrence MH - Retreatment MH - Treatment Failure MH - Young Adult EDAT- 2012/05/02 06:00 MHDA- 2012/08/17 06:00 CRDT- 2012/05/02 06:00 PHST- 2012/05/02 06:00 [entrez] PHST- 2012/05/02 06:00 [pubmed] PHST- 2012/08/17 06:00 [medline] AID - JCO.2011.38.1350 [pii] AID - 10.1200/JCO.2011.38.1350 [doi] PST - ppublish SO - J Clin Oncol. 2012 Jun 20;30(18):2197-203. doi: 10.1200/JCO.2011.38.1350. Epub 2012 Apr 30.