PMID- 26179770 OWN - NLM STAT- MEDLINE DCOM- 20151215 LR - 20181113 IS - 1349-7006 (Electronic) IS - 1347-9032 (Print) IS - 1347-9032 (Linking) VI - 106 IP - 9 DP - 2015 Sep TI - A phase II study of bortezomib in patients with relapsed or refractory aggressive adult T-cell leukemia/lymphoma. PG - 1219-23 LID - 10.1111/cas.12735 [doi] AB - Adult T-cell leukemia/lymphoma (ATL) is a malignancy of peripheral T-lymphocytes with a poor prognosis. This multicenter, two-stage, single-arm, phase II study assessed the efficacy and safety of bortezomib in patients with relapsed/refractory ATL who received at least one regimen of chemotherapy. The primary endpoint was the best overall response rate (ORR), and secondary endpoints included safety, the best response by lesions, and progression-free survival (PFS). Fifteen patients were enrolled in the first stage of this study. One partial remission (PR) and five stable disease (SD) were observed as the best overall responses, and ORR was 6.7% (95% confidence interval (C.I.) 0.17-31.95%). Responses according to disease sites were one complete remission (CR) in peripheral blood, two PR in measurable targeted lesions, and two PR in skin lesions. Progression-free survival (PFS) was 38 (95% CI; 18-106) days. All patients developed >/=1 adverse events (AEs), and 80% of patients had >/=1 grade 3/4 AEs; however, no new safety findings were obtained. Although these results fulfilled the planned settings to proceed to the second stage, the coordinating committee decided to terminate this study because single agent activity did not appear to be very promising for this cohort of patients. CI - (c) 2015 The Authors. Cancer Science published by Wiley Publishing Asia Pty Ltd on behalf of Japanese Cancer Association. FAU - Ishitsuka, Kenji AU - Ishitsuka K AD - Division of Oncology, Hematology and Infectious Diseases, Fukuoka University, Fukuoka, Japan. FAU - Utsunomiya, Atae AU - Utsunomiya A AD - Department of Hematology, Imamura Bun-in Hospital, Kagoshima, Japan. FAU - Katsuya, Hiroo AU - Katsuya H AD - Division of Oncology, Hematology and Infectious Diseases, Fukuoka University, Fukuoka, Japan. FAU - Takeuchi, Shogo AU - Takeuchi S AD - Department of Hematology, Imamura Bun-in Hospital, Kagoshima, Japan. FAU - Takatsuka, Yoshifusa AU - Takatsuka Y AD - Department of Hematology, Imamura Bun-in Hospital, Kagoshima, Japan. FAU - Hidaka, Michihiro AU - Hidaka M AD - Department of Hematology, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan. FAU - Sakai, Tatsunori AU - Sakai T AD - Department of Hematology, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan. FAU - Yoshimitsu, Makoto AU - Yoshimitsu M AD - Division of Hematology and Immunology, Center for Chronic Viral Diseases, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Ishida, Takashi AU - Ishida T AD - Department of Hematology and Oncology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. FAU - Tamura, Kazuo AU - Tamura K AD - Division of Oncology, Hematology and Infectious Diseases, Fukuoka University, Fukuoka, Japan. LA - eng PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - England TA - Cancer Sci JT - Cancer science JID - 101168776 RN - 0 (Antineoplastic Agents) RN - 69G8BD63PP (Bortezomib) SB - IM MH - Aged MH - Antineoplastic Agents/adverse effects/*therapeutic use MH - Bortezomib/adverse effects/*therapeutic use MH - Disease-Free Survival MH - Female MH - Humans MH - Leukemia-Lymphoma, Adult T-Cell/*drug therapy MH - Male MH - Middle Aged MH - Remission Induction/methods PMC - PMC4582992 OTO - NOTNLM OT - Adult T-cell leukemia/lymphoma OT - bortezomib OT - nuclear factor-kappaB OT - proteasome inhibitor OT - salvage treatment EDAT- 2015/07/17 06:00 MHDA- 2015/12/17 06:00 PMCR- 2015/09/01 CRDT- 2015/07/17 06:00 PHST- 2015/04/22 00:00 [received] PHST- 2015/06/23 00:00 [revised] PHST- 2015/07/04 00:00 [accepted] PHST- 2015/07/17 06:00 [entrez] PHST- 2015/07/17 06:00 [pubmed] PHST- 2015/12/17 06:00 [medline] PHST- 2015/09/01 00:00 [pmc-release] AID - 10.1111/cas.12735 [doi] PST - ppublish SO - Cancer Sci. 2015 Sep;106(9):1219-23. doi: 10.1111/cas.12735.