Evidence map›Paper›PMID 28622959›Full record

Trial reportClinical lymphoma, myeloma & leukemia2017

A Phase I/II Trial of Panobinostat in Combination With Lenalidomide in Patients With Relapsed or Refractory Hodgkin Lymphoma.

Joseph J Maly, Beth A Christian, Xiaohua Zhu, Lai Wei, Jennifer L Sexton, Samantha M Jaglowski, Steven M Devine, Todd A Fehniger, Nina D Wagner-Johnston, Mitch A Phelps and 2 more

Open access · greenAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical lymphoma, myeloma & leukemia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Early Intervention with Lenalidomide in Patients with High-risk Chronic Lymphocytic Leukemia.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Trial
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Advances in the treatment of Hodgkin's lymphoma (Review).International journal of oncology · 2023
    Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Joseph J MalyThe Ohio State University, James Cancer Center, Columbus, OH. Electronic address: joseph.maly@osumc.edu.
Beth A ChristianThe Ohio State University, James Cancer Center, Columbus, OH.
Xiaohua ZhuThe Ohio State University, James Cancer Center, Columbus, OH.
Lai WeiThe Ohio State University, James Cancer Center, Columbus, OH.
Jennifer L SextonThe Ohio State University, James Cancer Center, Columbus, OH.
Samantha M JaglowskiThe Ohio State University, James Cancer Center, Columbus, OH.
Steven M DevineThe Ohio State University, James Cancer Center, Columbus, OH.
Todd A FehnigerWashington University School of Medicine, St Louis, MO.
Nina D Wagner-JohnstonJohns Hopkins University, Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD.
Mitch A PhelpsThe Ohio State University, James Cancer Center, Columbus, OH.
Nancy L BartlettWashington University School of Medicine, St Louis, MO.
Kristie A BlumThe Ohio State University, James Cancer Center, Columbus, OH.
The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USThe Ohio State University · USWashington University in St. Louis · USSidney Kimmel Comprehensive Cancer Center · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
Training Hematology and Oncology Fellows in Clinical ResearchT32CA165998 · NCI · OHIO STATE UNIVERSITY · PI CLINTON, STEVEN K, GARZON, RAMIRO · 2012 to 2016
$944k
Development of a comprehensive research program in mantle cell lymphoma in the ibrutinib eraK24CA201524 · NCI · OHIO STATE UNIVERSITY · PI BLUM, KRISTIE A · 2015 to 2019
$886k
NCI NIH HHS K24 CA201524NCI NIH HHS P30 CA016058NCI NIH HHS T32 CA165998
6 · The paper itself

Abstract

backgroundLenalidomide and panobinostat have shown single-agent efficacy of 14% to 50% and 27% to 58%, respectively, in Hodgkin lymphoma (HL). This phase I/II study was conducted to determine the maximum tolerated dose (MTD), safety, and efficacy of lenalidomide combined with panobinostat in relapsed/refractory HL. PATIENTS AND

methodsIn the phase I trial, previously treated patients with classical or lymphocyte-predominant HL received escalating doses of lenalidomide on days 1 to 21 and panobinostat 3 times a week (TIW) every 28 days. Dose-limiting toxicity (DLT) was defined during cycle 1. When the MTD was determined, a phase II study was conducted to determine overall response (OR).

resultsTwenty-four patients enrolled; 11 in the phase I and 13 in phase II portions. No DLTs were observed but 2 patients who received 25 mg lenalidomide and 20 mg panobinostat experienced neutropenia and thrombocytopenia > 14 days in cycle 2, leading to selection of 25 mg lenalidomide on days 1 to 21 and 15 mg panobinostat TIW for the phase II dose. In all 24 patients, Grade 3 to 4 toxicities consisted of neutropenia (58%), thrombocytopenia (42%), lymphopenia (25%), and febrile neutropenia (25%). OR was 16.7% (2 complete response [CR] and 2 partial response). One patient with CR had lymphocyte-predominant HL and received 22 cycles. Median progression-free survival and overall survival were 3.8 and 16.4 months, respectively.

conclusionAlthough the combination of panobinostat and lenalidomide appears safe in patients with relapsed/refractory HL, the limited efficacy and significant rates of neutropenia and febrile neutropenia observed do not support further evaluation of this combination in HL.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsFemaleHodgkin DiseaseHumansHydroxamic AcidsIndolesLenalidomideMaleMiddle AgedNeoplasm Recurrence, LocalPanobinostatRemission InductionThalidomideYoung AdultHydroxamic AcidsIndolesLenalidomidePanobinostatThalidomideClinical trialHodgkin’s lymphomaLenalidomidePanobinostatRelapsed/refractory

Identifiers

PMID28622959
PMCPMC6033275
OpenAlexW2620029856

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.