J Clin Oncol:PI3Kδ/CK1ε双重抑制剂Umbralisib用于治疗复发性/难治性惰性淋巴瘤

2021-03-09 Nebula MedSci原创

Umbralisib是一种PI3Kδ/CK1ε的双重抑制剂,用于治疗复发性/难治性惰性淋巴瘤如何呢?

磷脂酰肌醇-3-激酶(PI3K)抑制剂在复发性或难治性(R/R)惰性非霍奇金淋巴瘤(iNHL)中显示出治疗活性。PI3K抑制剂的长期耐受性差,毒性大,影响其持续使用。Umbralisib是一种PI3Kδ/CK1ε的双重抑制剂,与其他PI3K抑制剂相比,它对PI3Kδ具有更高的选择性。

这项IIb期试验旨在评估Umbralisib用于R/R iNHL患者的疗效和安全性。

这是一项多队列、开放标签的IIb期研究,招募了208名对既往治疗(包括≥1抗CD20为基础的治疗)无效的R/R边缘区、滤泡性或小淋巴细胞性淋巴瘤 (MZL、FL或SLL) 患者,每天予以Umbralisib 800mg口服,直到疾病进展、不可耐受的毒性或撤出研究。主要终点是总体应答率;次要终点包括反应时间、反应持续时间、无进展生存期和安全性。

指数病变大小的反应

中位随访时间为27.7个月(有效性分析)和21.4个月(安全性分析)。总有效率为47.1%,86.4%的患者的肿瘤可观察到缩小。中位有效时间为2.7~4.6个月。MZL、FL和SLL患者的中位缓解期分别为未达到、11.1个月和18.3个月。MZL、FL和SLL的中位无进展生存期分别为未到达、10.6个月和20.9个月。

DOR和PFS

53.4%的患者至少报告了一种3级及以上的需紧急治疗的不良事件(TEAE)。TEAE导致32例(15.4%)患者停用Umbralisib。共有31名患者(14.9%)因治疗相关的不良事件而停止治疗。发生于10%及以上患者的3级及以上TEAE有:中性粒细胞减少(11.5%)和腹泻(10.1%)。ALT/AST升高(≥3级)的发生率为6.7%/7.2%。

综上,Umbralisib在严重预处理的iNHL患者中取得了有意义的临床活性。安全性可控,免疫介导的毒性和不良事件相关停药的发生率相对较低。

原始出处:

Fowler Nathan H,Samaniego Felipe,Jurczak Wojciech et al. Umbralisib, a Dual PI3Kδ/CK1ε Inhibitor in Patients With Relapsed or Refractory Indolent Lymphoma. J Clin Oncol, 2021, undefined: JCO2003433.

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    2021-04-23 jklm09
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    2021-05-26 minlingfeng
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    2021-05-16 mhm289
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    2021-03-11 freve
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    2021-03-10 科研科研科研

    治疗淋巴瘤

    0

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    2021-03-10 anti-cancer

    谢谢梅斯分享这么多精彩信息

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