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Posted by on Dec 15, 2018 in Hodgkin's lymphoma | 0 comments

In a nutshell

This study evaluated the safety and effectiveness of a new targeted therapy (INCB040093) with or without itacitinib in patients with relapsed or refractory (does not respond to treatment) lymphoma. This study concluded that this new agent was well-tolerated and showed promising effectiveness in these patients. 

Some background

Patients with Hodgkin's lymphoma (HL) who experience an early relapse or develop refractory disease tend to have a poor prognosis. New treatment options are needed for these patients, especially those who do not respond to multiple chemotherapy regimens. 

INCB040093 and itacitinib are targeted therapies. This type of treatment specifically targets cancer cells, blocking their growth. This leads to cancer cell death. The safety and effectiveness of INCB040093 alone or in combination with itacitinib for relapsed or refractory HL remain under investigation. 

Methods & findings

This study involved 114 patients with relapsed or refractory lymphoma. 35% of patients had HL. Patients received either INCB040093 alone (monotherapy group) or together with itacitinib (combination group). Patients were treated for an average of 140 – 180 days. 

In the monotherapy group, 29% of patients with classical HL responded to treatment. In the combination groups, 67% of patients with HL had a response to treatment. A complete response (disappearance of all signs of cancer) was seen in 12% of patients in the monotherapy group compared to 38% of those in the combination group.

The most common side effects in the monotherapy group were diarrhea (39%), fatigue (35%), cough (33%), nausea (33%), and headache (31%). The most common side effects in the combination group were nausea (46%), cough (43%), fatigue (39%), fever (36%), vomiting (35%) and diarrhea (31%).

The bottom line

This study concluded that INCB040093 with or without itacitinib was well-tolerated and showed promising effectiveness in patients with relapsed or refractory HL. 

The fine print

This study was a Phase 1 study. Further studies are needed to determine the role of INCB040093 in the treatment of relapsed or refractory HL. 

Published By :

Blood

Date :

Aug 09, 2018

Original Title :

Phase 1 study of the PI3Kδ inhibitor INCB040093 ± JAK1 inhibitor itacitinib in relapsed/refractory B-cell lymphoma.

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