Table 3. Genes implicated in clinical trials involving MCL patients.
Genes implicated | Trial type, reference | Intervention/regimen | Findings | Cancer types, MCL (n) |
---|---|---|---|---|
ATM | Phase I[40] | Cyclophosphamide +Veliparib | Prolonged stable disease (>6 cyc.) | SLL (n = 2) |
BCL-2 | Phase I[72] | ABT-199 | ORR 48% | NHL/MCL = 12 |
CCND1 | Phase I[47] | Bortezomib+ Alvocidib | 33% total response rate for NHL and progressive disease (PD) in MCL | NHL/MCL (n = 3) |
CCND1 | Phase I[49] | Flavopiridol | PR in MCL | NHL/MCL (n = 2) |
CCND1 | Phase II[50] | Flavopiridol | PR 3.3 months (n = 3); SD 3.4 months (n = 20); PD (n = 5). Overall response with no prior therapy is 11% vs. 6% with prior therapy | MCL (n = 28) |
CCND1 | Phase I[51] | Flavopiridol + Fludarabine + Rituximab | 80% ORR for MCL (n = 10) | NHL/MCL/CLL |
Epigenetic modifiers | Phase II[57] | Vorinistat + Rituximab | 33% PR/ORR for MCL (M = 3) | NHL/MCL (n = 3) |
Epigenetic modifiers | Phase II[55] | Vorinostat | ORR for MCL 0-60% (n = 4) | NHL/FL/MCL (n = 4) |
Epigenetic modifiers | Phase I[58] | Panobinostat + Everolimus | 100% PR for MCL (n = 3) | HL/NHL/MCL (n = 3) |
Epigenetic modifiers | Phase II[56] | Vorinostat | OS 16.9 months for MCL (n = 9); SD 1/9 | FL/MCL (n = 9)/MZL |
Epigenetic modifiers | Phase I[54] | Vorinostat | SD (n = 1) & CRu (n = 1) for MCL | DLBCL/CTCL/MCL (n = 2)/FL |
Epigenetic modifiers | Phase I[59] | Vorinostat + RICE | Sensitive 60% (n = 5) MCL | FL/MZL/DLBCL/MCL (n = 5) |
Epigenetic modifiers | Phase I/II[61] | Abexinostat | ORR 27.3%; median PFS 3.9 months for MCL | FL/MCL (n = 11) (for phase II) |
SLL=small lymphocytic lymphoma; NHL= non-Hodgkin's lymphoma; FL=follicular lymphoma; MCL= mantle cell lymphoma; MZL=marginal zone lymphoma; DLBCL= diffuse large B-cell lymphoma; CTCL= cutaneous T cell lymphoma