Table 3.
Patient* | Age, y | Sex | Fusion protein | Primary site of origin | Dose, QD | Best response by RECIST | No. of prior treatments | Duration of treatment, d |
---|---|---|---|---|---|---|---|---|
1 | 23 | Male | BRD4-NUT | Head and neck | 2 | NE† | 2 | 11 |
2 | 36 | Male | BRD4-NUT | Thoracic | 2 | NE | 2 | 9 |
3 | 43 | Female | BRD4-NUT | Other (left kidney) | 4 | PD | 0 | 17 |
4 | 17 | Male | BRD4-NUT | Head and neck | 4 | SD | 1 | 255 |
5 | 48 | Female | BRD4-NUT | Head and neck | 16 | SD | 0 | 43 |
6 | 19 | Male | BRD4-NUT | Head and neck | 30 | PD‡ | 1 | 42 |
7 | 20 | Female | BRD4-NUT | Thoracic | 60 | PD‡ | 1 | 8 |
8 | 23 | Male | NA | Thoracic | 60 | PR§ | 1 | 82 |
9 | 27 | Male | BRD3-NUT | Thoracic | 80 | PR‖ | 1 | 69 |
10 | 39 | Female | NSD3-NUT | Thoracic | 80 | SD | 0 | 48 |
11 | 36 | Female | BRD3-NUT | Head and neck | 80 | PR¶ | 1 | 196 |
12 | 51 | Female | BRD4-NUT | Head and neck | 80 | non-CR/non-PD# | 1 | 55 |
13 | 37 | Female | BRD4-NUT | Head and neck | 80 | SD | 0 | 199 |
14 | 39 | Female | BRD4-NUT | Head and neck | 80 | SD | 2 | 75 |
15 | 23 | Male | NA | Thoracic | 80 | NE | 1 | 8 |
16 | 22 | Male | BRD3-NUT | Thoracic | 80 | SD | 1 | 114 |
17 | 17 | Female | BRD4-NUT | Thoracic | 80 | PD | 1 | 28 |
18 | 61 | Female | BRD4-NUT | Thoracic | 100 | SD | 1 | 113 |
19 | 18 | Male | BRD3-NUT | Other (right scapula) | 100 | PR¶ | 2 | 186 |
All patients came off study treatment for PD except patient 10, who withdrew consent because of a disease-related pericardial effusion requiring drainage, and patient 13, who withdrew consent for multiple AEs, including periorbital edema around the resected lesion. Patient 4 underwent dose escalation from 4 to 8 to 16 mg once daily. Patients 9 and 13 had the dose increased from 80 mg to 100 mg once daily. Two patients had dose reduction due to thrombocytopenia, including patient 18 (from 100 mg to 80 mg in week 5 to 60 mg in week 13) and patient 19 (from 100 mg to 80 mg in week 12). BRD = bromodomain; CR = complete response; CT = computed tomography; FDG-PET = 18F-fluorodeoxyglucose positron emission tomography; NA = not available; NE = not evaluable due to insufficient or unavailable pre- or postbaseline data; NC = NUT carcinoma; NUT = nuclear protein in testis; PD = progressive disease; PR = partial response; QD = once daily; RECIST = Response Evaluation Criteria in Solid Tumors; SD = stable disease.
Considered to have clinical progression but was NE by RECIST 1.1.
PD defined by presence of new lesion(s) without reassessment of baseline target lesions.
Unconfirmed PR with subsequent scans demonstrating PD by RECIST 1.1.
Unconfirmed PR with subsequent FDG-PET scans demonstrating worsening bone disease without CT correlate; best response scored as stable disease.
Confirmed response of PR by RECIST 1.1.
Nonmeasurable disease at baseline.