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A Phase II study of SGN-30 (anti-CD30 mAb) in Hodgkin lymphoma or systemic anaplastic large cell lymphoma
Authors:Andres Forero-Torres  John P. Leonard  Anas Younes  Joseph D. Rosenblatt  Pauline Brice  Nancy L. Bartlett  re Bosly  Lauren Pinter-Brown  Dana Kennedy  Eric L. Sievers   Ajay K. Gopal
Affiliation:University of Alabama at Birmingham, Birmingham, AL;, Weill Cornell Medical College, New York, NY;, MD Anderson Cancer Center, University of Texas, Houston, TX;, Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, Miami, FL, USA;, Hospital Saint Louis, Paris, France;, Washington University School of Medicine, St. Louis, MO, USA;, Mont-Godinne University Hospital, Yvoir, Belgium;, Department of Medicine, Geffen School of Medicine at UCLA, Los Angeles, CA;, Seattle Genetics, Inc., Seattle, WA;, and Department of Medical Oncology, University of Washington, Seattle, WA, USA
Abstract:SGN-30, a chimeric anti-CD30 monoclonal antibody, has demonstrated potent preclinical antitumour activity in both Hodgkin lymphoma (HL) and anaplastic large cell lymphoma (ALCL). We conducted an open-label, Phase II study to determine the safety and objective response rate of SGN-30 in 79 patients with refractory/recurrent HL ( n  = 38) or systemic ALCL ( n  = 41). Each course of SGN-30 comprised 6 weekly intravenous infusions, followed by a 2-week treatment-free period. Patients had received a median of 3 (range 1–5) prior regimens of chemotherapy or systemic therapy. The initial 40 patients received 6 mg/kg weekly; the latter 39 patients received 12 mg/kg weekly. In the ALCL group, two patients achieved a complete response and five additional patients achieved a partial response, with response durations ranging from 27 to 1460+ d. No objective responses were observed in the HL group; however, 11 patients (29%) had stable disease (duration 62–242 days). Although adverse events were common, most were mild or moderate, and no specific pattern of adverse events was observed in either disease group. These results demonstrate that weekly administration of SGN-30 is safe, with modest clinical activity in patients with ALCL.
Keywords:Hodgkin lymphoma    anaplastic large cell lymphoma    monoclonal antibody    anti-CD30 antibody    anaplastic lymphoma kinase
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