Oncology Research Program

Highlights of the NCCN Oncology Research Program

The NCCN Oncology Research Program (ORP) strives to improve the quality of life for patients and reduce cancer-related deaths by advancing cancer therapies through research. Since the program’s establishment in 1999, the NCCN ORP has brought millions of dollars in research grants to investigators at NCCN Member Institutions. Research grants are provided to NCCN through collaborations with pharmaceutical and biotechnology companies; these grants are in turn used to support scientifically meritorious cancer research efforts.

NCCN ORP studies typically explore new avenues of clinical investigation and seek answers to important cancer-related questions. All studies are approved and funded through a scientific peer-review process and are overseen by the ORP.

NCCN studies funded through the grant mechanism are highlighted below.

Phase Ib Dose Escalation Trial of Carfilzomib in Combination With Bendamustine and Rituximab in Patients With Relapsed or Refractory Non-Hodgkin’s Lymphoma

Principal Investigator: Charalambos Andreadis, MD, MSCE

Condition: Relapsed or refractory non-Hodgkin lymphoma

Institution: UCSF Helen Diller Family Comprehensive Cancer Center

This study will be conducted as a phase Ib, open-label, nonrandomized, single-institution study to evaluate the safety and tolerability of carfilzomib in combination with bendamustine and rituximab in patients with relapsed or refractory non-Hodgkin’s lymphoma (NHL), and to determine the recommended phase II dose and preliminary efficacy of this combination. The study will have 2 phases: a dose-escalation phase to determine the maximum tolerated dose of carfilzomib in this combination, in which participants will be monitored for toxicity, tolerability, and response, and a dose-expansion phase that will determine the preliminary efficacy in patients with mantle cell lymphoma or any other disease subtype in which a preliminary efficacy signal is observed.

Determination of the maximum tolerated dose will follow standard 3+3 design with escalation of the carfilzomib dose only. Dose levels of carfilzomib will be 15 mg/m2, 20 mg/m2, 27 mg/m2, and 36 mg/m2 intravenously administered on days 1, 2, 8, 9, 15, and 16. The last 2 cohorts will have a starting carfilzomib dose of 20 mg/m2 on days 1 and 2. Bendamustine will be administered at the well-tolerated dose of 90 mg/m2 intravenously on days 1 and 2. A dose deescalation of bendamustine will occur if the starting dose proves intolerable in this combination. Rituximab will be given at a dose of 375 mg/m2 on day 9 of cycle 1 and day 1 of subsequent cycles.

Primary Objective:

  • To assess the safety and tolerability of carfilzomib when combined with bendamustine and rituximab in patients with relapsed or refractory NHL

Secondary Objective:

  • To evaluate the preliminary antitumor activity of carfilzomib with bendamustine and rituximab in patients with NHL (dose escalation) and with specific NHL subtypes (dose expansion)

Exploratory Objectives:

  • To describe overall survival in patients treated with these agents
  • To evaluate the relationship between antitumor activity or toxicity of carfilzomib and bendamustine with markers of activation of the terminal unfolded protein response and/or modulation of the apoptotic pathway in primary tumor tissue

Contacts: Charalambos Andreadis, MD • 415-353-8363 • candreadis@medicine.ucsf.edu

Geraldine Pelle-Day, PhD • 415-476-4765 • gpelle-day@cc.ucsf.edu

ClinicalTrials.gov Identifier: NCT02187133

Carfilzomib plus Belinostat in Relapsed/Refractory Non-Hodgkin Lymphoma Subtypes: A Phase I Study

Principal Investigator: Jeremy S. Abramson, MD

Conditions: Diffuse large B-cell lymphoma, mantle cell lymphoma, follicular lymphoma, and peripheral T-cell lymphomas

Institutions: Massachusetts General Hospital Cancer Center and Dana-Farber Cancer Institute

This is a phase I, open-label, dose escalation study of carfilzomib in combination with belinostat for relapsed or refractory NHL. Four dose levels are planned with an additional dose level (–1) if required due to dose-limiting toxicities (DLTs) in dose level 1. Dose-escalation will be performed in a traditional 3+3 design. Ten additional patients will be accrued at the maximum tolerated dose (MTD). Cycle length is 28 days. Carfilzomib will be administered by intravenous bolus on days 1–2, 8–9, and 15–16. Beginning with dose level 1, carfilzomib will be dose-escalated with cycle 2. Belinostat will be administered by intravenous bolus on days 1–5. DLTs will be assessed during cycle 1 for dose levels –1 and 0, and during cycles 1 and 2 in dose levels 1–3. Subjects who are tolerating therapy and are without progressive disease may receive treatment until progression.

Primary Objective:

  • Determine the MTD of carfilzomib and belinostat in combination

Secondary Objectives:

  • Establish the toxicity profile of carfilzomib combined with belinostat
  • Evaluate pharmacokinetics effects of carfilzomib and belinostat in combination
  • Preliminary assessment of efficacy of carfilzomib and belinostat in NHL

Contact: Jeremy Abramson, MD • 617-724-4000 • jabramson@mgh.harvard.edu

ClinicalTrials.gov Identifier: NCT02142530

The goal of the Highlights of the NCCN Oncology Research Program (ORP) is to provide readers with more information on the ORP, including studies currently accruing patients.For more information on specific trials, including patient selection criteria, please use the contact information listed with each study.For more information on the NCCN ORP, including a complete detailing of the clinical studies currently underway at NCCN Member Institutions, please access the NCCN ORP pages at NCCN.org/clinical_trials/clinicians.asp.

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