2014
DOI: 10.1016/j.clml.2013.09.009
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Phase II Study of Vincristine Sulfate Liposome Injection (Marqibo) and Rituximab for Patients With Relapsed and Refractory Diffuse Large B-Cell Lymphoma or Mantle Cell Lymphoma in Need of Palliative Therapy

Abstract: VSLI plus rituximab resulted in durable responses in patients with heavily pretreated advanced stage DLBCL and MCL. The toxicity profile was predictable and manageable with limited hematologic toxicity. Despite near-universal previous VCR exposure (96%) and doses of VSLI unachievable with standard VCR treatment, peripheral neuropathy and constipation were modest. This study supports further evaluation of VSLI as a component of DLBCL management.

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Cited by 33 publications
(27 citation statements)
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“…[18, 29, 34-38] The alkaloid can bind to tubulin, causing microtubule depolymerization, metaphase arrest, and apoptosis in cells undergoing mitosis. [18, 34, 35, 39, 40] Vincristine have been used for many years by clinics to treat malignancies including philadelphia chromosome-negative acute lyphoblastic leukemia,[22, 41] B-cell lymphoma,[42, 43] metastatic melanoma,[38] estrogen-receptor-negative breast cancer,[40] glioma,[44, 45] colorectal cancer,[21] non-Hodgkin’s lymphoma,[39, 46] Hodgkin’s lymphoma, neuroblastoma, rhabdomyosarcoma, multiple myeloma, and Wilms’ tumor. [2] However, its applications are restricted by severely neurotoxic side effects.…”
Section: Vincristinementioning
confidence: 99%
See 1 more Smart Citation
“…[18, 29, 34-38] The alkaloid can bind to tubulin, causing microtubule depolymerization, metaphase arrest, and apoptosis in cells undergoing mitosis. [18, 34, 35, 39, 40] Vincristine have been used for many years by clinics to treat malignancies including philadelphia chromosome-negative acute lyphoblastic leukemia,[22, 41] B-cell lymphoma,[42, 43] metastatic melanoma,[38] estrogen-receptor-negative breast cancer,[40] glioma,[44, 45] colorectal cancer,[21] non-Hodgkin’s lymphoma,[39, 46] Hodgkin’s lymphoma, neuroblastoma, rhabdomyosarcoma, multiple myeloma, and Wilms’ tumor. [2] However, its applications are restricted by severely neurotoxic side effects.…”
Section: Vincristinementioning
confidence: 99%
“…[54-58] Because they resemble cell membranes with non-immunogenicity, highly biocompatibility, and safe, liposomes have been widely used in drug delivery systems. [41] Liposomal vincristine (Marqibo®), which has been approved by the US Food and Drug Administration (FDA), has been widely applied in many cancers therapies [22, 39-41, 43, 45, 46]. Table 1 lists the advantages of drug delivery systems, including half-life, uptake, concentration enhancement, and sustained-release characteristics.…”
Section: Vincristinementioning
confidence: 99%
“…The efficacy of palliative therapy of vincristine-loaded SM/Chol liposomes plus rituximab for patients with advanced, relapsed, and refractory diffuse large B-cell lymphoma (DLBCL) and mantle cell lymphoma (MCL) was confirmed by Kaplan et al (2014). The dose of vincristine was 2.0 mg/m 2 every two weeks, and the dose of rituximab was 375 mg/m 2 every week.…”
Section: Combination Therapymentioning
confidence: 99%
“…clinical efficacy of these treatments are publically available, (19). Due to the presence of PEG, Doxil® can avoid reticuloendothelial system (RES) and is characterized by longer EHL, larger 6 AUC and lower clearance than with Myocet (table 1) (20). However, hand-foot syndrome cannot be avoided, (21).…”
Section: I1 Lipid Based Nanoformulationmentioning
confidence: 99%
“…When it was administered intravenously at a dose of 2.5 mg/m 2 on 13 patients, it resulted in a clearance of 345 mL/h, higher than that of 189 mL/h observed with free vincristine, a higher MTD, a superior antitumor activity, a larger amount of vincristine delivered to tumour tissues compared with free vincristine (4,5). Marqibo was also tested clinically for treatment of large B-cell lymphoma (6) and non-Hodgkin Lymphoma (7), (table 2).…”
Section: I1 Lipid Based Nanoformulationmentioning
confidence: 99%