Phase I Trial of Tazemetostat in Combination With Venetoclax in Patients With Relapsed/Refractory Non-Hodgkin Lymphoma
The goal of this clinical trial is to learn about how a combination of tazemetostat and venetoclax in people with relapsed/refractory Non-Hodgkin Lymphoma (R/R NHL). The main questions that this trial aims to answer are what is the best dose of venetoclax to give with tazemetostat to people with R/R NHL; what types of side effects do people with R/R NHL get when taking venetoclax with tazemetostat; and what effects does this combination have on R/R NHL. Participants will need to take pills by mouth every day and regularly come to the clinic for blood work and imagining to monitor side effects and cancer progression. Participants may receive study drugs for up to 24 months.
∙ Patients must meet the following criteria for study entry:
• Adults aged ≥18
• Require therapy as determined by the treating physician
• Patients must have adequate organ and bone marrow function:
‣ Absolute neutrophil count (ANC) ≥ 1 x 109/L without growth factor support (filgrastim or pegfilgrastim) for at least 14 days
⁃ Platelet count ≥75 x 109/L, evaluated at least 7 days after last platelet transfusion
⁃ Hemoglobin ≥9.0g/dL, independent of transfusion
⁃ Total bilirubin \< 1.5 x's the upper limit of the normal range (ULN), except Gilbert's disease
⁃ Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) \< 3 x's ULN.
⁃ Calculated creatinine clearance according to the Cockcroft-Gault equation. ≥ 40 mL/min
• ECOG PS 0-2
• Ability and willingness to provide signed Informed Consent Form
• Ability and willingness to comply with the requirements of the study protocol
• Measurable disease (defined as ≥ 1.5cm in diameter) In addition, patients must meet the following conditions for enrollment based on whether they have DLBCL or FL.
∙ R/R DLBCL Cohort:
• Histologically confirmed, biopsy-proven diagnosis of DLBCL (as determined by WHO standard classification criteria).
• Please note: Transformed DLBCL patients are eligible, with the exception of Richter's transformation.
• Subjects must have received at least two prior lines of therapy for lymphoma with evidence of disease progression.
• Subjects are eligible if they have progressed after ASCT OR if they are ineligible for ASCT, as determined by their treating physician.
∙ R/R FL Cohort:
• Histologically confirmed, biopsy-proven diagnosis of FL
• Subjects are eligible if they have progressed after two or more lines of therapy for lymphoma or have no satisfactory treatment alternatives