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Combination of mitoxantrone hydrochloride liposome with cyclophosphamide, vincristine, and prednisone for patients with treatment-naive peripheral T-cell lymphoma: A multicenter, open-label, single-ar

3 hours ago
  • #Phase 1b trial
  • #CMOP regimen
  • #PTCL
  • Study evaluates mitoxantrone hydrochloride liposome (Lipo-MIT) combined with cyclophosphamide, vincristine, and prednisone (CMOP) for untreated peripheral T-cell lymphoma (PTCL).
  • Phase 1b trial with dose-escalation (12-21 mg/m² Lipo-MIT) and expansion phases; recommended phase 2 dose (RP2D) established at 18 mg/m².
  • 38 patients enrolled; no dose-limiting toxicities reported. Grade ≥3 adverse events included neutrophil decrease (76.3%) and white-cell count decrease (73.7%).
  • Complete response rate (CRR) was 54.3%, overall response rate (ORR) 88.6%. At RP2D, CRR and ORR improved to 64.7% and 94.1%, respectively.
  • Median progression-free survival was 20.8 months; median overall survival not reached. Lipo-MIT showed favorable pharmacokinetics and manageable safety.