Phase II trial of menogaril in non-Hodgkin's lymphomas: A southwest oncology group trial

Dennis F. Moore, Thomas D. Brown, Michael LeBlanc, Steve Dahlberg, Thomas P Miller, Suzanne McClure, Richard I. Fisher

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Abstract

Purpose: To assess the efficacy and toxicity of menogaril against non-Hodgkin's lymphoma (NHL) in a group of previously treated patients. Patients and methods: Sixty-two eligible patients with a histologic diagnosis of NHL were enrolled, 35 of who had intermediate or high-grade histologies and 27 of who had low-grade lymphomas. Patients with intermediate or high-grade lymphomas had received only 1 prior chemotherapy regimen, while patients with low-grade histologies had received 1 or 2 prior chemotherapy regimens. Menogaril was administered at 160 mg/m2 intravenously over 1 hour, once every 28 days. Results: Among the 35 patients with intermediate or high-grade lymphomas who were evaluable for response, 6 of 35 patients achieved a partial response (PR) for a response rate of 17% (95% confidence interval: 7%-34%). Median survival in this group of patients was 13 months. For those patients with low-grade lymphoma, 5 of 26 patients achieved a PR for a response rate of 19% (95% confidence interval: 6%-38%). No complete responses were observed in either patient group. The incidence of serious (grade 3 or 4) toxicity for those with intermediate/high-grade and low-grade lymphomas was 43% and 44%, respectively. Most of these toxic effects consisted of reversible myelosuppression. Menogaril was discontinued in 2 patients due to prolonged neutropenia. Cardiotoxicity was observed in 4 patients, requiring discontinuation of the drug in 1 patient. No treatment-related deaths occurred and the overall toxicity was felt to be acceptable. Conclusion: The observed antitumor activity of single agent menogaril against both intermediate/high- grade and low-grade lymphomas was modest. Further exploration of this agent in patients with non-Hodgkin's lymphomas does not seem warranted.

Original languageEnglish (US)
Pages (from-to)169-172
Number of pages4
JournalInvestigational New Drugs
Volume17
Issue number2
DOIs
Publication statusPublished - 1999

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Keywords

  • Menogaril
  • Non-Hodgkin's lymphoma
  • Southwest Oncology Group

ASJC Scopus subject areas

  • Molecular Medicine
  • Pharmacology

Cite this

Moore, D. F., Brown, T. D., LeBlanc, M., Dahlberg, S., Miller, T. P., McClure, S., & Fisher, R. I. (1999). Phase II trial of menogaril in non-Hodgkin's lymphomas: A southwest oncology group trial. Investigational New Drugs, 17(2), 169-172. https://doi.org/10.1023/A:1006375301205