968P - Real world experience with temsirolimus in patients with relapsed or refractory mantle cell lymphoma: Results from the Spanish experience

Date 28 September 2014
Event ESMO 2014
Session Poster Display session
Topics Lymphomas
Presenter Adolfo De La Fuente
Citation Annals of Oncology (2014) 25 (suppl_4): iv327-iv339. 10.1093/annonc/mdu339
Authors A. De La Fuente1, G. González2, I. Garcia Carbonero3, J. García Frade4, J. Munarriz5, D. Aguiar Bujanda6, B. Cuevas7, M.V. Cuevas7, R. Aporta8, A. Barez9, M. Callejas10, A. Murias11, A. Altés12, A. Salar13, B. Sánchez-González13, C. Grande14, J.A. García Marco15, Á. López16, M. Moran17, J. Briones Meijide18
  • 1Medical Oncohematology, MD Anderson CC Madrid, 28033 - Madrid/ES
  • 2Hematology, Hospital Universitario de Canarias, Tenerife/ES
  • 3Medical Oncology, Hospital Virgen de la Salud, Toledo/ES
  • 4Hematology, Hospital Río Hortega, Valladolid/ES
  • 5Medical Oncology, Hospital Provincial de Castellon, Castellon/ES
  • 6Oncologia Medica, Hospital Universitario de Gran Canaria Dr. Negrín, 35010 - Las Palmas/ES
  • 7Hematology, Hospital Universitario de Burgos, Burgos/ES
  • 8Hematology, Hospital de Ceuta, Ceuta/ES
  • 9Hematology, Hospital Nuestra Señora de Sonsoles, Avila/ES
  • 10Hematology, Hospital Príncipe de Asturias, Madrid/ES
  • 11Medical Oncology, Complejo Hospitalario Universitario Insular Materno Infantil, Las Palmas/ES
  • 12Hematology, Fundación Althaia, Barcelona/ES
  • 13Department Of Clinical Hematology, Hospital del Mar, Barcelona/ES
  • 14Hematology, Hospital 12 de Octubre, Madrid/ES
  • 15Hematology, Hospital universitario Puerta del Hierro, Madrid/ES
  • 16Tfs People, TFS, Madrid/ES
  • 17Oncology, Pfizer, Madrid/ES
  • 18Servicio De Hematologia Clinica, Hospital de la Santa Creu i Sant Pau, 08025 - Barcelona/ES

Abstract

Aim

Temsirolimus (TEM) is an mTOR inhibitor approved for the treatment of patients (pts) with relapsed or refractory mantle cell lymphoma (MCL). In a phase III trial TEM 175mg weekly for 3 weeks followed by 75mg weekly significantly improved progression free survival (PFS) and objective response rate (ORR) compared with investigator's choice. TEM has also been tested in combination with rituximab (RTX) in a phase II trial with encouraging efficacy. However, few data have been reported on the use of TEM in clinical practice.

Methods

A retrospective, observational and multicenter study of TEM used following routine clinical practice in pts with MCL was carried out. Pts treated with TEM between 2010 and 2013 were included. The objective of the study was to analyze the efficacy and safety of TEM. The study was approved by the Regulatory Authorities.

Results

A total of 24 pts were included, 22 were male and the median age was 71 years. 15 pts were treated with TEM in monotherapy and 9 in combination with RTX. The median number of prior therapies in the TEM monotherapy cohort was 2 (range 1 to 7) and 4 (range 2 to 8) in the combination cohort. According to the simplified MIPI prognostic score, 26.1% of the pts had low risk, 43.5% intermediate risk and 30.4% high risk. The ORR was 60% in the TEM monotherapy cohort and 78% in the TEM plus RTX one. Median PFS for patients in the TEM monotherapy cohort was 7.3 months and 4.57 months in the combination cohort. Two pts underwent allogeneic stem cell transplantation after TEM treatment. In terms of tolerability, 87% of the pts developed at least one adverse event (AE) in the TEM monotherapy cohort and 55% in the combination cohort. The most common G3/4 AE in both cohorts was thrombocytopenia (33%).

Conclusions

TEM is effective and well tolerated in heavily pretreated patients with MCL. Despite the small sample size, TEM efficacy in monotherapy seems to be higher in this study when compared to previous phase II and III trials. The median PFS in the combination therapy cohort was surprisingly low probably due to the differences in clinical features between both groups and to the fact that this cohort was more heavily pretreated.

Disclosure

M. Moran: Pfizer employee. All other authors have declared no conflicts of interest.