Table 1.

Epigenetic therapy plus chemotherapy

DrugDisease typeNCT no.Enrollment statusResponseGrade 3/4 toxicities
Vorinostat + R-DA-EPOCH vs R-DA-EPOCH AIDS-related DLBCL NCT01193842 Active, not recruiting; phase 1/2, N = 90 CR, 65% vs 77%; 1-y EFS, 75% vs 82% favoring R-EPOCH Neutropenia, 44% vs 16%;thrombocytopenia, 27% vs 2% 
Oral azacitidine + R-CHOP DLBCL/FL/tFL NCT02343536 Active, not recruiting; phase 1, N = 59 ORR, 95%; CR, 88%; 1-y PFS, 86%; 2-y PFS, 80%; Neutropenia, 52%; febrile neutropenia, 25%; anemia, 17% 
Vorinostat + R-CHOP DLBCL NCT00972478 Active, not recruiting; phase 1/2, N = 72 2-y PFS, 72%; OS, 86% Febrile neutropenia, 38%; sepsis, 19%; neutropenia, 60%; anemia, 35%; thrombocytopenia, 35% 
Vorinostat + R-CEP DLBCL in elderly NCT00667615 Completed; phase 1/2, N = 30 CR, 35%; median PFS, 9.2 mo Neutropenia, 15%; thrombocytopenia, 12%; hyperglycemia, 11% 
Azacitidine + R-CHOP DLBCL NCT01004991 Completed; phase 1/2, N = 12 CR, 92% Neutropenia, 100%; febrile neutropenia, 25% 
Tazemetostat + R-CHOP DLBCL NCT02889523 Completed; phase 1b, N = 17 Metabolic CR, 77% Neutropenia, 47%; leukopenia, 29%; constipation, 24% 
Decitabine + COP DLBCL NCT03494296 Recruiting   
Decitabine + R-DHAP DLBCL NCT03579082 Recruiting   
Oral azacitidine + R-ICE DLBCL NCT03450343 Recruiting   
Oral azacitidine + CHOP PTCL NCT03542266 Active, not recruiting   
Romidepsin + CHOP PTCL NCT01796002 Active, not recruiting; phase 1/2, N = 37 CR, 51%; ORR, 68%; 18-mo PFS, 77% Neutropenia, 89%; thrombocytopenia, 78%; febrile neutropenia, 14%; pneumonia, 11% 
Romidepsin + gemcitabine PTCL NCT01822886 Completed; phase 2, N = 20 CR, 15%; ORR, 30%; 2-y OS, 50% Thrombocytopenia, 60%; neutropenia, 50%; anemia, 20% 
Chidamide + CHOP PTCL NCT02809573 Completed; phase 1, N = 30 CR, 35%; 1-y PFS, 54%; 1-y OS, 100% Leukopenia, 90%; neutropenia, 83%; lymphocytopenia, 40% 
Romidepsin + GDP PTCL NCT01846390 Completed; phase 1, N = 20 ORR, 50%; median PFS, 2.3 mo; median OS, 7.16 mo Thrombocytopenia, 55%; neutropenia, 30%; anemia, 30% 
Romidepsin + ICE PTCL NCT01590732 Completed; phase 1, N = 18 CR, 13%; ORR, 93%; median PFS, 10 mo Thrombocytopenia, 83%; anemia, 50%; neutropenia, 44% 
Belinostat + CHOP PTCL NCT01839097 Completed; phase 1, N = 21 CR, 72%; ORR, 89% Neutropenia, 26%; anemia, 22% 
Vorinostat + CHOP PTCL NCT00787527 Completed; phase 1, N = 14 CR, 93%; 2-y PFS, 79% Neutropenia, 76% 
Romidepsin + CHOEP PTCL NCT02223208 Recruiting   
Decitabine + CHOP PTCL NCT035537 Not yet recruiting   
Panobinostat + ICE HL NCT0116936 Completed; phase 1, N = 29; phase 2, N = 24 Phase 1 CR, 72%; phase 2 CR, 82% vs 67%; no difference if FFS Neutropenia, 55% vs 8%; thrombocytopenia, 100% vs 33% 
Vorinostat + R-ICE Relapsed B-cell NHL or frontline PTCL or MCL NCT00601718 Completed; phase 1, N = 29 ORR, 70% Febrile neutropenia, 28%; infection, 28%; gastrointestinal, 31% 
DrugDisease typeNCT no.Enrollment statusResponseGrade 3/4 toxicities
Vorinostat + R-DA-EPOCH vs R-DA-EPOCH AIDS-related DLBCL NCT01193842 Active, not recruiting; phase 1/2, N = 90 CR, 65% vs 77%; 1-y EFS, 75% vs 82% favoring R-EPOCH Neutropenia, 44% vs 16%;thrombocytopenia, 27% vs 2% 
Oral azacitidine + R-CHOP DLBCL/FL/tFL NCT02343536 Active, not recruiting; phase 1, N = 59 ORR, 95%; CR, 88%; 1-y PFS, 86%; 2-y PFS, 80%; Neutropenia, 52%; febrile neutropenia, 25%; anemia, 17% 
Vorinostat + R-CHOP DLBCL NCT00972478 Active, not recruiting; phase 1/2, N = 72 2-y PFS, 72%; OS, 86% Febrile neutropenia, 38%; sepsis, 19%; neutropenia, 60%; anemia, 35%; thrombocytopenia, 35% 
Vorinostat + R-CEP DLBCL in elderly NCT00667615 Completed; phase 1/2, N = 30 CR, 35%; median PFS, 9.2 mo Neutropenia, 15%; thrombocytopenia, 12%; hyperglycemia, 11% 
Azacitidine + R-CHOP DLBCL NCT01004991 Completed; phase 1/2, N = 12 CR, 92% Neutropenia, 100%; febrile neutropenia, 25% 
Tazemetostat + R-CHOP DLBCL NCT02889523 Completed; phase 1b, N = 17 Metabolic CR, 77% Neutropenia, 47%; leukopenia, 29%; constipation, 24% 
Decitabine + COP DLBCL NCT03494296 Recruiting   
Decitabine + R-DHAP DLBCL NCT03579082 Recruiting   
Oral azacitidine + R-ICE DLBCL NCT03450343 Recruiting   
Oral azacitidine + CHOP PTCL NCT03542266 Active, not recruiting   
Romidepsin + CHOP PTCL NCT01796002 Active, not recruiting; phase 1/2, N = 37 CR, 51%; ORR, 68%; 18-mo PFS, 77% Neutropenia, 89%; thrombocytopenia, 78%; febrile neutropenia, 14%; pneumonia, 11% 
Romidepsin + gemcitabine PTCL NCT01822886 Completed; phase 2, N = 20 CR, 15%; ORR, 30%; 2-y OS, 50% Thrombocytopenia, 60%; neutropenia, 50%; anemia, 20% 
Chidamide + CHOP PTCL NCT02809573 Completed; phase 1, N = 30 CR, 35%; 1-y PFS, 54%; 1-y OS, 100% Leukopenia, 90%; neutropenia, 83%; lymphocytopenia, 40% 
Romidepsin + GDP PTCL NCT01846390 Completed; phase 1, N = 20 ORR, 50%; median PFS, 2.3 mo; median OS, 7.16 mo Thrombocytopenia, 55%; neutropenia, 30%; anemia, 30% 
Romidepsin + ICE PTCL NCT01590732 Completed; phase 1, N = 18 CR, 13%; ORR, 93%; median PFS, 10 mo Thrombocytopenia, 83%; anemia, 50%; neutropenia, 44% 
Belinostat + CHOP PTCL NCT01839097 Completed; phase 1, N = 21 CR, 72%; ORR, 89% Neutropenia, 26%; anemia, 22% 
Vorinostat + CHOP PTCL NCT00787527 Completed; phase 1, N = 14 CR, 93%; 2-y PFS, 79% Neutropenia, 76% 
Romidepsin + CHOEP PTCL NCT02223208 Recruiting   
Decitabine + CHOP PTCL NCT035537 Not yet recruiting   
Panobinostat + ICE HL NCT0116936 Completed; phase 1, N = 29; phase 2, N = 24 Phase 1 CR, 72%; phase 2 CR, 82% vs 67%; no difference if FFS Neutropenia, 55% vs 8%; thrombocytopenia, 100% vs 33% 
Vorinostat + R-ICE Relapsed B-cell NHL or frontline PTCL or MCL NCT00601718 Completed; phase 1, N = 29 ORR, 70% Febrile neutropenia, 28%; infection, 28%; gastrointestinal, 31% 

ASCT, autologous stem cell transplant; CHOEP, prednisone, Oncovin (vincristine), cyclophosphamide, hydroxydoxorubicin, etoposide; COP, cyclophosphamide, Oncovin (vincristine), prednisone; CR, complete response; DHAP, dexamethasone, high-dose cytarabine platinum-based, chemotherapy; DLBCL, diffuse large B-cell lymphoma; EFS, event-free survival; FFS, failure-free survival; FL, follicular lymphoma; GDP, gemcitabine, dexamethasone, cisplatin; HL, Hodgkin lymphoma; ICE, ifosfamide, carboplatinum, etoposide; MCL, mantle cell lymphoma; NHL, non-Hodgkin lymphoma; ORR, overall response rate; OS, overall survival; PFS, progression-free survival; PTCL, peripheral T-cell lymphoma; R, rituximab; R-CEP, rituximab, prednisone, etoposide, cyclophosphamide; R-CHOP, rituximab, prednisone, Oncovin (vincristine), cyclophosphamide, hydroxydoxorubicin; R-DA-EPOCH, rituximab, dose-adjusted etoposide, prednisone, Oncovin (vincristine), cyclophosphamide, hydroxydoxorubicin; tFL, transformed follicular lymphoma.

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