Efficacy and Safety of the Farnesyl-transferase Inhibitor (Tipifarnib) in Mantle Cell Lymphoma

Inclusion Criteria

• •Male or female subject 18 years or older.
• •Initial diagnosis of histologically confirmed mantle cell lymphoma based on the World Health Organization 1997 classification.
• •Patient not able to receive high dose autologous stem cell transplantation with relapsed, refractory or progressive MCL after prior anti-neoplastic treatment. Relapse or progression since previous anti-neoplastic therapy must be documented by new lesions or objective evidence of progression of existing lesions. Biopsy is not required.
• •Ann Arbor stages I-IV.
• •At least 1 measurable lymph node mass that is \>1.5 cm in 2 perpendicular dimensions, and has not been previously irradiated or has grown since previous irradiation.
• •Eastern Cooperative Oncology Group \[ECOG\] performance status 0-2.
• •The following laboratory values at screening,:
• •* Absolute neutrophil count (ANC) ≥ 1.0 G/L and Platelets ≥ 75 G/L
• •* Aspartate transaminase (AST) ≤ 2.5 x ULN; Alanine transaminase (ALT) ≤ 2.5 x ULN; Total bilirubin ≤ 1.5 x ULN; Creatinin level ≤ 150 µmol/L
• •Female subject is either post-menopausal or surgically sterilized or willing to use an acceptable method of birth control (ie, a hormonal contraceptive, intra-uterine device, diaphragm with spermicide, condom with spermicide, or abstinence) for the duration of the study. Women are neither breast feeding nor pregnant for the duration of the study. Confirmation that the subject is not pregnant must be established by a negative serum β-human chorionic gonadotropin (β-hCG) pregnancy test result obtained during screening. Pregnancy testing is not required for post-menopausal or surgically sterilized women. Male subject agrees to use an acceptable method for contraception for the duration of the study.
• •Voluntary signed informed consent before performance of any study-related procedure not part of normal medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to future medical care.
• •Patient with minimum life expectancy of 3 months.
• •Active systemic infection requiring treatment.
• •Previously known HIV positive serology
• •Serious medical or psychiatric illness likely to interfere with participation in this clinical study.
• •Adult patient under guardian.