Lymphoma Program Establishes Partnership to Advance Development of Targeted Lymphoma Therapies

The Lymphoma Program has recently established a cross-campus experimental therapeutics collaboration between Weill Cornell Medical College and Cornell University. Known as the Progressive Assessment of Therapeutics, or P.A.Th. this partnership will harness the already existing infrastructure at the two university sites for the purpose of advancing a more rapid bench to bedside discovery process for the clinical introduction of targeted therapies.

Dr. Kristy Richards
Dr. Kristy Richards

The P.A.Th. program will be overseen by co-directors Dr. Kristy Richards and Dr. Leandro Cerchietti. Dr. Richards is an expert in comparative oncology and oncogenomics, which emphasizes the genetic/genomic approaches to understanding the biology and treatment of hematologic malignancies. Her research involves genetic mapping and genetic association approaches to understanding drug resistance in a variety of agents used to treat hematologic malignancies. Dr. Cerchietti is an expert in experimental therapeutics in lymphomas. His research involves developing of pharmacokinetic and pharmacodynamics biomarkers to personalize treatment regimens in pre-clinical and clinical settings.

Dr. Leandro Cerchietti
Dr. Leandro Cerchietti

In practice the collaborative program will improve the speed and accuracy of the clinical trial process, while streamlining the organization required to bring new treatments through the laboratory to the patient’s bedside. It has already seen tangible results in a recently published paper. This approach will have different manifestations. For patients with DLBCL, cell lines are the workhorse in the early development of treatments. However, the numbers and diversity of DLBCL cell lines is small, while more indolent lymphoma cell lines are difficult to maintain. Through the P.A.Th. program in collaboration with Dr. Ankur Singh of the Sibley School of Mechanical and Aerospace Engineering, researchers are developing 3-D tissue culture (organoids) on lattices that more closely simulate the micro-environment of a lymph node. This would allow for lymphoma cells taken from patients to be more successfully cultured and easily researched. The ease of developing and curating new and longer lasting cell cultures could lead to faster breakthroughs in the development of treatments.

Another focus of the P.A.Th. program is the use of better mouse models and the inclusion of pet dogs as a model for human lymphoma. Pet dogs can enroll in clinical trials, much the same way human patients can, yet this resource has mostly been overlooked.  Given Cornell University’s top-ranked veterinary school, and the high incidence of lymphoma in pet dogs, this is a resource that the P.A.Th. program is using to increase their clinical trial capacity in lymphoma research. This will save the lives of both 2 legged and 4 legged patients.

Taken together these improvements and others should make for a comparatively quicker and more accurate therapeutic development strategy. Considering, its multidisciplinary approach and high quality capabilities this collaboration is poised to be a leader in the development of new therapeutics for lymphoma. As Dr. Richards, noted, “Think of this P.A.Th. program as a bridge that connects the incredible lymphoma basic and translational research that is already happening throughout the Cornell campuses, with Cornell’s excellent patient care. The results will provide a very compelling therapeutic development strategy that should provide hope to patients with lymphoma and other types of cancer.”

Dr. Peter Martin Explains a Trial Testing the Combination of Ibrutinib + Palbociclib for Patients with Previously Treated Mantle Cell Lymphoma

In this video Dr. Peter Martin explains the benefits of a recently opened phase I trial of ibrutinib plus palbociclib for patients with previously treated mantle cell lymphoma (MCL). The trial will evaluate the safety and activity of the combination. This is a Weill Cornell Medical College investigator-initiated clinical trial, sponsored by the Cancer Therapy Evaluation Program at the National Cancer Institute.

If you’re interested in participating in this trial please call 646-962-2074 for more information.

New Clinical Trial: Phase 2 Study of the Oral Selective Inhibitor of Nuclear Export Selinexor in Patients with Refractory and/or Relapsed Richter’s Transformation

The Weill Cornell Lymphoma Program has recently opened a new clinical trial for men and women with refractory and/or relapsed Richter’s Transformation. The study sponsor is Karyopharm Therapeutics, and the principal investigator at Weill Cornell is Richard Furman M.D.. For more information about the study, please call Amelyn Rodgriguez, RN at (212) 746-1362 or e-mail Amelyn at amr2017@med.cornell.edu.

Key Eligibility

  • Men and women age 18 and older.
  • Diagnosis of DLBCL in the setting of Richter’s Transformation from CLL.
  • Relapsed or refractory after receiving at least 1, and no more than 2, prior chemo-immunotherapy regimens.
  • Detailed eligibility reviewed when you contact the study team.

Study Details

This clinical trial is for men and women with refractory and/or relapsed Richter’s Transformation (RT).

Patients with RT currently have limited treatment options with few options having shown durability. Selinexor has shown tolerability and clinical efficacy in Phase 1 clinical trials in CLL and lymphoma patients. This study will provide information about whether selinexor will be tolerable and effective in subjects with RT.

Subjects will receive selinexor orally, twice weekly (e.g. Monday and Wednesday or Tuesday and Thursday). There is no maximum treatment duration, and subjects will receive selinexor continuously as long as they are responding to therapy and not experiencing unacceptable side effects. After discontinuing treatment, follow-up information will be collected every 3 months throughout the study at clinic visits or through telephone calls.