My primary research interest is to develop and conduct clinical trials for patients with newly diagnosed or relapsed lymphoma. Over the last several years, I have developed a special interest in the treatment of relapsed Hodgkin lymphoma (HL). While the overall prognosis of patients with newly diagnosed HL remains excellent, those with relapsed disease have less than a 50% chance of cure. In 2007, I published results of a Phase II trial of a pre-transplant salvage regimen including gemcitabine, vinorelbine, and liposomal doxorubicin for relapsed HL. Overall response rates were 70% and the treatment was well tolerated and less toxic than other salvage regimens. I have worked closely with the pharmaceutical company Seattle Genetics over the last 5 years testing anti-CD30 based targeted therapy for HL, initially the monoclonal antibody SGN-30 (Bartlett et al. Blood 2008) and more recently the immunotoxin SGN-35, an antibody-tubulin inhibitor conjugate (Younes et al. ASCO 2008). In collaboration with Washington University faculty member Todd Fehniger, we are currently testing the efficacy of lenalidomide for relapsed HL in a multi-center Phase II trial. I also serve as the co-chair of a recently activated Phase II cooperative group trial of the anti-CD80 antibody Galiximab for relapsed HL.
We also have a strong portfolio of cooperative group and industry sponsored trials available for most subtypes of non-Hodgkin lymphoma (NHL) including: newly diagnosed and relapsed mantle cell lymphoma (high dose therapy and stem cell transplant as first line therapy and a Phase II trial of lenalidomide and bortezomib for relapsed disease), diffuse large cell lymphoma (Phase III study of DA-EPOCH-R vs. R-CHOP for untreated large cell and two trials for relapsed large cell, R-ICE +/- SGN-40 and a Phase II study of YM155, a survivin inhibitor), relapsed PTCL (Preliterate + gemcitabine), newly diagnosed PTCL, cutaneous T-cell lymphoma (forodesine, pralatrexate), and relapsed follicular lymphoma (Phase II study of bendamustine, bortezomib, rituximab and a Phase II study of lenalidomide and rituximab).
In collaboration with Washington University faculty member Amanda Cashen, a tumor bank for fresh/frozen lymphoma tissue was recently activated and we are hopeful this will allow additional correlative studies with Washington University laboratory scientists.