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Published on: February 17, 2022
Novel agents in development for peripheral T-cell lymphoma
1New York University Cancer Institute, NYU Langone Medical Center, New York, NY, USA. O'Connor@nyumc.org
Abstract:
Though peripheral T-cell lymphoma (PTCL) is an area of significant unmet therapeutic need, a number of new treatment options are available for patients, especially those with relapsed or refractory disease. A plethora of drugs are now in development for PTCL, but drugs that truly target novel disease biology are noticeably absent. Combinations of T-cell centric agents could produce novel platforms of therapy to replace the relatively ineffective CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone)-based regimens. Among agents with T-cell activity are the folate analog pralatrexate, histone deacetylase inhibitors (HDACi) like romidepsin, the proteasome inhibitor bortezomib, the immunomodulatory agent lenalidomide, the purine nucleoside phosphorylase (PNP) inhibitor forodesine, the nucleoside analog gemcitabine, and BH3-only mimetics like ABT-263 and ABT-737.
Insights
Peripheral T-cell lymphoma (PTCL) has unmet needs, but new treatments are emerging. Combining T-cell targeted agents may offer better therapies than current regimens for relapsed or refractory PTCL.
Area of Science:
- Oncology
- Hematology
- Pharmacology
Background:
- Peripheral T-cell lymphoma (PTCL) represents a significant unmet therapeutic need.
- Current treatment options for relapsed or refractory PTCL are limited, with a lack of drugs targeting novel disease biology.
Purpose of the Study:
- To review emerging therapeutic agents for peripheral T-cell lymphoma (PTCL).
- To explore the potential of novel drug combinations for PTCL treatment.
Main Methods:
- Literature review of current and investigational drugs for PTCL.
- Analysis of T-cell centric agents and their mechanisms of action.
Main Results:
- A range of drugs are in development for PTCL, including pralatrexate, romidepsin, bortezomib, lenalidomide, forodesine, gemcitabine, and BH3-only mimetics.
- Combinations of T-cell targeted agents show promise for replacing ineffective CHOP-based regimens.
Conclusions:
- Novel therapeutic platforms combining T-cell centric agents are needed for PTCL.
- Further research into drug combinations may lead to improved outcomes for PTCL patients.
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