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Romidepsin in the treatment of cutaneous T-cell lymphoma
1NYU Cancer Institute, Division of Hematology and Medical Oncology, NYU Langone Medical Center, New York, NY, USA.
Abstract:
The most common subtypes of primary cutaneous T-cell lymphoma (CTCL) are mycosis fungoides and Sézary syndrome. Clinical manifestations and prognosis in CTCL are highly variable. Improving the management of this incurable disease with limited toxicity is an active area of research. Romidepsin is a novel, well-tolerated histone deacetylase inhibitor with promising activity against advanced stages of CTCL. In November 2009, it was approved by the US Food and Drug Administration for the treatment of CTCL in patients who have received at least one prior systemic therapy. This review focuses on the activity, pharmacology, and safety of romidepsin for the treatment of CTCL.
Insights
Romidepsin offers a new treatment option for advanced cutaneous T-cell lymphoma (CTCL). This well-tolerated histone deacetylase inhibitor shows promising activity and was FDA-approved in 2009 for patients with prior systemic therapy.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Primary cutaneous T-cell lymphoma (CTCL) encompasses mycosis fungoides and Sézary syndrome.
- CTCL presents with variable clinical manifestations and prognosis.
- Improving management of incurable CTCL with limited toxicity is a research priority.
Purpose of the Study:
- To review the activity, pharmacology, and safety of romidepsin for CTCL treatment.
- To highlight romidepsin's role in managing advanced-stage CTCL.
Main Methods:
- Review of existing literature on romidepsin's efficacy and safety in CTCL.
- Analysis of pharmacological properties and clinical trial data.
Main Results:
- Romidepsin demonstrates promising activity against advanced CTCL.
- It is a well-tolerated histone deacetylase inhibitor.
- FDA approved in 2009 for CTCL patients post-systemic therapy.
Conclusions:
- Romidepsin is an effective and well-tolerated treatment option for advanced CTCL.
- Its approval signifies a step forward in managing this challenging disease.
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