Profile of belinostat for the treatment of relapsed or refractory peripheral T-cell lymphoma
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Updated: Apr 21, 2026
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Dynamic Imaging of Chimeric Antigen Receptor T Cells with [18F]Tetrafluoroborate Positron Emission Tomography/Computed Tomography
Published on: February 17, 2022
Andrew Bodiford1, Megan Bodge1, Mahsa S Talbott1
1Department of Pharmacy, Vanderbilt University Medical Center, Nashville, TN, USA.
Abstract:
The peripheral T-cell lymphomas are a rare and heterogeneous group of mature T-cell lymphomas with limited available therapies. The outcome of frontline chemotherapy regimens has been disappointing, with a long-term survival of only 20%-30%. There is an urgent need to optimize induction therapy by incorporating novel agents that target the dysregulated pathways. Histone deacetylase inhibitors that induce acetylation of histones and enhance apoptosis have shown promising activity. In this article, we summarize the role of histone deacetylase inhibitors and specifically discuss pharmacokinetics, efficacy, and toxicity of the recently US Food and Drug Administration-approved agent belinostat for its use in patients with relapsed/refractory peripheral T-cell lymphoma.
Insights
Peripheral T-cell lymphomas have poor outcomes. Histone deacetylase inhibitors, like belinostat, show promise in treating relapsed or refractory peripheral T-cell lymphoma by targeting key pathways.
Area of Science:
- Oncology
- Hematology
- Molecular Biology
Background:
- Peripheral T-cell lymphomas (PTCL) are rare, aggressive cancers with limited treatment options.
- Current frontline chemotherapy offers poor long-term survival rates (20%-30%) for PTCL patients.
- Novel therapeutic strategies targeting dysregulated molecular pathways are urgently needed.
Purpose of the Study:
- To review the role of histone deacetylase inhibitors (HDACi) in treating PTCL.
- To discuss the pharmacokinetics, efficacy, and toxicity of belinostat, a newly FDA-approved HDACi.
- To evaluate belinostat's potential in patients with relapsed/refractory PTCL.
Main Methods:
- Literature review on HDAC inhibitors in PTCL treatment.
- Summary of clinical trial data for belinostat in relapsed/refractory PTCL.
- Analysis of belinostat's pharmacokinetic and safety profiles.
Main Results:
- Histone deacetylase inhibitors demonstrate promising activity by inducing histone acetylation and apoptosis.
- Belinostat has shown efficacy in patients with relapsed/refractory PTCL.
- Understanding belinostat's pharmacokinetics and toxicity is crucial for its clinical application.
Conclusions:
- Belinostat represents a novel therapeutic option for relapsed/refractory PTCL.
- HDAC inhibitors offer a targeted approach to improve outcomes in PTCL.
- Further research into optimizing HDAC inhibitor therapy is warranted for PTCL management.
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