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Published on: February 17, 2022
Belinostat for the treatment of relapsed or refractory peripheral T-cell lymphoma
Peter Campbell1, Christan M Thomas1,2
11 Department of Pharmacy, NewYork-Presbyterian Hospital, University Hospital of Columbia and Cornell, New York, USA.
Abstract:
Peripheral T-cell lymphoma is a heterogenous non-Hodgkin Lymphoma with historically poor outcomes. Currently, response rates remain poor with traditional chemotherapy and many of those responding to initial therapy will relapse. Belinostat (Beleodaq, Spectrum Pharmaceuticals) is a histone deacetylase inhibitor (HDACi) approved for use in relapsed or refractory peripheral T-cell lymphoma (PTCL). Belinostat is metabolized hepatically through cytochrome P-450 enzymes 3A4, 2C9, and 2A6; however, no empiric dosage adjustments of belinostat are recommended during concurrent use of inhibitors or inducers of these enzymes. Belinostat's efficacy has been evaluated in a clinical trial showing an overall response rate (ORR) of 25.8% and a median duration of response of 8.4 months. Belinostat is generally well tolerated, with the most common adverse reactions (>25%) being nausea, vomiting, fatigue, pyrexia, and anemia in patients with relapsed or refractory PTCL. Belinostat is a safe and effective treatment option for relapsed and refractory peripheral T-cell lymphoma, with many future applications currently being investigated.
Insights
Belinostat offers a new treatment for relapsed or refractory peripheral T-cell lymphoma (PTCL), achieving a 25.8% response rate. This histone deacetylase inhibitor is well-tolerated and shows promise for patients with poor outcomes.
Area of Science:
- Oncology
- Pharmacology
Background:
- Peripheral T-cell lymphoma (PTCL) is a diverse non-Hodgkin lymphoma with historically poor prognoses.
- Traditional chemotherapy offers limited efficacy and high relapse rates in PTCL patients.
Purpose of the Study:
- To evaluate the efficacy and safety of belinostat for treating relapsed or refractory PTCL.
- To assess belinostat's role as a histone deacetylase inhibitor (HDACi) in PTCL management.
Main Methods:
- Clinical trial evaluating belinostat in patients with relapsed or refractory PTCL.
- Assessment of overall response rate (ORR) and duration of response.
- Monitoring of adverse reactions associated with belinostat treatment.
Main Results:
- Belinostat demonstrated an overall response rate (ORR) of 25.8% in the evaluated patient cohort.
- The median duration of response to belinostat was 8.4 months.
- Common adverse reactions included nausea, vomiting, fatigue, pyrexia, and anemia.
Conclusions:
- Belinostat is an approved and effective treatment option for relapsed or refractory PTCL.
- The drug is generally well-tolerated, with a manageable safety profile.
- Further investigations into belinostat's therapeutic applications in PTCL are ongoing.
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