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Pralatrexate experience in PTCL: A multicenter retrospective study from Turkey
Mehmet Sinan Dal1, Alparslan Merdin, Mehmet Ali Erkurt
1University of Health Sciences Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Hematology Clinic and Bone Marrow Transplantation Unit, Ankara, Turkey.
Pralatrexate shows promise for relapsed refractory peripheral T-cell lymphomas (PTCL) in Turkey, with 55% of patients achieving partial remission or better. Careful monitoring for side effects like skin reactions and cytopenias is essential.
Area of Science:
- Oncology
- Pharmacology
Background:
- Peripheral T-cell lymphomas (PTCL) are aggressive non-Hodgkin lymphomas.
- Relapsed or refractory PTCL presents significant treatment challenges.
- Pralatrexate is a novel antifolate agent for PTCL treatment.
Purpose of the Study:
- To characterize patients receiving pralatrexate in Turkey.
- To evaluate pralatrexate's effectiveness in PTCL.
- To identify major side effects of pralatrexate therapy.
Main Methods:
- Retrospective study of 20 adult PTCL patients in Turkey.
- Patients received pralatrexate therapy.
- Data collected on patient characteristics, treatment, response, and side effects.
Main Results:
- Median age at diagnosis was 58.5 years.
- PTCL-Not Otherwise Specified (NOS) was the most common subtype (40%).
- 55% of patients achieved partial remission (PR) or better with pralatrexate.
- Dose reduction was needed in 15% of patients.
Conclusions:
- Pralatrexate is a promising treatment for relapsed/refractory PTCL.
- Close patient follow-up is crucial for managing side effects.
- Potential side effects include skin reactions, mucosal issues, thrombocytopenia, and neutropenia.
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