Novel agents in use or trials in PTCL
Type of agent . | Name . | Description . | Disease(s) . | Status . |
---|---|---|---|---|
Antifolates | Pralatrexate | 10-Deazaminopoterin | PTCL, CTCL | Approved for PTCL |
Conjugates | LMB-2 | Anti-Tac) anti-CD25 fused to Pseudomonas toxin | CTCL, PTCL (especially ATLL) | Phase 2 |
Denileukin diftitox | IL-2 targeting domain fused with diphtheria toxin | CTCL, PTCL | Approved for CTCL | |
Brentuximab vedotin | CD30 antibody conjugated to monomethylauristan-E | CD30+ T-cell lymphoma | Phase 2 | |
HDAC inhibitors | Belinostat | PXD101 | CTCL, PTCL | Phase 2 |
Panobinostat | LBH589 | CTCL, ATL | Phase 2 | |
Romidepsin | Depsipeptide | CTCL, PTCL | Approved for CTCL | |
Vorinostat | Suberoylanilide hydroxamic acid | CTCL | Approved for CTCL | |
Immunomodulatory agents | Lenalidomide | Derivative of thalidomide | PTCL, CTCL | Phase 2 |
Immunosuppressive agents | Cyclosporine | Inhibitor of the NF-AT transcription complex | AITL | Phase 2 |
Monoclonal antibodies | Alemtuzumab | Anti-CD52 | PTCL | Phase 3 |
Bevacizumab | Anti-VEGF | PTCL (especially AITL), NK-cell | Phase 2 | |
Iratumumab | Anti-CD30 | CD30+ ALCL | Phase 1/2 | |
KW-0761 | Anti-CCR4 | ATLL, PTCL | Phase 2 | |
SGN-30 | Anti-CD30 | CD30+ ALCL | Phase 2 | |
Siplizumab | Anti-CD2 | PTCL, NK-cell, ATLL | Phase 1 | |
Zanolimumab | Anti-CD4 | CTCL, PTCL | Phase 2 | |
Nucleoside analogs | Cladribine | Purine nucleoside analog | PTCL | Phase 4 |
Clofarabine | Purine nucleoside analog | PTCL, NK-cell | Phase 1/2 | |
Fludarabine | Purine nucleoside analog | PTCL, CTCL | Phase 2 | |
Forodesine | Metabolic enzyme inhibitor | PTCL, CTCL | Phase 2 | |
Gemcitabine | Pyrimidine nucleoside analog | PTCL | Phase 2 | |
Nelarabine | Purine nucleoside analog | T-ALL, T-NHL | Phase 2 | |
Pentostatin | Metabolic enzyme inhibitor | PTCL | Phase 2 | |
Proteasome inhibitors | Bortezomib | Proteasome inhibitor | CTCL | Phase 2 |
Signaling inhibitors | Enzastaurin | Selective inhibitor of protein kinase C | PTCL, CTCL | Phase 2 |
R788 | Syk inhibitor | PTCL | Phase 2 |
Type of agent . | Name . | Description . | Disease(s) . | Status . |
---|---|---|---|---|
Antifolates | Pralatrexate | 10-Deazaminopoterin | PTCL, CTCL | Approved for PTCL |
Conjugates | LMB-2 | Anti-Tac) anti-CD25 fused to Pseudomonas toxin | CTCL, PTCL (especially ATLL) | Phase 2 |
Denileukin diftitox | IL-2 targeting domain fused with diphtheria toxin | CTCL, PTCL | Approved for CTCL | |
Brentuximab vedotin | CD30 antibody conjugated to monomethylauristan-E | CD30+ T-cell lymphoma | Phase 2 | |
HDAC inhibitors | Belinostat | PXD101 | CTCL, PTCL | Phase 2 |
Panobinostat | LBH589 | CTCL, ATL | Phase 2 | |
Romidepsin | Depsipeptide | CTCL, PTCL | Approved for CTCL | |
Vorinostat | Suberoylanilide hydroxamic acid | CTCL | Approved for CTCL | |
Immunomodulatory agents | Lenalidomide | Derivative of thalidomide | PTCL, CTCL | Phase 2 |
Immunosuppressive agents | Cyclosporine | Inhibitor of the NF-AT transcription complex | AITL | Phase 2 |
Monoclonal antibodies | Alemtuzumab | Anti-CD52 | PTCL | Phase 3 |
Bevacizumab | Anti-VEGF | PTCL (especially AITL), NK-cell | Phase 2 | |
Iratumumab | Anti-CD30 | CD30+ ALCL | Phase 1/2 | |
KW-0761 | Anti-CCR4 | ATLL, PTCL | Phase 2 | |
SGN-30 | Anti-CD30 | CD30+ ALCL | Phase 2 | |
Siplizumab | Anti-CD2 | PTCL, NK-cell, ATLL | Phase 1 | |
Zanolimumab | Anti-CD4 | CTCL, PTCL | Phase 2 | |
Nucleoside analogs | Cladribine | Purine nucleoside analog | PTCL | Phase 4 |
Clofarabine | Purine nucleoside analog | PTCL, NK-cell | Phase 1/2 | |
Fludarabine | Purine nucleoside analog | PTCL, CTCL | Phase 2 | |
Forodesine | Metabolic enzyme inhibitor | PTCL, CTCL | Phase 2 | |
Gemcitabine | Pyrimidine nucleoside analog | PTCL | Phase 2 | |
Nelarabine | Purine nucleoside analog | T-ALL, T-NHL | Phase 2 | |
Pentostatin | Metabolic enzyme inhibitor | PTCL | Phase 2 | |
Proteasome inhibitors | Bortezomib | Proteasome inhibitor | CTCL | Phase 2 |
Signaling inhibitors | Enzastaurin | Selective inhibitor of protein kinase C | PTCL, CTCL | Phase 2 |
R788 | Syk inhibitor | PTCL | Phase 2 |
There are several other experimental agents in various stage clinical trials for T-cell lymphoma.
PTCL indicates peripheral T-cell lymphoma; CTCL, cutaneous T-cell lymphoma; ATLL, adult T-cell lymphoma; HDAC, histone deacetylase; NF-AT, nuclear factor of activated T cell; AITL, angioimmunoblastic T-cell lymphoma; NK, natural killer; ALCL, anaplastic large cell lymphoma; T-ALL, T-cell acute lymphoblastic leukemia; and T-NHL, T-cell non-Hodgkin lymphoma.