Table 4

Novel agents in use or trials in PTCL

Type of agentNameDescriptionDisease(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 agentNameDescriptionDisease(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.

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