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Introduction: Histone deacetylase inhibitors (HDACi) and combination chemotherapy are independently used to treat relapsed/refractory (R/R) lymphoma. In vitro studies suggest that the addition of HDACi to platinum-based chemotherapy is synergistic.

Patients And Methods: We conducted a phase I study of romidepsin, gemcitabine, oxaliplatin and dexamethasone (Romi-GemOxD) in R/R aggressive lymphomas with an expansion cohort in T-cell lymphomas.

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Histone Deacetylase Inhibitors for Peripheral T-Cell Lymphomas.

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September 2024

Department of Medical and Surgical Sciences, School of Medicine, University of Bologna, 40138 Bologna, Italy.

Histone deacetylase inhibitors (HDACis) are being recognized as a potentially effective treatment approach for peripheral T-cell lymphomas (PTCLs), a heterogeneous group of aggressive malignancies with an unfavorable prognosis. Recent evidence has shown that HDACis are effective in treating PTCL, especially in cases where the disease has relapsed or is resistant to conventional treatments. Several clinical trials have demonstrated that HDACis, such as romidepsin and belinostat, can elicit long-lasting positive outcomes in individuals with PTCLs, either when used alone or in conjunction with conventional chemotherapy.

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Article Synopsis
  • B-cell lymphoma is hard to treat because it can behave differently and doesn't always respond well to standard treatments.
  • New treatments involving immunotherapy and drugs that stop cancer from avoiding the immune system, like blocking PD-1, are being explored, but some cancers, including B-cell lymphoma, may not respond to these options.
  • A study tested a combination of two treatments—a drug called romidepsin and a PD-1 blocker—on mice with B-cell lymphoma and found that together, they worked better at fighting the cancer and boosting the immune system's ability to attack the tumors.
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Camidanlumab tesirine (ADCT-301) is a CD25-specific antibody-drug conjugate (ADC) employing SG3199, a highly cytotoxic DNA minor groove cross-linking pyrrolobenzodiazepine dimer. The ADC has shown early clinical antitumour activity in various cancers, including B- and T-cell lymphomas. We assessed its preclinical activity as a single agent in 57 lymphoma cell lines and in combination with selected drugs in T-cell lymphoma-derived cell lines.

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  • Angioimmunoblastic T-cell lymphoma (AITL) is a tough-to-treat subtype of peripheral T-cell lymphomas that often leads to poor patient outcomes.
  • Treatment options range from traditional anthracycline-based therapies to newer drugs like romidepsin and belinostat, which have shown promise in improving survival rates.
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