Bendamustine salvage therapy for T cell neoplasms

Ann Hematol. 2013 Sep;92(9):1249-54. doi: 10.1007/s00277-013-1746-9. Epub 2013 Apr 17.

Abstract

Treatment of relapsed/refractory T cell neoplasms represents an unmet medical need. We recorded, retrospectively, data on 20 consecutive adult patients with T cell neoplasms (8 T cell lymphoma not otherwise specified (T-NOS), 4 angioimmunoblastic (AILT), 3 prolymphocytic leukemia (T-PLL), 3 advance-stage mycosis fungoides (MF) or Sézary syndrome (SS), and 2 T cell large granular lymphocytic leukemia (T-LGL)), treated with bendamustine. Partial (PR) and complete response (CR) rates were reached in nine (45 %) and two (10 %) patients, respectively, including three PR in T-NOS, one CR in AILT, three PR in T-PLL, two PR in MF/SS, and one CR and one PR in T-LGL lymphoma. The 6 months estimated progression free and overall survival was 44 and 67 %, respectively. Grade 3-4 neutropenia and thrombocytopenia were registered in 44 and 25 % of cases. Four patients developed major infectious complications. At a median follow-up of 6 months (range 1-18), 13 patients are alive and 7 patients died all because of lymphoma progression. Bendamustine deserves further investigation in patients with T cell neoplasms.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents, Alkylating / therapeutic use*
  • Bendamustine Hydrochloride
  • Female
  • Follow-Up Studies
  • Humans
  • Leukemia, Large Granular Lymphocytic / diagnosis
  • Leukemia, Large Granular Lymphocytic / drug therapy
  • Leukemia, Large Granular Lymphocytic / epidemiology
  • Lymphoma, T-Cell / diagnosis*
  • Lymphoma, T-Cell / drug therapy*
  • Lymphoma, T-Cell / epidemiology
  • Male
  • Middle Aged
  • Nitrogen Mustard Compounds / therapeutic use*
  • Retrospective Studies
  • Salvage Therapy / methods*

Substances

  • Antineoplastic Agents, Alkylating
  • Nitrogen Mustard Compounds
  • Bendamustine Hydrochloride