国际肿瘤学杂志 ›› 2020, Vol. 47 ›› Issue (6): 321-326.doi: 10.3760/cma.j.cn371439-20200507-00029
• 专家述评 • 下一篇
收稿日期:
2020-05-07
修回日期:
2020-05-10
出版日期:
2020-06-08
发布日期:
2020-07-22
通讯作者:
王华庆
E-mail:huaqingw@163.com
Received:
2020-05-07
Revised:
2020-05-10
Online:
2020-06-08
Published:
2020-07-22
Contact:
Wang Huaqing
E-mail:huaqingw@163.com
摘要:
外周T细胞淋巴瘤(PTCL)是一组起源于胸腺后成熟T细胞的异质性疾病,传统治疗往往预后不佳,尤其是复发/难治外周T细胞淋巴瘤(r/rPTCL)。近年来多种新型抗肿瘤药物在r/rPTCL的治疗中崭露头角,包括不同类型的酶抑制剂、单克隆抗体、免疫调节剂以及免疫检查点抑制剂等被证实有效,新药的发现及临床应用有望改善这类疾病的不良预后。
赵可, 王华庆. 复发/难治外周T细胞淋巴瘤的新药治疗进展[J]. 国际肿瘤学杂志, 2020, 47(6): 321-326.
Zhao Ke, Wang Huaqing. Progress of new drugs on relapsed/refractory peripheral T-cell lymphoma[J]. Journal of International Oncology, 2020, 47(6): 321-326.
[1] | 李小秋, 李甘地, 高子芬, 等. 中国淋巴瘤亚型分布: 国内多中心性病例10 002例分析[J]. 诊断学理论与实践, 2012,11(2):111-115. DOI: 10.3969/j.issn.1671-2870.2012.02.006. |
[2] |
Vose J, Armitage J, Weisenburger D, et al. International peripheral T-cell and natural killer/T-cell lymphoma study: pathology findings and clinical outcomes[J]. J Clin Oncol, 2008,26(25):4124-4130. DOI: 10.1200/JCO.2008.16.4558.
doi: 10.1200/JCO.2008.16.4558 pmid: 18626005 |
[3] |
Swerdlow SH, Campo E, Pileri SA, et al. The 2016 revision of the World Health Organization classification of lymphoid neoplasms[J]. Blood, 2016,127(20):2375-2390. DOI: 10.1182/blood-2016-01-643569.
doi: 10.1182/blood-2016-01-643569 pmid: 26980727 |
[4] |
Abouyabis AN, Shenoy PJ, Lechowicz MJ, et al. Incidence and outcomes of the peripheral T-cell lymphoma subtypes in the United States[J]. Leuk Lymphoma, 2008,49(11):2099-2107. DOI: 10.1080/10428190802455867.
doi: 10.1080/10428190802455867 pmid: 19021052 |
[5] |
O'Connor OA, Horwitz S, Masszi T, et al. Belinostat in patients with relapsed or refractory peripheral T-cell lymphoma: results of the pivo-tal phase Ⅱ BELIEF (CLN-19) study[J]. J Clin Oncol, 2015,33(23):2492-2499. DOI: 10.1200/JCO.2014.59.2782.
doi: 10.1200/JCO.2014.59.2782 pmid: 26101246 |
[6] |
Coiffier B, Pro B, Prince HM, et al. Results from a pivotal, open-label, phase Ⅱ study of romidepsin in relapsed or refractory peripheral T-cell lymphoma after prior systemic therapy[J]. J Clin Oncol, 2012,30(6):631-636. DOI: 10.1200/JCO.2011.37.4223.
doi: 10.1200/JCO.2011.37.4223 |
[7] |
Mehta-Shah N, Moskowitz AJ, Lunning M, et al. A phase Ⅰb/Ⅱa trial of the combination of romidepsin, lenalidomide and carfilzomib in patients with relapsed/refractory lymphoma shows complete responses in relapsed and refractory T-cell lymphomas[J]. Blood, 2016,128(22):2991. DOI: 10.1182/blood.V128.22.2991.2991.
doi: 10.1182/blood.V128.22.2991.2991 |
[8] |
Strati P, Chihara D, Oki Y, et al. A phase Ⅰ study of romidepsin and ifosfamide, carboplatin, etoposide for the treatment of patients with relapsed or refractory peripheral T-cell lymphoma[J]. Haematologica, 2018,103(9):e416-e418. DOI: 10.3324/haematol.2018.187617.
doi: 10.3324/haematol.2018.187617 pmid: 29622656 |
[9] |
Shi Y, Dong M, Hong X, et al. Results from a multicenter, open-label, pivotal phase Ⅱ study of chidamide in relapsed or refractory peripheral T-cell lymphoma[J]. Ann Oncol, 2015,26(8):1766-1771. DOI: 10.1093/annonc/mdv237.
doi: 10.1093/annonc/mdv237 pmid: 26105599 |
[10] |
Shi Y, Jia B, Xu W, et al. Chidamide in relapsed or refractory peripheral T cell lymphoma: a multicenter real-world study in China[J]. J Hematol Oncol, 2017,10(1):69. DOI: 10.1186/s13045-017-0439-6.
doi: 10.1186/s13045-017-0439-6 pmid: 28298231 |
[11] |
Huang D, Song TL, Nairismägi ML, et al. Evaluation of the PIK3 pathway in peripheral T-cell lymphoma and NK/T-cell lymphoma[J]. Br J Haematol, 2020,189(4):731-744. DOI: 10.1111/bjh.16435.
doi: 10.1111/bjh.16435 pmid: 32004387 |
[12] |
Dreyling M, Morschhauser F, Bouabdallah K, et al. Phase Ⅱ study of copanlisib, a PI3K inhibitor, in relapsed or refractory, indolent or aggressive lymphoma[J]. Ann Oncol, 2017,28(9):2169-2178. DOI: 10.1093/annonc/mdx289.
doi: 10.1093/annonc/mdx289 pmid: 28633365 |
[13] |
Horwitz SM, Koch R, Porcu P, et al. Activity of the PI3K-δ,γ inhibitor duvelisib in a phase Ⅰ trial and preclinical models of T-cell lymphoma[J]. Blood, 2018,131(8):888-898. DOI: 10.1182/blood-2017-08-802470.
doi: 10.1182/blood-2017-08-802470 pmid: 29233821 |
[14] |
Barr PM, Li H, Spier C, et al. Phase Ⅱ intergroup trial of Alisertib in relapsed and refractory peripheral T-cell lymphoma and transformed mycosis fungoides: SWOG 1108[J]. J Clin Oncol, 2015,33(21):2399-2404. DOI: 10.1200/JCO.2014.60.6327.
doi: 10.1200/JCO.2014.60.6327 pmid: 26077240 |
[15] |
O'Connor OA, Özcan M, Jacobsen ED, et al. Randomized phase Ⅲ study of Alisertib or investigator's choice (selected single agent) in patients with relapsed or refractory peripheral T-cell lymphoma[J]. J Clin Oncol, 2019,37(8):613-623. DOI: 10.1200/JCO.18.00899.
doi: 10.1200/JCO.18.00899 pmid: 30707661 |
[16] |
Carlo-Stella C, Delarue R, Scarfo L, et al. A first-in-human study of tenalisib (RP6530), a dual PI3K δ/γ inhibitor, in patients with relapsed/refractory hematologic malignancies: results from the European study[J]. Clin Lymphoma Myeloma Leuk, 2020,20(2):78-86. DOI: 10.1016/j.clml.2019.10.013.
doi: 10.1016/j.clml.2019.10.013 pmid: 31761713 |
[17] |
Horwitz SM, Feldman TA, Hess BT, et al. The novel SYK/JAK inhibitor cerdulatinib demonstrates good tolerability and clinical response in a phase 2a study in relapsed/refractory peripheral T-cell lymphoma and cutaneous T-cell lymphoma[J]. Blood, 2018,132(suppl 1):1001. DOI: 10.1182/blood-2018-99-119944.
doi: 10.1182/blood-2018-99-119944 |
[18] | Gambacorti Passerini C, Farina F, Stasia A, et al. Crizotinib in advanced, chemoresistant anaplastic lymphoma kinase-positive lymphoma patients[J]. J Natl Cancer Inst, 2014, 106(2):djt378. DOI: 10.1093/jnci/djt378. |
[19] |
Maruyama D, Tsukasaki K, Uchida T, et al. Multicenter phase 1/2 study of forodesine in patients with relapsed peripheral T cell lymphoma[J]. Ann Hematol, 2019,98(1):131-142. DOI: 10.1007/s00277-018-3418-2.
doi: 10.1007/s00277-018-3418-2 pmid: 29974231 |
[20] |
O'Connor OA, Pro B, Pinter-Brown L, et al. Pralatrexate in patients with relapsed or refractory peripheral T-cell lymphoma: results from the pivotal PROPEL study[J]. J Clin Oncol, 2011,29(9):1182-1189. DOI: 10.1200/JCO.2010.29.9024.
doi: 10.1200/JCO.2010.29.9024 |
[21] |
Enblad G, Hagberg H, Erlanson M, et al. A pilot study of alemtuzumab (anti-CD52 monoclonal antibody) therapy for patients with relapsed or chemotherapy-refractory peripheral T-cell lymphomas[J]. Blood, 2004,103(8):2920-2924. DOI: 10.1182/blood-2003-10-3389.
doi: 10.1182/blood-2003-10-3389 pmid: 15070664 |
[22] |
Kim SJ, Kim K, Park Y, et al. Dose modification of alemtuzumab in combination with dexamethasone, cytarabine, and cisplatin in patients with relapsed or refractory peripheral T-cell lymphoma: analysis of efficacy and toxicity[J]. Invest New Drugs, 2012,30(1):368-375. DOI: 10.1007/s10637-010-9523-2.
doi: 10.1007/s10637-010-9523-2 pmid: 20734108 |
[23] |
Ogura M, Ishida T, Hatake K, et al. Multicenter phase Ⅱ study of mogamulizumab (KW-0761), a defucosylated anti-cc chemokine receptor 4 antibody, in patients with relapsed peripheral T-cell lymphoma and cutaneous T-cell lymphoma[J]. J Clin Oncol, 2014,32(11):1157-1163. DOI: 10.1200/JCO.2013.52.0924.
doi: 10.1200/JCO.2013.52.0924 |
[24] |
Horwitz SM, Advani RH, Bartlett NL, et al. Objective responses in relapsed T-cell lymphomas with single-agent brentuximab vedotin[J]. Blood, 2014,123(20):3095-3100. DOI: 10.1182/blood-2013-12-542142.
doi: 10.1182/blood-2013-12-542142 |
[25] |
Pro B, Advani R, Brice P, et al. Brentuximab vedotin (SGN-35) in patients with relapsed or refractory systemic anaplastic large-cell lymphoma: results of a phase Ⅱ study[J]. J Clin Oncol, 2012,30(18):2190-2196. DOI: 10.1200/JCO.2011.38.0402.
doi: 10.1200/JCO.2011.38.0402 |
[26] |
Pro B, Advani R, Brice P, et al. Five-year results of brentuximab vedotin in patients with relapsed or refractory systemic anaplastic large cell lymphoma[J]. Blood, 2017,130(25):2709-2717. DOI: 10.1182/blood-2017-05-780049.
doi: 10.1182/blood-2017-05-780049 pmid: 28974506 |
[27] |
Toumishey E, Prasad A, Dueck G, et al. Final report of a phase 2 clinical trial of lenalidomide monotherapy for patients with T-cell lymphoma[J]. Cancer, 2015,121(5):716-723. DOI: 10.1002/cncr.29103.
doi: 10.1002/cncr.29103 pmid: 25355245 |
[28] |
Morschhauser F, Fitoussi O, Haioun C, et al. A phase 2, multicentre, single-arm, open-label study to evaluate the safety and efficacy of single-agent lenalidomide (revlimid) in subjects with relapsed or refractory peripheral T-cell non-Hodgkin lymphoma: the EXPECT trial[J]. Eur J Cancer, 2013,49(13):2869-2876. DOI: 10.1016/j.ejca.2013.04.029.
doi: 10.1016/j.ejca.2013.04.029 |
[29] |
Lunning MA, Ruan J, Nair S, et al. A phase Ⅰ/Ⅱ trial of the combination of romidepsin and lenalidomide in patients with relapsed/refractory lymphoma and myeloma: phase Ⅰ results[J]. J Clin Oncol, 2014,32(15_suppl):8582. DOI: 10.1200/jco.2014.32.15_suppl.8582.
doi: 10.1200/jco.2014.32.15_suppl.8582 |
[30] |
Hopfinger G, Nösslinger T, Lang A, et al. Lenalidomide in combination with vorinostat and dexamethasone for the treatment of relapsed/refractory peripheral T cell lymphoma (PTCL): report of a phase Ⅰ/Ⅱ trial[J]. Ann Hematol, 2014,93(3):459-462. DOI: 10.1007/s00277-014-2009-0.
doi: 10.1007/s00277-014-2009-0 |
[31] |
Liu X, Shang Y, Li L, et al. Gemcitabine, cisplatin, prednisone, and thalidomide for relapse and refractory peripheral T-cell lymphoma: a retrospective study from China[J]. Cancer Manag Res, 2019,11:8277-8284. DOI: 10.2147/CMAR.S215585.
doi: 10.2147/CMAR.S215585 pmid: 31571985 |
[32] |
Davis KL, Fox E, Merchant MS, et al. Nivolumab in children and young adults with relapsed or refractory solid tumours or lymphoma (ADVL1412): a multicentre, open-label, single-arm, phase 1-2 trial[J]. Lancet Oncol, 2020,21(4):541-550. DOI: 10.1016/S1470-2045(20)30023-1.
doi: 10.1016/S1470-2045(20)30023-1 pmid: 32192573 |
[33] |
Zinzani PL, Santoro A, Gritti G, et al. Nivolumab combined with brentuximab vedotin for relapsed/refractory primary mediastinal large B-cell lymphoma: efficacy and safety from the phaseⅡ checkmate 436 study[J]. J Clin Oncol, 2019,37(33):3081-3089. DOI: 10.1200/JCO.19.01492.
doi: 10.1200/JCO.19.01492 pmid: 31398081 |
[34] |
Scherpereel A, Mazieres J, Greillier L, et al. Nivolumab or nivolumab plus ipilimumab in patients with relapsed malignant pleural mesothelioma (IFCT-1501 MAPS2): a multicentre, open-label, randomised, non-comparative, phase 2 trial[J]. Lancet Oncol, 2019,20(2):239-253. DOI: 10.1016/S1470-2045(18)30765-4.
doi: 10.1016/S1470-2045(18)30765-4 pmid: 30660609 |
[35] |
Hellmann MD, Paz-Ares L, Bernabe Caro R, et al. Nivolumab plus ipilimumab in advanced non-small-cell lung cancer[J]. N Engl J Med, 2019,381(21):2020-2031. DOI: 10.1056/NEJMoa1910231.
doi: 10.1056/NEJMoa1910231 pmid: 31562796 |
[36] |
Lesokhin AM, Ansell SM, Armand P, et al. Nivolumab in patients with relapsed or refractory hematologic malignancy: preliminary results of a phase Ⅰb study[J]. J Clin Oncol, 2016,34(23):2698-2704. DOI: 10.1200/JCO.2015.65.9789.
doi: 10.1200/JCO.2015.65.9789 pmid: 27269947 |
[37] |
Bennani NN, Pederson LD, Atherton P, et al. A phase Ⅱ study of nivolumab in patients with relapsed or refractory peripheral T-cell lymphoma[J]. Blood, 2019,134(suppl_1):467. DOI: 10.1182/blood-2019-126194.
doi: 10.1182/blood-2019-126194 |
[38] |
Kwong YL, Chan TSY, Tan D, et al. PD1 blockade with pembrolizumab is highly effective in relapsed or refractory NK/T-cell lymphoma failing L-asparaginase[J]. Blood, 2017,129(17):2437-2442. DOI: 10.1182/blood-2016-12-756841.
doi: 10.1182/blood-2016-12-756841 pmid: 28188133 |
[39] | Tao R, Fan L, Song Y, et al. Sintilimab for relapsed/refractory (r/r) extranodal NK/T-cell lymphoma (ENKTL): a multicenter, single-arm, phase 2 trial (ORIENT-4)[J]. J Clin Oncol, 2019,15_suppl::7504. DOI: 10.1200/jco.2019.37.15_suppl.7504. |
[40] | Shi YK, Wu JQ, Wang Z, et al. The efficacy and safety of Geptanolimab (GB226) in patients with relapsed/refractory peripheral T cell lymphoma (PTCL): a multicenter, open-label, single-arm, phase 2 trial[C/OL]// AACR Annual Meeting 2020: Session VCTPL04-Immunotherapy clinical trials 2. America, 2020[2020-04-28]. https://www.abstractsonline.com/pp8/#!/9045/presentation/10750. |
[41] |
Hong X, Song Y, Huang H, et al. Pralatrexate in Chinese patients with relapsed or refractory peripheral T-cell lymphoma: a single-arm, multicenter study[J]. Target Oncol, 2019,14(2):149-158. DOI: 10.1007/s11523-019-00630-y.
doi: 10.1007/s11523-019-00630-y pmid: 30904980 |
[42] |
Maruyama D, Nagai H, Maeda Y, et al. Phase Ⅰ/Ⅱ study of pralatrexate in Japanese patients with relapsed or refractory peripheral T-cell lymphoma[J]. Cancer Sci, 2017,108(10):2061-2068. DOI: 10.1111/cas.13340.
doi: 10.1111/cas.13340 pmid: 28771889 |
[43] |
Amengual JE, Lichtenstein R, Lue J, et al. A phase Ⅰ study of romidepsin and pralatrexate reveals marked activity in relapsed and refractory T-cell lymphoma[J]. Blood, 2018,131(4):397-407. DOI: 10.1182/blood-2017-09-806737.
doi: 10.1182/blood-2017-09-806737 pmid: 29141948 |
[44] |
Farhan A, Chong EA, Schuster SJ, et al. Bexarotene in patients with peripheral T-cell lymphomas: results of a retrospective study[J]. Clin Lymphoma Myeloma Leuk, 2019,19(2):109-115. DOI: 10.1016/j.clml.2018.10.001.
doi: 10.1016/j.clml.2018.10.001 pmid: 30448048 |
[45] |
Zinzani PL, Musuraca G, Tani M, et al. Phase Ⅱ trial of proteasome inhibitor bortezomib in patients with relapsed or refractory cutaneous T-cell lymphoma[J]. J Clin Oncol, 2007,25(27):4293-4297. DOI: 10.1200/JCO.2007.11.4207.
doi: 10.1200/JCO.2007.11.4207 pmid: 17709797 |
[46] |
Awasthi N, Schwarz MA, Schwarz RE. Proteasome inhibition enhances antitumour effects of gemcitabine in experimental pancreatic cancer[J]. HPB (Oxford), 2009,11(7):600-605. DOI: 10.1111/j.1477-2574.2009.00109.x.
doi: 10.1111/j.1477-2574.2009.00109.x |
[47] |
Evens AM, Rosen ST, Helenowski I, et al. A phase Ⅰ/Ⅱ trial of bortezomib combined concurrently with gemcitabine for relapsed or refractory DLBCL and peripheral T-cell lymphomas[J]. Br J Haematol, 2013,163(1):55-61. DOI: 10.1111/bjh.12488.
doi: 10.1111/bjh.12488 pmid: 23927371 |
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