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KMID : 0191120160310071160
Journal of Korean Medical Science
2016 Volume.31 No. 7 p.1160 ~ p.1163
Pralatrexate in Combination with Bortezomib for Relapsed or Refractory Peripheral T Cell Lymphoma in 5 Elderly Patients
Lee Seung-Shin

Jung Sung-Hoon
Ahn Jae-Sook
Kim Yeo-Kyeoung
Cho Min-Seok
Lee Je-Jung
Kim Hyeoung-Joon
Yang Deok-Hwan
Abstract
Peripheral T cell lymphoma (PTCL) is a heterogeneous group of aggressive lymphomas with poor prognosis. Elderly (age ¡Ã 65years) patients generally have impaired bone marrow function, altered drug metabolism, comorbidities, and poor functional status. Thus, treatment of elderly patients with relapsed or refractory PTCL remains a challenge for clinicians. A recent study disclosed that pralatrexate has a synergistic effect in combination with bortezomib. Weekly pralatrexate and bortezomib were administered intravenously for 3 weeks in a 4-week cycle. Of 5 patients, one achieved complete response after 4 cycles which has lasted 12 months until now. Another patient attained partial response after 2 cycles. Only 1 patient experienced grade 3 thrombocytopenia and neutropenia. Two patients suffered from grade 3 mucositis. Combination therapy with pralatrexate and bortezomib may be used as a salvage therapy for relapsed or refractory PTCL in the elderly with a favorable safety profile.
KEYWORD
Peripheral T Cell Lymphoma, Pralatrexate, Bortezomib, Elderly
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