Romidepsin controls chronic lymphocytic leukemia in a patient with mycosis fungoides

Romidepsin belongs to a class of medications called histone deacetylase inhibitors and is currently approved for treatment of cutaneous and peripheral T-cell lymphomas. Romidepsin was previously investigated for the treatment of chronic lymphocytic leukemia (CLL), and demonstrated potential benefit,...

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Main Authors: David M. Lemchak, Oleg E. Akilov
Format: Article
Language:English
Published: MDPI AG 2016-11-01
Series:Hematology Reports
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/hr/article/view/6840
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author David M. Lemchak
Oleg E. Akilov
author_facet David M. Lemchak
Oleg E. Akilov
author_sort David M. Lemchak
collection DOAJ
description Romidepsin belongs to a class of medications called histone deacetylase inhibitors and is currently approved for treatment of cutaneous and peripheral T-cell lymphomas. Romidepsin was previously investigated for the treatment of chronic lymphocytic leukemia (CLL), and demonstrated potential benefit, but interest in its use declined following phase I clinical trials that showed poor tolerance of a significant side effect profile. We presented a patient with a history of stage II CLL, referred to dermatology for treatment of new-onset of mycosis fungoides (MF), who was treated with romidepsin over seven months. The patient achieved a partial response with 50% decrease in body surface area occupied by MF, thinning of remaining plaques, and near complete response in his CLL. His absolute lymphocyte count remained within the normal range for four months following discontinuation of romidepsin. Side effects were well-tolerated and did not limit therapy. Current literature on romidepsin is reviewed and compared to existing treatments for CLL.
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spelling doaj.art-838b235229f14d858d0fe2caf061a54c2023-02-02T02:03:42ZengMDPI AGHematology Reports2038-83222038-83302016-11-018410.4081/hr.2016.68403568Romidepsin controls chronic lymphocytic leukemia in a patient with mycosis fungoidesDavid M. Lemchak0Oleg E. Akilov1University of Pittsburgh Medical Center Altoona, PADepartment of Dermatology, University of Pittsburgh, PARomidepsin belongs to a class of medications called histone deacetylase inhibitors and is currently approved for treatment of cutaneous and peripheral T-cell lymphomas. Romidepsin was previously investigated for the treatment of chronic lymphocytic leukemia (CLL), and demonstrated potential benefit, but interest in its use declined following phase I clinical trials that showed poor tolerance of a significant side effect profile. We presented a patient with a history of stage II CLL, referred to dermatology for treatment of new-onset of mycosis fungoides (MF), who was treated with romidepsin over seven months. The patient achieved a partial response with 50% decrease in body surface area occupied by MF, thinning of remaining plaques, and near complete response in his CLL. His absolute lymphocyte count remained within the normal range for four months following discontinuation of romidepsin. Side effects were well-tolerated and did not limit therapy. Current literature on romidepsin is reviewed and compared to existing treatments for CLL.http://www.pagepress.org/journals/index.php/hr/article/view/6840Chronic lymphocytic leukemiaHistone deacetylase inhibitorsRomidepsin
spellingShingle David M. Lemchak
Oleg E. Akilov
Romidepsin controls chronic lymphocytic leukemia in a patient with mycosis fungoides
Hematology Reports
Chronic lymphocytic leukemia
Histone deacetylase inhibitors
Romidepsin
title Romidepsin controls chronic lymphocytic leukemia in a patient with mycosis fungoides
title_full Romidepsin controls chronic lymphocytic leukemia in a patient with mycosis fungoides
title_fullStr Romidepsin controls chronic lymphocytic leukemia in a patient with mycosis fungoides
title_full_unstemmed Romidepsin controls chronic lymphocytic leukemia in a patient with mycosis fungoides
title_short Romidepsin controls chronic lymphocytic leukemia in a patient with mycosis fungoides
title_sort romidepsin controls chronic lymphocytic leukemia in a patient with mycosis fungoides
topic Chronic lymphocytic leukemia
Histone deacetylase inhibitors
Romidepsin
url http://www.pagepress.org/journals/index.php/hr/article/view/6840
work_keys_str_mv AT davidmlemchak romidepsincontrolschroniclymphocyticleukemiainapatientwithmycosisfungoides
AT olegeakilov romidepsincontrolschroniclymphocyticleukemiainapatientwithmycosisfungoides