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Case Reports in Oncological Medicine
Volume 2015 (2015), Article ID 123756, 5 pages
http://dx.doi.org/10.1155/2015/123756
Case Report

Denileukin Diftitox (Ontak) as Maintenance Therapy for Peripheral T-Cell Lymphomas: Three Cases with Sustained Remission

1Department of Internal Medicine, University of Florida, Gainesville, FL 32610, USA
2Division of Hematology/Oncology, Department of Internal Medicine, University of Florida, Gainesville, FL 32610, USA
3Florida Cancer Specialists and Research Institute, Leesburg, FL 34748, USA

Received 31 March 2015; Revised 25 June 2015; Accepted 5 July 2015

Academic Editor: Guido Fadda

Copyright © 2015 Alejandra C. Fuentes et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Peripheral T-cell lymphomas (PTCL) are rare but markedly aggressive forms of non-Hodgkin’s lymphoma (NHL). They carry a poor prognosis, with current therapeutic approach being generally ineffective. The most employed first-line treatment is CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone), which still results in high rates of relapses. Denileukin diftitox is a fusion protein combining the cytotoxic portion of the diphtheria toxin and the receptor-binding domain of the interleukin-2 (IL-2) molecule, thereby targeting cells expressing the IL-2 receptor, including both T-cell and B-cell lymphomas. It has been approved for the treatment of cutaneous T-cell lymphomas, and it has documented activity in PTCL both as a single agent and as part of combination therapy. This report documents three cases of PTCL where denileukin diftitox has been used as long-term maintenance therapy after complete remission was achieved. While the overall survival rate of patients with advanced stage, refractory PTCL is generally poor (with median overall survival of 5.5 months), the three patients described in this report are all experiencing an ongoing complete remission for more than four years.