Table 2.

Selected trials that investigated novel additions added to CHOP backbone for frontline treatment of PTCL

Treatment regimenPhase# evaluable patientsORRPFSOSToxicitiesReference
Romidepsin + CHOP 211 63% Median
12 mo 
Median
51.8 mo 
G ≥ 3 thrombocytopenia 50%, neutropenia 49%, anemia 47% 5  
BV-CHP 226 83% 5 yr 51% 5 yr 70.1% G ≥ 3 neuropathy 4% 7  
Pralatrexate-CEOP 33 70% 2 yr 39% 2 yr 60% G ≥ 3 mucositis 18% 34  
CHOEP
Lenalidomide 
39 69% 2 yr 55% 2 yr 78% G ≥ 3 febrile neutropenia 35% 35  
CHOP + vorinostat 12 93% 2 yr 79% 2 yr 81% MTD 300 mg daily, diarrhea 63% 36  
CHOP + oral azacitidine (CC-486) 20 (75% CR) 2 yr 65.8% 2 yr 68.4% G ≥ 3 neutropenia 71% 9  
CHOP + pralatrexate 50 86% NR NR 67% G ≥ 3 TEAEs, most commonly anemia (21%) 6  
Treatment regimenPhase# evaluable patientsORRPFSOSToxicitiesReference
Romidepsin + CHOP 211 63% Median
12 mo 
Median
51.8 mo 
G ≥ 3 thrombocytopenia 50%, neutropenia 49%, anemia 47% 5  
BV-CHP 226 83% 5 yr 51% 5 yr 70.1% G ≥ 3 neuropathy 4% 7  
Pralatrexate-CEOP 33 70% 2 yr 39% 2 yr 60% G ≥ 3 mucositis 18% 34  
CHOEP
Lenalidomide 
39 69% 2 yr 55% 2 yr 78% G ≥ 3 febrile neutropenia 35% 35  
CHOP + vorinostat 12 93% 2 yr 79% 2 yr 81% MTD 300 mg daily, diarrhea 63% 36  
CHOP + oral azacitidine (CC-486) 20 (75% CR) 2 yr 65.8% 2 yr 68.4% G ≥ 3 neutropenia 71% 9  
CHOP + pralatrexate 50 86% NR NR 67% G ≥ 3 TEAEs, most commonly anemia (21%) 6  

Mo, months; MTD, maximum tolerated dose; NR, not reported; yr, year.

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