Table 1.

Characteristics of patients with MF/SS treated with alemtuzumab


Patient no.

Age, y/sex

Disease stage (events)

No. of previous treatments

Previous therapy

No. of alemtuzumab doses/cumulative dose, mg

Clinical response
1   42/M   IV A (MF)   4   2 (TSEB, NM, fludarabine + prednisone, bexarotene)   7/223   SD  
2   39/F   IV B (MF/SS)   2   3 (ABVD/MOPP + XRT, pentostatin, C-MED)   1/43   PR  
3   74/M   II B (MF)   2   2 (IFN + isotretinoin, C-MED)   9/283   PD  
4   61/F   II B (MF); immunoblastic transformation (LN)   15   IFN + isotretinoin + TSEB, pentostatin, hyper-CVAD, ESHAP, MINT × 2, TSEB, bexarotene, trimetrexate BCX, gemcitabine HCl§ ATRA, liposomal vincristine   15/463   SD  
5   67/F   IV A (MF/SS)   10   Steroids, cisplatin, PUVA, IFN + isotretinoin + C-MED + TSEB, pentostatin, bexarotene, IL-12, gemcitabine HCl, BCX, L-ATRA   13/403   PD  
6   68/M   IV A (MF/SS)   7   Photopheresis, IFN, TMTX, pentostatin, bexarotene, C-MED, ESHAP   18/553   PR  
7*  56/F   IV B (MF/SS)   4   IFN-isotretinoin + C-MED + TSEB, bexarotene, PUVA, IFN   1/30   PD  
8*
 
60/M
 
IV B (SS); angiocentric
 
5
 
PUVA, steroids/denileukin diftitox, SAHA, CHOP
 
8/183
 
PR
 

Patient no.

Age, y/sex

Disease stage (events)

No. of previous treatments

Previous therapy

No. of alemtuzumab doses/cumulative dose, mg

Clinical response
1   42/M   IV A (MF)   4   2 (TSEB, NM, fludarabine + prednisone, bexarotene)   7/223   SD  
2   39/F   IV B (MF/SS)   2   3 (ABVD/MOPP + XRT, pentostatin, C-MED)   1/43   PR  
3   74/M   II B (MF)   2   2 (IFN + isotretinoin, C-MED)   9/283   PD  
4   61/F   II B (MF); immunoblastic transformation (LN)   15   IFN + isotretinoin + TSEB, pentostatin, hyper-CVAD, ESHAP, MINT × 2, TSEB, bexarotene, trimetrexate BCX, gemcitabine HCl§ ATRA, liposomal vincristine   15/463   SD  
5   67/F   IV A (MF/SS)   10   Steroids, cisplatin, PUVA, IFN + isotretinoin + C-MED + TSEB, pentostatin, bexarotene, IL-12, gemcitabine HCl, BCX, L-ATRA   13/403   PD  
6   68/M   IV A (MF/SS)   7   Photopheresis, IFN, TMTX, pentostatin, bexarotene, C-MED, ESHAP   18/553   PR  
7*  56/F   IV B (MF/SS)   4   IFN-isotretinoin + C-MED + TSEB, bexarotene, PUVA, IFN   1/30   PD  
8*
 
60/M
 
IV B (SS); angiocentric
 
5
 
PUVA, steroids/denileukin diftitox, SAHA, CHOP
 
8/183
 
PR
 

M indicates male; F, female; SS, Sezary syndrome; MF, mycosis fungoides; LN, lymph node; TSEB, total skin electron beam; NM, nitrogen mustard; ABVD, doxorubicin (Adriamycin), bleomycin, vinblastine, DTIC; MOPP, mustard, vincristine, procarbazine, prednisone; C-MED, cyclophosphamide (Cytoxan), methotrexate, etoposide, dexamethasone; IFN, interferon; Hyper-CVAD, cyclophosphamide, vincristine, doxorubicin, dexamethasone; ESHAP, etoposide, methylprednisolone sodium succinate (Solu-Medrol), Ara-C, platinum; MINT, mesna, iphosphamide, mitoxantrone, paclitaxel (Taxol); IL-12, interleukin-12; CHOP, cyclophosphamide, doxorubicin, vincristine, prednisone; SD, stable disease; PR, partial response; PD, progressive disease; XRT, radiation; ATRA, all transretinoic acid; L-ATRA, liposomal ATRA; PUVA, psoralen plus ultraviolet A; TMTX, trimetrexate; SAHA, suberoylanilide hydroxamic acid; and BCX, Biocryst.

*

Patient was treated off protocol. The other patients were enrolled in a phase 2 study of alemtuzumab.

Bexarotene.

Isotretinoin.

§

Gemcitabine HCl.

Denileukin diftitox.

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