Table 2.
Current Standard of Care.
| Drug | Regimen | Median PFS | ORR/CR (%) | Most Common Adverse Effects (%) | Patient Considerations | Evidence |
|---|---|---|---|---|---|---|
| Gemcitabine | 1200 mg/m2 on days 1, 8, and 15 of a 28 day cycle for 3–6 cycles | Unknown | 50–70/23 | Thrombocytopenia (46) Neutropenia (38.5) Transaminitis (36) |
None | Zinzani et al. [18] |
| Romidepsin | 14 mg/m2 on days 1, 8, and 15 of 28 day cycles | 4 months | 25–38/15–18 | Nausea (51) Leukopenia (47) Thrombocytopenia (47) Granulocytopenia (45) |
Patients with significant cardiac abnormalities were excluded | Piekarz et al. [19] Coiffier et al. [19] |
| Pralatrexate | 30 mg/m2/week for 6 weeks followed by 1 week of rest (7-week cycle). Continued until | 3.5 months | 29/11 | Mucositis (79) Nausea (46) Thrombocytopenia (45) Anemia (38) |
Administration of folic acid, B12, and leucovorin needed to prevent AEs | O’Connor et al. [20] |
| Bendamustine | 90–120 mg/m2 D1-2 of 21 day cycles, for up to six cycles, | 3.6 months | 50/28 | Neutropenia (56) * Thrombocytopenia (38) * Infection (20) * |
None | Damaj et al. [21] |
| ICE | Every 15–22 days for 2–3 cycles. Ifosfamide 5 g/m2 on day 2, carboplatin administered on day 2, and dosed to AUC5, and etoposide 100 mg/m2 on days 1 to 3 | 2 months | 20/7 | Thrombocytopenia (100) Anemia (100) Leukopenia (100) Nausea (28) |
Used for salvage therapy to proceed to HDT/ASCT | Mikesch et al. [22] |
| Brentuximab Vedotin | 120 mg/m2 on days 1 and 2 every 3 weeks for 6 cycles | 3.6 months | 50/28 | Neutropenia (30) * Thrombocytopenia (24) * Infections (20) * |
Damaj et al. [21] |
*: ≥ Grade 3.