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Kerl, K; Prins, C; Cerroni, L; French, LE.
Regression of extranodal natural killer/T-cell lymphoma, nasal type with denileukin diftitox (Ontak) and bexarotene (Targretin): report of a case.
BRIT J DERMATOL. 2006; 154(5): 988-991. Doi: 10.1111/j.1365-2133.2006.07151.x (- Case Report)
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Co-Autor*innen der Med Uni Graz
Cerroni Lorenzo
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Abstract:
Denileukin diftitox (Ontak) is a fusion protein comprising a diphtheria toxin and an interleukin (IL)-2 moiety that specifically targets CD25 (IL-2 receptor)-positive tumour cells. We report a patient with rapidly progressive Epstein-Barr virus-positive nasal type extranodal natural killer/T-cell lymphoma (extranodal NKTCL), treated with a combination of denileukin diftitox (Ontak) and oral bexarotene (Targretin). A significant regression of the cutaneous tumours was observed already after the first cycle of denileukin diftitox and was maintained for a period of 5 months with monthly cycles of denileukin diftitox. The treatment was well tolerated. Following this response the patient decided to stop the treatment. He was then followed by his oncologist and lost from dermatological follow-up. Shortly after treatment withdrawal the disease progressed and the patient received one cycle of doxorubicin (Caelyx). He died from septic shock syndrome 2 months later. To our knowledge this is the first case of extranodal NKTCL treated with denileukin diftitox and bexarotene. A striking, albeit transient, response occurred with this therapy. Combination treatment with denileukin diftitox and bexarotene should be further assessed in this aggressive type of cutaneous lymphoma.
Find related publications in this database (using NLM MeSH Indexing)
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Diphtheria Toxin - administration and dosage
Fatal Outcome - administration and dosage
Humans - administration and dosage
Interleukin-2 - administration and dosage
Killer Cells, Natural - pathology
Lymphoma, T-Cell, Cutaneous - drug therapy
Male - drug therapy
Middle Aged - drug therapy
Recombinant Fusion Proteins - administration and dosage
Skin Neoplasms - drug therapy
Tetrahydronaphthalenes - administration and dosage

Find related publications in this database (Keywords)
bexarotene
cutaneous T-cell lymphoma
denileukin diftitox
natural killer lymphoma
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