Gemcitabine and vinorelbine treatment in cutaneous T-cell lymphoma in four patients

Australas J Dermatol. 2015 Nov;56(4):294-7. doi: 10.1111/ajd.12270. Epub 2014 Dec 13.

Abstract

Treatment options for advanced stage cutaneous T-cell lymphoma (CTCL) are limited by the their efficacy and side-effects profile. Gemcitabine, a pyrimidine analogue, has been reported to be efficacious in CTCL. Most of the studies published used gemcitabine as a single agent in treating advanced CTCL. Our small case series demonstrated that a combination of gemcitabine and vinorelbine induced partial remission in all four patients with refractory or advanced CTCL, although the effects were not sustained for a long duration (2-6 months). Two patients had neutropenia and one had acute hepatitis, requiring discontinuation of treatment.

Keywords: cutaneous lymphoma; gemcitabine; vinorelbine.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antineoplastic Agents / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Deoxycytidine / administration & dosage
  • Deoxycytidine / analogs & derivatives
  • Female
  • Gemcitabine
  • Humans
  • Lymphoma, T-Cell, Cutaneous / drug therapy*
  • Male
  • Retreatment
  • Skin Neoplasms / drug therapy*
  • Treatment Outcome
  • Vinblastine / administration & dosage
  • Vinblastine / analogs & derivatives
  • Vinorelbine

Substances

  • Antineoplastic Agents
  • Deoxycytidine
  • Vinblastine
  • Vinorelbine
  • Gemcitabine