Successful Treatment of an Aggressive Adult T-cell Leukemia/Lymphoma with Strong CD30 Expression Using Brentuximab Vedotin as Combination and Maintenance Therapy

Intern Med. 2023 Feb 15;62(4):613-616. doi: 10.2169/internalmedicine.9812-22. Epub 2022 Jul 22.

Abstract

Adult T-cell leukemia/lymphoma (ATL) is a highly aggressive malignant tumor associated with a poor prognosis. We herein report a 63-year-old man who was newly diagnosed with aggressive ATL. He was treated with brentuximab vedotin (BV) plus cyclophosphamide, doxorubicin, and prednisone (A+CHP therapy), along with intrathecal chemotherapy using methotrexate and cytarabine. After achieving remission, he was placed on maintenance therapy with BV in the outpatient setting every 21 days for 17 months, without relapse. We suggest that initial treatment with A+CHP therapy and BV maintenance therapy may be beneficial against strongly CD30-expressing ATL.

Keywords: adult T-cell leukemia/lymphoma; brentuximab vedotin; maintenance therapy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brentuximab Vedotin / therapeutic use
  • Cyclophosphamide / therapeutic use
  • Humans
  • Immunoconjugates* / therapeutic use
  • Leukemia-Lymphoma, Adult T-Cell* / drug therapy
  • Lymphoma* / drug therapy
  • Male
  • Middle Aged

Substances

  • Brentuximab Vedotin
  • Immunoconjugates
  • Cyclophosphamide