| Inclusion Criteria: | 1) Patient >/= 18 years of age.
2) Cutaneous T-cell lymphoma: TNM stages IB, IIA, IIB-IV with biopsy documentation within six weeks before treatment. Repeat biopsies are not required within six weeks before treatment for patients with Sézary syndrome and objective evidence of circulating cells.
3) KPS >/= 60
4) Acceptable organ function: absolute neutrophil count >/= 1500 micro/liters, platelet count >/= 100,000 micro/liters, bilirubin </= 1.5x upper limit of normal, creatinine </=1.5x upper limit of normal, SGOT (AST) and SGPT (ALT) ,</= 2.5x upper limit of normal
5) MUGA or 2-d echocardiogram indicating an ejection fraction of >/= 50% within 42 days prior to first dose of study drug. The method used at baseline must be used for later monitoring.
6) Patients previously treated with doxorubicin HCL liposome or epirubicin are eligible if the total cumulative dose does not exceed 300 mg/m^2 for doxorubicin HCL liposome or 540 mg/^2 for epirubicin.
7) Negative pregnancy test. Effective birth control measures.
8) Topical corticosteroids, with the exception of those with high potency (class 1), will be allowed for patients with erythroderma-Sézary syndrome (T4) and tumor stage (T3) with intense pruritus. Therapy with non-prescription emollients will also be allowed on study. |