PMID- 35903895 OWN - NLM STAT- MEDLINE DCOM- 20221004 LR - 20221206 IS - 1529-8019 (Electronic) IS - 1396-0296 (Linking) VI - 35 IP - 10 DP - 2022 Oct TI - Prognosis in early stage cutaneous T-cell lymphoma treated with psoralen plus ultraviolet A irradiation and low-dose interferon-alpha: Long-term efficacy and survival according to conventional and emerging clinical endpoints. PG - e15737 LID - 10.1111/dth.15737 [doi] AB - Patients with early stage cutaneous T cell lymphoma (CTCL) usually have a benign and chronic disease course, characterized by temporally response to conventional skin directed therapies and intrinsic possibility to evolve. Using the combination of psoralen plus ultraviolet A irradiation (PUVA) and low-dose interferon-alpha (INF), the principal treatment goal is to keep confined the disease to the skin, preventing disease progression. Among 87 patients with early stage IA to IIA MF treated with low-dose IFN-alpha2b and PUVA in our center, complete remission (CR) were reported in 70 patients (80.5%) and the overall response rate (ORR) was 97.8% (n = 85), with a median time to best response to therapy of 5 months (range, 1-30). Among the responders, only the 8% of patients had a relapse with major event. The median follow-up was 207 months (range, 6-295). Survival data showed a median overall survival (OS) not reached (95% CI; 235-NR months), a disease free survival (DFS) of 210 months (95% CI; 200-226 months) and a median time to next treatment (TTNT) of 38.5 months (95% CI, 33-46 months). The long follow up of this study verifies our preliminary results already published in 2006 and confirms the efficacy of INF-PUVA combination therapy in a real world setting, according conventional (OS and DFS) and emerging (TTNT) clinical endpoint of treatment efficacy. CI - (c) 2022 Wiley Periodicals LLC. FAU - Rupoli, Serena AU - Rupoli S AD - Clinica di Ematologia, Universita Politecnica delle Marche, Ancona, Italy. FAU - Goteri, Gaia AU - Goteri G AD - Unita di Anatomia Patologica, Ancona, Italy. FAU - Morsia, Erika AU - Morsia E AD - Clinica di Ematologia, Universita Politecnica delle Marche, Ancona, Italy. FAU - Torre, Elena AU - Torre E AD - Clinica di Ematologia, Universita Politecnica delle Marche, Ancona, Italy. FAU - Giantomassi, Federica AU - Giantomassi F AD - Unita di Anatomia Patologica, Ancona, Italy. FAU - Campanati, Anna AU - Campanati A AD - Clinica di Dermatologia, Dipartimento di scienze cliniche e molecolari, Universita Politecnica delle Marche, Ancona, Italy. FAU - Offidani, Anna Maria AU - Offidani AM AD - Clinica di Dermatologia, Dipartimento di scienze cliniche e molecolari, Universita Politecnica delle Marche, Ancona, Italy. FAU - Molinelli, Elisa AU - Molinelli E AUID- ORCID: 0000-0002-7939-0026 AD - Clinica di Dermatologia, Dipartimento di scienze cliniche e molecolari, Universita Politecnica delle Marche, Ancona, Italy. FAU - Brandozzi, Giuliano AU - Brandozzi G AD - Clinica di Dermatologia, Dipartimento di scienze cliniche e molecolari, Universita Politecnica delle Marche, Ancona, Italy. FAU - Serresi, Stefano AU - Serresi S AD - Dermatologia, INRCA/IRCCS, Ancona, Italy. FAU - Giacchetti, Alfredo AU - Giacchetti A AD - Dermatologia, INRCA/IRCCS, Ancona, Italy. FAU - Bugatti, Leonardo AU - Bugatti L AD - Unita di Dermatologia, Carlo Urbani Hospital, Italy. FAU - Filosa, Giorgio AU - Filosa G AD - Unita di Dermatologia, Carlo Urbani Hospital, Italy. FAU - Mozzicafreddo, Giorgio AU - Mozzicafreddo G AD - Dermatologia, INRCA/IRCCS, Ancona, Italy. FAU - Simonacci, Marco AU - Simonacci M AD - Unita di Dermatologia, Carlo Urbani Hospital, Italy. AD - Dipartimento di Dermatologia, Macerata Hospital, Macerata, Italy. FAU - Olivieri, Attilio AU - Olivieri A AD - Clinica di Ematologia, Universita Politecnica delle Marche, Ancona, Italy. LA - eng PT - Journal Article DEP - 20220809 PL - United States TA - Dermatol Ther JT - Dermatologic therapy JID - 9700070 RN - 0 (Interferon-alpha) RN - KTZ7ZCN2EX (Ficusin) SB - IM MH - Ficusin/therapeutic use MH - Humans MH - Interferon-alpha/therapeutic use MH - *Lymphoma, T-Cell, Cutaneous/pathology MH - *Mycosis Fungoides/drug therapy/pathology/radiotherapy MH - Neoplasm Recurrence, Local/drug therapy MH - PUVA Therapy/methods MH - Prognosis MH - *Skin Neoplasms/pathology MH - Treatment Outcome OTO - NOTNLM OT - cutaneous T-cell lymphoma OT - interferon-alpha OT - mycosis fungoides OT - psoralen plus ultraviolet A irradiation EDAT- 2022/07/30 06:00 MHDA- 2022/10/05 06:00 CRDT- 2022/07/29 02:53 PHST- 2022/06/14 00:00 [revised] PHST- 2022/03/15 00:00 [received] PHST- 2022/07/21 00:00 [accepted] PHST- 2022/07/30 06:00 [pubmed] PHST- 2022/10/05 06:00 [medline] PHST- 2022/07/29 02:53 [entrez] AID - 10.1111/dth.15737 [doi] PST - ppublish SO - Dermatol Ther. 2022 Oct;35(10):e15737. doi: 10.1111/dth.15737. Epub 2022 Aug 9.