Table 5.
Response rates and duration of responses for systemic treatments for MF/SS.
| Treatment | Staging | Overall response (%) | Complete response (%) | Response Duration | References |
|---|---|---|---|---|---|
| Isotretinoin | MF/ SS | 43–80 | 8–33 | RD: 3-15 months | 22, 23 |
| Acitretin | Ia–IV | 59–64 | 4–34.6 | RD: 28 months | 22, 23, 24 |
| Bexarotene | I–IIa | 54–67 | 7–27 | RD: 9.9-17.2 months | 23, 25 |
| ≥IIb | 45–54 | 2–13 | 23, 25 | ||
| Alpha interferon | Ia–IVa | 29–80 | 4–67 | RD: 5-8 months | 26, 29 |
| Pegylated alpha-interferon | Ib–III | 50–83 | 33–67 | – | 28 |
| Pegylated liposomal doxorubicin | Ib–IV | 41–88 | 6 | RD: 6-13.3 months | 32, 33 |
| Gemcitabine | T3–T4 | 47–70 | 11.5–22 | RD: 10-15 months | 34, 38 |
| Chlorambucil | SS | 85 | 35 | RD: 16.5 months | 36 |
| III–IVb | 100 | 53.8 | 35 | ||
| Methotrexate, low dose | T2 | 33 | 33 | RD: 15 months | 39 |
| III | 56 | 41 | RD: 31 months | 39 | |
| Pralatrexate | IIa–IV | 40.8 | 6.1 | RD: 6 months | 40 |
| Romidepsin | IIb | 34–38 | 6–7 | RD: 15 months | 41 |
| Vorinostat | Ib–IVa | 30 | – | RD: 5 months | 42 |
| Alemtuzumab | adv. MF–SS | 38–84 | 0–47 | RD: 4 months | 44, 45 |
| Brentuximab vedotin | Ia–IVb | 50 | 10 | TNT: 13.4 months | 46 |
| Mogamulizumab | Ia–IVb/SS | 28 (MF: 21; SS: 37) | - | PFS: 7.7 months | 47 |
| CHOP | IIb | 66 | – | TNT: 5.7 months | 38 |
| EPOCH | IIb–IV | 80 | – | PFS: 8 months | 38 |
| Fludarabine + CFM | IIb–III | 55 | – | RD: 10 months | 38 |
| Fludarabine + IFN | IIa–IVb | 40–58 | – | PFS: 5.9 months | 38 |
| IFN + PUVA | Ia–IVa | 80.6 | 75 | RD: 32 months | 30 |
| – | – | PFS, 5 years: 75% | 30 | ||
| Ia–IIa | 98 | 84 | PFS, 5 years: 27% | 31 | |
| IFN peg + PUVA | Ia–IV | 88 | 44 | PFS: 30.9 months | 27 |
| IFN + retinoid | Ia–IIb | 38 | 6 | – | 29 |
| Bexaroteno + PUVA | Ib–IIa | 77 | 31 | RD: 5.8 months | 52 |
| Isolated ECP | III–IVa1 | 24 | 9 | TNT: 14 months | 49, 50, 51 |
| ECP + IFN | III–IVa1 | 45.4 | 18.2 | – | 49, 50 |
| ECP + IFN + Bexarotene | III–IVa1 | 88.2 | 32.4 | RD: 4 months | 49, 50 |
PFS, Progression-Free Survival; RD, Response Duration; TNT, Time to Next Treatment; adv. MF, Advanced Mycosis Fungoides; SS, Sézary syndrome;; CHOP, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisolone; EPOCH, Etoposide, Vincristine, Doxorubicin, Cyclophosphamide, and Prednisolone; ECP, Extracorporeal Photopheresis; CFM, Cyclophosphamide; IFN, Interferon; peg. IFN, pegylated Interferon.