Biblioteca Hospital 12 de Octubre

Efficacy and safety of bexarotene combined with psoralen-ultraviolet A (PUVA) compared with PUVA treatment alone in stage IB-IIA mycosis fungoides: final results from the EORTC Cutaneous Lymphoma Task Force phase III randomized clinical trial (NCT00056056). (Registro nro. 13321)

000 -CABECERA
Campo de control de longitud fija 03657na a2200229 4500
003 - IDENTIFICADOR DEL NÚMERO DE CONTROL
Campo de control PC13321
005 - FECHA Y HORA DE LA ÚLTIMA TRANSACCIÓN
Campo de control 20180417105945.0
008 - CÓDIGOS DE INFORMACIÓN DE LONGITUD FIJA
Campo de control de longitud fija 130622s2012 xxx||||| |||| 00| 0 eng d
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Centro transcriptor H120
041 ## - CÓDIGO DE LENGUA
Código de lengua del texto/banda sonora o título independiente eng
100 ## - PUNTO DE ACCESO PRINCIPAL - NOMBRE DE PERSONA
Nombre de persona Ortiz Romero, Pablo Luis
9 (RLIN) 1223
Término indicativo de función Dermatología Médico-Quirúrgica y Venereología
245 00 - MENCIÓN DE TÍTULO
Título Efficacy and safety of bexarotene combined with psoralen-ultraviolet A (PUVA) compared with PUVA treatment alone in stage IB-IIA mycosis fungoides: final results from the EORTC Cutaneous Lymphoma Task Force phase III randomized clinical trial (NCT00056056).
Tipo de material [artículo]
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Nombre del editor distribuidor etc. British Journal of Dermatology,
Fecha de publicación distribución etc. 2012
300 ## - DESCRIPCIÓN FÍSICA
Extensión 167(3):678-87.
500 ## - NOTA GENERAL
Nota general Formato Vancouver:
Whittaker S, Ortiz P, Dummer R, Ranki A, Hasan B, Meulemans B et al. Efficacy and safety of bexarotene combined with
psoralen-ultraviolet A (PUVA) compared with PUVA treatment alone in stage IB-IIA mycosis fungoides: final results from the EORTC Cutaneous Lymphoma Task Force phase III randomized clinical trial (NCT00056056). Br J Dermatol. 2012 Sep;167(3):678-87.
501 ## - NOTA DE “CON”
Nota de "Con" PMID: 22924950
504 ## - NOTA DE BIBLIOGRAFÍA; ETC.
Nota de bibliografía etc. Contiene 35 referencias
520 ## - NOTA DE SUMARIO; ETC.
Sumario etc. Background Psoralen plus ultraviolet A (PUVA) is the standard treatment for early stages of mycosis fungoides. There have been no adequate randomized controlled trials with sufficient power comparing this modality with other therapies. Objective To assess disease response and to compare the response rates of patients treated with PUVA alone or PUVA and bexarotene. Methods EORTC 21011 (NCT 00056056) was a randomized phase III study comparing combined bexarotene (Targretin (R)) and PUVA vs. PUVA alone in patients with stage IB and IIA mycosis fungoides (MF). The primary endpoint was the overall response rate [complete clinical response (CCR) plus partial response (PR)]. Results The study was prematurely closed due to low accrual after 93 of 145 required patients (65%) were randomized. Of the 93 randomized patients, 87 started treatment, 41 received PUVA and 46 received PUVA + bexarotene. Total UVA doses received were 107 J cm(-2) (range 1.4-489.9) in the PUVA arm vs. 101.7 J cm(-2) (0.2-529.9) in the combination arm. The safety profile was acceptable with few grade 3-4 toxicities observed in either arm. More drop-outs due to toxicity were observed in the combination arm compared with the PUVA-alone arm. The best overall response (CCR + PR) rate was 71% for PUVA alone and 77% for the combination arm (P = 0.57). The median duration of response was 9 7 months for PUVA vs. 5 8 months for the combination arm (P = 0 33). CCR was seen in 25 patients of whom 10 received PUVA alone (CCR 22%) and 15 received combination therapy (CCR 31%) (P = 0.45). CCR was sustained in 25% of patients regardless of therapy. There was a trend towards fewer PUVA sessions needed to achieve CCR in the combination arm (median 22) compared with the PUVA arm (median 27.5) (P = 0 11). Similarly, a trend towards lower UVA dose required to achieve CCR in the combination arm (median 55 8 J cm(-2)) compared with the PUVA arm alone (median 117 5 J cm(-2)) (P = 0 5) was observed. Conclusions No significant difference in response rate or response duration was observed in this study. However, there was a trend towards fewer PUVA sessions and lower UVA dose required to achieve CCR in the combination arm (PUVA + bexarotene) but this did not achieve statistical significance due to insufficient power.
710 ## - PUNTO DE ACCESO ADICIONAL - NOMBRE DE ENTIDAD
9 (RLIN) 145
Nombre de entidad o nombre de jurisdicción como elemento inicial Servicio de Dermatología Médico-Quirúrgica y Venereología
856 ## - LOCALIZACIÓN Y ACCESO ELECTRÓNICOS
Identificador Uniforme del Recurso (URI) http://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc13321.pdf
Acceso Solicitar documento
942 ## - ENTRADA PARA ELEMENTOS AGREGADOS (KOHA)
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Fuente de clasificación o esquema de ordenación en estanterías
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          Hospital Universitario 12 de Octubre Hospital Universitario 12 de Octubre 2017-08-03 PC13321 2017-08-03 2017-08-03 Artículo

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