Mycosis fungoides (MF) is an ultra-orphan disease of which the etiology remains unknown. MF is diagnosed by correlating clinical appearance with histopathological analysis of often multiple invasive skin punch biopsies. To move patient care and the development of novel treatments for MF forward, objective, sensitive and reliable tools that are preferably non-invasive are desired. Therefore, the objective of the current study is to phenotype the early stages of mycosis fungoides in detail and to assess the response of chlormethine (CL) gel monotherapy. With this approach the investigators aim to detect novel biomarkers and to establish methodologies for the (non-)invasive monitoring of MF.
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Composite Assessment of Index Lesions Disease Severity Score (CAILS)
Timeframe: from day -42 to day 155
Modified Severity Weighted Assessment Tool (mSWAT)
Timeframe: from day -42 to day 155
Objective Response Rate (ORR)
Timeframe: from day 43 to day 155
SKINDEX-29: Quality of life (QoL)
Timeframe: from day 0 to day 155
Treatment Satisfaction Questionnaire for Medication (TSQM)
Timeframe: from day 43 to day 155
Patient reported outcomes
Timeframe: from day 0 to day 155
Erythema measurement of the skin
Timeframe: from day 0 to day 155
3D Multispectral imaging
Timeframe: from day 0 to day 155
Laser Speckle Contrast Imaging (LSCI)
Timeframe: from day 0 to day 155
Thermography
Timeframe: from day 0 to day 155
Optical Coherence Tomography (OCT)
Timeframe: from day 0 to day 155
Skin barrier function by Trans-Epidermal Water Loss (TEWL)
Timeframe: from day 0 to day 155
Cutaneous microbiome
Timeframe: from day 0 to day 155
Faecal microbiome
Timeframe: from day 43 to day 155
Skin surface biomarkers
Timeframe: from day 0 to day 155
Lipidomics of the stratum corneum by liquid chromatography mass spectroscopy
Timeframe: from day 0 to day 155
Patient genotyping
Timeframe: day 43
Blister immune cell subsets
Timeframe: day 43
Blister protein biomarkers by high-throughput, multiplex immunoassays of proteins by Proximity Estension Assay (PEA) technology
Timeframe: day 43
Immunohistochemistry and Imaging Mass Cytometry/VECTRA of biopsies
Timeframe: from day 43 to day 155
Circulating protein biomarkers by PCR amplification
Timeframe: from day 0 to day 155
Cells/ml; Circulating immune cell subsets
Timeframe: from day 0 to day 155
Itch Tracking by Derma Track
Timeframe: from day 0 to day 155
User experience and subjective burden questionnaire
Timeframe: from day 43 to day 155
Blister immune cell subsets during dermatitis reactions
Timeframe: from day 43 to day 155
Change from baseline in blister immune cell subsets after 16 weeks of treatment
Timeframe: day 43 and day 155
Blister protein biomarkers by high-throughput, multiplex immunoassays of proteins by Proximity Estension Assay (PEA) technology
Timeframe: from day 43 to day 155
Change from baseline in blister protein biomarkers, by high-throughput, multiplex immunoassays of proteins by Proximity Estension Assay (PEA) technology
Timeframe: day 43 and day 155