Evidence map›Paper›PMID 39602063›Full record

ArticleDermatology and therapy2025

Chlormethine Gel for Treatment of Patients with Mycosis Fungoides: Best Practices and Guidance to Clinicians.

Larisa Geskin, Christiane Querfeld, Emmilia Hodak, Neda Nikbakht, Evangelia Papadavid, Marco Ardigò, Ulrike Wehkamp, Martine Bagot

Abstract read
In one paragraph

Article in Dermatology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Larisa GeskinDepartment of Dermatology, Columbia University Medical Center, Columbia University, 161 Fort Washington Ave, 12th Floor, New York, NY, 10032, USA. ljg2145@cumc.columbia.edu.
Christiane QuerfeldDivision of Dermatology and Department of Pathology, City of Hope National Medical Center, Beckman Research Institute, Duarte, CA, USA.
Emmilia HodakDavidoff Cancer Center, Rabin Medical Center, Tel Aviv University, Tel Aviv, Israel.
Neda NikbakhtDepartment of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, PA, USA.
Evangelia PapadavidNational Center of Excellence for Rare Disease, 2nd Department of Dermatology and Venereology, Attikon University General Hospital, Athens, Greece.
Marco ArdigòDermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Ulrike WehkampMSH Medical School Hamburg, Hamburg, Germany.
Martine BagotDepartment of Dermatology, AP-HP, Université Paris CitéHôpital Saint-Louis, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMycosis fungoides (MF) is the most common form of cutaneous T cell lymphoma. While multiple guidelines provide treatment recommendations, there are currently no clear treatment algorithms for MF. Chlormethine gel is recommended by major treatment guidelines as a first-line option for stage IA-IIA disease, and, on the basis of these guidelines, used in combination with other therapies in patients with advanced-stage MF in clinical practice.

objectivesTo provide guidance regarding the use of chlormethine gel for patients with all stages of MF, based on clinical expertise.

methodsOpinions on best practices regarding the use of chlormethine gel were collected through discussions that involved eight clinicians with extensive experience in treating patients with MF.

resultsChlormethine gel can be used as monotherapy in first- or second-line treatment of early-stage MF. In first-line, chlormethine gel monotherapy is prescribed for stage IA MF, and is particularly convenient for patients unable/unwilling to travel for hospital-based phototherapy, patients with thick plaques or palmoplantar involvement, when ultraviolet treatment is contraindicated, and for sanctuary sites. Chlormethine gel is also an appropriate first-line monotherapy for patients with stage IB or IIA MF; it may be used as part of combination regimens in these patients as well. For patients with late-stage MF, skin-directed treatments such as chlormethine gel should be combined with systemic therapies.

conclusionsChlormethine gel is a safe and effective treatment option that can be used in all stages of MF, either as monotherapy or in combination, depending on disease stage and patient characteristics and needs.

Indexed as

Best practicesChlormethine gelGuidanceMycosis fungoides

Identifiers

PMID39602063
PMCPMC11785887

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.