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Sezary syndrome

Sézary's disease (or "Sézary syndrome") is a type of cutaneous lymphoma characterized by Albert Sézary.

"Sézary's cells" are T-cells that are have pathological quantities of mucopolysaccharides.

Sézary's disease is sometimes considered a late stage of mycosis fungoides.

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Clinical trial review
From Journal of Drugs in Dermatology, 4/1/03

1. TO ASSESS PREVENTION OF BONE LOSS IN WOMEN WITH LUPUS RECEIVING TREATMENT WITH GLUCOCORTICOIDS

Sponsored by: Genelabs Technologies

Purpose: The purpose of this clinical trial is to study the effects of GL701 (which contains DHEA, a mild androgenic hormone, as its active ingredient) on bone mineral density in women with active systemic lupus erythematous (SLE) who are also receiving treatment with glucocorticoids (e.g., prednisone).

Study Type: Interventional

Study Design: Prevention, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study

Official Title: A randomized, double-blind, multi-center, placebo controlled study to assess prevention of bone loss by treatment with GL701 (Prestara[TM]) in women with systemic lupus erythematosus receiving treatment with glucocorticoids

Eligibility: Females 18 years and above.

Location and Contact Information:

Betty Quarles, Phone: 650-562-1425, Email: bquarles@genelabs.com

Kenneth Schwartz MD, Phone: 650-562-1510, Email: kschwartz@genelabs.com

2. EVALUATION OF LYME DISEASE: CLINICAL, MICROBIOLOGICAL, AND IMMUNOLOGICAL CHARACTERISTICS

This study is currently recruiting patients.

Sponsored by: National Institute of Allergy and Infectious Diseases (NIAID)

Purpose: This study will determine whether patients who have been infected with the Lyme bacteria Borrelia burgdorferi and treated with antibiotics still have the bacteria alive inside them, and whether it is causing their symptoms.

Study Type: Observational

Study Design: Natural History

Official Title: A Comprehensive Clinical, Microbiological and Immunological Assessment of Patients with Suspected Chronic Lyme Infection and Selected Control Populations

Eligibility: Males and females greater than or equal to 13 years old

Location and Contact Information:

Maryland

National Institute of Allergy and Infectious Diseases (NIAID)

9000 Rockville Pike, Bethesda, Maryland, 20892, United States

Patient Recruitment and Public Liaison Office

Phone: 1-800-411-1222, Email: prpl@mail.cc.nih.gov

3. OPEN LABEL STUDY OF ONTAK[TM] (DENILEUKIN DIFTITOX) IN PREVIOUSLY TREATED CUTANEOUS T-CELL LYMPHOMA PATIENTS.

Sponsored by: Ligand Pharmaceuticals

Purpose: The purpose of this study is to provide an opportunity for placebo patients from the companion 93-04-11 study to receive ONTAK. It is also designed to determine the effectiveness of ONTAK in CTCL patients whose tumors do not express CD25.

Study Type: Interventional

Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study

Official Title: A multicenter open-label study to evaluate the safety and efficacy of DAB389IL-2 in cutaneous T-cell lymphoma (CTCL) patients following Protocol 93-04-10, Protocol 93-04-11, or Protocol 92-04-01 or who meet the requirements for Protocol 93-04-11 except have biopsy-documented CTCL that does not express CD25

Eligibility: Both genders eligible for study

Criteria * Patient must have been previously enrolled in Protocol 93-04-11 and randomized to the placebo arm; or the patient met all eligibility criteria for protocol 93-04-11 other than the expression of CD25 on CTCL tumor cells.

* CTCL disease Stage Ia-III.

* History of less than or equal to 3 previous therapies. Repeated use of the same agent is considered to be 1 therapy unless it is part of a different combination regimen. Only 1 prior combination cytotoxic chemotherapy regimen is permitted. Topical or systemic steroids are not considered a therapy.

* Patient must have evaluable or measurable disease. Lymph node involvement no greater than LN2. No CTCL involvement of bone marrow.

* No significant pulmonary or cardiac disease. No active CNS, kidney, or liver disease.

* No systemic infections.

* ECOG performance status of 0 or 1.

Location and Contact Information:

Ligand Pharmaceuticals (Clinical Trial Sponsor) Phone Number 1-800-964-5836

4. RANDOMIZED DOUBLE-BLIND STUDY OF ONTAK[TM] (DENILEUKIN DIFTITOX) IN CUTANEOUS T-CELL LYMPHOMA (CTCL) PATIENTS.

Sponsored by: Ligand Pharmaceuticals

Purpose: The purpose of this study is to compare the effectiveness of two dose levels of ONTAK (denileukin diftitox) in treating patients who have recurrent or persistent cutaneous T-cell lymphoma.

Study Type: Interventional

Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study

Official Title: A multicenter phase III randomized double-blind placebo-controlled study to evaluate the efficacy of two close levels of DAB389IL-2 (9 and 18 mcg/kg/day) in cutaneous T-cell lymphoma (CTCL) patients with Stage Ia-III disease who, following less than or equal to 3 previous therapies, have recurrent or persistent disease that has been biopsy-documented to express CD25

Eligibility: Both genders eligible for study

Criteria: * Histopathologically confirmed recurrent or persistent CTCL as determined by reference pathology lab.

* Patient must have had 1 to 3 prior CTCL therapies. Repeated use of the same agent is considered to be 1 therapy unless it is part of a different combination regimen. Only 1 prior combination cytotoxic regimen is permitted. Topical or systemic steroids are not considered a therapy.

* Interleukin-2 receptor (IL-2R) expression on at least 20% of tumor cells as determined by immunohistochemistry.

* Stage IA-III disease and unlikely to progress during the first month on study. Life expectancy of at least 12 months.

* Measurable or evaluable disease. Lymph node involvement no greater than LN2. No CTCL involvement of bone marrow.

* No active CNS disease, kidney or liver disease, significant pulmonary disease, or cardiac disease.

* No systemic infections.

* Willingness to be randomized to a placebo treatment only arm.

* ECOG performance status of 0 or 1

Location and Contact Information:

Ligand Pharmaceuticals (Clinical Trial Sponsor), Phone Number 1-800-964-5836

5. INTERLEUKIN-2 IN TREATING PATIENTS WITH MYCOSIS FUNGOIDES OR SEZARY SYNDROME

Sponsored by: Robert H. Lurie Cancer Center, National Cancer Institute (NCI)

Purpose: Phase II trial to study the effectiveness of interleukin-2 in treating patients who have mycosis fungoides or Sezary syndrome.

Study Type: Interventional

Study Design: Treatment

Official Title: Phase III Study of Interleukin-2 in Patients With Mycosis Fungoides or Sezary Syndrome

Objectives: * Determine the response rate in patients with mycosis fungoides or Sezary syndrome treated with interleukin-2 (IL-2).

* Determine the toxicity of this regimen in these patients.

Outline: This is a multicenter study.

Patients receive interleukin-2 subcutaneously for 4 consecutive days a week for 6 consecutive weeks. Treatment repeats every 8 weeks in the absence of disease progression or unacceptable toxicity. Patients who achieve complete response or stable disease continue treatment for 2 courses past best response. Patients who demonstrate a persistent partial response continue treatment in the absence of disease progression or unacceptable toxicity.

Patients are followed every 3 months for survival.

Eligibility: Both genders eligible for study, 18 years and above

Criteria: * Histologically proven mycosis fungoides or Sezary syndrome

* Any stage

* Measurable disease with 1 or more indicator lesions

* Evaluable disease for erythrodermic patients only

* At least 2 weeks since prior therapy, if documented progressive disease (PD)

* At least 4 weeks since prior therapy, if best response achieved without clear evidence of PD

Location and Contact Information:

Illinois

Robert H. Lurie Comprehensive Cancer Center

Northwestern University

Chicago, Illinois, 60611-3013

United States; Recruiting

Timothy M. Kuzel, MD, Phone: 312-695-4544

Massachusetts

Boston Medical Center

Boston, Massachusetts, 02118

United States; Recruiting

Francine Marie Foss, MD, Phone: 617-638-7520, Email: ffoss@med-med1.bu.edu

6. TEMOZOLOMIDE IN TREATING PATIENTS WITH MYCOSIS FUNGOIDES OR SEZARY SYNDROME

Sponsored by: Robert H. Lurie Cancer Center, National Cancer Institute (NCI)

Purpose: Phase II trial to study the effectiveness of temozolomide in treating patients who have mycosis fungoides or Sezary syndrome that has not responded to previous treatment.

Study Type: Interventional

Study Design: Treatment

Official Title: Phase II Study of Temozolomide in Patients With Previously Treated Mycosis Fungoides or Sezary Syndrome

Objectives: * Determine the response rate to temozolomide in patients with relapsed mycosis fungoides or Sezary syndrome.

* Determine the toxic effects of this drug in these patients.

* Correlate pretreatment AGT activity in tumor cells with response to this drug in these patients.

Outline: This is a multicenter study.

Patients receive oral temozolomide once a day on days 1-5. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity for a maximum of 1 year.

Patients are followed every 3 months until death.

Eligibility: Both genders eligible for study, 18 years and above

Criteria: * Histologically confirmed mycosis fungoides or Sezary syndrome

* Stage IB-IVB disease

* Must have failed at least one prior systemic therapy

* Generalized erythroderma allowed

* Measurable disease and at least one indicator lesion OR evaluable disease for erythrodermic patients only

* Prior radiotherapy to areas of measurable disease allowed if disease progression is present in the site or if measurable disease is present outside irradiation port

Location and Contact Information:

Illinois

Robert H. Lurie Comprehensive Cancer Center

Northwestern University

Chicago, Illinois, 60611-3013

United States; Recruiting

Timothy M. Kuzel, MD, Phone: 312-695-4544

University of Chicago Cancer Research Center

Chicago, Illinois, 60637-1470

United States; Recruiting

David Pezen, MD, Phone: 773-702-9200

7. CHEMOTHERAPY AND PHOTODYNAMIC THERAPY IN TREATING PATIENTS WITH CUTANEOUS T-CELL LYMPHOMA

Sponsored by: Millennix

Purpose: Randomized phase II trial to study the effectiveness of combining different doses of bexarotene with photodynamic therapy in treating patients who have stage IB or stage IIA cutaneous T-cell lymphoma.

Study Type: Interventional

Study Design: Treatment

Official Title: Phase II Randomized Study of Bexarotene and Ultraviolet A Light Therapy With Methoxsalen (PUVA) in Patients With Stage IB or IIA Cutaneous T-Cell Lymphoma

Eligibility: Both genders eligible for study, 18 years and above

Criteria: * Histologically confirmed cutaneous T-cell lymphoma within the past year

* Stage IB or IIA disease

* No prior diagnosis more advanced than stage IIA disease

Location and Contact Information:

Northwestern University Medical Center

Study chairs or principal investigators

Joan Guitart, MD, Study Chair

8. DETERMINE THE EFFECT OF ADMINISTERING PERIOSTAT[R] TWICE DAILY ON PATIENTS WITH ACNE ROSACEA

Sponsored by: CollaGenex Pharmaceuticals

Purpose: The purpose of this study is to determine whether Periostat[R], Doxycycline Hyclate 20 mg Tablets, taken twice daily is effective in reducing the red and white heads and overall redness associated with rosacea.

Study Type: Interventional

Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Single Group Assignment, Efficacy Study

Official Title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Clinical Trial to Determine the Effects of Doxycycline Hyclate 20 mg Tablets [Periostat[R]] Administered Twice Daily for the Treatment of Acne Rosacea

Eligibility: Both genders eligible for study, 18 years and above

9. INFLIXIMAB (REMICADE[R]) TO TREAT DERMATOMYOSITIS AND POLYMYOSITIS

Sponsored by: National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

Purpose: This study will examine whether infliximab (Remicade[R]) is safe and effective for the treatment of dermatomyositis and polymositis. Infliximab blocks the effect of a protein called tumor necrosis factor (TNF), which is associated with harmful inflammation in many diseases.

Study Type: Interventional

Study Design: Treatment, Safety/Efficacy

Official Title: A Randomized, Double-Blind, Placebo-Controlled Trial of Infliximab In Patients With Dermatomyositis and Polymyositis

Eligibility: Both genders eligible for study, 18 years and above

Location and Contact Information

Maryland

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

9000 Rockville Pike

Bethesda, Maryland, 20892

United States; Recruiting

Patient Recruitment and Public Liaison Office, Phone: 1-800-411-1222, Email: prpl@mail.cc.nih.gov

10. STUDY OF BOTULINUM TOXIN IN PATIENTS WITH PRIMARY HYPERHIDROSIS

Sponsored by: Mount Sinai Medical Center

Purpose: To determine the optimal dose of botulinum toxin necessary to decrease sweating in patients with primary hyperhidrosis.

Study Type: Interventional

Study Design: Treatment

Eligibility: Both genders eligible for study, 16 years and above

Criteria: * Diagnosis of hyperhidrosis

* Excessive sweating in the hands, feet, armpits, forehead, or body

Location and Contact Information:

New York

Mount Sinai School of Medicine

New York, New York, 10029

United States; Recruiting

Horacio Kaufmann, Phone: 212-241-7315

11. TREATMENT OF PSORIASIS WITH PARATHYROID HORMONE

Sponsored by: National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

Purpose: This is a clinical study in two phases. The first phase compares the effect of an ointment containing parathyroid hormone (PTH) with the effect of a placebo ointment (inactive ointment without PTH) on psoriasis lesions. Neither the study participants nor the researchers will know who is receiving PTH ointment and who is receiving placebo until the end of this first study phase. The second phase is a study of the PTH ointment on large areas of psoriasis to find out how long the effects last.

Study Type: Interventional

Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Single Group Assignment, Safety/Efficacy Study

Official Title: Evaluation of the Therapeutic Efficacy & Safety of Topical Administration of Parathyroid Hormone (PTH) in Psoriasis

Eligibility: Both genders eligible for study, 18-70 years old

Location and Contact Information

Massachusetts

Boston University School of Medicine

Boston, Massachusetts, 01843

United States; Recruiting

Sheila Decastro, Phone: 617-638-8869

Michael Holick, PhD, MD, Principal Investigator

12. TO STUDY THE EFFECTS OF CD25 AND LOW DOSE CYCLOSPORINE IN THE TREATMENT OF ACTIVE PSORIASIS VULGARIS

Sponsored by: Protein Design Labs

Purpose: This study compares the efficacy and analyzes the cellular effects of anti-TAC (Daclizumab) and Cyclosporine in the treatment of psoriasis vulgaris. This is a three-armed study-Daclizumab alone, Cyclosporine alone, and the combination of both Daclizumab and Cyclosporine.

Study Type: Interventional

Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study

Official Title: Use of humanized CD25 (anti-TAC) monoclonal antibody and cyclosporine for the treatment of active Psoriasis.

Eligibility: Both genders eligible for study, 16 years and above

Location and Contact Information:

New York

Rockefeller University

New York, New York, 10021

United States; Recruiting

Pat Gilleaudeau, RN, MSN, FN

Phone: 212-327-8333, Email: gilleap@mail.rockefeller.edu

Mary Sullivan-Whalen, RN, MSN, FNP

Phone: 212-327-7212, Email: whalems@mail.rockefeller.edu

James Krueger, MD, PhD, Principal Investigator

13. TO STUDY THE USE OF HUMANIZED CD25 IN PREVENTING THE RELAPSE OF PSORIASIS VULGARIS

Sponsored by: Protein Design Labs

Purpose: This study is designed to study disease relapse after NBUVB and how the administration of Daclizumab/placebo alters disease relapse.

Study Type: Interventional

Study Design: Treatment, Randomized, Open Label, Placebo Control, Parallel Assignment, Safety/Efficacy Study

Official Title: Use of Humanized CD25 (anti-TAC) Monoclonal Antibody/Placebo to Prevent Relapse of Psoriasis Vulgaris following NBUVB Therapy

Eligibility: Both genders eligible for study, 16 years and above

Location and Contact Information:

New York

Rockefeller University

New York, New York, 10021

United States; Recruiting

Pat Gilleaudeau, RN, MSN, FN

Phone: 212-327-8333, Email: gilleap@mail.rockefeller.edu

Mary Sullivan-Whalen, RN, MSN, FNP

Phone: 212-327-7212, Email: whalems@mail.rockefeller.edu

James Krueger, MD, PhD, Principal Investigator

14. DETERMINE THE EFFICACY OF TOPICAL TRETINOIN CREAM FOR THE PREVENTION OF NONMELANOMA SKIN CANCER

Sponsored by: Department of Veterans Affairs, Department of Veterans Affairs Cooperative Studies Program, Ortho Dermatologics

Purpose: Topical tretinoin has been used extensively to treat photoaged skin. Retinoids administered orally in high doses appear to be effective in chemoprevention of nonmelanoma skin cancer but have unacceptable toxicity, in this study, 900 patients with a recent history of squamous cell and/or basal cell carcinoma will be enrolled at six participating centers over a three-year period and will be randomly assigned to either 0.1% tretinoin cream or placebo. They will be followed for a minimum of three years to determine if topical tretinoin is effective in reducing the risk of new occurrences.

Study Type: Interventional

Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study

Official Title: VA Topical Tretinoin Chemoprevention Trial

Eligibility: Both genders eligible for study

Criteria: High risk individuals (at least 2 NMSCs in last 5 years)

15. CELECOXIB IN PREVENTING SKIN CANCER

Sponsored by: Herbert Irving Comprehensive Cancer Center, National Cancer Institute (NCI)

Purpose: Randomized phase II trial to study the effectiveness of celecoxib in preventing skin cancer in participants exposed to ultraviolet light.

Study Type: Interventional

Study Design: Prevention

Official Title: Phase II Randomized Study of Celecoxib as a Chemopreventive Agent Inhibiting Ultraviolet-Induced Erythema and Biomarkers of Cutaneous Carcinogenesis in Participants With Fitzpatrick Type I-IV Skin

Eligibility: Both genders eligible for study, 20-60 years old

Location and Contact Information:

New York

Herbert Irving Comprehensive Cancer Center

New York, New York, 10032

United States; Recruiting

David Bickers, MD, Phone: 212-305-5565, Email: drb25@columbia.edu

COPYRIGHT 2003 Journal of Drugs in Dermatology
COPYRIGHT 2003 Gale Group

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