Scouring the National Cancer Institute website for information about upcoming clinical trials for which she might qualify, last winter the patient learned of an immunotherapy clinical trial that would soon open at Roswell Park. She traveled to Buffalo from out of state to meet with Kunle Odunsi, MD, PhD , Deputy Director of Roswell Park Cancer Institute and Executive Director of the Center for Immunotherapy. Together they discussed all her treatment options, including this clinical trial, for which Dr. Odunsi serves as Clinical Principal Investigator.
Feeding should usually resume within 2–3 hours after starting rehydration and should continue every 2–3 hours, day and night. For an initial cereal diet before a child regains his or her full appetite, WHO recommends combining 25 grams skimmed milk powder, 20 grams vegetable oil, 60 grams sugar, and 60 grams rice powder or other cereal into 1,000 milliliters water and boiling gently for five minutes. Give 130 ml per kilogram of body weight during per 24 hours. A child who cannot or will not eat this minimum amount should be given the diet by nasogastric tube divided into six equal feedings. Later on, the child should be given cereal made with a greater amount of skimmed milk product and vegetable oil and slightly less sugar. As appetite fully returns, the child should be eating 200 ml per kilogram of body weight per day. Zinc, potassium, vitamin A, and other vitamins and minerals should be added to both recommended cereal products, or to the oral rehydration solution itself. Children who are breastfed should continue breastfeeding. 
With CTCL mortality is related to stage of disease, with median survival generally ranging from about 12 years in the early stages to only years when the disease has advanced. There is currently no cure for CTCL. Treatment of early-stage disease (the most frequent type of CTCL) generally involves skin-directed therapies. Most MF treatments are not approved by the FDA. One of the most common unapproved therapies used for early-stage disease is oral 5 or 8-methoxypsoralen (Psoralen) given with ultraviolet A (UVA) light, referred to as PUVA. Although having demonstrated a level of efficacy, psoralen is a mutagenic chemical that interferes with DNA causing mutations and other malignancies. Moreover, UVA is a carcinogenic light source that when combined with the psoralen, results in serious adverse effects including secondary skin cancers. As a result, the FDA requires a Black Box warning for PUVA.