Short-incubation Levulan Photodynamic Therapy Versus Vehicle for Face/Scalp Actinic Keratosis (AK)

NCT ID: NCT01475955

Last Updated: 2016-10-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

235 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-12-31

Study Completion Date

2012-11-30

Brief Summary

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The purpose of this study is to determine if Levulan Photodynamic Therapy (PDT) is safe and effective in the treatment of actinic keratosis when applied to broad areas on the face and scalp for 1, 2 and 3 hours.

Detailed Description

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Conditions

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Actinic Keratosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Broad Area ALA 1-hour incubation

Broad Area ALA 1-hour incubation

Group Type EXPERIMENTAL

Broad Area ALA 1-hour incubation

Intervention Type DRUG

20% ALA, broad area, 1 hour incubation

Blue Light Treatment

Intervention Type DEVICE

10 J/cm2 blue light delivered at 10 mW/cm2

Broad Area ALA 2-hour incubation

Broad Area ALA 2-hour incubation

Group Type EXPERIMENTAL

Broad Area ALA 2 hour incubation

Intervention Type DRUG

20% ALA broad area 2-hour incubation

Blue Light Treatment

Intervention Type DEVICE

10 J/cm2 blue light delivered at 10 mW/cm2

Broad Area ALA 3-hour incubation

Broad Area ALA 3-hour incubation

Group Type EXPERIMENTAL

broad area ALA 3-hour incubation

Intervention Type DRUG

20% ALA broad area 3 hour incubation

Blue Light Treatment

Intervention Type DEVICE

10 J/cm2 blue light delivered at 10 mW/cm2

Spot ALA 2-hour incubation

Spot ALA 2-hour incubation

Group Type EXPERIMENTAL

Spot ALA 2 hour incubation

Intervention Type DRUG

20% ALA spot 2 hour incubation

Blue Light Treatment

Intervention Type DEVICE

10 J/cm2 blue light delivered at 10 mW/cm2

Vehicle PDT

VEH group will be randomized (1:1:1:1) to be balanced for the four active groups; broad area application for 1, 2 or 3 hours or spot application for 2 hours prior to BLUE light treatment. Subjects receiving VEH will be considered a single treatment group.

Group Type PLACEBO_COMPARATOR

Vehicle PDT

Intervention Type DRUG

Levulan Kerastick containing vehicle ingredients only.VEH group will be randomized (1:1:1:1) to be balanced for the four active groups; broad area application for 1, 2 or 3 hours or spot application for 2 hours prior to BLUE light treatment. Subjects receiving VEH will be considered a single treatment group.

Blue Light Treatment

Intervention Type DEVICE

10 J/cm2 blue light delivered at 10 mW/cm2

Interventions

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Broad Area ALA 1-hour incubation

20% ALA, broad area, 1 hour incubation

Intervention Type DRUG

Broad Area ALA 2 hour incubation

20% ALA broad area 2-hour incubation

Intervention Type DRUG

broad area ALA 3-hour incubation

20% ALA broad area 3 hour incubation

Intervention Type DRUG

Spot ALA 2 hour incubation

20% ALA spot 2 hour incubation

Intervention Type DRUG

Vehicle PDT

Levulan Kerastick containing vehicle ingredients only.VEH group will be randomized (1:1:1:1) to be balanced for the four active groups; broad area application for 1, 2 or 3 hours or spot application for 2 hours prior to BLUE light treatment. Subjects receiving VEH will be considered a single treatment group.

Intervention Type DRUG

Blue Light Treatment

10 J/cm2 blue light delivered at 10 mW/cm2

Intervention Type DEVICE

Other Intervention Names

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Levulan Levulan Levulan Levulan BLU-U

Eligibility Criteria

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Inclusion Criteria

* 6-20 Grade 1/2 AKs on the face or scalp
* a history of AK therapy within the treatment area at least twice in the two years prior to study entry

Exclusion Criteria

* Pregnancy
* Grade 3 AKs or atypical AKs (e.g., AK \> 1 cm2 in size) within the Treatment Area
* lesions suspicious for skin cancer (skin cancer not ruled out by biopsy) or untreated skin cancers within the Treatment Area
* plans to be exposed to artificial tanning devices or excessive sunlight during the trial
* Subject is immunosuppressed
* unsuccessful outcome from previous ALA-PDT therapy
* history of cutaneous photosensitization, porphyria, hypersensitivity to porphyrins or photodermatosis
* skin pathology or condition which could interfere with the evaluation of the test product or requires the use of interfering topical or systemic therapy
* skin pathology or condition that could interfere with the evaluation of the test product or requires the use of interfering topical or systemic therapy
* any condition which would make it unsafe for the subject to participate in this research study
* currently enrolled in an investigational drug or device study
* has received an investigational drug or been treated with an investigational device within 30 days prior to the initiation of treatment
* known sensitivity to one or more of the vehicle components (ethyl alcohol, isopropyl alcohol, laureth 4, polyethylene glycol)
* Subject has;

* an active herpes simplex infection OR
* a history of 2 or more outbreaks within the past 12 months, in the Treatment Area
* use of the following topical preparations on the extremities to be treated:

* Keratolytics including urea (greater than 5%), alpha hydroxyacids \[e.g.glycolic acid, lactic acid, etc. greater than 5%\], salicylic acid (greater than 2%) within 2 days of initiation of treatment.
* Cryotherapy within 2 weeks of initiation of treatment
* Retinoids, including tazarotene, adapalene, tretinoin, retinol, within 4 weeks of initiation of treatment.
* Microdermabrasion, laser ablative treatments, ALA-PDT, chemical peels, 5-FU, diclofenac, imiquimod or other topical treatments for AK within 8 weeks of initiation of treatment.
* Two or more ALA PDT treatments in the past 6 months
* use of systemic retinoid therapy within 6 months of initiation of treatment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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DUSA Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stuart Marcus, MD, PhD

Role: STUDY_DIRECTOR

DUSA Pharmaceuticals, Inc.

Locations

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UCSD Dermatology Perlman Ambulatory Clinic

La Jolla, California, United States

Site Status

Dermatology Research Associates

Los Angeles, California, United States

Site Status

Therapeutics Clinical Research

San Diego, California, United States

Site Status

Northwest Clinical Trials, Inc.

Boise, Idaho, United States

Site Status

Altman Dermatology Associates

Arlington Heights, Illinois, United States

Site Status

The Indiana Clinical Trials Center, PC

Plainfield, Indiana, United States

Site Status

Minnesota Clinical Study Center

Fridley, Minnesota, United States

Site Status

Dermatology Research Center of Cincinnati

Cincinnati, Ohio, United States

Site Status

Oregon Medical Research Center, PC

Portland, Oregon, United States

Site Status

Tennessee Clinical Research Center

Nashville, Tennessee, United States

Site Status

DermResearch, Inc.

Austin, Texas, United States

Site Status

Suzanne Bruce and Associates, P.A.,The Center for Skin Research

Houston, Texas, United States

Site Status

Virginia Clinical Research Inc

Norfolk, Virginia, United States

Site Status

Countries

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United States

References

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Piacquadio D, Berman B, Siegel DM, Bhatia N, Brocato J, Squittieri N, Pariser DM. Treatment Satisfaction and Acceptability of 20% Aminolevulinic Acid Photodynamic Therapy for the Treatment of Actinic Keratoses of the Face, Scalp, and Upper Extremities. J Clin Aesthet Dermatol. 2023 Dec;16(12):46-51.

Reference Type DERIVED
PMID: 38125671 (View on PubMed)

Other Identifiers

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CP0105

Identifier Type: -

Identifier Source: org_study_id