New Versus Approved Methyl-aminolevulinate Photodynamic Therapy (MAL-PDT) Regime in Basal Cell Carcinoma (BCC)

NCT ID: NCT01482104

Last Updated: 2017-10-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

277 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2017-10-31

Brief Summary

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Basal cell carcinoma (BCC) is the most common malignant skin lesion in white adults. It is a slow-growing tumour which despite low metastatic potential may cause significant local tissue destruction and patient morbidity. Methyl aminolevulinate cream plus photodynamic therapy (MAL-PDT) for BCC is currently approved for a procedure using 2 treatment sessions 1 week apart. This procedure is considered quite time- and resource-consuming. Introducing a single treatment session, with a new PDT session for treatment failures after 3 months, might represent an attractive simplification.

This randomised controlled single-blinded multi-centre study primarily aims to compare BCC lesion response rate of two treatment schedules: (a) 1 single treatment of Metvix-PDT with re-treatment of non-complete responders by 3 months, and (b) the usual schedule of 2 standard Metvix(R) PDT treatments 1 week apart.

Secondary objectives are to investigate the treatment response in relation to clinical and histological tumour characteristics such as tumour thickness, subtype and immunohistochemical markers.

Detailed Description

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Conditions

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Skin Neoplasms Carcinoma, Basal Cell

Keywords

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Photochemotherapy methyl 5-aminolevulinate

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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MAL-PDT re-treatment

1 treatment of MAL-PDT with re-treatment of non-complete responders

Group Type EXPERIMENTAL

MAL-PDT re-treatment

Intervention Type DRUG

a schedule of 1 single treatment of Metvix(R)-Photodynamic therapy with re-treatment of non-complete responders by 3 months

usual MAL-PDT

2 MAL-PDT treatments 1 week apart

Group Type ACTIVE_COMPARATOR

usual MAL-PDT

Intervention Type DRUG

schedule of 2 standard Metvix(R)- Photodynamic therapy treatment sessions 1 week apart.

Interventions

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MAL-PDT re-treatment

a schedule of 1 single treatment of Metvix(R)-Photodynamic therapy with re-treatment of non-complete responders by 3 months

Intervention Type DRUG

usual MAL-PDT

schedule of 2 standard Metvix(R)- Photodynamic therapy treatment sessions 1 week apart.

Intervention Type DRUG

Other Intervention Names

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Methyl-aminolevulinate Methyl-aminolevulinate

Eligibility Criteria

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Inclusion Criteria

* male/female above 18 years of age
* written informed consent
* 1 or more primary histologically verified BCC, clinically assessed as of either superficial of nodular type

Exclusion Criteria

* pregnancy
* breastfeeding
* Gorlin's syndrome
* porphyria
* xeroderma pigmentosum
* history of arsenic exposure
* known allergy to MAL
* concomitant treatment with immunosuppressive medication
* physical or mental conditions that most likely will prevent patients attending follow-up sessions
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Akershus Dermatological Centre

UNKNOWN

Sponsor Role collaborator

Helse Stavanger HF

OTHER_GOV

Sponsor Role collaborator

Oslo University Hospital

OTHER

Sponsor Role collaborator

Førde Central Hospital

OTHER

Sponsor Role collaborator

Haukeland University Hospital

OTHER

Sponsor Role collaborator

Hudlegekontoret Lillehammer

UNKNOWN

Sponsor Role collaborator

Hudlegene på Holtet DA

UNKNOWN

Sponsor Role collaborator

Norwegian University of Science and Technology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Magne Børset, PhD prof

Role: STUDY_DIRECTOR

Norwegian University of Science and Technology

Locations

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Dept Dermatology, Haukeland University Hospital

Bergen, , Norway

Site Status

Central Hospital Førde

Førde, , Norway

Site Status

Hudlegekontoret Lillehammer AS

Lillehammer, , Norway

Site Status

Akerskus Dermatological Centre

Lørenskog, , Norway

Site Status

Dept Dermatology, Oslo University Hospital

Oslo, , Norway

Site Status

Dept Surgery, Oslo University Hospital

Oslo, , Norway

Site Status

Hudlegen på Holtet

Oslo, , Norway

Site Status

Dept Dermato-Venereology, Stavanger University Hospital

Stavanger, , Norway

Site Status

Department of Cancer Research and Molecular Medicine, NTNU

Trondheim, , Norway

Site Status

Countries

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Norway

Other Identifiers

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2011-004797-28

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

EC-004

Identifier Type: -

Identifier Source: org_study_id