Trial Outcomes & Findings for Maximal Use Systemic Exposure (MUSE) Study of Levulan Kerastick (NCT NCT02281136)

NCT ID: NCT02281136

Last Updated: 2017-01-13

Results Overview

Maximum baseline corrected plasma concentration (Cmax) for ALA over the 24 hour sampling time period. Blood samples wiere taken before ALA application and at 15 and 30 minutes, 1, 2, 4, 8, 12, 16 and 24 hours following study medication application.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

29 participants

Primary outcome timeframe

1 day

Results posted on

2017-01-13

Participant Flow

Participant milestones

Participant milestones
Measure
Levulan Kerastick
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Overall Study
STARTED
29
Overall Study
COMPLETED
29
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Maximal Use Systemic Exposure (MUSE) Study of Levulan Kerastick

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Age, Continuous
67.7 years
STANDARD_DEVIATION 8.8 • n=5 Participants
Gender
Female
6 Participants
n=5 Participants
Gender
Male
23 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
29 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
29 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
29 participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 day

Maximum baseline corrected plasma concentration (Cmax) for ALA over the 24 hour sampling time period. Blood samples wiere taken before ALA application and at 15 and 30 minutes, 1, 2, 4, 8, 12, 16 and 24 hours following study medication application.

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Maximum Baseline Corrected Plasma Concentration (Cmax) for ALA
79.85 ng/mL
Geometric Coefficient of Variation 221.7

PRIMARY outcome

Timeframe: 1 day

Time of the maximum baseline corrected plasma concentration for ALA measured at at 15 and 30 minutes, 1, 2, 4, 8, 12, 16 and 24 hours following study medication application.If a maximum value occurred at more than one timepoint Tmax is defined as the first timepoint with this value.

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Time at Which Cmax is Attained (Tmax) for ALA
2 hours
Interval 0.25 to 4.05

PRIMARY outcome

Timeframe: 0, 15, 30 minutes, and 1, 2, 4, 8, 12, 16, 24 hours post-dose

AUCt is the area under the baseline corrected plasma concentration-time profile up to the last quantifiable/non-negative plasma concentration

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
AUCt
282.1 ng*hr/mL
Geometric Coefficient of Variation 163

PRIMARY outcome

Timeframe: 1 day

Population: T1/2,z could not be determined in 4 subjects

The terminal slope will be calculated by linear least squares regression of the log plasma concentration-time data. The terminal exponential half-life (T1/2,z) will be calculated as 0.693 divided by the absolute value of slope.

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=25 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
The Terminal Exponential Half-life (T1/2,z)
4.602 hours
Geometric Coefficient of Variation 78.83

SECONDARY outcome

Timeframe: Baseline

HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Hyperpigmentation
Grade 0
7 participants
Hyperpigmentation
Grade 1
14 participants
Hyperpigmentation
Grade 2
5 participants
Hyperpigmentation
Grade 3
3 participants
Hyperpigmentation
Grade 4
0 participants

SECONDARY outcome

Timeframe: 24 hours after PDT

Population: One subject did not have assessment performed

HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=28 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Hyperpigmentation
Grade 0
6 participants
Hyperpigmentation
Grade 1
14 participants
Hyperpigmentation
Grade 2
4 participants
Hyperpigmentation
Grade 3
4 participants
Hyperpigmentation
Grade 4
0 participants

SECONDARY outcome

Timeframe: Week 4

HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Hyperpigmentation
Grade 0
6 participants
Hyperpigmentation
Grade 1
14 participants
Hyperpigmentation
Grade 2
6 participants
Hyperpigmentation
Grade 3
3 participants
Hyperpigmentation
Grade 4
0 participants

SECONDARY outcome

Timeframe: Baseline

HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Hypopigmentation
Grade 0
10 participants
Hypopigmentation
Grade 1
16 participants
Hypopigmentation
Grade 2
3 participants
Hypopigmentation
Grade 3
0 participants
Hypopigmentation
Grade 4
0 participants

SECONDARY outcome

Timeframe: 24 hours post PDT#1

Population: One subject did not have assessment performed

HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=28 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Hypopigmentation
Grade 0
9 participants
Hypopigmentation
Grade 1
18 participants
Hypopigmentation
Grade 2
0 participants
Hypopigmentation
Grade 3
1 participants
Hypopigmentation
Grade 4
0 participants

SECONDARY outcome

Timeframe: Week 4

HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Hypopigmentation
Grade 0
8 participants
Hypopigmentation
Grade 1
21 participants
Hypopigmentation
Grade 2
0 participants
Hypopigmentation
Grade 3
0 participants
Hypopigmentation
Grade 4
0 participants

SECONDARY outcome

Timeframe: Baseline

Erythema Scale - Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Erythema
Grade 2
0 participants
Erythema
Grade 3
0 participants
Erythema
Grade 0
23 participants
Erythema
Grade 1
6 participants
Erythema
Grade 4
0 participants

SECONDARY outcome

Timeframe: 5 Minutes after PDT

Erythema Scale - Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Erythema
Grade 2
7 participants
Erythema
Grade 0
0 participants
Erythema
Grade 1
0 participants
Erythema
Grade 3
19 participants
Erythema
Grade 4
3 participants

SECONDARY outcome

Timeframe: 24 hours after PDT #1

Population: One subject did not have assessment performed

Erythema Scale - Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=28 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Erythema
Grade 2
9 participants
Erythema
Grade 0
4 participants
Erythema
Grade 1
0 participants
Erythema
Grade 3
13 participants
Erythema
Grade 4
2 participants

SECONDARY outcome

Timeframe: Week 4

Erythema Scale - Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Erythema
Grade 2
10 participants
Erythema
Grade 0
12 participants
Erythema
Grade 1
7 participants
Erythema
Grade 3
0 participants
Erythema
Grade 4
0 participants

SECONDARY outcome

Timeframe: Baseline

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Edema
Grade 0
29 participants
Edema
Grade 1
0 participants
Edema
Grade 2
0 participants
Edema
Grade 3
0 participants
Edema
Grade 4
0 participants

SECONDARY outcome

Timeframe: 5 Minutes after PDT

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Edema
Grade 0
22 participants
Edema
Grade 1
3 participants
Edema
Grade 4
0 participants
Edema
Grade 2
2 participants
Edema
Grade 3
2 participants

SECONDARY outcome

Timeframe: 24 hours after PDT #1

Population: One subject did not have assessment performed

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=28 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Edema
Grade 0
22 participants
Edema
Grade 1
4 participants
Edema
Grade 3
0 participants
Edema
Grade 4
0 participants
Edema
Grade 2
2 participants

SECONDARY outcome

Timeframe: Week 4

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Edema
Grade 2
0 participants
Edema
Grade 4
0 participants
Edema
Grade 0
29 participants
Edema
Grade 1
0 participants
Edema
Grade 3
0 participants

SECONDARY outcome

Timeframe: Baseline

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Stinging/Burning
Grade 0
29 participants
Stinging/Burning
Grade 1
0 participants
Stinging/Burning
Grade 2
0 participants
Stinging/Burning
Grade 3
0 participants

SECONDARY outcome

Timeframe: During PDT

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Stinging/Burning
Grade 0
0 participants
Stinging/Burning
Grade 1
0 participants
Stinging/Burning
Grade 2
19 participants
Stinging/Burning
Grade 3
10 participants

SECONDARY outcome

Timeframe: 5 Minutes after PDT

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Stinging/Burning
Grade 0
0 participants
Stinging/Burning
Grade 1
21 participants
Stinging/Burning
Grade 2
7 participants
Stinging/Burning
Grade 3
1 participants

SECONDARY outcome

Timeframe: 24 hours after PDT #1

Population: One subject did not have assessment performed

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=28 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Stinging/Burning
Grade 0
18 participants
Stinging/Burning
Grade 1
9 participants
Stinging/Burning
Grade 2
1 participants
Stinging/Burning
Grade 3
0 participants

SECONDARY outcome

Timeframe: Week 4

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Stinging/Burning
Grade 0
29 participants
Stinging/Burning
Grade 1
0 participants
Stinging/Burning
Grade 2
0 participants
Stinging/Burning
Grade 3
0 participants

SECONDARY outcome

Timeframe: Baseline

SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Scaling and Dryness
Grade 0
25 participants
Scaling and Dryness
Grade 1
1 participants
Scaling and Dryness
Grade 2
3 participants
Scaling and Dryness
Grade 3
0 participants
Scaling and Dryness
Grade 4
0 participants

SECONDARY outcome

Timeframe: 24 hours after PDT #1

Population: One subject did not have assessment performed

SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=28 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Scaling and Dryness
Grade 0
20 participants
Scaling and Dryness
Grade 1
7 participants
Scaling and Dryness
Grade 2
1 participants
Scaling and Dryness
Grade 3
0 participants
Scaling and Dryness
Grade 4
0 participants

SECONDARY outcome

Timeframe: Week 4

SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Scaling and Dryness
Grade 0
19 participants
Scaling and Dryness
Grade 1
9 participants
Scaling and Dryness
Grade 2
1 participants
Scaling and Dryness
Grade 3
0 participants
Scaling and Dryness
Grade 4
0 participants

SECONDARY outcome

Timeframe: Baseline

OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
OOZING/VESICULATION/CRUSTING
Grade 0
29 participants
OOZING/VESICULATION/CRUSTING
Grade 1
0 participants
OOZING/VESICULATION/CRUSTING
Grade 2
0 participants
OOZING/VESICULATION/CRUSTING
Grade 3
0 participants
OOZING/VESICULATION/CRUSTING
Grade 4
0 participants

SECONDARY outcome

Timeframe: 24 hours after PDT #1

Population: One subject did not have assessment performed

OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=28 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
OOZING/VESICULATION/CRUSTING
Grade 3
0 participants
OOZING/VESICULATION/CRUSTING
Grade 0
27 participants
OOZING/VESICULATION/CRUSTING
Grade 1
1 participants
OOZING/VESICULATION/CRUSTING
Grade 2
0 participants
OOZING/VESICULATION/CRUSTING
Grade 4
0 participants

SECONDARY outcome

Timeframe: Week 4

OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above

Outcome measures

Outcome measures
Measure
Levulan Kerastick
n=29 Participants
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
OOZING/VESICULATION/CRUSTING
Grade 0
28 participants
OOZING/VESICULATION/CRUSTING
Grade 1
1 participants
OOZING/VESICULATION/CRUSTING
Grade 2
0 participants
OOZING/VESICULATION/CRUSTING
Grade 3
0 participants
OOZING/VESICULATION/CRUSTING
Grade 4
0 participants

Adverse Events

Levulan Kerastick

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Levulan Kerastick
n=29 participants at risk
20% aminolevulinic acid applied via Kerastick to individual AK lesions on the upper extremities and covered with occlusive dressing for 3 hours prior to BLU-U treatment Aminolevulinic Acid (ALA): 20% ALA applied to upper extremities for 3 hours prior to 10 J/cm2 blue light BLU-U: 10 J/cm2 of 417 nm blue light delivered at 10 mW/cm2
Infections and infestations
Upper Respiratory Tract Infection
3.4%
1/29 • Number of events 1 • 4 weeks

Additional Information

Manager of Clinical Research

DUSA Pharmaceuticals Inc., a Sun Pharma Co.

Phone: 9147608796

Results disclosure agreements

  • Principal investigator is a sponsor employee First publication of results will be made by the Sponsor. If publication is not submitted within 12 months after the date of study final report, the PI may publish the results from the site individually, subject to compliance with the other terms of the clinical trial agreement, including a requirement that the PI provide a draft of the publication for the sponsor's review 30 days before submission for publication so that sponsor can review the publication for confidential information
  • Publication restrictions are in place

Restriction type: OTHER