Microneedle Lesion Preparation Prior to Aminolevulinic Acid Photodynamic Therapy (ALA-PDT) for AK on Face

NCT ID: NCT02632110

Last Updated: 2018-01-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

137 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-31

Study Completion Date

2016-09-12

Brief Summary

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The purpose of this study is to determine the viability of microneedle lesion preparation (MN) to enhance treatment benefit when performed prior to ALA PDT to an actinic keratosis (AK) field on the face.

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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ALA 25 min 10 Milliwatts (mW)

ALA-PDT, 25 min incubation period, 10 mW/cm2 power density for 16 min 40 second light treatment.

Group Type EXPERIMENTAL

ALA

Intervention Type DRUG

20% ALA applied to face prior to light treatment

IBL 10 mW

Intervention Type DEVICE

10 J/cm2 blue light delivered at 10 mW/cm2 for 16 minutes 40 seconds

MN + ALA 25 min 10 mW

Microneedle lesion preparation prior to ALA-PDT, 25 min incubation period, 10 mW/cm2 power density for 16 min 40 second light treatment.

Group Type EXPERIMENTAL

ALA

Intervention Type DRUG

20% ALA applied to face prior to light treatment

IBL 10 mW

Intervention Type DEVICE

10 J/cm2 blue light delivered at 10 mW/cm2 for 16 minutes 40 seconds

Microneedle lesion preparation

Intervention Type PROCEDURE

Microneedling of all visible/palpable AK lesions prior to solution application.

ALA 25 min 20 mW

ALA-PDT, 25 min incubation period, 20 mW/cm2 power density for 8 min 20 second light treatment.

Group Type EXPERIMENTAL

ALA

Intervention Type DRUG

20% ALA applied to face prior to light treatment

IBL 20 mW

Intervention Type DEVICE

10 J/cm2 blue light delivered at 20 mW/cm2 for 8 minutes 20 seconds

MN + ALA 25 min 20 mW

Microneedle lesion preparation prior to ALA-PDT, 25 min incubation period, 20 mW/cm2 power density for 8 min 20 second light treatment.

Group Type EXPERIMENTAL

ALA

Intervention Type DRUG

20% ALA applied to face prior to light treatment

Microneedle lesion preparation

Intervention Type PROCEDURE

Microneedling of all visible/palpable AK lesions prior to solution application.

IBL 20 mW

Intervention Type DEVICE

10 J/cm2 blue light delivered at 20 mW/cm2 for 8 minutes 20 seconds

ALA 60 min 10 mW

ALA-PDT, 60 min incubation period, 10 mW/cm2 power density for 16 min 40 second light treatment.

Group Type EXPERIMENTAL

ALA

Intervention Type DRUG

20% ALA applied to face prior to light treatment

IBL 10 mW

Intervention Type DEVICE

10 J/cm2 blue light delivered at 10 mW/cm2 for 16 minutes 40 seconds

MN + ALA 60 min 10 mW

Microneedle lesion preparation prior to ALA-PDT, 60 min incubation period, 10 mW/cm2 power density for 16 min 40 second light treatment.

Group Type EXPERIMENTAL

ALA

Intervention Type DRUG

20% ALA applied to face prior to light treatment

IBL 10 mW

Intervention Type DEVICE

10 J/cm2 blue light delivered at 10 mW/cm2 for 16 minutes 40 seconds

Microneedle lesion preparation

Intervention Type PROCEDURE

Microneedling of all visible/palpable AK lesions prior to solution application.

ALA 60 min 20 mW

ALA-PDT, 60 min incubation period, 20 mW/cm2 power density for 8 min 20 second light treatment.

Group Type EXPERIMENTAL

ALA

Intervention Type DRUG

20% ALA applied to face prior to light treatment

IBL 20 mW

Intervention Type DEVICE

10 J/cm2 blue light delivered at 20 mW/cm2 for 8 minutes 20 seconds

MN + ALA 60 min 20 mW

Microneedle lesion preparation prior to ALA-PDT, 60 min incubation period, 20 mW/cm2 power density for 8 min 20 second light treatment.

Group Type EXPERIMENTAL

ALA

Intervention Type DRUG

20% ALA applied to face prior to light treatment

Microneedle lesion preparation

Intervention Type PROCEDURE

Microneedling of all visible/palpable AK lesions prior to solution application.

IBL 20 mW

Intervention Type DEVICE

10 J/cm2 blue light delivered at 20 mW/cm2 for 8 minutes 20 seconds

VEH

Vehicle (VEH) PDT, 60 minute incubation period, 10 mW/cm2 power density for 16 min 40 second light treatment.

Group Type PLACEBO_COMPARATOR

Topical Solution Vehicle

Intervention Type DRUG

Levulan Kerastick containing vehicle ingredients only. Vehicle solution applied to face prior to light treatment

IBL 10 mW

Intervention Type DEVICE

10 J/cm2 blue light delivered at 10 mW/cm2 for 16 minutes 40 seconds

MN + VEH

Microneedle lesion preparation prior to Vehicle PDT, 60 minute incubation period, 10 mW/cm2 power density for 16 min 40 second light treatment.

Group Type PLACEBO_COMPARATOR

Topical Solution Vehicle

Intervention Type DRUG

Levulan Kerastick containing vehicle ingredients only. Vehicle solution applied to face prior to light treatment

IBL 10 mW

Intervention Type DEVICE

10 J/cm2 blue light delivered at 10 mW/cm2 for 16 minutes 40 seconds

Microneedle lesion preparation

Intervention Type PROCEDURE

Microneedling of all visible/palpable AK lesions prior to solution application.

Interventions

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ALA

20% ALA applied to face prior to light treatment

Intervention Type DRUG

Topical Solution Vehicle

Levulan Kerastick containing vehicle ingredients only. Vehicle solution applied to face prior to light treatment

Intervention Type DRUG

IBL 10 mW

10 J/cm2 blue light delivered at 10 mW/cm2 for 16 minutes 40 seconds

Intervention Type DEVICE

Microneedle lesion preparation

Microneedling of all visible/palpable AK lesions prior to solution application.

Intervention Type PROCEDURE

IBL 20 mW

10 J/cm2 blue light delivered at 20 mW/cm2 for 8 minutes 20 seconds

Intervention Type DEVICE

Other Intervention Names

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Levulan Kerastick Aminolevulinic acid Investigational Blue Light (IBL) Investigational Blue Light

Eligibility Criteria

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Inclusion Criteria

* Four to eight AKs on the face

Exclusion Criteria

* Pregnancy
* history of cutaneous photosensitization, porphyria, hypersensitivity to porphyrins or photodermatosis
* lesions suspicious for skin cancer (skin cancer not ruled out by biopsy) or untreated skin cancers within the Treatment Area
* skin pathology or condition which could interfere with the evaluation of the test product or requires the use of interfering topical or systemic therapy
* Subject is immunosuppressed
* 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)
* has an active herpes simplex infection OR a history of 2 or more outbreaks within the past 12 months, on the face
* use of the following topical preparations on the extremity 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
* Curettage or Cryotherapy within 2 weeks of initiation of treatment
* Retinoids, including tazarotene, adapalene, tretinoin, within 4 weeks
* Microdermabrasion, laser ablative treatments, ALA-PDT, chemical peels, 5 fluorouracil, diclofenac, ingenol mebutate, imiquimod or other topical treatments for AK within 8 weeks
* use of systemic retinoid therapy within 6 months
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

San Diego, California, United States

Site Status

Therapeutics Clinical Research

San Diego, California, United States

Site Status

MOORE Clinical Research, Inc

Brandon, Florida, United States

Site Status

Altman Dermatology Associates

Arlington Heights, Illinois, United States

Site Status

Shideler Clinical Research Center

Carmel, Indiana, 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

Virginia Clinical Research, Inc.

Norfolk, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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CP0112

Identifier Type: -

Identifier Source: org_study_id

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