Trial Outcomes & Findings for Validation of SHADE a Mobile Technology for Monitoring of Ultraviolet Exposure (NCT NCT03315286)

NCT ID: NCT03315286

Last Updated: 2019-12-18

Results Overview

Clinical counting of new actinic keratosis at 3 month intervals for a total duration of 6 months. Patient's actinic keratosis were counted at baseline (0 months), 3 months and 6 months. The average number of actinic keratosis at 6 months is only reported.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

111 participants

Primary outcome timeframe

6 months

Results posted on

2019-12-18

Participant Flow

We recruited 14 patients with kidney transplantation \& actinic keratosis from 10/2018 to 4/2018. We recruited another 97 patients with only a history of actinic keratosis without a history of kidney transplantation between 4/2018 and 7/2018. Patient were all recruited at one academic institution. We are presenting the data of the 97 patients.

Participant milestones

Participant milestones
Measure
Device: SHADE Ultraviolet Sensor
Patients will receive an Ultraviolet (UV) sensor that will quantify their UV exposure through a linked smartphone application. Patients will also receive clinical counseling by their dermatologist regarding sun protection and avoidance SHADE Ultraviolet Sensor: Patients will wear device for 6 months in addition to their own method of photo-protection. Standard of care counseling: Patients will use their own method of photo-protection
Standard of Care Counseling
Patients will receive clinical counseling by their dermatologist regarding sun protection and avoidance Standard of care counseling: Patients will use their own method of photo-protection
Overall Study
STARTED
50
47
Overall Study
COMPLETED
49
43
Overall Study
NOT COMPLETED
1
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Device: SHADE Ultraviolet Sensor
Patients will receive an Ultraviolet (UV) sensor that will quantify their UV exposure through a linked smartphone application. Patients will also receive clinical counseling by their dermatologist regarding sun protection and avoidance SHADE Ultraviolet Sensor: Patients will wear device for 6 months in addition to their own method of photo-protection. Standard of care counseling: Patients will use their own method of photo-protection
Standard of Care Counseling
Patients will receive clinical counseling by their dermatologist regarding sun protection and avoidance Standard of care counseling: Patients will use their own method of photo-protection
Overall Study
Lost to Follow-up
0
3
Overall Study
Withdrawal by Subject
1
0
Overall Study
Protocol Violation
0
1

Baseline Characteristics

We measured only the non transplant patients (97). 14 were excluded from baseline analysis.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Device: SHADE Ultraviolet Sensor
n=50 Participants
Patients will receive an Ultraviolet (UV) sensor that will quantify their UV exposure through a linked smartphone application. Patients will also receive clinical counseling by their dermatologist regarding sun protection and avoidance SHADE Ultraviolet Sensor: Patients will wear device for 6 months in addition to their own method of photo-protection. Standard of care counseling: Patients will use their own method of photo-protection
Standard of Care Counseling
n=47 Participants
Patients will receive clinical counseling by their dermatologist regarding sun protection and avoidance Standard of care counseling: Patients will use their own method of photo-protection
Total
n=97 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
25 Participants
n=5 Participants
12 Participants
n=7 Participants
37 Participants
n=5 Participants
Age, Categorical
>=65 years
25 Participants
n=5 Participants
35 Participants
n=7 Participants
60 Participants
n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
20 Participants
n=7 Participants
34 Participants
n=5 Participants
Sex: Female, Male
Male
36 Participants
n=5 Participants
27 Participants
n=7 Participants
63 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
45 Participants
n=5 Participants
47 Participants
n=7 Participants
92 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
49 Participants
n=5 Participants
47 Participants
n=7 Participants
96 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
50 participants
n=5 Participants
47 participants
n=7 Participants
97 participants
n=5 Participants
Baseline measurement of Actinic keratosis
6.42 lesions
n=5 Participants • We measured only the non transplant patients (97). 14 were excluded from baseline analysis.
6.212 lesions
n=7 Participants • We measured only the non transplant patients (97). 14 were excluded from baseline analysis.
6.319 lesions
n=5 Participants • We measured only the non transplant patients (97). 14 were excluded from baseline analysis.

PRIMARY outcome

Timeframe: 6 months

Population: We are posting the results of patients without a transplant (97). Out of the 97 subjects, in the device group, 49 subjects completed the study. 1 subject was removed for protocol violation. In the control group, 43 subjects completed the study, 3 subjects were lost to follow up and 1 subject was removed for protocol violation.

Clinical counting of new actinic keratosis at 3 month intervals for a total duration of 6 months. Patient's actinic keratosis were counted at baseline (0 months), 3 months and 6 months. The average number of actinic keratosis at 6 months is only reported.

Outcome measures

Outcome measures
Measure
Device: SHADE Ultraviolet Sensor
n=49 Participants
Patients will receive an Ultraviolet (UV) sensor that will quantify their UV exposure through a linked smartphone application. Patients will also receive clinical counseling by their dermatologist regarding sun protection and avoidance SHADE Ultraviolet Sensor: Patients will wear device for 6 months in addition to their own method of photo-protection. Standard of care counseling: Patients will use their own method of photo-protection
Standard of Care Counseling
n=43 Participants
Patients will receive clinical counseling by their dermatologist regarding sun protection and avoidance Standard of care counseling: Patients will use their own method of photo-protection
Quantification of Actinic Keratosis Using the UV Sensor vs. Control Group
4.53 lesions
Interval 0.0 to 14.0
4.74 lesions
Interval 0.0 to 22.0

SECONDARY outcome

Timeframe: 6 months

Population: We are posting the results of patients without a transplant (97). Out of the 97 subjects, in the device group, 49 subjects completed the study. 1 subject was removed for protocol violation. In the control group, 43 subjects completed the study, 3 subjects were lost to follow up and 1 subject was removed for protocol violation.

Clinical counting of new non melanoma skin cancers at 3 month intervals for a total duration of 6 months. Patient's non melanoma skin cancers were counted at baseline (0 months), 3 months and 6 months. The average number of non melanoma skin cancers at 6 months is only reported.

Outcome measures

Outcome measures
Measure
Device: SHADE Ultraviolet Sensor
n=49 Participants
Patients will receive an Ultraviolet (UV) sensor that will quantify their UV exposure through a linked smartphone application. Patients will also receive clinical counseling by their dermatologist regarding sun protection and avoidance SHADE Ultraviolet Sensor: Patients will wear device for 6 months in addition to their own method of photo-protection. Standard of care counseling: Patients will use their own method of photo-protection
Standard of Care Counseling
n=43 Participants
Patients will receive clinical counseling by their dermatologist regarding sun protection and avoidance Standard of care counseling: Patients will use their own method of photo-protection
Quantification of Non Melanoma Skin Cancers After Using the UV Sensor vs. Control Group
0.04 lesions
Interval 0.0 to 1.0
0.232 lesions
Interval 0.0 to 2.0

SECONDARY outcome

Timeframe: Baseline, 3 months and 6 months. data at baseline and 6 months will be reported

PROMIS (Patient-Reported Outcomes Measurement Information System) surveys will be given to patients at at baseline (0 months), 3 months and 6 month . Specifically we will include questions about anxiety, depression, and ability to participate in social roles and activities. The surveys will be scored on a scale of 1 to 5. 1 indicates never, 5 indicates always. An example of a question would be "I felt fearful" and the patient would score this question on a scale of 1-5 as indicated above. The results are scored using item-level calibrations via HealthMeasures.net Scoring Service. The total raw score (aggregate of the scores) is rescaled into a standardized T-score with a mean of 50 and a standard deviation (SD) of 10.

Outcome measures

Outcome measures
Measure
Device: SHADE Ultraviolet Sensor
n=49 Participants
Patients will receive an Ultraviolet (UV) sensor that will quantify their UV exposure through a linked smartphone application. Patients will also receive clinical counseling by their dermatologist regarding sun protection and avoidance SHADE Ultraviolet Sensor: Patients will wear device for 6 months in addition to their own method of photo-protection. Standard of care counseling: Patients will use their own method of photo-protection
Standard of Care Counseling
n=43 Participants
Patients will receive clinical counseling by their dermatologist regarding sun protection and avoidance Standard of care counseling: Patients will use their own method of photo-protection
Impact of UV Sensor (SHADE) on Patient's Quality of Life as Measured by PROMIS - Depression
baseline
44.2 units on a scale
Interval 38.0 to 62.0
43.6 units on a scale
Interval 38.0 to 55.0
Impact of UV Sensor (SHADE) on Patient's Quality of Life as Measured by PROMIS - Depression
6 months
45.3 units on a scale
Interval 38.0 to 62.0
43.7 units on a scale
Interval 38.0 to 59.0

SECONDARY outcome

Timeframe: Baseline, 3 months and 6 months. data at baseline and 6 months will be reported

PROMIS (Patient-Reported Outcomes Measurement Information System) surveys will be given to patients at at baseline (0 months), 3 months and 6 month . Specifically we will include questions about anxiety, depression, and ability to participate in social roles and activities. The surveys will be scored on a scale of 1 to 5. 1 indicates never, 5 indicates always. An example of a question would be "I felt fearful" and the patient would score this question on a scale of 1-5 as indicated above. The results are scored using item-level calibrations via HealthMeasures.net Scoring Service. The total raw score (aggregate of the scores) is rescaled into a standardized T-score with a mean of 50 and a standard deviation (SD) of 10.

Outcome measures

Outcome measures
Measure
Device: SHADE Ultraviolet Sensor
n=49 Participants
Patients will receive an Ultraviolet (UV) sensor that will quantify their UV exposure through a linked smartphone application. Patients will also receive clinical counseling by their dermatologist regarding sun protection and avoidance SHADE Ultraviolet Sensor: Patients will wear device for 6 months in addition to their own method of photo-protection. Standard of care counseling: Patients will use their own method of photo-protection
Standard of Care Counseling
n=43 Participants
Patients will receive clinical counseling by their dermatologist regarding sun protection and avoidance Standard of care counseling: Patients will use their own method of photo-protection
Impact of UV Sensor (SHADE) on Patient's Quality of Life as Measured by PROMIS - Anxiety
baseline
46.2 units on a scale
Interval 37.0 to 63.0
44.1 units on a scale
Interval 37.0 to 65.0
Impact of UV Sensor (SHADE) on Patient's Quality of Life as Measured by PROMIS - Anxiety
6 months
46.3 units on a scale
Interval 37.0 to 66.0
44.7 units on a scale
Interval 37.0 to 63.0

SECONDARY outcome

Timeframe: Baseline, 3 months and 6 months. data at baseline and 6 months will be reported

PROMIS (Patient-Reported Outcomes Measurement Information System) surveys will be given to patients at at baseline (0 months), 3 months and 6 month . Specifically we will include questions about anxiety, depression, and ability to participate in social roles and activities. The surveys will be scored on a scale of 1 to 5. 1 indicates never, 5 indicates always. An example of a question would be "I felt fearful" and the patient would score this question on a scale of 1-5 as indicated above. The results are scored using item-level calibrations via HealthMeasures.net Scoring Service. The total raw score (aggregate of the scores) is rescaled into a standardized T-score with a mean of 50 and a standard deviation (SD) of 10.

Outcome measures

Outcome measures
Measure
Device: SHADE Ultraviolet Sensor
n=49 Participants
Patients will receive an Ultraviolet (UV) sensor that will quantify their UV exposure through a linked smartphone application. Patients will also receive clinical counseling by their dermatologist regarding sun protection and avoidance SHADE Ultraviolet Sensor: Patients will wear device for 6 months in addition to their own method of photo-protection. Standard of care counseling: Patients will use their own method of photo-protection
Standard of Care Counseling
n=43 Participants
Patients will receive clinical counseling by their dermatologist regarding sun protection and avoidance Standard of care counseling: Patients will use their own method of photo-protection
Impact of UV Sensor (SHADE) on Patient's Quality of Life as Measured by PROMIS - Ability to Participate in Social Roles and Activities
baseline
57 units on a scale
Interval 34.0 to 65.0
60 units on a scale
Interval 44.0 to 65.0
Impact of UV Sensor (SHADE) on Patient's Quality of Life as Measured by PROMIS - Ability to Participate in Social Roles and Activities
6 months
55.8 units on a scale
Interval 36.0 to 65.0
62.1 units on a scale
Interval 47.0 to 65.0

SECONDARY outcome

Timeframe: 6 months

Population: We are posting the results of patients without a transplant (97). Out of the 97 subjects, in the device group, 49 subjects completed the study. 1 subject was removed for protocol violation. In the control group, 43 subjects completed the study, 3 subjects were lost to follow up and 1 subject was removed for protocol violation.

Clinical counting of new non melanoma skin cancers at 3 month intervals for a total duration of 6 months. Patient's melanoma skin cancers were counted at baseline (0 months), 3 months and 6 months. The number of melanoma skin cancers at each time point is reported.

Outcome measures

Outcome measures
Measure
Device: SHADE Ultraviolet Sensor
n=49 Participants
Patients will receive an Ultraviolet (UV) sensor that will quantify their UV exposure through a linked smartphone application. Patients will also receive clinical counseling by their dermatologist regarding sun protection and avoidance SHADE Ultraviolet Sensor: Patients will wear device for 6 months in addition to their own method of photo-protection. Standard of care counseling: Patients will use their own method of photo-protection
Standard of Care Counseling
n=43 Participants
Patients will receive clinical counseling by their dermatologist regarding sun protection and avoidance Standard of care counseling: Patients will use their own method of photo-protection
Quantification of Melanoma Skin Cancers After Using the UV Sensor vs. Control Group
baseline
0 lesions
1 lesions
Quantification of Melanoma Skin Cancers After Using the UV Sensor vs. Control Group
3 months
0 lesions
1 lesions
Quantification of Melanoma Skin Cancers After Using the UV Sensor vs. Control Group
6 months
0 lesions
1 lesions

Adverse Events

Device: SHADE Ultraviolet Sensor

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

Standard of Care Counseling

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. George Varghese, Principal Investigator

Weill Cornell Medicine

Phone: 646-962-3376

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place