Study of Reformulated Levulan Kerastick Plus PDT for Actinic Keratosis on Upper Extremities

NCT ID: NCT07144852

Last Updated: 2025-08-28

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: PHASE3
• Total Enrollment: 260 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-09-30
• Study Completion Date: 2026-09-24

Brief Summary

This Phase 3, randomized, multi-center, evaluator-blind, vehicle-controlled study evaluates the efficacy and safety of reformulated Levulan Kerastick (aminolevulinic acid HCl 20%) combined with photodynamic therapy (PDT) for field-directed treatment of actinic keratosis (AK) on the upper extremities. Approximately 260 adult patients with 4-8 mild to moderate AK lesions on one arm will be randomized to receive either active treatment or vehicle control, followed by exposure to blue light. During the study, up to 2 PDT sessions may be administered depending on the clearance of lesions. The primary endpoint is complete clearance rate (CCR) at Week 12. Secondary endpoints include AK clearance rate (AKCR), partial clearance, change in total lesion count and area, recurrence rate, cosmetic response, and patient satisfaction. Safety assessments include adverse events, local skin reactions, vital signs, and lab tests.

Conditions

Actinic Keratosis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: TRIPLE

Study Groups

Levulan

Levulan application + incubation time (with occlusion) + blue light application

Group Type: EXPERIMENTAL

Reformulated Levulan Kerastick containing aminolevulinic acid hydrochloride (ALA HCl), 20%

Intervention Type: DRUG

Solution for topical use

Blue Light Photodynamic Therapy Illuminator device, BLU-U® model 4170E.

Intervention Type: DEVICE

BLU-U® blue light PDT illuminator

Vehicle

Vehicle application + incubation time (with occlusion) + blue light application

Group Type: PLACEBO_COMPARATOR

Vehicle

Intervention Type: OTHER

Solution for topical use

Blue Light Photodynamic Therapy Illuminator device, BLU-U® model 4170E.

Intervention Type: DEVICE

BLU-U® blue light PDT illuminator

Interventions

Reformulated Levulan Kerastick containing aminolevulinic acid hydrochloride (ALA HCl), 20%

Solution for topical use

Intervention Type: DRUG

Vehicle

Solution for topical use

Intervention Type: OTHER

Blue Light Photodynamic Therapy Illuminator device, BLU-U® model 4170E.

BLU-U® blue light PDT illuminator

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

1. Patient is a male or non-pregnant female aged 18-85 years.

2. Patient must have 4-8 mild to moderate actinic keratosis (AK) lesions (Olsen grade 1 or 2) in a single treatment area on their Index arm, each measuring up to 1 cm in diameter and spaced at least 1 cm apart.

[The treatment area should be approximately 25 cm², located on the extensor surface of only one of the upper extremities that is selected as the Index arm]

3. Patients must be in good general health, avoid sunbathing or tanning devices, and maintain a consistent skincare routine throughout the study.

4. Patient is willing to stop using all topical products within the Treatment Area within 8 hours of a scheduled clinic visit with an efficacy evaluation.

5. Women of childbearing potential must use highly effective contraception; men with such partners must use barrier methods unless surgically sterile.

Exclusion Criteria

1. Presence of Olsen grade 3 AK, untreated or suspicious skin cancers, or significant skin abnormalities (e.g., psoriasis, eczema) in the treatment area.

2. Active herpes simplex infection or history of ≥2 outbreaks in the treatment area within the past year.

3. History of cutaneous photosensitization, porphyria, photodermatosis, or hypersensitivity to porphyrins.

4. Positive human immunodeficiency virus (HIV) test result, hepatitis B surface (HBS) antigen, or hepatitis C virus (HCV) test result

5. Immunosuppressed status (e.g., HIV, organ transplant) or known coagulation defects.

6. Use of specific topical therapies (e.g., retinoids, steroids, cryotherapy, PDT, chemical peels) on the treatment area within 2 days to 8 weeks prior to randomization.

7. Recent use of certain systemic therapies (e.g., corticosteroids, immune-modulators, retinoids, cytotoxic drugs) within 6 weeks to 6 months prior to randomization.

8. Recent use of hypericin or other phototoxic/photoallergic medications (e.g., tetracyclines, psoralenes, St. John's wort) within 8 weeks of randomization.

9. Clinically significant or unstable illnesses, or history of alcohol/drug abuse in the past year.

10. Pregnancy/lactation, recent or current participation in another clinical study, or any other condition deemed unsuitable by the Investigator.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 85 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Sun Pharmaceutical Industries, Inc.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Central Contacts

Head, Regulatory Affairs

Role: CONTACT

Clinical.Trial@sunpharma.com

9122 66455645

Other Identifiers

LEV-24-01

Identifier Type: -

Identifier Source: org_study_id