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Efficacy and Safety of Patidegib Gel 2% for Preventing Basal Cell Carcinomas on the Face of Adults with Gorlin Syndrome

Phase 3
Recruiting
Conditions
Gorlin Syndrome
Interventions
Registration Number
NCT06050122
Lead Sponsor
Sol-Gel Technologies, Ltd.
Brief Summary

The aim of this clinical study is to find out how well Patidegib Gel 2% works in preventing new basal cell carcinomas (BCCs) developing on the face of adults with Gorlin syndrome, and how safe Patidegib Gel 2% is to use.

People who take part will apply either Patidegib Gel 2% or a Vehicle Gel (with no active drug substance) to their face twice a day for a year (12 months). The number of new BCCs on the face will be compared between those who used Patidegib Gel 2% or Vehicle Gel after 12 months.

Detailed Description

This is a global, multicenter, randomized, double-blind, stratified, vehicle-controlled study of the efficacy and safety of Patidegib Gel 2%, applied topically twice daily to the face of adult subjects with Gorlin syndrome.

Subjects will be randomized (1:1) to receive either Patidegib Gel 2% or Vehicle Gel for 12 months.

The assignment of subjects to the 2 groups will be stratified by sex assigned at birth, age (≥60 or \<60 years), and number of BCC lesions at the treatment area (face) (10-15, 16-30 or \>30) at Baseline.

All suspicious lesions will be imaged and tracked consistently throughout the study so that new BCCs that arise can be readily identified. New BCCs will be confirmed by dermoscopic analysis through the study. The BCC images will be reviewed and assessed by a Central Photo Review Board (CPRB).

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
140
Inclusion Criteria
  1. The subject must be at least 18 years old at the Screening Visit.
  2. The subject must be confirmed to have a PTCH1 mutation.
  3. The subject must have at least 10 BCCs on the face at Randomization (Baseline/Day 1).
  4. The subject must be willing to abstain from application of any non-study topical medication (prescription or over the counter) to their facial skin for the duration of the trial, except as prescribed by the investigator.

Key

Exclusion Criteria
  1. The subject has used topical treatment to the face or systemic therapies that might interfere with the evaluation of the study Investigational Product (IP).
  2. The subject is known to have hypersensitivity to any of the ingredients in the IP formulation.
  3. The subject has uncontrolled systemic disease.
  4. The subject has been treated for invasive cancer within the past 5 years excluding chronic lymphocytic leukemia Stage 0, non-melanoma skin cancer, successfully treated melanoma in situ and Stage I melanoma, Stage I cervical cancer, or ductal carcinoma in situ of the breast.
  5. Inefficacy of previous Hedgehog inhibitor therapy.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Patidegib Gel 2%Patidegib Topical GelPatidegib Gel 2% (w/w), applied topically to the face twice daily for 12 months
Vehicle GelPatidegib Topical Gel with no active patidegibVehicle Gel, applied topically to the face twice daily for 12 months
Primary Outcome Measures
NameTimeMethod
Number of new BCCs on the face at Month 12Month 12

New BCCs at Month 12 after twice-daily treatment with either Patidegib Gel 2% or Vehicle Gel for 12 months, as assessed by the CPRB

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (42)

Northwest Arkansas Clinical Trials Center

🇺🇸

Rogers, Arkansas, United States

Center for Dermatology Clinical Research

🇺🇸

Fremont, California, United States

University of California Los Angeles (UCLA) - Center for Inflammatory Bowel Diseases - Westwood Location

🇺🇸

Los Angeles, California, United States

The Dermatology Center of Newport

🇺🇸

Newport Beach, California, United States

Stanford University - Lucille Packard's Children's Hospital

🇺🇸

Redwood City, California, United States

Yale University

🇺🇸

New Haven, Connecticut, United States

Dermatology Associates of Tallahassee

🇺🇸

Tallahassee, Florida, United States

University of South Florida Health

🇺🇸

Tampa, Florida, United States

The University of Chicago Medicine

🇺🇸

Chicago, Illinois, United States

The Johns Hopkins Hospital

🇺🇸

Baltimore, Maryland, United States

Harvard Medical School - Mass Gen (MGH) - Cancer Center - Center for Pediatric Hematology-Oncology

🇺🇸

Boston, Massachusetts, United States

University of Michigan Health - Michigan Medicine - University Hospital

🇺🇸

Ann Arbor, Michigan, United States

Minnesota Clinical Study Center

🇺🇸

New Brighton, Minnesota, United States

MediSearch Clinical Trials

🇺🇸

St Joseph, Missouri, United States

Memorial Sloan Kettering Cancer Center

🇺🇸

New York, New York, United States

Duke University Health System

🇺🇸

Durham, North Carolina, United States

Apex Clinical Research Center

🇺🇸

Mayfield Heights, Ohio, United States

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

🇮🇹

Rome, Italy

Schweiger Dermatology P.C.

🇺🇸

Verona, New Jersey, United States

Cleveland Clinic - Main Campus

🇺🇸

Cleveland, Ohio, United States

The University of Texas MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

Centre Hospitalier Lyon Sud

🇫🇷

Pierre-Bénite, France

Charité Universitätsmedizin Berlin - Campus Charité Mitte

🇩🇪

Berlin, Germany

Hospital Clinic Barcelona

🇪🇸

Barcelona, Spain

SSM Health Dermatology

🇺🇸

Oklahoma City, Oklahoma, United States

Oregon Health and Science University

🇺🇸

Portland, Oregon, United States

Penn State Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

North Texas Center for Clinical Research

🇺🇸

Frisco, Texas, United States

Mercy Health System

🇺🇸

Lake Geneva, Wisconsin, United States

Hopital Avicenne

🇫🇷

Bobigny, France

Centre Hospitalier Universitaire De Nantes

🇫🇷

Nantes, France

Ludwig-Maximilians-Universitaet Muenchen (LMU) - Klinik und Poliklinik fuer Dermatologie und Allergologie

🇩🇪

Muenchen, Bayern, Germany

DRK Gemeinnützige Krankenhaus GmbH Sachsen

🇩🇪

Chemnitz, Germany

ASST Spedali Civili di Brescia

🇮🇹

Brescia, Italy

AOU Maggiore della Carita

🇮🇹

Novara, Italy

Maastricht University Medical Center

🇳🇱

Maastricht, Netherlands

Dermoklinika Centrum Medyczne

🇵🇱

Łódź, Poland

Hospital de la Santa Creu i Sant Pau

🇪🇸

Barcelona, Spain

Hospital Universitartio 12 De Octubre

🇪🇸

Madrid, Spain

The University of Birmingham

🇬🇧

Birmingham, United Kingdom

Barts Health NHS Trust - The Royal London Hospital

🇬🇧

London, United Kingdom

Northern Care Alliance NHS Foundation Trust

🇬🇧

Salford, United Kingdom

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