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Phase 3 Study of Levulan With New Blue Light for AK on the Face or Scalp

Phase 3
Withdrawn
Conditions
Actinic Keratosis
Interventions
Drug: Vehicle
Device: IBL 20 mW
Device: IBL 10 mW
Registration Number
NCT03024060
Lead Sponsor
DUSA Pharmaceuticals, Inc.
Brief Summary

The purpose of this study is to prove the safety and efficacy of Levulan Kerastick (aminolevulinic acid HCl) for Topical Solution 20% followed by 10 J/cm2 of blue light delivered at 10 mW/cm2 or 20 mW/cm2 in the treatment of multiple actinic keratosis on the face or balding scalp (the Treatment Area), utilizing a 14-18 hour incubation period.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Four to fifteen Grade 1/2 actinic keratosis lesions (AKs) on the face OR balding scalp
Exclusion Criteria
  • Pregnancy

  • grade 3 and/or atypical >1cm AKs within Treatment Area and/or more than 15 AKs of any Grade within the Treatment Area

  • 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

  • unsuccessful outcome from previous ALA-PDT therapy

  • 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 active herpes simplex infection in the Treatment Area OR a history of 2 or more outbreaks within past 12 months, in the Treatment Area

  • 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 of initiation of treatment.
    • Curettage or Cryotherapy within 2 weeks of initiation of treatment
    • Retinoids, including tazarotene, adapalene, tretinoin, within 4 weeks of initiation of treatment.
    • Microdermabrasion, laser ablative treatments, ALA-PDT, chemical peels, 5-FU, diclofenac, ingenol mebutate, imiquimod or other topical treatments for AK within 8 weeks of initiation of treatment.
  • use of systemic retinoid therapy within 6 months of initiation of treatment.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
VehicleVehicleVehicle (VEH) group will be randomized (1:1) to be balanced for the two active groups; receiving light treatment delivered at 20 mW/cm2 OR 10 mW/cm2. Subjects receiving VEH will be considered a single treatment group
ALA 20 mWIBL 20 mWALA + IBL 10J at 20 mW (8min 20 sec)
ALA 10 mWIBL 10 mWALA + IBL 10J at 10 mW (16 min 40 sec)
VehicleIBL 20 mWVehicle (VEH) group will be randomized (1:1) to be balanced for the two active groups; receiving light treatment delivered at 20 mW/cm2 OR 10 mW/cm2. Subjects receiving VEH will be considered a single treatment group
VehicleIBL 10 mWVehicle (VEH) group will be randomized (1:1) to be balanced for the two active groups; receiving light treatment delivered at 20 mW/cm2 OR 10 mW/cm2. Subjects receiving VEH will be considered a single treatment group
ALA 20 mWALAALA + IBL 10J at 20 mW (8min 20 sec)
ALA 10 mWALAALA + IBL 10J at 10 mW (16 min 40 sec)
Primary Outcome Measures
NameTimeMethod
Complete Clearance RateWeek 12

proportion of subjects in each treatment group with 100% clearance of Baseline target lesions

Secondary Outcome Measures
NameTimeMethod
Baseline AK Clearance RateBaseline and Week 4

{1 - \[(number of Baseline target AK lesions at follow-up)/(number of Baseline target AK lesions at Baseline)\]} x 100

1. = Excellent (very satisfied)

2. = Good (moderately satisfied)

3. = Fair (slightly satisfied)

4. = Poor (not satisfied at all)

Complete Clearance RateWeek 4

proportion of subjects in each treatment group with 100% clearance of Baseline target lesions

Trial Locations

Locations (7)

Shideler Clinical Research Center

🇺🇸

Carmel, Indiana, United States

Altman Dermatology Associates

🇺🇸

Arlington Heights, Illinois, United States

Therapeutics Clinical Research

🇺🇸

San Diego, California, United States

Minnesota Clinical Study Center

🇺🇸

Fridley, Minnesota, United States

Virginia Clinical Research, Inc.

🇺🇸

Norfolk, Virginia, United States

The Indiana Clinical Trials Center, PC

🇺🇸

Plainfield, Indiana, United States

DermResearch, Inc.

🇺🇸

Austin, Texas, United States

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