Metvix PDT Versus Vehicle PDT With Aktilite CL128 Lamp in Patients With Actinic Keratosis on the Face and Scalp
A Multicenter, Double Blind, Vehicle-controlled, Randomized Study of Photodynamic Therapy (PDT) With Metvix 160 mg/g Cream and Aktilite CL128 LED Light in Patients With Multiple Actinic Keratosis on the Face and/or Scalp
2 other identifiers
interventional
131
2 countries
11
Brief Summary
The purpose of this study was to compare the efficacy of Photodynamic Therapy (PDT) with methyl aminolevulinate (MAL) cream to PDT with vehicle cream, using the Light-emitting diode (LED) light source Aktilite CL128, in treatment of participants with multiple actinic keratosis (sun-damaged skin) on the face and/or scalp.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Mar 2006
Shorter than P25 for phase_3
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 13, 2006
CompletedFirst Submitted
Initial submission to the registry
March 16, 2006
CompletedFirst Posted
Study publicly available on registry
March 17, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 23, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
January 23, 2007
CompletedResults Posted
Study results publicly available
July 3, 2023
CompletedJuly 3, 2023
August 1, 2022
11 months
March 16, 2006
August 3, 2022
August 3, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Participant Complete Response Rate (CRR)
Participant complete response rate was defined as the percentage of participants with complete response. Complete response was defined as the complete disappearance of the lesion determined by clinical assessment (visual inspection and palpation) by an investigator.
At Week 13
Secondary Outcomes (2)
Lesion Complete Response Rate
At Week 13
Number of Participants With at Least One Treatment Site Adverse Events
From start of study drug administration up to Week 13
Study Arms (2)
Metvix-PDT
EXPERIMENTALParticipants received Metvix-PDT (methyl aminolevulinate hydrochloride-Photodynamic therapy) 160 milligrams per gram (mg/g) cream on face and/or scalp for 3 hours on Day 0 and Day 7.
Vehicle-PDT
PLACEBO COMPARATORParticipants received Vehicle cream (Vehicle-PDT) on face and/or scalp for 3 hours on Day 0 and Day 7.
Interventions
Metvix 160 mg/g Cream was applied for 3 hours with occlusive dressing, and illumination with non-coherent red light using the Aktilite CL128 lamp, with a total light dose 37 Joule/square centimeter (J/cm²). All eligible lesions on the participant were treated twice with an interval of 1 week between treatments.
Vehicle Cream was applied for 3 hours with occlusive dressing, and illumination with non-coherent red light using the Aktilite CL128 lamp, with a total light dose 37 J/cm². All eligible lesions on the participant were treated twice with an interval of 1 week between treatments.
Eligibility Criteria
You may qualify if:
- Clinical diagnosis of 4-10 previously untreated, not pigmented, non-hyperkeratotic AK lesions of 3 mm or more diameter of Grade 1 and/or 2 of the face and/or scalp where other therapies are unacceptable or considered medically less appropriate.
- Males or females above 18 years of age.
- Written informed consent.
You may not qualify if:
- Participants with porphyria.
- Participants immunosuppressed for idiopathic, disease specific or therapeutic reasons.
- Known allergy to MAL, a similar PDT compound or excipients of the cream.
- Participants with history of hypersensitivity to nut products or other known protein antigens.
- Participation in other clinical studies either currently or within the last 30 days.
- Participants receiving local treatment (including cryotherapy and curretage) in face / scalp area within the last 30 days.
- Participants receiving topical treatment (including imiquimod, 5-FU and diclofenac) in face / scalp area within the last 3 months.
- Pregnant or breast-feeding: All women of child-bearing potential must use adequate contraception (oral contraceptives, intrauterine device, contraceptive skin patch, etc) during the treatment period and one month thereafter. In addition, they must have a negative pregnancy test prior to treatment.
- Any conditions that may be associated with a risk of poor protocol compliance.
- Participants currently receiving regular ultraviolet radiation therapy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Galderma R&Dlead
Study Sites (11)
Ashish C. Bhatia
Naperville, Illinois, 60563, United States
Joseph Fowler
Louisville, Kentucky, 40202, United States
Robert T. Matheson
Portland, Oregon, 97223, United States
Steven A. Davis
San Antonio, Texas, 78229, United States
Hautklinik Heinrich Heine Universität
Düsseldorf, 40223, Germany
Klinikum der Johann Wolfgang Goethe-Universität Frankfurt am Main
Frankfurt, 60590, Germany
Praxis Dr. Winfried Klövekorn
Gilching, 82205, Germany
Klinik für Dermatologie und Venerologie Universitätsklinikum Schleswig-Holstein, Campus Lübeck
Lübeck, 23538, Germany
Klinikum der Universität München, Klinikum und Poliklinik für Dermatologie und Allergologie
München, 80337, Germany
Klinik und Poliklinik für Dermatologie, Klinikum der Universität Regensburg
Regensburg, 93053, Germany
Praxis Dr. Klemm
Tutzing, 82327, Germany
Related Publications (2)
Pariser DM, Lowe NJ, Stewart DM, Jarratt MT, Lucky AW, Pariser RJ, Yamauchi PS. Photodynamic therapy with topical methyl aminolevulinate for actinic keratosis: results of a prospective randomized multicenter trial. J Am Acad Dermatol. 2003 Feb;48(2):227-32. doi: 10.1067/mjd.2003.49.
PMID: 12582393BACKGROUNDFreeman M, Vinciullo C, Francis D, Spelman L, Nguyen R, Fergin P, Thai KE, Murrell D, Weightman W, Anderson C, Reid C, Watson A, Foley P. A comparison of photodynamic therapy using topical methyl aminolevulinate (Metvix) with single cycle cryotherapy in patients with actinic keratosis: a prospective, randomized study. J Dermatolog Treat. 2003 Jun;14(2):99-106. doi: 10.1080/09546630310012118.
PMID: 12775317BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Limitations of the trial such as small numbers of participants analysed or technical problems leading to unreliable data.
Results Point of Contact
- Title
- Clinical Operations
- Organization
- Galderma
Study Officials
- PRINCIPAL INVESTIGATOR
Rolf M Szeimies, Professor
Klinik und Poliklinik für Dermatologie, Klinikum der Universität Regensburg
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Masking Details
- Double blinded
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 16, 2006
First Posted
March 17, 2006
Study Start
March 13, 2006
Primary Completion
January 23, 2007
Study Completion
January 23, 2007
Last Updated
July 3, 2023
Results First Posted
July 3, 2023
Record last verified: 2022-08