Imiquimod Cream in Treating Patients With Basal Cell Skin Cancer

This study has been completed.
Sponsor:
Information provided by:
National Institutes of Health Clinical Center (CC)
ClinicalTrials.gov Identifier:
NCT00079300
First received: March 8, 2004
Last updated: April 25, 2013
Last verified: April 2013
  Purpose

RATIONALE: Biological therapies, such as imiquimod cream, work in different ways to stimulate the immune system and stop tumor cells from growing.

PURPOSE: This randomized phase I trial is studying how well imiquimod cream works in treating patients with basal cell skin cancer.


Condition Intervention Phase
Non-melanomatous Skin Cancer
Drug: imiquimod
Procedure: conventional surgery
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Masking: Double-Blind
Primary Purpose: Treatment
Official Title: Double-Blind, Vehicle-Controlled Study to Evaluate Apoptosis in Basal Cell Carcinoma Treated With Aldara™ (Imiquimod) Cream, 5% Applied Once or Twice a Day

Resource links provided by NLM:


Further study details as provided by National Institutes of Health Clinical Center (CC):

Study Start Date: January 2004
Study Completion Date: August 2005
Detailed Description:

OBJECTIVES:

Primary

  • Compare levels of apoptosis in patients with basal cell skin cancer treated with vs without imiquimod 5% cream.

Secondary

  • Compare levels of apoptosis in patients treated with this drug on two different administration schedules.

OUTLINE: This is a randomized, double-blind, placebo-controlled, parallel-group study.

Patients undergo fine needle aspiration and punch biopsies of the target lesion. Patients are then randomized to 1 of 8 treatment arms and begin therapy within 30 days after biopsy.

  • Arm I: Patients apply topical imiquimod to the target lesion once every 12 hours on days 1 and 2 for a total of 4 doses.
  • Arm II: Patients apply topical placebo to the target lesion once every 12 hours on days 1 and 2 for a total of 4 doses.
  • Arm III: Patients apply topical imiquimod to the target lesion once every 24 hours on days 1-4 for a total of 4 doses.
  • Arm IV: Patients apply topical placebo to the target lesion once every 24 hours on days 1-4 for a total of 4 doses.
  • Arm V: Patients apply topical imiquimod to the target lesion once every 12 hours on days 1-4 for a total of 8 doses.
  • Arm VI: Patients apply topical placebo to the target lesion once every 12 hours on days 1-4 for a total of 8 doses.
  • Arm VII: Patients apply topical imiquimod to the target lesion once every 24 hours on days 1-8 for a total of 8 doses.
  • Arm VIII: Patients apply topical placebo to the target lesion every 24 hours on days 1-8 for a total of 8 doses.

All patients undergo excision of the target tumor within 18-30 hours after the last topical treatment.

Patients are followed at 7-14 days.

PROJECTED ACCRUAL: A total of 48 patients (8 per treatment arm and 4 per placebo arm) will be accrued for this study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed basal cell skin cancer

    • Superficial or nodular disease
    • No aggressive disease
  • At least 1 lesion at least 7 mm in diameter that meets the following criteria:

    • Primary tumor (no recurrent or previously treated disease)
    • Located on the scalp, face (including ears), trunk, or proximal extremities
    • Qualifies for surgical excision as primary therapy

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Not specified

Cardiovascular

  • No evidence of a clinically significant or unstable medical condition that would adversely affect blood circulation

Other

  • No dermatological disease (e.g., psoriasis or eczema) at the treatment site that may be exacerbated by treatment with imiquimod or interfere with examination
  • No febrile viral infection within the past 4 weeks
  • No evidence of a clinically significant or unstable medical condition that would adversely affect immune function

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • More than 4 weeks since prior interferon, interferon inducers, or immunomodulators
  • No concurrent interferon, interferon inducers, or immunomodulators

Chemotherapy

  • More than 6 months since prior anticancer chemotherapy
  • No concurrent anticancer chemotherapy

Endocrine therapy

  • More than 4 weeks since prior oral or inhaled (more than 600 mcg/day for fluticasone or equivalent) corticosteroids
  • More than 4 weeks since prior topical steroids to the target tumor
  • Concurrent topical steroids in non-target areas are allowed provided amount used is ≤ 2 g of fluorinated steroids daily for > 1 week or 6 g of beclomethasone for > 1 week
  • No concurrent oral or inhaled corticosteroids

Radiotherapy

  • Not specified

Surgery

  • More than 4 months since prior biopsy

Other

  • More than 4 weeks since prior immunosuppressive therapies
  • More than 4 weeks since prior cytotoxic or investigational drugs
  • No concurrent immunosuppressive therapies
  • No other concurrent cytotoxic or investigational drugs
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00079300

Locations
United States, Maryland
NIH - Warren Grant Magnuson Clinical Center
Bethesda, Maryland, United States, 20892-1182
Sponsors and Collaborators
National Naval Medical Center
Investigators
Principal Investigator: Francesco M. Marincola, MD NIH - Warren Grant Magnuson Clinical Center
  More Information

Additional Information:
No publications provided

ClinicalTrials.gov Identifier: NCT00079300     History of Changes
Obsolete Identifiers: NCT00045851
Other Study ID Numbers: CDR0000355151, NCI-02-CC-0289, 3M-1454-IMIQ
Study First Received: March 8, 2004
Last Updated: April 25, 2013
Health Authority: United States: Federal Government

Keywords provided by National Institutes of Health Clinical Center (CC):
basal cell carcinoma of the skin

Additional relevant MeSH terms:
Skin Neoplasms
Carcinoma, Basal Cell
Neoplasms by Site
Neoplasms
Skin Diseases
Carcinoma
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms, Basal Cell
Imiquimod
Adjuvants, Immunologic
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions
Antineoplastic Agents
Therapeutic Uses
Interferon Inducers

ClinicalTrials.gov processed this record on April 20, 2014