New Versus Approved Methyl-aminolevulinate Photodynamic Therapy (MAL-PDT) Regime in Basal Cell Carcinoma (BCC)
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Purpose
Basal cell carcinoma (BCC) is the most common malignant skin lesion in white adults. It is a slow-growing tumour which despite low metastatic potential may cause significant local tissue destruction and patient morbidity. Methyl aminolevulinate cream plus photodynamic therapy (MAL-PDT) for BCC is currently approved for a procedure using 2 treatment sessions 1 week apart. This procedure is considered quite time- and resource-consuming. Introducing a single treatment session, with a new PDT session for treatment failures after 3 months, might represent an attractive simplification.
This randomised controlled single-blinded multi-centre study primarily aims to compare BCC lesion response rate of two treatment schedules: (a) 1 single treatment of Metvix-PDT with re-treatment of non-complete responders by 3 months, and (b) the usual schedule of 2 standard Metvix(R) PDT treatments 1 week apart.
Secondary objectives are to investigate the treatment response in relation to clinical and histological tumour characteristics such as tumour thickness, subtype and immunohistochemical markers.
| Condition | Intervention |
|---|---|
|
Skin Neoplasms Carcinoma, Basal Cell |
Drug: MAL-PDT re-treatment Drug: usual MAL-PDT |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Randomized Controlled Blinded Multi-centre Study of Photodynamic Therapy With Methyl-aminolevulinate Comparing a Simplified Regime With the Approved Regime in Patients With Clinical Low-risk Superficial and Nodular Basal Cell Carcinoma. |
- lesions response rate [ Time Frame: 3 years ] [ Designated as safety issue: No ]Number of lesions in clinical complete response at follow-up
| Estimated Enrollment: | 277 |
| Study Start Date: | June 2012 |
| Estimated Study Completion Date: | June 2016 |
| Estimated Primary Completion Date: | December 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: MAL-PDT re-treatment
1 treatment of MAL-PDT with re-treatment of non-complete responders
|
Drug: MAL-PDT re-treatment
a schedule of 1 single treatment of Metvix(R)-Photodynamic therapy with re-treatment of non-complete responders by 3 months
Other Name: Methyl-aminolevulinate
|
|
Active Comparator: usual MAL-PDT
2 MAL-PDT treatments 1 week apart
|
Drug: usual MAL-PDT
schedule of 2 standard Metvix(R)- Photodynamic therapy treatment sessions 1 week apart.
Other Name: Methyl-aminolevulinate
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- male/female above 18 years of age
- written informed consent
- 1 or more primary histologically verified BCC, clinically assessed as of either superficial of nodular type
Exclusion Criteria:
- pregnancy
- breastfeeding
- Gorlin's syndrome
- porphyria
- xeroderma pigmentosum
- history of arsenic exposure
- known allergy to MAL
- concomitant treatment with immunosuppressive medication
- physical or mental conditions that most likely will prevent patients attending follow-up sessions
Contacts and Locations| Contact: Eidi Christensen, PhD | 0047 72822050 | eidi.christensen@ntnu.no |
| Contact: Cato Mørk, PhD prof |
| Norway | |
| Dept Dermatology, Haukeland University Hospital | Recruiting |
| Bergen, Norway | |
| Contact: I Bachmann | |
| Central Hospital Førde | Recruiting |
| Førde, Norway | |
| Contact: Ø Vatne | |
| Hudlegekontoret Lillehammer AS | Recruiting |
| Lillehammer, Norway | |
| Contact: L K Dotterud | |
| Akerskus Dermatological Centre | Recruiting |
| Lørenskog, Norway | |
| Contact: Cato Mørk, PhD | |
| Hudlegen på Holtet | Recruiting |
| Oslo, Norway | |
| Contact: A M Soler | |
| Dept Surgery, Oslo University Hospital | Recruiting |
| Oslo, Norway | |
| Contact: T Warloe | |
| Dept Dermatology, Oslo University Hospital | Recruiting |
| Oslo, Norway | |
| Contact: P Helsing | |
| Dept Dermato-Venereology, Stavanger University Hospital | Recruiting |
| Stavanger, Norway | |
| Contact: S Kroon | |
| Department of Cancer Research and Molecular Medicine, NTNU | Recruiting |
| Trondheim, Norway | |
| Contact: Cato Mørk, PhD | |
| Contact: Eidi Christensen, PhD | |
| Study Director: | Magne Børset, PhD prof | Norwegian University of Science and Technology |
More Information
No publications provided
| Responsible Party: | Norwegian University of Science and Technology |
| ClinicalTrials.gov Identifier: | NCT01482104 History of Changes |
| Other Study ID Numbers: | EC-004, 2011-004797-28 |
| Study First Received: | November 17, 2011 |
| Last Updated: | August 20, 2012 |
| Health Authority: | Norway: Regional Ethics Commitee |
Keywords provided by Norwegian University of Science and Technology:
|
Photochemotherapy methyl 5-aminolevulinate |
Additional relevant MeSH terms:
|
Neoplasms Carcinoma Skin Neoplasms Carcinoma, Basal Cell Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms by Site Skin Diseases Neoplasms, Basal Cell |
Aminolevulinic Acid Methyl 5-aminolevulinate Photosensitizing Agents Radiation-Sensitizing Agents Physiological Effects of Drugs Pharmacologic Actions Dermatologic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on June 18, 2013