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Phase II AK Study in Organ Transplant Patients

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified December 2010 by Clinuvel Pharmaceuticals Limited.
Recruitment status was:  Active, not recruiting
Information provided by:
Clinuvel Pharmaceuticals Limited Identifier:
First received: January 23, 2009
Last updated: December 3, 2010
Last verified: December 2010

The purpose of this study is to determine whether afamelanotide (CUV1647) is effective in reducing the number of actinic keratoses and squamous cell carcinomas developing in immune compromised organ transplant recipients, who are at particularly high risk, over a 24 month test period.

The number of lesions formed on the head, hands and forarms will be monitored over this 24 month test period.

Condition Intervention Phase
Actinic Keratoses Carcinoma, Squamous Cell Organ Transplant Recipients Drug: Afamelanotide (CUV1647) Drug: Placebo Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Participant, Investigator)
Primary Purpose: Prevention
Official Title: A Multicentre, Randomised, Double-Blind, Placebo Controlled, Phase II Study to Evaluate the Safety and Efficacy of Subcutaneous Bioresorbable Implants of Afamelanotide (CUV1647) for the Prophylactic Treatment of Pre-Cancerous Skin Lesions of the Head, Forearms and Hands in Immune Compromised, Organ Transplant Patients.

Resource links provided by NLM:

Further study details as provided by Clinuvel Pharmaceuticals Limited:

Primary Outcome Measures:
  • To determine the effect of afamelanotide (CUV1647) administered from slow release subcutaneous implants on the number of actinic keratoses (AKs) on the head, forearms and back of hands [ Time Frame: 24 months ]

Secondary Outcome Measures:
  • To determine and compare the proportion of patients in each group that develops one or more squamous cell carcinoma (SCC) [ Time Frame: 24 months ]
  • To examine the effect of ongoing sun exposure on lesion formation and progression in the patient group [ Time Frame: 24 months ]
  • To evaluate the safety and tolerability of multiple slow release subcutaneous implants of afamelanotide (CUV1647) [ Time Frame: 24 months ]

Estimated Enrollment: 200
Study Start Date: November 2007
Estimated Study Completion Date: August 2012
Estimated Primary Completion Date: July 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
Afamelanotide (CUV1647) implant administered subcutaneously every 60 days for 24 months
Drug: Afamelanotide (CUV1647)
16 mg subcutaneous implant administered every 60 days
Placebo Comparator: 2
Placebo implant administered subcutaneously every 60 days for 24 months
Drug: Placebo
Placebo subcutaneous implant administered every 60 days


Ages Eligible for Study:   18 Years to 75 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Organ transplant recipients with stable transplant function and who received their transplant at least 2 years prior to study entry
  • Organ transplant patients who have had at least one biopsy-positive SCC
  • Aged 18 - 75 years
  • Written informed consent to the performance of all study-specific procedures

Exclusion Criteria:

  • Allergy to afamelanotide (CUV1647) or the polymer contained in the implant
  • History of melanoma
  • Current pigmentary disorders such as melasma
  • Diagnosed with HIV/AIDS, or hepatitis B or C
  • Current history of drug or alcohol abuse (in the last 12 months)
  • Clinically significant organ dysfunction, history of medical disorders or other factors, which in the opinion of the investigator will interfere with the interpretation of study outcome measures
  • Major medical or psychiatric illness
  • Pregnancy as confirmed by positive serum beta-HCG pregnancy test prior to baseline or lactating mothers
  • Females of child bearing potential not using adequate contraceptive measures
  • Participation in a clinical trial for an investigational agent within 30 days prior to the screening visit
  • Use of regular medications or any other factors that may affect skin pigmentation

Discontinuation Criteria:

  • Initiation of treatment with systemic retinoids
  • Change of class of systemic immunosuppressant treatment
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00829192

Australia, Queensland
The Princess Alexandra Hospital
Brisbane, Queensland, Australia, 4102
Australia, South Australia
The Queen Elizabeth Hospital
Adelaide, South Australia, Australia, 5011
Australia, Victoria
The Royal Melbourne Hospital
Melbourne, Victoria, Australia
Hospital Erasme
Brussels, Belgium
Gent University Hospital
Gent, Belgium
University Hospital
Besancon, France
Charité Univeritätsklinikum
Berlin, Germany
Kiel University Hospital
Kiel, Germany
Ospedali Riuniti di Bergamo
Bergamo, Italy
University of Padua
Padua, Italy
Karolinska University Hospital
Stockholm, Sweden
Universitätsspital Zürich
Zürich, Switzerland
Sponsors and Collaborators
Clinuvel Pharmaceuticals Limited
Principal Investigator: Günther Hofbauer, M.D. Universitätsspital, Zürich
  More Information

Responsible Party: Dr Dennis Wright, Clinuvel Pharmaceuticals Identifier: NCT00829192     History of Changes
Other Study ID Numbers: CUV011
Study First Received: January 23, 2009
Last Updated: December 3, 2010

Keywords provided by Clinuvel Pharmaceuticals Limited:
Actinic keratoses (AK)
Squamous cell carcinomas (SCC)
Organ transplant

Additional relevant MeSH terms:
Keratosis, Actinic
Carcinoma, Squamous Cell
Skin Diseases
Precancerous Conditions
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms, Squamous Cell
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs processed this record on June 22, 2017