- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02157623
Blue vs Red Light During Levulan Based Photodynamic Therapy in Patients With Basal Cell Nevus Syndrome
Pilot Trial Comparing Two Different Wavelengths of Light (Blue Versus Red) During Levulan™-Based Photodynamic Therapy of Basal Cell Carcinoma in Patients With Basal Cell Nevus Syndrome
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a pilot intra-patient comparative study to evaluate the ability of cyclic Photodynamic Therapy (PDT) using Red (635 nm) or Blue (400 nm) light with 5-Aminolevulinic acid, to eliminate BCC skin cancers that occur in patients with Basal Cell Nevus Syndrome (Gorlin-Goltz Syndrome).
Patients will receive 3 cycles of Red light and Blue light PDT treatments, for a total of 6 treatments, over a 4 month period. Cycles will be spaced 2 months apart. Each cycle consists of a double course of PDT treatment with treatments spaced one week apart. Every subject will be treated with two light sources, blue and red, according to randomized assignments made to left side or right side of the body. There will be a final assessment visit at month 6.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
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Ohio
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Men, women, and children of any age or ethnic group who meet eligibility
- Patients under 18 years of age must be accompanied and co-consented, by a parent or legal guardian.
- Patients must have a diagnosis of Basal Cell Nevus Syndrome (BCNS)
- For diagnosis of BCNS, the patient must have either 2 major criteria, one major and two minor criteria, or one major criterion plus molecular confirmation of a PTCH1 gene mutation
Major criteria are:
- (1) BCC prior to age 20 years, or excessive number of BCCs out of proportion to prior sun exposure and skin type
- (2) keratocyst of the jaw prior to age 20
- (3) palmar or plantar pitting
- (4) lamellar calcification of the falx cerebri
- (5) medulloblastoma
- (6) first degree relative with BCNS
Minor criteria are:
- (1) rib anomalies, or other specific skeletal malformations including kyphoscoliosis and short 4th metacarpals
- (2) macrocephaly
- (3) cleft/lip or palate;
- (4) fibroma of the heart or ovary
- (5) ocular abnormalities
- (6) other rare abnormalities
- At least two BCC tumors, preferably more, located in different body regions or located greater than 10 cm apart in locations that can be reproducibly separated into red and blue illumination fields
- Female subjects are not pregnant or nursing or planning to become pregnant during the study
- Subjects must have the ability to understand and the willingness to sign a written informed consent document
Exclusion Criteria:
- Pregnant, planning on getting pregnant or nursing
- Currently participating in another clinical trial
- Using any topical treatment for their BCC tumors, unless discontinued at least 1 month prior
- Currently being treated for other cancers with medical or radiation therapy
- Patients with a known hypersensitivity to 5-aminolevulinic acid or any component of the study material
- Patients with a history of a photosensitivity disease, including porphyria cutanea tarda
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Red Light PDT and Blue Light PDT
The tumor clearance with one side treated with Levulan and Red light PDT, and the contralateral side treated with Blue light PDT.
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Levulan application followed by Red or Blue light PDT
Other Names:
Aktilite™ (red lamp) after Levulan application on lesions
Other Names:
Blu-U® (blue lamp) after Levulan application on lesions
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Tumor Clearance Rate Following Red or Blue Light PDT
Time Frame: 6 months
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The rate of clearance of existing BCC tumors will be assessed in patients with BCNS, using clinical and photographic measurements.
The endpoint will be assessed for tumors in a Red light treatment field and a Blue light treatment field in each patient, and compared (bilateral intrapatient comparison).
|
6 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain During Illumination
Time Frame: Maximum value reported during the illumination period
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Pain reported by the patient, using a 0-10 Visual Analog Scale (VAS), where 0 is no pain and 10 is maximum pain possible.
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Maximum value reported during the illumination period
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Patient Satisfaction Survey
Time Frame: 6 months
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Overall patient satisfaction with the technique will be assessed using a simple survey: 6 = extremely satisfied; 5 = very satisfied; 4 = somewhat satisfied; 3 = somewhat dissatisfied; 2 = very dissatisfied; 1 = extremely dissatisfied. |
6 months
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Edward V. Maytin, MD, PhD, The Cleveland Clinic
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms by Histologic Type
- Neoplasms
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Disease
- Cysts
- Congenital Abnormalities
- Genetic Diseases, Inborn
- Musculoskeletal Diseases
- Stomatognathic Diseases
- Bone Diseases
- Neoplastic Syndromes, Hereditary
- Nevi and Melanomas
- Jaw Diseases
- Abnormalities, Multiple
- Bone Diseases, Developmental
- Odontogenic Cysts
- Jaw Cysts
- Bone Cysts
- Carcinoma, Basal Cell
- Neoplasms, Basal Cell
- Syndrome
- Nevus
- Basal Cell Nevus Syndrome
- Nevus, Pigmented
- Photosensitizing Agents
- Dermatologic Agents
- Aminolevulinic Acid
Other Study ID Numbers
- CASE 2614
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Basal Cell Nevus Syndrome
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Ascend Biopharmaceuticals LtdSuspendedBasal Cell Carcinoma in Basal Cell Nevus SyndromeUnited States
-
PellePharm, Inc.CompletedBasal Cell Nevus SyndromeUnited States, Spain, Germany, United Kingdom, Italy, France, Belgium, Canada, Denmark, Netherlands
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HedgePath Pharmaceuticals, Inc.CompletedBasal Cell Carcinoma in Basal Cell Nevus SyndromeUnited States
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Sol-Gel Technologies, Ltd.TerminatedBasal Cell Nevus SyndromeUnited States, France, Belgium, Denmark, Germany, Italy, Netherlands, Spain, United Kingdom
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UCSF Benioff Children's Hospital OaklandGenentech, Inc.CompletedBasal Cell Nevus Syndrome | Gorlin SyndromeUnited States
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Columbia UniversityWithdrawnBasal Cell Nevus Syndrome
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University Health Network, TorontoCompletedBasal Cell Nevus SyndromeCanada
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MelanomaPRO, RussiaPrivolzhsky Research Medical UniversityRecruitingNevus | Nevus, Pigmented | Melanoma (Skin) | Basal Cell Carcinoma | Squamous Cell Carcinoma | Bowen's Disease | Nevus, Spitz | Melanoma in Situ | Nevus Halo | Spot PigmentedRussian Federation
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QLT Inc.NovartisTerminatedNevoid Basal Cell Carcinoma Syndrome | Basal Cell Carcinoma | Gorlin Syndrome
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Massachusetts General HospitalCompletedBasal Cell Carcinoma | Squamous Cell Carcinoma | Atypical NevusUnited States
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DUSA Pharmaceuticals, Inc.Completed
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Princess Al-Johara Al-Ibrahim Cancer Research CenterCompletedTransitional Cell Carcinoma of the BladderSaudi Arabia
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DUSA Pharmaceuticals, Inc.TerminatedSkin Neoplasms | Actinic KeratosesUnited States
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Brigham and Women's HospitalWithdrawnActinic Keratosis | Non-melanoma Skin Cancer
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