Outcomes Associated With Tirbanibulin for Large Field Application on the Face in the U.S (CLEAR) (CLEAR)

June 16, 2026 updated by: Avant Health LLC

Patient and Clinician Reported Outcomes Among Patients With Actinic Keratosis Receiving Tirbanibulin for Large fiEld Application on the Face, in U.S Clinical pRactice Settings: A Pilot Initiative (CLEAR)

The goal of this observational study is to learn about the effectiveness of tirbanibulin among adult subjects with actinic keratosis (AK) lesions in the face. The main question it aim to answer is:

How does tirbanibulin improve subject's overall appearance of the skin, improve how patient's skin looks, and improve patient's skin texture, in a 57-day observation period.

Participants already taking tirbanibulin as part of their regular medical care for AK will answer online survey questions at the beginning of the study and at Day 57.

Study Overview

Status

Recruiting

Intervention / Treatment

Study Type

Observational

Enrollment (Estimated)

30

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

    • California
      • Manhattan Beach, California, United States, 90266
        • Recruiting
        • Ablon Skin Institute and Research Center
        • Contact:
        • Principal Investigator:
          • Glynis Ablon, MD
    • South Carolina
      • Charleston, South Carolina, United States, 29414
        • Recruiting
        • Dermatology & Laser Center of Charleston
        • Principal Investigator:
          • Todd Schlesinger, MD
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

Study-eligible AK patients receiving usual care treatment in routine clinical practices in the U.S.

Description

Inclusion Criteria:

  • Diagnosed with AK on the face.
  • Has clinically typical, visible, and discrete 4-12 AK lesions on the face.
  • Considered as a potential candidate for tirbanibulin (Klisyri®) treatment to manage their AK lesions on the face.
  • Male or female, aged 18 years and above at the time of initiation of treatment with tirbanibulin.
  • Willing to avoid excessive sun or UV exposure, and/or use relevant sunscreen protection and protective clothing during the study duration.
  • Able to read and write in English.
  • Provide consent to participate in the study.
  • Willing to comply with all study procedures (including photography tasks) and be available for the duration of the study.

Exclusion Criteria:

  • Patients with any dermatological condition of the face that could interfere with clinical evaluations.
  • Hypertrophic AK lesions, open wounds, or suspected skin cancers within proximity of the treatment area.
  • Anticipated need for in-patient hospitalization or in-patient surgery within the next 2 months.
  • Patients unable to comply with the requirements of the study or patients who, in the opinion of the study physician should not participate in the study.
  • Patients for whom medical chart is inaccessible to physicians to complete baseline data collection.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Tirbanibulin
Participants will receive tirbanibulin ointment 3.5 mg in 350 mg (as 1 single-dose packet per application, for 5 consecutive days). The participants will be observed for 57 days to gather participant reported outcomes (PROs) and clinical profile.
Participants receiving tirbanibulin ointment 1% (3.5 mg tirbanibulin in 350 mg) as 1 single-dose packet per application, for 5 consecutive days
Other Names:
  • Klisyri®

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Subject and clinician rating of current 'overall appearance of the skin' in the original AK treated area
Time Frame: At end of study observation period, at day 57
The overall appearance of the skin in the original AK treated area (in comparison to baseline) is rated on a 5-point Likert scale of much worse, somewhat worse, no change, somewhat improved, much improved.
At end of study observation period, at day 57
Subject and clinician rating of their satisfaction with the ability of tirbanibulin treatment to 'improve how skin looks' and 'improve skin texture' respectively, in the original AK treated area
Time Frame: At the end of study observation period, at day 57
Satisfaction is rated on a 7-point Likert scale of extremely satisfied, very satisfied, dissatisfied, somewhat satisfied, satisfied, very satisfied, extremely satisfied.
At the end of study observation period, at day 57

Secondary Outcome Measures

Outcome Measure
Time Frame
Proportion of Subjects with IGA success, defined as an IGA score of completely cleared (0) or partially cleared (1) in AK status in the treated area
Time Frame: At the end of study observation period, at day 57
At the end of study observation period, at day 57

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Chair: Siva Narayanan, PhD, MPhil, MHS, MSc, Avant Health LLC
  • Principal Investigator: Todd Schlesinger, MD, Avant Health LLC

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 2, 2026

Primary Completion (Estimated)

October 1, 2026

Study Completion (Estimated)

October 1, 2026

Study Registration Dates

First Submitted

June 9, 2026

First Submitted That Met QC Criteria

June 16, 2026

First Posted (Actual)

June 18, 2026

Study Record Updates

Last Update Posted (Actual)

June 18, 2026

Last Update Submitted That Met QC Criteria

June 16, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

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.

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