- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00663650
Periocular Basal Cell Carcinoma (BCC): Permanent vs. Frozen Section Pathological Control
A Randomized Clinical Trial in the Surgical Treatment of Basal Cell Carcinoma of the Eyelid: Surgical Excision With Frozen Section vs. Permanent Section Control
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Basal cell carcinoma (BCC) accounts for 80-90% of skin cancers and is the most common skin cancer of the periocular region. Surgical excision is considered the gold-standard in therapy. Previous literature has shown comparable recurrence rates of BCC between surgical excision with frozen section control and surgical excision and permanent section control. To data, there are no prospective studies comparing frozen section control with permanent section control. We hypothesize that short term tumor clearance rates between frozen section and permanent section control will be similar and that long-term tumor recurrence rates will be similar between the two techniques. If we find that these two treatment options are equivalent with respect to margin control and recurrence rates, then considerable time and money savings can be accrued through using permanent section control amongst patients with periocular BCC.
The study design is a single-blind randomized controlled trial. Patients who have already agreed to surgical excision of nodular type periocular BCC will be eligible. All patients will undergo a detailed informed consent process. All patients will undergo a punch biopsy to confirm the histopathological diagnosis of BCC. The study design will be a single-blinded, randomized clinical trial. Statistically, the study will be designed as an equivalency study. Prior to randomization the BCC will be excised with 3mm clinical margins in a standard fashion. Subjects will then be randomized to one of two groups: 1. Frozen section control; 2. Permanent section control. For those patients randomized to permanent section control the clinical sample will be sent for pathologic analysis and surgical reconstruction will be performed immediately using standard oculoplastic techniques. Patients randomized to frozen section will have additional margins re-excised if necessary depending on the pathologic results. Oculoplastic reconstruction will be performed after all margins are clear. Patients will undergo examinations at the following times to assess for clinical recurrence: 1. 2 weeks and as necessary thereafter to assess surgical result and wound healing, 2. 6 months, 3. 1 year, 4. yearly up to 5 years.
Study Type
Enrollment (Anticipated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: Vladimir Kratky, MD, FRCSC
- Phone Number: 2169 613-544-3400
- Email: kratkyv@queensu.ca
Study Locations
-
-
Ontario
-
Kingston, Ontario, Canada, K7L 5G2
- Recruiting
- Hotel Dieu Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 18 years old or greater
- Diagnosed with clinically nodular BCC in the periocular region confirmed by tissue biopsy
- Agreeable and medically able to undergo surgical excision of the BCC
- Able to give informed consent and consent has been signed
- Able to return for all follow up visits
Exclusion Criteria:
- BCC greater than 2cm in diameter (based on clinical examination)
- Patient with a medical condition predisposing to multiple BCC's (ex. basal cell nevus syndrome)
- Recurrent BCC's (i.e. a BCC that has been treated previously by surgical or other modality and has recurred will not be eligible)
- Clinically aggressive morpheaform subtype of BCC
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: 1
Permanent Section Control
|
After surgical excision of the tumor, margins will be sent for permanent section pathologic control to determine if the tumor was completely excised
|
Active Comparator: 2
Frozen Section Control
|
After surgical excision of the tumor, tumor edges will be analyzed by frozen section at the time of surgery.
If tumor margins are positive with the frozen section, additional tissue will be excised and analyzed again.
This process will be repeated until all tissue edges are clear of tumor.
Finally, the area of tumor excision will be surgically reconstructed.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The proportion of BCC's that are pathologically clear of tumor cells in the permanent section group compared with the frozen section group (presumably clear for all patients).
Time Frame: 1.5 years
|
1.5 years
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Clinical recurrence at 3 years
Time Frame: 4.5 years
|
4.5 years
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Vladimir Kratky, MD, FRCSC, Department of Ophthalmology, Queen's University, Kingston, ON
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 01 (Miami VAHS)
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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