- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT00472043
PDT With Metvix 160 mg/g Cream Versus PDT With Placebo Cream in Patients With Primary Nodular Basal Call Carcinoma
A Multicentre, Phase III, Double Blind Study of Photodynamic Therapy (PDT) With Metvix® 160 mg/g Cream in Comparison to PDT With Placebo Cream in Patients With Primary Nodular Basal Cell Carcinoma.
Photodynamic therapy (PDT) is the selective destruction of abnormal cells through light activation of a photosensitiser in the presence of oxygen. These cells accumulate more photosensitiser than normal cells. The photosensitiser generates reactive oxygen species upon illumination.
For skin diseases, there has been an increasing interest in using precursors of the endogenous photosensitiser protoporphyrin IX (PpIX). The most commonly used precursors have been 5-aminolevulinic acid (ALA) and its derivatives. The present test drug, Metvix®, contains the methyl ester of ALA, which penetrates the lesions well and shows high lesion selectivity .
In vitro studies of animal and human tissues have shown significant intracellular formation of photoactive porphyrins after addition of Metvix®. The increased levels of photoactive porphyrins induced cytotoxic effects in tumour cells after photoactivation.
The primary objective is to compare PDT with Metvix® cream to PDT with placebo cream in terms of patient complete response rates based on histologically verified disappearance of the lesions at 6 months after last treatment cycle.
Secondary objectives are to compare the two treatments in terms of histological and clinical mean patient response weighted by the number of lesions within a patient, lesion response rates across patients, clinical complete patient response, cosmetic outcome and adverse events.
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
Tipo di studio
Iscrizione (Effettivo)
Fase
- Fase 3
Contatti e Sedi
Luoghi di studio
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New South Wales
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Camperdown, New South Wales, Australia, 2050
- Dept. of Dermatology, Royal Prince Alfred Hospital
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Kogarah, New South Wales, Australia, 2217
- Dermatology Dept., St. George Hospital
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Liverpool, New South Wales, Australia, 2170
- Dermatology Centre
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Queensland
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Benowa, Queensland, Australia, 4217
- Dr. Michael Freeman
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Woolloongabba, Queensland, Australia
- Dermatology Dept., Princess Alexandra Hospital
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Victoria
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Fitzroy, Victoria, Australia, 3065
- Department of Dermatology, St. Vincent's Hospital Melbourne
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Western Australia
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Fremantle, Western Australia, Australia, 6160
- Fremantle Dermatology
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria:
A patient with primary, nodular BCC lesion(s) suitable for entry is defined as a patient with
- Clinically diagnosed primary nodular BCC lesion(s)
- Histologically confirmed diagnosis of BCC
- BCC lesions suitable for simple excision surgery.
- Males or females above 18 years of age.
- Written informed consent
Exclusion Criteria:
A patient that is ineligible for inclusion is a patient fulfilling any of the following criteria:
- Patient with porphyria.
- Patient with Gorlin's syndrome.
- Patient with Xeroderma pigmentosum
- Patients concurrently receiving immunosuppressive medication
- Patients with a history of arsenic exposure.
- Known allergy to Metvix®, a similar PDT compound or excipients of the cream
- Participation in other clinical studies either concurrently or within the last 30 days.
- Pregnant or breast-feeding: All women of child-bearing potential must use adequate contraception (e.g. barrier methods, oral contraceptives or intrauterine device) during the treatment period and one month thereafter. In addition, they must have a negative pregnancy test prior to treatment.
- Conditions associated with a risk of poor protocol compliance.
Lesion Exclusion Criteria:
- A nodular BCC lesion in periorbital area, ears and nasolabial fold.
- A nodular BCC lesion with the longest diameter less than 6 mm or larger than 15 mm in face/scalp, larger than 20 mm on extremities and neck and larger than 30 mm on truncus.
- Pigmented nodular BCC lesion(s)
- Morpheaform nodular BCC lesion(s).
- Infiltrating nodular BCC lesion(s).
- Prior treatment of the BCC lesion(s).
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Doppio
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Lasso di tempo |
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The primary end-point will be the histologically confirmed complete response rate within a patient (100% of the BCC lesions must disappear completely).
Lasso di tempo: 6 months after last treatment
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6 months after last treatment
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Misure di risultato secondarie
Misura del risultato |
Lasso di tempo |
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Numero istologico e clinico di lesioni tra i pazienti che mostrano una risposta completa
Lasso di tempo: 3 e 6 mesi dopo l'ultimo trattamento
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3 e 6 mesi dopo l'ultimo trattamento
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Eventi avversi
Lasso di tempo: 2 settimane, 4 settimane e 3 mesi dopo ogni ciclo di trattamento
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2 settimane, 4 settimane e 3 mesi dopo ogni ciclo di trattamento
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Histological and clinical mean patient response rates weighted for the number of lesions within a patient
Lasso di tempo: 3 and 6 months after last treatment
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3 and 6 months after last treatment
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Clinical complete patient response
Lasso di tempo: 3 and 6 months after last treatment
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3 and 6 months after last treatment
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Evaluation of cosmetic outcome
Lasso di tempo: 3 and 6 months after last treatment
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3 and 6 months after last treatment
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Collaboratori e investigatori
Sponsor
Investigatori
- Investigatore principale: Peter Foley, MD, Department of Dermatology, St. Vincent's Hospital Melbourne
Studiare le date dei record
Studia le date principali
Inizio studio
Completamento dello studio (Effettivo)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Stima)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- PC T308/00
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
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