Randomized, Multi-Center, Evaluator-Blind, Vehicle-Controlled Study to Evaluate Efficacy and Safety of Reformulated Levulan Kerastick Plus Photodynamic Therapy (PDT) for Field-Directed Treatment in Patients With Actinic Keratosis (AK) of Upper Extremities
Sun Pharmaceutical Industries, Inc.
Summary
This Phase 3, randomized, multi-center, evaluator-blind, vehicle-controlled study evaluates the efficacy and safety of reformulated Levulan Kerastick (aminolevulinic acid HCl 20%) combined with photodynamic therapy (PDT) for field-directed treatment of actinic keratosis (AK) on the upper extremities. Approximately 260 adult patients with 4-8 mild to moderate AK lesions on one arm will be randomized to receive either active treatment or vehicle control, followed by exposure to blue light. During the study, up to 2 PDT sessions may be administered depending on the clearance of lesions. The primary endpoint is complete clearance rate (CCR) at Week 12. Secondary endpoints include AK clearance rate (AKCR), partial clearance, change in total lesion count and area, recurrence rate, cosmetic response, and patient satisfaction. Safety assessments include adverse events, local skin reactions, vital signs, and lab tests.
Eligibility
- Age range
- 18–85 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. Patient is a male or non-pregnant female aged 18-85 years. 2. Patient must have 4-8 mild to moderate actinic keratosis (AK) lesions (Olsen grade 1 or 2) in a single treatment area on their Index arm, each measuring up to 1 cm in diameter and spaced at least 1 cm apart. \[The treatment area should be approximately 25 cm², located on the extensor surface of only one of the upper extremities that is selected as the Index arm\] 3. Patients must be in good general health, avoid sunbathing or tanning devices, and maintain a consistent skincare routine throughout the study…
Interventions
- DrugReformulated Levulan Kerastick containing aminolevulinic acid hydrochloride (ALA HCl), 20%
Solution for topical use
- OtherVehicle
Solution for topical use
- DeviceBlue Light Photodynamic Therapy Illuminator device, BLU-U® model 4170E.
BLU-U® blue light PDT illuminator
Locations (20)
- Medical Dermatology SpecialistPhoenix, Arizona
- Center for Dermatology Clinical Research, IncFremont, California
- Clarity Dermatology, PLLCCastle Rock, Colorado
- Center for Clinical and Cosmetic ResearchAventura, Florida
- Ziaderm Research LLCNorth Miami Beach, Florida
- Northwest Clinical Trials, Inc.Boise, Idaho