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Topical Itraconazole in Treating Patients With Basal Cell Cancer

Primary Purpose

Skin Basal Cell Carcinoma

Status
Completed
Phase
Early Phase 1
Locations
United States
Study Type
Interventional
Intervention
Itraconazole
Placebo
Sponsored by
Jean Yuh Tang
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Skin Basal Cell Carcinoma

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The subject must sign and date all informed consent statements; children will sign the assent form and their guardian will sign the consent form
  • The subject must be willing to apply the medications twice daily for 1 month
  • The subjects must have at least four BCCs in non-cosmetically sensitive sites
  • For women of child-bearing potential, a negative urine pregnancy test
  • Women of child-bearing potential are expected to use an effective method of birth control to prevent exposing a fetus to potentially dangerous agent with unknown risk
  • For male patients with female partners of childbearing potential, agreement to use adequate contraception while you are participating in the study and 1 month after applying your last dose

Exclusion Criteria:

  • Pregnancy or breast-feeding
  • History of congestive heart failure or other findings of ventricular dysfunction
  • History of current evidence of malabsorption or liver disease
  • Current immunosuppression or taking immunosuppressive drugs
  • Taking oral itraconazole
  • Taking any medication known to affect hedgehog (HH) signaling pathway
  • The subject has used topical or systemic therapies that might interfere with the evaluation of the study medication during the study; specifically these include the topical use to the study tumors of: glucocorticoids (ii) retinoids (e.g., etretinate, isotretinoin, tazarotene, tretinoin, adapalene) systemically or topically (iii) alpha-hydroxy acids (e.g., glycolic acid, lactic acid) to more than 5% of the skin during the six months prior to study entry (iv) 5-fluorouracil or imiquimod; also - treatment with systemic chemotherapy or agents known to be inhibitors of HH signaling within 60 days to starting study medication

Sites / Locations

  • Stanford Cancer Institute

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment (itraconazole and placebo)

Arm Description

Patients apply itraconazole topically BID and placebo topically BID for 12 weeks.

Outcomes

Primary Outcome Measures

Percentage change of GLi levels in treated vs untreated tumors
will be assessed as relative GLi1 mRNA expression

Secondary Outcome Measures

Change in BCC tumor size
Analyzed based on tumor size change (longest diameter, Response Evaluation Criteria in Solid Tumors [RECIST] criteria).

Full Information

First Posted
March 31, 2016
Last Updated
April 10, 2019
Sponsor
Jean Yuh Tang
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT02735356
Brief Title
Topical Itraconazole in Treating Patients With Basal Cell Cancer
Official Title
A Case Study of the Effects of Topical Itraconazole on Pharmacodynamic Modulation of Hedgehog Target Gene Expression in Basal Cell Carcinomas in Patients
Study Type
Interventional

2. Study Status

Record Verification Date
April 2019
Overall Recruitment Status
Completed
Study Start Date
May 5, 2016 (Actual)
Primary Completion Date
September 19, 2017 (Actual)
Study Completion Date
October 10, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Jean Yuh Tang
Collaborators
National Cancer Institute (NCI)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This phase 0 trial studies how well itraconazole gel works in treating patients with basal cell cancer. Itraconazole gel may help to treat basal cell tumors in patients.
Detailed Description
PRIMARY OBJECTIVES: I. To determine if 12 weeks of topical itraconazole gel reduces basal cell carcinoma (BCC) biomarkers (Gli1, the target gene of the Hedgehog pathway). SECONDARY OBJECTIVES: I. To determine if topical itraconazole gel will decrease BCC size. OUTLINE: Patients apply itraconazole topically twice daily (BID) and placebo topically BID for 12 weeks. After completion of study treatment, patients are followed up for up to 14 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Skin Basal Cell Carcinoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Early Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
9 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment (itraconazole and placebo)
Arm Type
Experimental
Arm Description
Patients apply itraconazole topically BID and placebo topically BID for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
Itraconazole
Other Intervention Name(s)
Lozanoc, Oriconazole, R 51,211, Sporanox
Intervention Description
Applied topically
Intervention Type
Other
Intervention Name(s)
Placebo
Other Intervention Name(s)
placebo therapy, PLCB, sham therapy
Intervention Description
Applied topically
Primary Outcome Measure Information:
Title
Percentage change of GLi levels in treated vs untreated tumors
Description
will be assessed as relative GLi1 mRNA expression
Time Frame
Up to 1 month
Secondary Outcome Measure Information:
Title
Change in BCC tumor size
Description
Analyzed based on tumor size change (longest diameter, Response Evaluation Criteria in Solid Tumors [RECIST] criteria).
Time Frame
At baseline, 1, 4, and 12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The subject must sign and date all informed consent statements; children will sign the assent form and their guardian will sign the consent form The subject must be willing to apply the medications twice daily for 1 month The subjects must have at least four BCCs in non-cosmetically sensitive sites For women of child-bearing potential, a negative urine pregnancy test Women of child-bearing potential are expected to use an effective method of birth control to prevent exposing a fetus to potentially dangerous agent with unknown risk For male patients with female partners of childbearing potential, agreement to use adequate contraception while you are participating in the study and 1 month after applying your last dose Exclusion Criteria: Pregnancy or breast-feeding History of congestive heart failure or other findings of ventricular dysfunction History of current evidence of malabsorption or liver disease Current immunosuppression or taking immunosuppressive drugs Taking oral itraconazole Taking any medication known to affect hedgehog (HH) signaling pathway The subject has used topical or systemic therapies that might interfere with the evaluation of the study medication during the study; specifically these include the topical use to the study tumors of: glucocorticoids (ii) retinoids (e.g., etretinate, isotretinoin, tazarotene, tretinoin, adapalene) systemically or topically (iii) alpha-hydroxy acids (e.g., glycolic acid, lactic acid) to more than 5% of the skin during the six months prior to study entry (iv) 5-fluorouracil or imiquimod; also - treatment with systemic chemotherapy or agents known to be inhibitors of HH signaling within 60 days to starting study medication
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anthony Oro
Organizational Affiliation
Stanford Cancer Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Stanford Cancer Institute
City
Palo Alto
State/Province
California
ZIP/Postal Code
94304
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes

Learn more about this trial

Topical Itraconazole in Treating Patients With Basal Cell Cancer

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