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PRO With Luxerm® in the Field Treatment of Thin and Non-hyperkeratotic Non-pigmented AK (SESAME 2)

Primary Purpose

Actinic Keratoses

Status
Completed
Phase
Phase 4
Locations
Germany
Study Type
Interventional
Intervention
Methyl Aminolaevulinate 16% Cream
Sponsored by
Galderma R&D
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Actinic Keratoses focused on measuring field-treatment

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or female age > 18 years old.
  2. Subject with at least 5 clinically confirmed thin or non-hyperkeratotic and non-pigmented actinic keratoses in an anatomical area on the face (e.g., forehead or cheek or chin) excluding nose, eyelids, lips and mucosa, or balding scalp, at baseline visit.
  3. Subject or caregiver capable of performing the skin preparation and Luxerm® treatment application as per the investigator instructions.
  4. Female subject of childbearing potential must have a negative UPT at baseline (UPT should have a sensitivity of 25 IU/L or less) and agree to be strictly abstinent or use a highly effective method of birth control during the study (i.e. progestogen-only oral hormonal contraception; male or female condom; cap, diaphragm or sponge with spermicide; bilateral tubal ligation; combined (estrogen and progestogen-containing) oral hormonal contraception, or injectable or implants hormonal contraception (at a stable dose for at least 1 month prior to baseline); intra-uterine devices inserted at least 1 month prior to baseline; vasectomized partner for at least 3 months prior to baseline).
  5. Female subject of non-childbearing potential, e.g.: post-menopausal (absence of menstrual bleeding for 1 year without any other medical reason), hysterectomy or bilateral ovariectomy.
  6. Subject has read and signed the approved informed consent form (ICF) prior to any participation in the study.
  7. Subject has read and signed a Photograph Release Consent Form if he/she is willing to be photographed.
  8. Subject (or caregiver) willing and able to comply with all of the time commitments and procedural requirements of the clinical trial protocol.

Exclusion Criteria:

  1. Subject with a clinical diagnosis of a skin disease other than AK (including non-melanoma skin cancer) on the target anatomical area.
  2. Subject with severe AK (thick, hyperkeratotic AK) per anatomical area (face or scalp).
  3. Subject with clinical diagnosis of other skin disease on the target anatomical area.
  4. Subject with pigmented AK on the target anatomical area.
  5. Subject with melanoma at any location.
  6. Immunocompromised subject or requiring immunosuppressive therapies.
  7. Subject with porphyria; photosensitivity- related disorders, active infectious disease.
  8. Subject with known or suspected hypersensitivity to the active substance or to any excipients of Luxerm® (see Summary of Product Characteristics).
  9. Female subject who is pregnant, nursing or planning a pregnancy during the study.
  10. Subject who has used any of the following topical preparations on the area to be treated: keratolytics including urea (greater than 5%), alpha hydroxyacids [e.g. glycolic acid, lactic acid, etc. greater than 5%], salicylic acid (greater than 2%) within 2 days of initiation of treatment.
  11. Subject with a wash-out period from baseline for topical or systemic treatment or medical/surgical procedure in the anatomical area (for AKs) less than the following:

    • Retinoids, including tazarotene, adapalene, tretinoin, retinol ==> 4 weeks
    • Cryotherapy, diclofenac, corticosteroids or other treatments for AK==> 8 weeks
    • Microdermabrasion, laser ablative treatments or chemical peels ==>8 weeks
    • 5-FU, imiquimod ==>24 weeks
    • Surgical: excision and reconstructive surgery, chemosurgery, ==>12 weeks
    • Any Photodynamic Therapy, ingenol mebutate (Pep-005), Radiotherapy and UV radiation therapy==>12 weeks
    • Investigational therapies for Actinic Keratoses==>12 weeks
    • Immunosuppressive drugs (such as glucocorticoids, cytostatic, antibodies, drugs acting on interferon, opioids, TNF binding proteins, Mycophenolate, small biologics agents)==>12 weeks
  12. Subject who is currently participating to/ or who has participated in another investigational treatment or device research study within 4 weeks of baseline visit.
  13. Subject may be unreliable for the study including subjects who engage in excessive alcohol intake or drug abuse, or subjects who are unable to return for scheduled follow-up visits.
  14. Subject who is unable to communicate or cooperate with the investigator due to language problems, poor mental development, or impaired cerebral function.
  15. Subject who is unwilling to refrain from use of prohibited medication during the clinical trial (see section 4.3.5).
  16. Subject who is vulnerable (such as deprived of freedom) as defined in Section 1.61 of the International Conference on Harmonisation (ICH) Guideline for Good Clinical Practice (GCP).
  17. Subject with clinically significant abnormal laboratory finding (if any available report) at the baseline visit or medical/surgical condition (other than for actinic keratoses), which might, in the Investigator's opinion, interfere with study evaluations or pose a risk to subject safety during the study.
  18. The subject is a study site staff member (investigator, study nurse, etc.) or a relative of one.
  19. Subjects with any condition that may be associated with a risk of poor protocol compliance

Sites / Locations

  • University Hospital Regensburg

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Luxerm®

Arm Description

Outcomes

Primary Outcome Measures

Overall Subject Satisfaction the Day of Treatment After Daylight Session
Percentage of subjects satisfied and very satisfied globally with Luxerm Daylight procedure, the day of treatment after daylight session
Overall Subject Satisfaction at Week 12 Post-treatment
Percentage of subjects satisfied or very satisfied (overall) with Luxerm DL procedure

Secondary Outcome Measures

Full Information

First Posted
August 25, 2017
Last Updated
February 16, 2021
Sponsor
Galderma R&D
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1. Study Identification

Unique Protocol Identification Number
NCT03511326
Brief Title
PRO With Luxerm® in the Field Treatment of Thin and Non-hyperkeratotic Non-pigmented AK
Acronym
SESAME 2
Official Title
Subject Reported Outcomes on Satisfaction, Safety and Efficacy With Luxerm® in the Field-directed Treatment of Thin or Non-hyperkeratotic and Non-pigmented Actinic Keratosis of the Face or the Scalp
Study Type
Interventional

2. Study Status

Record Verification Date
September 2018
Overall Recruitment Status
Completed
Study Start Date
June 7, 2017 (Actual)
Primary Completion Date
November 28, 2017 (Actual)
Study Completion Date
November 28, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Galderma R&D

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Interventional open label prospective and multicentre study conducted in Germany in subjects with thin or non-hyperkeratotic and non-pigmented multiple AKs in one anatomical area on the face (e.g., forehead or cheek or chin), excluding nose eyelids, lips and mucosa or balding scalp, using Luxerm® DL-PDT treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Actinic Keratoses
Keywords
field-treatment

7. Study Design

Primary Purpose
Other
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Luxerm®
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Methyl Aminolaevulinate 16% Cream
Other Intervention Name(s)
160mg/g of methyl aminolevulinate
Intervention Description
Subject will received one session of methyl aminolevulinate Daylight Photodynamic therapy
Primary Outcome Measure Information:
Title
Overall Subject Satisfaction the Day of Treatment After Daylight Session
Description
Percentage of subjects satisfied and very satisfied globally with Luxerm Daylight procedure, the day of treatment after daylight session
Time Frame
the day of treatment after daylight session
Title
Overall Subject Satisfaction at Week 12 Post-treatment
Description
Percentage of subjects satisfied or very satisfied (overall) with Luxerm DL procedure
Time Frame
Week 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female age > 18 years old. Subject with at least 5 clinically confirmed thin or non-hyperkeratotic and non-pigmented actinic keratoses in an anatomical area on the face (e.g., forehead or cheek or chin) excluding nose, eyelids, lips and mucosa, or balding scalp, at baseline visit. Subject or caregiver capable of performing the skin preparation and Luxerm® treatment application as per the investigator instructions. Female subject of childbearing potential must have a negative UPT at baseline (UPT should have a sensitivity of 25 IU/L or less) and agree to be strictly abstinent or use a highly effective method of birth control during the study (i.e. progestogen-only oral hormonal contraception; male or female condom; cap, diaphragm or sponge with spermicide; bilateral tubal ligation; combined (estrogen and progestogen-containing) oral hormonal contraception, or injectable or implants hormonal contraception (at a stable dose for at least 1 month prior to baseline); intra-uterine devices inserted at least 1 month prior to baseline; vasectomized partner for at least 3 months prior to baseline). Female subject of non-childbearing potential, e.g.: post-menopausal (absence of menstrual bleeding for 1 year without any other medical reason), hysterectomy or bilateral ovariectomy. Subject has read and signed the approved informed consent form (ICF) prior to any participation in the study. Subject has read and signed a Photograph Release Consent Form if he/she is willing to be photographed. Subject (or caregiver) willing and able to comply with all of the time commitments and procedural requirements of the clinical trial protocol. Exclusion Criteria: Subject with a clinical diagnosis of a skin disease other than AK (including non-melanoma skin cancer) on the target anatomical area. Subject with severe AK (thick, hyperkeratotic AK) per anatomical area (face or scalp). Subject with clinical diagnosis of other skin disease on the target anatomical area. Subject with pigmented AK on the target anatomical area. Subject with melanoma at any location. Immunocompromised subject or requiring immunosuppressive therapies. Subject with porphyria; photosensitivity- related disorders, active infectious disease. Subject with known or suspected hypersensitivity to the active substance or to any excipients of Luxerm® (see Summary of Product Characteristics). Female subject who is pregnant, nursing or planning a pregnancy during the study. Subject who has used any of the following topical preparations on the area to be treated: keratolytics including urea (greater than 5%), alpha hydroxyacids [e.g. glycolic acid, lactic acid, etc. greater than 5%], salicylic acid (greater than 2%) within 2 days of initiation of treatment. Subject with a wash-out period from baseline for topical or systemic treatment or medical/surgical procedure in the anatomical area (for AKs) less than the following: Retinoids, including tazarotene, adapalene, tretinoin, retinol ==> 4 weeks Cryotherapy, diclofenac, corticosteroids or other treatments for AK==> 8 weeks Microdermabrasion, laser ablative treatments or chemical peels ==>8 weeks 5-FU, imiquimod ==>24 weeks Surgical: excision and reconstructive surgery, chemosurgery, ==>12 weeks Any Photodynamic Therapy, ingenol mebutate (Pep-005), Radiotherapy and UV radiation therapy==>12 weeks Investigational therapies for Actinic Keratoses==>12 weeks Immunosuppressive drugs (such as glucocorticoids, cytostatic, antibodies, drugs acting on interferon, opioids, TNF binding proteins, Mycophenolate, small biologics agents)==>12 weeks Subject who is currently participating to/ or who has participated in another investigational treatment or device research study within 4 weeks of baseline visit. Subject may be unreliable for the study including subjects who engage in excessive alcohol intake or drug abuse, or subjects who are unable to return for scheduled follow-up visits. Subject who is unable to communicate or cooperate with the investigator due to language problems, poor mental development, or impaired cerebral function. Subject who is unwilling to refrain from use of prohibited medication during the clinical trial (see section 4.3.5). Subject who is vulnerable (such as deprived of freedom) as defined in Section 1.61 of the International Conference on Harmonisation (ICH) Guideline for Good Clinical Practice (GCP). Subject with clinically significant abnormal laboratory finding (if any available report) at the baseline visit or medical/surgical condition (other than for actinic keratoses), which might, in the Investigator's opinion, interfere with study evaluations or pose a risk to subject safety during the study. The subject is a study site staff member (investigator, study nurse, etc.) or a relative of one. Subjects with any condition that may be associated with a risk of poor protocol compliance
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rajeev CHAVDA, MD
Organizational Affiliation
Galderma R&D
Official's Role
Study Director
Facility Information:
Facility Name
University Hospital Regensburg
City
Regensburg
Country
Germany

12. IPD Sharing Statement

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PRO With Luxerm® in the Field Treatment of Thin and Non-hyperkeratotic Non-pigmented AK

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