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A Clinical Trial Evaluating the Role of Systemic Antihistamine Therapy in the Reduction of Adverse Effects Associated With Topical 5-aminolevulinic Acid Photodynamic Therapy

Primary Purpose

Actinic Keratoses

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Antihistamine Cetirizine Hydrochloride
Placebo
Sponsored by
Goldman, Butterwick, Fitzpatrick and Groff
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Actinic Keratoses focused on measuring Actinic Keratoses, Photodynamic Therapy, PDT, Blue Light

Eligibility Criteria

19 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Age > 18
  • Subjects with 5-20 actinic keratosis of the face
  • Patients undergoing photodynamic therapy (PDT) to the face for AK with 5-aminolevulinic acid (ALA) activated by blue light.
  • Must be willing to give and sign a HIPPA form, photo consent and informed consent form.
  • Must be willing to comply with study dosing and complete the entire course of the study.
  • Female patients will be either of non-childbearing potential defined as:

    1. Having no uterus
    2. No menses for at least 12 months.

Or;

(WOCBP) women of childbearing potential must agree to use an effective method of birth control during the course of the study, such as:

  1. Oral contraceptive pill, injection, implant, patch, vaginal ring, intrauterine device
  2. Intrauterine coil
  3. Bilateral tubal ligation
  4. Barrier method used with an additional form of contraception (e.g., sponge, spermicide or condom)
  5. Abstinence (If practicing abstinence must agree to use barrier method described above (d) if becomes sexually active).
  6. Vasectomized partner g. Negative urine pregnancy test results Baseline prior to study entry (if applicable)

Exclusion Criteria:

  • Presence of incompletely healed wound in treatment area
  • Presence of known or suspected BCC or SCC in treatment area
  • Previous PDT or treatment of the face with any topical cytotoxic or immunomodulatory agent for AKs within the past 6 months
  • Co-existing potentially confounding skin condition within treatment area (e.g. eczema, psoriasis, XP, rosacea) at investigator's discretion
  • Presence of tattoo and/or scar in the treatment area that in the investigators opinion would interfere with study assessments
  • Subjects with known photosensitivity or taking photosensitizing medications listed below:

    1. Oral diabetes medicines
    2. Griseofulvin
    3. Thiazide diuretics
    4. Sulfonylureas
    5. Phenothiazines
    6. Tetracycline's
    7. St. John's Wort
  • Use of oral/topical retinoids within 1 month of Baseline
  • Subjects with a history of sensitivity to porphyrins
  • Subjects with recently excessive exposure of the treatment area to sunlight or artificial UV light (e.g.: use of tanning beds/booths and/or sunbathing) or expectations of tanning during the time of the study
  • Female subjects who are pregnant, nursing an infant or planning a pregnancy during the study [throughout the course of the study
  • Presence or evidence of any conditions that in the opinion of the investigator might impede the subject's ability to give consent or comply with protocol requirements.
  • Current participation or participation within 30 days prior to the start of this study in a drug or other investigational research study
  • History of non-compliance with clinical research protocols
  • Ablative laser resurfacing to on their face within 12 months
  • Non-ablative laser or light procedures to their face within the past 3 months
  • Microdermabrasion (light or medium skin peel) treatment on their face within the past 30 days

Sites / Locations

  • Cosmetic Laser Dermatology

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Cetirizine Hydrochloride

Placebo

Arm Description

Prophylactic use of cetirizine hydrochloride prior to and after Topical 5-aminolevulinic Acid Photodynamic Therapy

Prophylactic use of placebo prior to and after Topical 5-aminolevulinic Acid Photodynamic Therapy

Outcomes

Primary Outcome Measures

Localized Skin Response
Localized Skin Response consisting of erythema, edema, crusting, exudation, Vesiculation/Pustulation and erosion/ ulceration Investigator evaluated on a standardized scale

Secondary Outcome Measures

Full Information

First Posted
May 12, 2015
Last Updated
February 27, 2017
Sponsor
Goldman, Butterwick, Fitzpatrick and Groff
Collaborators
DUSA Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02451579
Brief Title
A Clinical Trial Evaluating the Role of Systemic Antihistamine Therapy in the Reduction of Adverse Effects Associated With Topical 5-aminolevulinic Acid Photodynamic Therapy
Official Title
A Randomized, Double-blind, Placebo-controlled, Prospective Clinical Trial Evaluating the Role of Systemic Antihistamine Therapy in the Reduction of Adverse Effects Associated With Topical 5-aminolevulinic Acid Photodynamic Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
February 2017
Overall Recruitment Status
Completed
Study Start Date
February 2015 (undefined)
Primary Completion Date
December 2016 (Actual)
Study Completion Date
January 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Goldman, Butterwick, Fitzpatrick and Groff
Collaborators
DUSA Pharmaceuticals, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
A double-blind, placebo controlled study conducted at a single study site. Evaluating the role of systemic antihistamine therapy in the reduction of adverse effects associated with topical 5-aminolevulinic acid photodynamic therapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Actinic Keratoses
Keywords
Actinic Keratoses, Photodynamic Therapy, PDT, Blue Light

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cetirizine Hydrochloride
Arm Type
Active Comparator
Arm Description
Prophylactic use of cetirizine hydrochloride prior to and after Topical 5-aminolevulinic Acid Photodynamic Therapy
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Prophylactic use of placebo prior to and after Topical 5-aminolevulinic Acid Photodynamic Therapy
Intervention Type
Drug
Intervention Name(s)
Antihistamine Cetirizine Hydrochloride
Intervention Description
Prophylactic use of antihistamine prior to and following topical 5-aminolevulonic acid photodynamic therapy
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Use of placebo prior to and following topical 5-aminolevulonic acid photodynamic therapy
Primary Outcome Measure Information:
Title
Localized Skin Response
Description
Localized Skin Response consisting of erythema, edema, crusting, exudation, Vesiculation/Pustulation and erosion/ ulceration Investigator evaluated on a standardized scale
Time Frame
Up to day 180

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age > 18 Subjects with 5-20 actinic keratosis of the face Patients undergoing photodynamic therapy (PDT) to the face for AK with 5-aminolevulinic acid (ALA) activated by blue light. Must be willing to give and sign a HIPPA form, photo consent and informed consent form. Must be willing to comply with study dosing and complete the entire course of the study. Female patients will be either of non-childbearing potential defined as: Having no uterus No menses for at least 12 months. Or; (WOCBP) women of childbearing potential must agree to use an effective method of birth control during the course of the study, such as: Oral contraceptive pill, injection, implant, patch, vaginal ring, intrauterine device Intrauterine coil Bilateral tubal ligation Barrier method used with an additional form of contraception (e.g., sponge, spermicide or condom) Abstinence (If practicing abstinence must agree to use barrier method described above (d) if becomes sexually active). Vasectomized partner g. Negative urine pregnancy test results Baseline prior to study entry (if applicable) Exclusion Criteria: Presence of incompletely healed wound in treatment area Presence of known or suspected BCC or SCC in treatment area Previous PDT or treatment of the face with any topical cytotoxic or immunomodulatory agent for AKs within the past 6 months Co-existing potentially confounding skin condition within treatment area (e.g. eczema, psoriasis, XP, rosacea) at investigator's discretion Presence of tattoo and/or scar in the treatment area that in the investigators opinion would interfere with study assessments Subjects with known photosensitivity or taking photosensitizing medications listed below: Oral diabetes medicines Griseofulvin Thiazide diuretics Sulfonylureas Phenothiazines Tetracycline's St. John's Wort Use of oral/topical retinoids within 1 month of Baseline Subjects with a history of sensitivity to porphyrins Subjects with recently excessive exposure of the treatment area to sunlight or artificial UV light (e.g.: use of tanning beds/booths and/or sunbathing) or expectations of tanning during the time of the study Female subjects who are pregnant, nursing an infant or planning a pregnancy during the study [throughout the course of the study Presence or evidence of any conditions that in the opinion of the investigator might impede the subject's ability to give consent or comply with protocol requirements. Current participation or participation within 30 days prior to the start of this study in a drug or other investigational research study History of non-compliance with clinical research protocols Ablative laser resurfacing to on their face within 12 months Non-ablative laser or light procedures to their face within the past 3 months Microdermabrasion (light or medium skin peel) treatment on their face within the past 30 days
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mitchel P Goldman, MD
Organizational Affiliation
Cosmetic Laser Dermatology
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cosmetic Laser Dermatology
City
San Diego
State/Province
California
ZIP/Postal Code
92121
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
28489298
Citation
Vanaman Wilson MJ, Jones IT, Wu DC, Goldman MP. A randomized, double-blind, placebo-controlled clinical trial evaluating the role of systemic antihistamine therapy for the reduction of adverse effects associated with topical 5-aminolevulinic acid photodynamic therapy. Lasers Surg Med. 2017 Oct;49(8):738-742. doi: 10.1002/lsm.22682. Epub 2017 May 10.
Results Reference
derived

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A Clinical Trial Evaluating the Role of Systemic Antihistamine Therapy in the Reduction of Adverse Effects Associated With Topical 5-aminolevulinic Acid Photodynamic Therapy

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