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Dose-Ranging Clinical Trial of Topical Creams Containing API 31510 for the Treatment of Superficial Basal Cell Carcinoma

Primary Purpose

Superficial Basal Cell Carcinoma

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
API 31510 3% Topical Cream
API 31510 1.5% Topical Cream
Placebo
Sponsored by
Berg, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Superficial Basal Cell Carcinoma focused on measuring Double-Blind, Placebo, Topical, Treatment, Dose-Ranging, sBCC

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female adults ≥ 18 years of age
  • Primary, histologically confirmed sBCC with a minimum area of 0.5 cm2 and with a maximum diameter of 2.0 cm target sBCC lesion suitable for excision
  • Histological diagnosis made no more than 4 weeks prior to the screening visit
  • Histological biopsy removed 25% or less of the target lesion
  • No other dermatological disease in the sBCC target site or surrounding area
  • Willing to refrain from using non-approved lotions or creams on the target site and surrounding area during the treatment period. Willing to refrain from washing the treated area for at least 8 hours following the application of study medication
  • Willing to refrain from exposure to direct sunlight or ultraviolet light and to avoid the use of tanning parlors for the duration of the study
  • Laboratory values for the tests listed in the Study Schedule on page 2 within the reference ranges as defined by the central laboratory, or "out of range" test results that are clinically acceptable to the investigator.
  • Ability to follow study instructions and likely to complete all study requirements
  • Written informed consent obtained, including consent for tissue to be examined and stored by the central dermatopathologist
  • Written consent to allow photographs of the target sBCC lesion to be used as part of the study data
  • For females of childbearing potential, a negative pregnancy test at screening and using an acceptable form of birth control (oral/implant/injectable/transdermal contraceptives, intrauterine device, condom, diaphragm, abstinence, or a monogamous relationship with a partner who has had a vasectomy)

Exclusion Criteria:

  • Pregnant or lactating
  • Presence of known or suspected systemic cancer
  • Histological evidence of nBCC, SCC, or any other tumor in the biopsy specimen
  • Histological evidence of severe squamous metaplasia, infiltrative, desomoplastic or micronodular growth patterns in the biopsy specimen
  • History of recurrence of the target sBCC lesion
  • Evidence of dermatological disease or confounding skin condition in the treatment area, e.g., SCC, actinic keratosis, rosacea, psoriasis, atopic dermatitis, eczema, xeroderma pigmentosa
  • Concurrent disease or treatment that suppresses the immune system
  • Chronic medical condition that in the judgment of the investigator(s) would interfere with the performance of the study or would place the patient at undue risk
  • Known sensitivity to any of the ingredients in the study medication
  • Use of a tanning parlor or other excessive or prolonged exposure to ultraviolet light or direct sunlight during the course of the study
  • Treatment with systemic chemotherapeutic agents within the 6 months prior to the screening visit
  • Use of systemic retinoids within the 6 months prior to the screening period
  • Treatment with systemic immunomodulators or immunosuppressants within the 6 months prior to the screening period
  • Use of topical immunomodulators within 2 cm of the target BCC lesion within the 4 weeks prior to the screening period
  • Treatment with the following topical agents within the 4 weeks prior to the screening visit: levulanic acid, 5-fluorouracil, coricosteroids, retinoids, diclofenac, hyaluronic acid, imiquimod
  • Undergone a facial resurfacing procedure, i.e., chemical peel, laser resurfacing, dermabrasion, within the 6 months prior to the screening visit, if the target sBCC lesion is on the face
  • Treatment with liquid nitrogen, surgical excision or curettage within 2 cm of the target sBCC lesion during the 4 weeks prior to the screening visit
  • Elective surgery within 4 weeks prior to the screening visit, during the study, or 4 weeks after the treatment period
  • Evidence of current chronic alcohol or drug abuse
  • Current enrollment in an investigational drug or device study or participation in such a study within 4 weeks of the screening visit
  • In the investigator's opinion, evidence of unwillingness, or inability to follow the restrictions of the protocol and complete the study

Sites / Locations

  • Burke Pharmaceuticals
  • Skin Surgery Medical Group, Inc.
  • Colorado Medical Research Center
  • Dermatology Associates and Research
  • Gwinnett Clinical Research
  • Scott D. Glazer, M.D., S.C.
  • Christie Clinic
  • Long Island Skin Cancer and Dermatologic Surgery, PC
  • Oregon Dermatology and Research Center
  • Dermatology Clinical Research Center of San Antonio
  • Education & Research Foundation

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Placebo Comparator

Placebo Comparator

Placebo Comparator

Arm Label

1

2

3

4

Arm Description

Active cream, 3% AM & PM

Placebo cream AM ; 3% active cream PM

Placebo cream AM; 1.5% active cream PM

Placebo AM and PM

Outcomes

Primary Outcome Measures

Number of Participants With Complete Response
To determine the number of participants with a complete response, defined as a negative histological examination of the sBCC lesion at Week 10 (4 weeks post-treatment).

Secondary Outcome Measures

Number of Participants With Partial Response
To determine the number of participants with a partial response, defined as a clinically significant decrease (ie, at least 50%) in the area of the sBCC lesion, computed as the product of the two principal diameters at Week 10 (4 weeks post-treatment)

Full Information

First Posted
January 17, 2008
Last Updated
February 12, 2019
Sponsor
Berg, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT00604890
Brief Title
Dose-Ranging Clinical Trial of Topical Creams Containing API 31510 for the Treatment of Superficial Basal Cell Carcinoma
Official Title
Dose-Ranging Clinical Trial of Topical Creams Containing API 31510 for the Treatment of Superficial Basal Cell Carcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
February 2019
Overall Recruitment Status
Completed
Study Start Date
March 2008 (undefined)
Primary Completion Date
January 2010 (Actual)
Study Completion Date
January 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Berg, LLC

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine the safety and tolerability of pharmaceutical compound (API 31510) topical cream topically applied to superficial basal cell carcinomas to obtain preliminary efficacy data for the treatment of superficial basal cell carcinomas by API 31510 topical cream. The study population will include one hundred and sixty (160) otherwise healthy male or female adults with one or more histologically confirmed superficial basal cell carcinoma lesions. One target lesion with an area of less than one inch will be designated for study treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Superficial Basal Cell Carcinoma
Keywords
Double-Blind, Placebo, Topical, Treatment, Dose-Ranging, sBCC

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
186 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Active cream, 3% AM & PM
Arm Title
2
Arm Type
Placebo Comparator
Arm Description
Placebo cream AM ; 3% active cream PM
Arm Title
3
Arm Type
Placebo Comparator
Arm Description
Placebo cream AM; 1.5% active cream PM
Arm Title
4
Arm Type
Placebo Comparator
Arm Description
Placebo AM and PM
Intervention Type
Drug
Intervention Name(s)
API 31510 3% Topical Cream
Intervention Description
Topical treatment 3% active cream applied to the lesion
Intervention Type
Drug
Intervention Name(s)
API 31510 1.5% Topical Cream
Intervention Description
Topical treatment 1.5% active cream applied to the lesion
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Topical treatment placebo applied to the lesion
Primary Outcome Measure Information:
Title
Number of Participants With Complete Response
Description
To determine the number of participants with a complete response, defined as a negative histological examination of the sBCC lesion at Week 10 (4 weeks post-treatment).
Time Frame
10 weeks
Secondary Outcome Measure Information:
Title
Number of Participants With Partial Response
Description
To determine the number of participants with a partial response, defined as a clinically significant decrease (ie, at least 50%) in the area of the sBCC lesion, computed as the product of the two principal diameters at Week 10 (4 weeks post-treatment)
Time Frame
10 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female adults ≥ 18 years of age Primary, histologically confirmed sBCC with a minimum area of 0.5 cm2 and with a maximum diameter of 2.0 cm target sBCC lesion suitable for excision Histological diagnosis made no more than 4 weeks prior to the screening visit Histological biopsy removed 25% or less of the target lesion No other dermatological disease in the sBCC target site or surrounding area Willing to refrain from using non-approved lotions or creams on the target site and surrounding area during the treatment period. Willing to refrain from washing the treated area for at least 8 hours following the application of study medication Willing to refrain from exposure to direct sunlight or ultraviolet light and to avoid the use of tanning parlors for the duration of the study Laboratory values for the tests listed in the Study Schedule on page 2 within the reference ranges as defined by the central laboratory, or "out of range" test results that are clinically acceptable to the investigator. Ability to follow study instructions and likely to complete all study requirements Written informed consent obtained, including consent for tissue to be examined and stored by the central dermatopathologist Written consent to allow photographs of the target sBCC lesion to be used as part of the study data For females of childbearing potential, a negative pregnancy test at screening and using an acceptable form of birth control (oral/implant/injectable/transdermal contraceptives, intrauterine device, condom, diaphragm, abstinence, or a monogamous relationship with a partner who has had a vasectomy) Exclusion Criteria: Pregnant or lactating Presence of known or suspected systemic cancer Histological evidence of nBCC, SCC, or any other tumor in the biopsy specimen Histological evidence of severe squamous metaplasia, infiltrative, desomoplastic or micronodular growth patterns in the biopsy specimen History of recurrence of the target sBCC lesion Evidence of dermatological disease or confounding skin condition in the treatment area, e.g., SCC, actinic keratosis, rosacea, psoriasis, atopic dermatitis, eczema, xeroderma pigmentosa Concurrent disease or treatment that suppresses the immune system Chronic medical condition that in the judgment of the investigator(s) would interfere with the performance of the study or would place the patient at undue risk Known sensitivity to any of the ingredients in the study medication Use of a tanning parlor or other excessive or prolonged exposure to ultraviolet light or direct sunlight during the course of the study Treatment with systemic chemotherapeutic agents within the 6 months prior to the screening visit Use of systemic retinoids within the 6 months prior to the screening period Treatment with systemic immunomodulators or immunosuppressants within the 6 months prior to the screening period Use of topical immunomodulators within 2 cm of the target BCC lesion within the 4 weeks prior to the screening period Treatment with the following topical agents within the 4 weeks prior to the screening visit: levulanic acid, 5-fluorouracil, coricosteroids, retinoids, diclofenac, hyaluronic acid, imiquimod Undergone a facial resurfacing procedure, i.e., chemical peel, laser resurfacing, dermabrasion, within the 6 months prior to the screening visit, if the target sBCC lesion is on the face Treatment with liquid nitrogen, surgical excision or curettage within 2 cm of the target sBCC lesion during the 4 weeks prior to the screening visit Elective surgery within 4 weeks prior to the screening visit, during the study, or 4 weeks after the treatment period Evidence of current chronic alcohol or drug abuse Current enrollment in an investigational drug or device study or participation in such a study within 4 weeks of the screening visit In the investigator's opinion, evidence of unwillingness, or inability to follow the restrictions of the protocol and complete the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Wilson, MD
Organizational Affiliation
Education and Research Foundation
Official's Role
Principal Investigator
Facility Information:
Facility Name
Burke Pharmaceuticals
City
Hot Springs
State/Province
Arkansas
ZIP/Postal Code
71913
Country
United States
Facility Name
Skin Surgery Medical Group, Inc.
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
Colorado Medical Research Center
City
Denver
State/Province
Colorado
ZIP/Postal Code
80210
Country
United States
Facility Name
Dermatology Associates and Research
City
Coral Gables
State/Province
Florida
ZIP/Postal Code
33134
Country
United States
Facility Name
Gwinnett Clinical Research
City
Snellville
State/Province
Georgia
ZIP/Postal Code
30078
Country
United States
Facility Name
Scott D. Glazer, M.D., S.C.
City
Buffalo Grove
State/Province
Illinois
ZIP/Postal Code
60089
Country
United States
Facility Name
Christie Clinic
City
Champaign
State/Province
Illinois
ZIP/Postal Code
61820
Country
United States
Facility Name
Long Island Skin Cancer and Dermatologic Surgery, PC
City
Smithtown
State/Province
New York
ZIP/Postal Code
11787
Country
United States
Facility Name
Oregon Dermatology and Research Center
City
Portland
State/Province
Oregon
ZIP/Postal Code
97210
Country
United States
Facility Name
Dermatology Clinical Research Center of San Antonio
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Education & Research Foundation
City
Lynchburg
State/Province
Virginia
ZIP/Postal Code
24501
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Dose-Ranging Clinical Trial of Topical Creams Containing API 31510 for the Treatment of Superficial Basal Cell Carcinoma

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