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Efficacy, Safety and Tolerability of Topically Applied LDE225 Cream (Hedgehog Pathway Inhibitor) in Adult Patients With Nevoid Basal Cell Carcinoma Syndrome (NBCCS)

Primary Purpose

Basal Cell Carcinoma

Status
Withdrawn
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
LDE225B
Vehicle
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Basal Cell Carcinoma focused on measuring Basal cell carcinoma, Nevoid Basal Cell Carcinoma Syndrome, NBCCS, Gorlin syndrome, Gorlin-Goltz Syndrome, Basal Cell Nevus Syndrome, BCNS, Hedgehog pathway inhibitor, topical, Smoothened

Eligibility Criteria

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

Inclusion Criteria:

  1. Adult greater than 18 years old, male or female.
  2. Patient must be able to understand and communicate with the investigator and comply with the requirements of the study.
  3. Typical presentation of NBCCS in the opinion of the investigator
  4. At least one of the major clinical criteria of NBCCS.
  5. Multiple BCCs during the screening period

Exclusion Criteria:

  1. Any concomitant dermatological disease that could confound the evaluations, based on the discretion of the investigator.
  2. Prior exposure to LDE225.
  3. Use of systemic treatment for BCC in the 4 weeks prior to Baseline.
  4. Use of topical treatment or photodynamic therapy (PDT) in the 12 weeks prior to Baseline.
  5. Use of other investigational drugs at Baseline, or within 30 days or 5 half-lives prior to Baseline, whichever is longer.
  6. Clinically significant medical condition, as per judgment of the investigator.
  7. History of hypersensitivity to any of the ingredient of the study drug.
  8. Pregnant or nursing (lactating) women
  9. Women of child-bearing potential and fertile males, UNLESS they are using two birth control methods

Other protocol-defined inclusion/exclusion criteria may apply

Sites / Locations

  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site
  • Novartis Investigative site

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

LDE225 0.75% cream

Vehicle

Arm Description

Outcomes

Primary Outcome Measures

To demonstrate superiority of topical LDE225 versus vehicle in terms of treatment success in patients with NBCCs. Measure: Complete clinical clearance and complete histological clearance of BCCs

Secondary Outcome Measures

To assess the safety of topical treatment with LDE225, compared to vehicle. Measure: Reported systemic adverse events in patients with NBCCS
To evaluate the local tolerability of topical treatment with LDE225, compared to vehicle. Measure:Reported local adverse events in patients with NBCCS
To assess the rate of complete clinical clearance of BCCs in patients with NBCCS. Measure: No clinical residual signs of carcinoma
To assess the rate of complete histological clearance of BCCs in patients with NBCCS. Measure: No residual tumor tissue

Full Information

First Posted
July 6, 2010
Last Updated
May 3, 2017
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT03070691
Brief Title
Efficacy, Safety and Tolerability of Topically Applied LDE225 Cream (Hedgehog Pathway Inhibitor) in Adult Patients With Nevoid Basal Cell Carcinoma Syndrome (NBCCS)
Official Title
A Randomized, Double-blind, Vehicle-controlled, Multicenter Trial of Topically Administered LDE225 Cream (0.75% Bid) to Evaluate Clearance of Basal Cell Carcinoma in Adult Patients With Nevoid Basal Cell Carcinoma Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
February 2017
Overall Recruitment Status
Withdrawn
Study Start Date
undefined (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

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
This 22 week study will assess the efficacy, safety, and tolerability of LDE225 versus vehicle when applied topically to basal cell carcinoma (BCC) in patients with NBCCS. Patients will treat multiple BCCs for up to 12 weeks. Treatment success is defined as complete clinical clearance and complete histological clearance in BCCs.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Basal Cell Carcinoma
Keywords
Basal cell carcinoma, Nevoid Basal Cell Carcinoma Syndrome, NBCCS, Gorlin syndrome, Gorlin-Goltz Syndrome, Basal Cell Nevus Syndrome, BCNS, Hedgehog pathway inhibitor, topical, Smoothened

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LDE225 0.75% cream
Arm Type
Active Comparator
Arm Title
Vehicle
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
LDE225B
Intervention Description
Cream, 2x daily
Intervention Type
Drug
Intervention Name(s)
Vehicle
Intervention Description
cream, 2x daily
Primary Outcome Measure Information:
Title
To demonstrate superiority of topical LDE225 versus vehicle in terms of treatment success in patients with NBCCs. Measure: Complete clinical clearance and complete histological clearance of BCCs
Time Frame
4 weeks after LDE225 treatment
Secondary Outcome Measure Information:
Title
To assess the safety of topical treatment with LDE225, compared to vehicle. Measure: Reported systemic adverse events in patients with NBCCS
Time Frame
Treatment phase and up to 4 weeks after LDE225 treatment
Title
To evaluate the local tolerability of topical treatment with LDE225, compared to vehicle. Measure:Reported local adverse events in patients with NBCCS
Time Frame
Treatment phase and up to 4 weeks after LDE225 treatment
Title
To assess the rate of complete clinical clearance of BCCs in patients with NBCCS. Measure: No clinical residual signs of carcinoma
Time Frame
4 weeks after LDE225 treatment
Title
To assess the rate of complete histological clearance of BCCs in patients with NBCCS. Measure: No residual tumor tissue
Time Frame
4 weeks after LDE225 treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult greater than 18 years old, male or female. Patient must be able to understand and communicate with the investigator and comply with the requirements of the study. Typical presentation of NBCCS in the opinion of the investigator At least one of the major clinical criteria of NBCCS. Multiple BCCs during the screening period Exclusion Criteria: Any concomitant dermatological disease that could confound the evaluations, based on the discretion of the investigator. Prior exposure to LDE225. Use of systemic treatment for BCC in the 4 weeks prior to Baseline. Use of topical treatment or photodynamic therapy (PDT) in the 12 weeks prior to Baseline. Use of other investigational drugs at Baseline, or within 30 days or 5 half-lives prior to Baseline, whichever is longer. Clinically significant medical condition, as per judgment of the investigator. History of hypersensitivity to any of the ingredient of the study drug. Pregnant or nursing (lactating) women Women of child-bearing potential and fertile males, UNLESS they are using two birth control methods Other protocol-defined inclusion/exclusion criteria may apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative site
City
Bruxelles
Country
Belgium
Facility Name
Novartis Investigative site
City
Leuven
Country
Belgium
Facility Name
Novartis Investigative site
City
Waterloo
State/Province
Ontario
Country
Canada
Facility Name
Novartis Investigative site
City
Sainte-Foy
State/Province
Quebec
Country
Canada
Facility Name
Novartis Investigative site
City
Praha
Country
Czechia
Facility Name
Novartis Investigative site
City
Helsinki
Country
Finland
Facility Name
Novartis Investigative Site
City
Berlin
Country
Germany
Facility Name
Novartis Investigative Site
City
Bonn
Country
Germany
Facility Name
Novartis Investigative Site
City
Dresden
Country
Germany
Facility Name
Novartis Investigative Site
City
Essen
Country
Germany
Facility Name
Novartis Investigative Site
City
Frankfurt
Country
Germany
Facility Name
Novartis Investigative Site
City
Heidelberg
Country
Germany
Facility Name
Novartis Investigative Site
City
Jena
Country
Germany
Facility Name
Novartis Investigative Site
City
Kiel
Country
Germany
Facility Name
Novartis Investigative Site
City
Luebeck
Country
Germany
Facility Name
Novartis Investigative Site
City
Mainz
Country
Germany
Facility Name
Novartis Investigative Site
City
Muenster
Country
Germany
Facility Name
Novartis Investigative Site
City
Munich
Country
Germany
Facility Name
Novartis Investigative Site
City
Recklinghausen
Country
Germany
Facility Name
Novartis Investigative Site
City
Tuebingen
Country
Germany
Facility Name
Novartis Investigative Site
City
Wuerzburg
Country
Germany
Facility Name
Novartis Investigative Site
City
Athens
Country
Greece
Facility Name
Novartis Investigative site
City
Thessaloniki
Country
Greece
Facility Name
Novartis Investigative site
City
Catania
Country
Italy
Facility Name
Novartis Investigative site
City
L'Aquila
Country
Italy
Facility Name
Novartis Investigative site
City
Napoli
Country
Italy
Facility Name
Novartis Investigative site
City
Padova
Country
Italy
Facility Name
Novartis Investigative site
City
Siena
Country
Italy
Facility Name
Novartis Investigative site
City
Barcelona
Country
Spain
Facility Name
Novartis Investigative site
City
Madrid
Country
Spain
Facility Name
Novartis Investigative site
City
Lausanne
Country
Switzerland
Facility Name
Novartis Investigative site
City
Zuerich
Country
Switzerland
Facility Name
Novartis Investigative site
City
Glasgow
Country
United Kingdom
Facility Name
Novartis Investigative site
City
London
Country
United Kingdom
Facility Name
Novartis Investigative site
City
Manchester
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

Efficacy, Safety and Tolerability of Topically Applied LDE225 Cream (Hedgehog Pathway Inhibitor) in Adult Patients With Nevoid Basal Cell Carcinoma Syndrome (NBCCS)

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