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Safety and Efficacy of Imiquimod Applied in Dose-Cycle for Actinic Keratoses

Primary Purpose

Actinic Keratoses

Status
Completed
Phase
Phase 3
Locations
Canada
Study Type
Interventional
Intervention
imiquimod
Sponsored by
University of British Columbia
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Actinic Keratoses focused on measuring actinic keratoses, imiquimod, pre-malignant, squamous cell carcinoma, immunosuppression

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: At least 18 years of age. Have a total of 4 to 8 clinically typical, discrete, non-hyperkeratotic, non-hypertrophic AK lesions located within a contiguous 25 cm2 treatment area (balding scalp or face, but not both). Free of any significant findings (e.g. tattoos) in the potential application site area that may impair examination of treatment or surrounding area. Willing to eliminate tanning bed/sun parlor use for duration of study. Exclusion Criteria: Evidence of clinically significant, unstable cardiovascular or immunosuppressive, hematologic, hepatic, neurologic, renal, endocrine, collagen-vascular, or gastrointestinal abnormalities or disease. Any dermatological disease and or condition in the treatment or surrounding area that may be exacerbated by treatment with imiquimod or cause difficulty with examination (e.g. rosacea, psoriasis, atopic dermatitis, eczema). Confirmed SCC, BCC anywhere on the head. Share a household where there is a person participating in a concurrent clinical study of imiquimod or being treated with imiquimod 5% topical cream. Active chemical dependency or alcoholism, as assessed by investigator. Females who are pregnant, breast-feeding or considering becoming pregnant while on the study. Females with childbearing unwilling to practice an effective method of contraception, as defined by the investigator for the duration of the study as well as one month after completion. Received any treatment, products or procedures within the designated time period prior to the prestudy visit as listed on page 4 of the protocol (Version 03 dd March 2003).

Sites / Locations

  • Clinical Trials Unit, Skin Care Centre, UBC Dermatology

Outcomes

Primary Outcome Measures

Complete clearance rate - defined as the proportion of subjects at the end of cycle 1 or cycle 2 with no (zero) clinically visible AK lesions in the treatment area.

Secondary Outcome Measures

Partial clearance rate - defined as the proportion of subjects at the end of cycle 2 with at least 75% reduction from the number of AK lesions counted at baseline in the treatment area
Sustained clearance rate at week 8 post-treatment.

Full Information

First Posted
September 11, 2005
Last Updated
May 8, 2006
Sponsor
University of British Columbia
Collaborators
Vancouver Coastal Health Research Institute, 3M
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1. Study Identification

Unique Protocol Identification Number
NCT00175643
Brief Title
Safety and Efficacy of Imiquimod Applied in Dose-Cycle for Actinic Keratoses
Official Title
Open-Label Study to Assess Safety and Efficacy of Imiquimod 5% Cream Applied 3 Days Per Week in 1 or 2 Cycles for Treatment of Actinic Keratoses on the Head
Study Type
Interventional

2. Study Status

Record Verification Date
May 2006
Overall Recruitment Status
Completed
Study Start Date
February 2005 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
November 2005 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
University of British Columbia
Collaborators
Vancouver Coastal Health Research Institute, 3M

4. Oversight

5. Study Description

Brief Summary
It is believed that imiquimod 5% cream has the potential to be an effective treatment for actinic keratoses. The purpose of this study is to evaluate the duration of the effect of topical imiquimod 5% topical cream for the treatment of actinic keratoses.
Detailed Description
This study will assess the safety and efficacy of imiquimod 5% cream applied to actinic keratoses on the head to reduce the size of lesions. The objective is to analyze the effect of dose cycling with respect to the complete clearance rate when imiquimod 5% cream is applied 3 times per week for 4 weeks in 1 or 2 cycles. The complete clearance rate is defined as the proportion of subjects with no clinically visible AK lesions in the treatment area at the end of cycle 1 or the end of cycle 2.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Actinic Keratoses
Keywords
actinic keratoses, imiquimod, pre-malignant, squamous cell carcinoma, immunosuppression

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
20 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
imiquimod
Primary Outcome Measure Information:
Title
Complete clearance rate - defined as the proportion of subjects at the end of cycle 1 or cycle 2 with no (zero) clinically visible AK lesions in the treatment area.
Secondary Outcome Measure Information:
Title
Partial clearance rate - defined as the proportion of subjects at the end of cycle 2 with at least 75% reduction from the number of AK lesions counted at baseline in the treatment area
Title
Sustained clearance rate at week 8 post-treatment.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: At least 18 years of age. Have a total of 4 to 8 clinically typical, discrete, non-hyperkeratotic, non-hypertrophic AK lesions located within a contiguous 25 cm2 treatment area (balding scalp or face, but not both). Free of any significant findings (e.g. tattoos) in the potential application site area that may impair examination of treatment or surrounding area. Willing to eliminate tanning bed/sun parlor use for duration of study. Exclusion Criteria: Evidence of clinically significant, unstable cardiovascular or immunosuppressive, hematologic, hepatic, neurologic, renal, endocrine, collagen-vascular, or gastrointestinal abnormalities or disease. Any dermatological disease and or condition in the treatment or surrounding area that may be exacerbated by treatment with imiquimod or cause difficulty with examination (e.g. rosacea, psoriasis, atopic dermatitis, eczema). Confirmed SCC, BCC anywhere on the head. Share a household where there is a person participating in a concurrent clinical study of imiquimod or being treated with imiquimod 5% topical cream. Active chemical dependency or alcoholism, as assessed by investigator. Females who are pregnant, breast-feeding or considering becoming pregnant while on the study. Females with childbearing unwilling to practice an effective method of contraception, as defined by the investigator for the duration of the study as well as one month after completion. Received any treatment, products or procedures within the designated time period prior to the prestudy visit as listed on page 4 of the protocol (Version 03 dd March 2003).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jason K Rivers, M.D.
Organizational Affiliation
Division of Dermatology, University of British Columbia
Official's Role
Principal Investigator
Facility Information:
Facility Name
Clinical Trials Unit, Skin Care Centre, UBC Dermatology
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 4E8
Country
Canada

12. IPD Sharing Statement

Citations:
Citation
(1.) Somani N, Rivers JK. Imiquimod 5% cream for the treatment of actinic keratoses. Skin Therapy Lett 2005;10(2):1-6. (2.) Rivers JK. Topical 3% diclofenac in 2.5% hyaluronan gel for the treatment of actinic keratoses. Skin Therapy Lett 2004;9(1):1-3. (3.) Rivers JK, Arlette J, Shear N, Guenther L, Carey W, Poulin Y. Topical treatment of actinic keratoses with 3.0% diclofenac in 2.5% hyaluronan gel. Br J Dermatol 2002;146 (4.) Rivers JK, McLean DI. An open study to assess the efficacy and safety of topical 3% diclofenac in a 2.5% hyaluronic acid gel for the treatment of actinic keratoses. Arch Dermatol 1997;133(10):1239-42.
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Safety and Efficacy of Imiquimod Applied in Dose-Cycle for Actinic Keratoses

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