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Photoaged SkinPhase 2NCT00437320

Comparison of Metvix Photodynamic Therapy (PDT) With Its Vehicle in the Treatment of Photoaged Skin

A Phase 2 study testing Metvix Cream 160 mg/g in people with Photoaged Skin, run by Galderma R&D at 3 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Skin photoaging or skin photodamage were terms used to describe the change in the structure, function and appearance of skin caused by prolonged and repeated exposure to sunlight or other ultraviolet light sources. Read more about this study

Who is it for?
Ages 30 years and older
Conditions the study is for
Photoaged Skin
What is being tested?
Metvix Cream 160 mg/g
Could I receive a placebo?
No, everyone receives an active treatment
How many people
32 participants
Where
3 sitesin 2 countries
Study dates
18 Apr 2007to 1 Sep 2008
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female participants older than 30 years of age.
  • Participants with a photodamage grade of at least 4 on the Griffiths photonumeric scale (symmetrical photodamage on the two target areas)
  • Participants with mottled hyper-pigmentation on the face
  • Participants willing and capable of cooperating to the extent and degree required by the protocol
  • Participants must read the Patient Information Sheet and read and sign the Informed Consent form prior to any study related procedures.

Who cannot join

  • Participants who were at risk in terms of precautions, warnings, and contra-indication in the package insert for Metvix
  • Participants with suspected porphyria
  • Participants with specific wash-out period for interfering treatments
  • Participants requiring concurrent treatment that would interfere with study objectives and/or evaluations

Trial locations and contacts

3 sites in 2 countries.

3 sites in 2 countries

United Kingdom2 sites
  • Whittington Hospital

    London

  • University of Manchester-Hope Hospital

    Manchester

Other trials in United Kingdom

Spain1 site
  • Policlinico Ruber

    Madrid

Other trials in Spain

About this study

Official title: Comparison of Metvix PDT With Its Vehicle in the Treatment of Photoaged Skin

Skin photoaging or skin photodamage were terms used to describe the change in the structure, function and appearance of skin caused by prolonged and repeated exposure to sunlight or other ultraviolet light sources.

The visible effects of skin photodamage were fine lines, skin sagging, skin roughness, liver spots and also the appearance of red patches made up of thin red vessels (called telangiectasia).

Read more

More and more people were presenting to doctors with concerns about skin photodamage and the demand for corrective procedures was increasing.

Metvix photodynamic therapy (Metvix PDT) is a procedure currently marketed in several countries in Europe (including the United Kingdom [UK] and Spain) and in Australia, for the treatment of benign forms of skin cancer (example, actinic keratosis).

The aim of the study was to assess whether Metvix PDT would be effective in correcting the effects related to photodamage and whether it would be well tolerated.

Read the detailed description

Different application times of the study treatment were being investigated.

Conditions
Photoaged Skin
Being tested
Metvix Cream 160 mg/g, Metvix Vehicle Group
Keywords
PDT, Photoaging, Galderma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Metvix Cream 160 mg/gDrug

    Also called methyl aminolevulinate

    Participants were treated with topical administration of Metvix cream.

  • Metvix Vehicle GroupDrug

    Participants were treated with topical administration of Metvix Vehicle cream.

Study groups in NCT00437320
Study groupRoleWhat they receive
Metvix Cream 160 mg/g +Metvix Vehicle Cream (1 Hour Group)ExperimentalParticipants were topically treated with 160 milligrams per gram (mg/g) Metvix cream on one half-face or Metvix vehicle cream on the other half-face for 1 hour at Baseline, Weeks 4 and 8. The target area was then exposed to red light [using a large-field light emitting diode (LED) light source: Aktilite 128 lamp] during 7 to 10 minutes to deliver a total dose of 37 Joules per centimeter square J/cm^2. The total study duration was 20 weeks.
Receives: Drug: Metvix Cream 160 mg/g; Drug: Metvix Vehicle Group
Metvix Cream 160 mg/g +Metvix Vehicle Cream (2 Hour Group)ExperimentalParticipants were topically treated with 160 mg/g Metvix cream on one half-face or Metvix vehicle cream on the other half-face for 2 hours at Baseline, Weeks 4 and 8. The target area was then exposed to red light (using a large-field LED light source: Aktilite 128 lamp) during 7 to 10 minutes to deliver a total dose of 37 J/cm^2. The total study duration was 20 weeks.
Receives: Drug: Metvix Cream 160 mg/g; Drug: Metvix Vehicle Group
Metvix Cream 160 mg/g +Metvix Vehicle Cream (3 Hour Group)ExperimentalParticipants were topically treated with 160 mg/g Metvix cream on one half-face or Metvix vehicle cream on the other half-face for 3 hours at Baseline, Weeks 4 and 8. The target area was then exposed to red light (using a large-field LED light source: Aktilite 128 lamp) during 7 to 10 minutes to deliver a total dose of 37 J/cm^2. The total study duration was 20 weeks.
Receives: Drug: Metvix Cream 160 mg/g; Drug: Metvix Vehicle Group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Severity of Photodamage

    Severity of cutaneous photodamage in participants were assessed using Griffiths photo numeric scale. The severity scores of photodamage on the scale ranged from 0 (minimum) to 8 (maximum), that is, no damage (0), mild damage (1-3), moderate damage (4-6), and severe damage (7-8) where the highest score indicated worst outcome.

    Measured: At Week 20

  2. Number of Participants With Severity of Mottled Hyper-Pigmentation

    The evaluation of the severity of facial mottled hyperpigmentation were done using five-point scale. The score on the five-point scale ranged from 0 (minimum) to 4 (maximum), that is, 0 = none (no areas of mottled, irregular pigmentation), 1 = minimal (few, small lightly pigmented, discrete macules), 2 = mild (multiple, small lightly pigmented macules), 3 = moderate (widespread areas of mottled, moderately dark macules), 4 = severe (Widespread, multiple areas of dark macules/hyperpigmentation with uneven skin tone). The higher score indicated the worse outcome.

    Measured: At Week 20

  3. Number of Participants With Severity of Fine Lines

    The evaluation of the severity of facial fine lines were done using the five-point scale ranging from 0 to 4, that is, 0 = none- (lines disappear with stretching), 1 = minimal (few lines which do not completely disappear with stretching), 2 = mild (few lines which only diminish with stretching), 3 = moderate (widespread areas of lines which change minimally with stretching), 4 = severe- (widespread areas of lines which do not change at all with stretching), where the higher score indicated the worse outcome.

    Measured: At Week 20

  4. Number of Participants With Severity of Telangiectasia

    The severity of telangiectasia by using the scale ranging from 0 (minimum) to 3 (maximum), that is, 0 = absent (no telangiectasia), 1 = mild (slight telangiectasia characterized by appearance of a few fine, small red vessels [0.2 millimeters [mm] or less in diameter); telangiectasia covers less than 10 percent (%) of the target area, 2 = moderate (pronounced telangiectasia characterized by appearance of several fine vessels and/or few large vessels [0.2 mm or greater in diameter]; telangiectasia covers between 10 to 30% of the target area), 3 = severe (severe telangiectasia characterized by the appearance of many fine vessels and/or large vessels; telangiectasia covers greater than 30% of the target area), where the higher score indicated the worse outcome.

    Measured: At Week 20

  5. Number of Participants With Severity of Skin Roughness

    The evaluation of the severity of skin roughness were done by using the five-point scale ranging from 0 to 4,that is, 0 = none ( very smooth, no patches of roughness), 1 = minimal (smooth with only a few patches of roughness), 2 = mild (mostly smooth with scattered patches of roughness), 3 = moderate (slightly rough with diffuse patches of roughness), 4 = severe (rough with diffuse areas of roughness, some scales may be visible), where the higher score indicated the worse outcome.

    Measured: At Week 20

  6. Number of Participants With Severity of Skin Laxity

    The evaluation of the severity of skin laxity were done by using the scale ranging from 0 to 3 that is, 0 = none (no skin laxity), 1 = mild (mild skin sagging), 2 = moderate (moderate skin sagging), 3 = severe (severe skin sagging), where the higher score indicated the worse outcome.

    Measured: At Week 20

  7. Number of Participants With Tolerability Assessment of Erythema

    Erythema was defined as an abnormal redness of the skin and was measured on the scale score ranging from 0 (minimum) to 3 (maximum) that is, 0 = none (no erythema),1 = mild (slight pinkness present), 2 = moderate (definite redness, easily recognized), and 3 = severe (intense redness), where the higher score indicated the worse outcome.

    Measured: At Week 20

  8. Number of Participants With Tolerability Assessment of Edema

    Abnormal tenseness of the skin was measured on a scale ranging from 0 to 3. 0 (none) no edema, 1 (mild) slight tenseness of skin without firmness, 2 (moderate) moderate tenseness of the skin with slight firmness, 3 (severe) severe tenseness of the skin with resistance to distortion. The higher score means the worse outcome.

    Measured: At Week 20

  9. Number of Participants With Tolerability Assessment of Oozing/Crusting

    Oozing/crusting was a continuing process of exudation of fluid from the lesions/formation of scab-like material on the surface of lesions resulting from dried serum. Oozing/crusting was assessed on a scale ranging from 0-3. 0 (none) no oozing/crusting, 1 (mild) faint sign of oozing and/or weeping; slight crusting on a few of the lesions, 2 (moderate) definite oozing, but not extensive (a few lesions/areas); definite crusting on several of the lesions, 3 (severe) marked oozing/weeping; heavy crusting on the majority of the lesions. The higher score indicated the worse outcome.

    Measured: At Week 20

  10. Participant's Skin Discomfort Score Using Visual Analogue Scale (VAS)

    Participant skin discomfort was evaluated on a scale of 0 to 10. 0 ("no skin discomfort") to 10 ("worst possible skin discomfort") evaluation of skin discomfort (including pain and itching) on each half-face was analyzed using a VAS. The higher score indicated the worse outcome.

    Measured: At Week 4

  11. Participant's Skin Discomfort Score Using Visual Analogue Scale (VAS)

    Participant skin discomfort was evaluated on a scale of 0 to 10. 0 ("no skin discomfort") to 10 ("worst possible skin discomfort") evaluation of skin discomfort (including pain and itching) on each half-face was analyzed using a VAS. The higher score indicated the worse outcome.

    Measured: At Week 8

  12. Number of Participants With Tolerability Assessment of Scaling

    Abnormal shedding of the stratum corneum is measured on a scale 0 to 3. 0 (none) no scaling, 1 (mild) barely perceptible shedding, noticeable only on light scratching or rubbing, 2 (moderate) obvious but not profuse shedding, 3 (severe) heavy scale production. The higher score indicated the worse outcome.

    Measured: At Week 20

  13. Number of Participants With Adverse Events (AEs)

    AE was defined as any untoward medical occurrence in a participant, which does not necessarily have a causal relationship with the study drug. Abnormalities presented at Baseline were considered AEs if they reoccurred after resolution or worsen during the AE collection period. Number of participants with AEs were reported.

    Measured: Up to Week 20

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Feb 2007 (estimated)
  2. Study start18 Apr 2007
  3. Primary completion1 Sep 2008
  4. Study completion1 Sep 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00437320
Sponsor's protocol ID
RD.03.SPR.29057
Other IDs
2006-004237-15
Status last verified
Dec 2023
First submitted
19 Feb 2007
Last updated
31 May 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The study protocol was submitted to and approved by the local Ethics Committees prior to study initiation, and by the regulatory authorities. The study was followed-up closely by the Sponsor or representatives according to the Declaration of Helsinki (1964) and its Tokyo 9(175), Venice (1983), Hong-Kong (1989), Somerset West (1996), and Edinburgh (2000) amendments, the ICH Good Clinical Practice (GCP) principles, Standard Operating Procedures (SOPs) and local regulatory requirements.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Metvix Cream 160 mg/g in people with Photoaged Skin, run by Galderma R&D at 3 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United Kingdom, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 31 May 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Severity of Photodamage (time frame: At Week 20). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 May 2024.

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