AzTrials
AzTrials

Actinic KeratosisPhase 3NCT00472459

Photodynamic Therapy (PDT) With Metvix® 160 Milligrams/Gram Cream in Organ Transplant Participants With Non-melanoma Skin Cancer

A Phase 3 study testing Photodynamic therapy with Metvix 160 mg/g cream in people with Actinic Keratosis and Warts, run by Galderma R&D at 11 sites in 5 countries.

Completed

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

Official record
Search all trials

Trial summary

Participants on immunosuppressive therapy, e.g., organ recipients, had higher occurrence of AK (Actinic Keratosis) than the untreated population. Keratotic lesions (i.e., AK lesions and warts) in this population were highly associated with development of SCC (Squamous Cell Carcinoma) also with 10 times higher… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Actinic Keratosis, Warts, Basal Cell Carcinoma
What is being tested?
Photodynamic therapy with Metvix 160 mg/g cream
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
82 participants
Where
11 sitesin 5 countries
Study dates
25 Jul 2003to 14 Jul 2006
Phase
Phase 3
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Transplant recipients with at least 2 clinically diagnosed AK lesion and maximum 10 skin lesions (AK, BCC, SCC in situ and/or warts) in each of the two contralateral areas (diameter 5x10^2 cm) in the face, the scalp, the extremities or on the trunk/neck.
  • Transplant recipients who previously were treated more than once for their skin lesions.
  • Transplant recipients who had received immunosuppressive therapy for more than 3 years.
  • Males or females above 18 years of age.
  • Written informed consent.

Who cannot join

  • Participants with more than 10 skin lesions (AK, BCC, SCC in situ, warts) in one of the two areas.
  • Participants with SCC (not SCC in situ) in one of the two areas.
  • Participants not previously treated or treated only once for their skin lesions.
  • Participants with rosacea in one of the two areas.
  • Participants with morphea form/highly infiltrating BCC
  • Known allergy to methyl-amino levulinate, a similar compound or excipients of the cream
Show all 9Show fewer
  • Participation in other clinical studies either concurrently or within the last 30 days.
  • Pregnant or breast-feeding (all women of child-bearing potential documented a negative pregnancy test and used the pill or IUD during the treatments and for at least one month thereafter).
  • Conditions associated with a risk of poor protocol compliance

Trial locations and contacts

11 sites in 5 countries.

11 sites in 5 countries

Sweden3 sites
  • Department of Dermatology, Sahlgrenska University Hospital

    Gothenburg, 41345

  • Department of Dermatology, Karolinska University Hospital, Huddinge

    Stockholm, 14186

  • Department of Dermatology, Uppsala University Hospital

    Uppsala, 75185

Other trials in Sweden

Denmark2 sites
  • Department of Dermatology, Århus Amysygehus

    Aarhus, 8000

  • Department of Dermatology, Roskilde Amysygehus

    Roskilde, 4000

Other trials in Denmark

Germany2 sites
  • Klinik für Dermatologie, Venerologie und Allergologie, Campus Charité Mitte

    Berlin, 10117

  • Hautklinik Linden

    Hanover, 30449

Other trials in Germany

Norway2 sites
  • Department of Dermatology, Rikshospitalet

    Oslo, 0027

  • Department of Dermatology, St. Olavs Hospital

    Trondheim, 7006

Other trials in Norway

United Kingdom2 sites
  • Dermatology Department, Manchester Royal Infirmary

    Manchester, M13 9WL

  • Portsmouth Dermatology Centre, St Mary's Hospital

    Portsmouth, PO3 6AD

Other trials in United Kingdom

About this study

Official title: A Multicenter, Randomized Study of Photodynamic Therapy (PDT) With Metvix® 160 mg/g Cream in Immuno-compromised Patients With Non-melanoma Skin Cancer

Participants on immunosuppressive therapy, e.g., organ recipients, had higher occurrence of AK (Actinic Keratosis) than the untreated population. Keratotic lesions (i.e., AK lesions and warts) in this population were highly associated with development of SCC (Squamous Cell Carcinoma) also with 10 times higher mortality rate because of SCC than expected. The risk of developing skin cancer, predominantly SCC and BCC (Basal Cell Carcinoma), increased with graft survival time and the length of immunosuppressive treatment period.

The higher risk of developing skin malignancy and more aggressive skin malignancies in this population, indicated the need for early removal of these pre-malignant lesions.

In this study, two contralateral areas (5x10 cm^2) with skin lesions within the participant were compared. One area was received Metvix PDT at defined intervals and the other was received lesion specific treatment at the discretion of the investigator. The primary endpoint was the accumulated number of new lesions during the study and number of AK lesions that showed complete response 3 months after baseline. Secondary endpoints were number of BCC lesions that showed complete response, number of recurrent lesions, assessment of cosmetic outcome and safety.

Read the detailed description

The treatment area (5x10 cm^2) was treated at baseline and at 3 ,9 and 15 months visits. At baseline, the area was treated with fractionated Metvix® PDT treatment consisting of two treatment one week apart and at 3 ,9 and 15 months visits with single Metvix® PDT treatment. The participants were evaluated for occurrence of new lesions, lesion response and recurrence at 3 (not recurrence),9,15,21, and 27 months visits. New and recurrent lesions in the treated area were treated with Metvix® PDT treatment. Lesions with partial response in the treated area were re-treated with Metvix® PDT and lesions with no response were treated with lesion specific treatment at the discretion of the investigator.

In the contralateral control area (5x10 cm^2), new and recurrent lesions and lesions in non-complete response were treated with lesion specific treatment at the discretion of the investigator at each study visit.

Being tested
Photodynamic therapy with Metvix 160 mg/g cream
Keywords
Non-melanoma skin cancer, Organ transplant recipients, Photodynamic therapy, Actinic keratosis
Medical subject headings
Keratosis, Actinic, Warts, Carcinoma, Basal Cell, Bowen's Disease, Carcinoma, Squamous Cell

What participants receive

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

  • Photodynamic therapy with Metvix 160 mg/g creamProcedure or surgery

Study groups in NCT00472459
Study groupRoleWhat they receive
Metvix®-PDT (Treatment Area +Contralateral Control Area)ExperimentalTwo contralateral areas (symmetrically) were identified with an area of 5*10-centimeter square, that is (i.e.), treatment and control area. Treatment area was treated with Metvix®-photodynamic therapy (PDT) 160 milligrams/gram (mg/g) cream, given as fractioned regimen consisting of two treatments one week apart on Weeks 0 and Week 1, additional single treatments were given at Months 3, 9, 15, 21 and 27. The contralateral control area was treated using lesion-specific treatment in accordance with the Investigator's preference (example, cryotherapy) at months 3, 9, 15, 21 and 27.
Receives: Procedure: Photodynamic therapy with Metvix 160 mg/g cream

What is being measured

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

  1. Number of Accumulated New Skin Lesions at Month 3

    A new lesion was defined as a visible new lesion of any size after the Baseline. New skin lesions accumulated were sum of actinic keratoses (AK) lesions, basal cell carcinoma (BCC) lesions, squamous cell carcinoma (SCC) lesions and warts in treated area and contralateral control area (symmetrically). Number of accumulated new skin lesions at Month 3 were reported.

    Measured: At Month 3

  2. Number of Accumulated New Skin Lesions at Month 9

    A new lesion was defined as a visible new lesion of any size after the Baseline. New skin lesions accumulated were sum of AK lesions, BCC lesions, SCC lesions and warts in treated area and contralateral control area (symmetrically). Number of accumulated new skin lesions at Month 9 were reported.

    Measured: At Month 9

  3. Number of Accumulated New Skin Lesions at Month 15

    A new lesion was defined as a visible new lesion of any size after the Baseline. New skin lesions accumulated were sum of AK lesions, BCC lesions, SCC lesions and warts in treated area and contralateral control area (symmetrically). Number of accumulated new skin lesions at Month 15 were reported.

    Measured: At Month 15

  4. Number of Accumulated New Skin Lesions at Month 21

    A new lesion was defined as a visible new lesion of any size after the Baseline. New skin lesions accumulated were sum of AK lesions, BCC lesions, SCC lesions and warts in treated area and contralateral control area (symmetrically). Number of accumulated new skin lesions at Month 21 were reported.

    Measured: At Month 21

  5. Number of Accumulated New Skin Lesions at Month 27

    A new lesion was defined as a visible new lesion of any size after the Baseline. New skin lesions accumulated were sum of AK lesions, BCC lesions, SCC lesions and warts in treated area and contralateral control area (symmetrically). Number of accumulated new skin lesions at Month 27 were reported.

    Measured: At Month 27

  6. Number of AK Lesions That Showed Complete Response at Month 3

    Complete response was defined as the complete disappearance of the lesion. The AK lesions were graded as grade 1(mild); slightly palpable AK, better felt than seen, grade 2 (moderate); moderately thick AK, easily felt and seen, and grade 3 (severe); very thick and/or obvious AK. Mantel-Haenszel weighted difference was used to calculate number of AK lesions that showed complete response.

    Measured: At Month 3

  7. Number of AK Lesions That Showed Complete Response at Month 9

    Complete response was defined as the complete disappearance of the lesion. The AK lesions were graded as grade 1(mild); slightly palpable AK, better felt than seen, grade 2 (moderate); moderately thick AK, easily felt and seen, and grade 3 (severe); very thick and/or obvious AK. Mantel-Haenszel weighted difference was used to calculate number of AK lesions that showed complete response.

    Measured: At Month 9

  8. Number of AK Lesions That Showed Complete Response at Month 15

    Complete response was defined as the complete disappearance of the lesion. The AK lesions were graded as grade 1(mild); slightly palpable AK, better felt than seen, grade 2 (moderate); moderately thick AK, easily felt and seen, and grade 3 (severe); very thick and/or obvious AK. Mantel-Haenszel weighted difference was used to calculate number of AK lesions that showed complete response.

    Measured: At Month 15

  9. Number of AK Lesions That Showed Complete Response at Month 21

    Complete response was defined as the complete disappearance of the lesion. The AK lesions were graded as grade 1(mild); slightly palpable AK, better felt than seen, grade 2 (moderate); moderately thick AK, easily felt and seen, and grade 3 (severe); very thick and/or obvious AK. Mantel-Haenszel weighted difference was used to calculate number of AK lesions that showed complete response.

    Measured: At Month 21

  10. Number of AK Lesions That Showed Complete Response at Month 27

    Complete response was defined as the complete disappearance of the lesion. The AK lesions were graded as grade 1(mild); slightly palpable AK, better felt than seen, grade 2 (moderate); moderately thick AK, easily felt and seen, and grade 3 (severe); very thick and/or obvious AK. Mantel-Haenszel weighted difference was used to calculate number of AK lesions that showed complete response.

    Measured: At Month 27

Secondary outcomes (4)
  1. Number of BCC Lesions That Showed Complete Response

    Complete response was defined as the complete disappearance of the lesion. BCC lesions were characterized as superficial: ill-defined red scaly macule; could increase in size to form crusted, occasionally ulcerated, scaly erythematous patches, but never indurated and nodular: flesh-colored, cream to pink, waxy papule with prominent surface telangiectasias; as the lesions grow, central erosion or ulceration and crusting occur, surrounded by a pearly, rolled, translucent border. Number of BCC lesions that showed complete response was reported.

    Measured: At Months 3, 9, 15, 21 and 27

  2. Number of Recurrent Lesions

    Recurrence of lesions was defined as reappearance of previously treated and eradicated lesions and was verified by histology in accordance with local hospital practice.

    Measured: At Months 9, 15, 21 and 27

  3. Number of Participants With Overall Cosmetic Outcome Assessed by Investigator and Participants

    Overall cosmetic outcome for the two contralateral areas (treatment and contralateral control) with an area of 5 by 10 cm^2 was assessed with regards to either absence or presence of all signs or symptoms or the presence of at least one of the signs or symptoms; scarring, atrophy, depigmentation, redness and fibrosis by both investigator and participant. Parameters were assessed for each area were hypopigmentation, hyperpigmentation, scar formation and tissue defect. The occurrence of these parameters was graded as none, slight, or obvious. Cosmetic outcome was presented as number of participants in each category (none, slight, obvious) for each variable assessed (hypopigmentation, hyperpigmentation, scar formation, tissue defect).

    Measured: At Month 27

  4. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

    Measured: From Baseline up to Month 27

Timeline

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

  1. First posted11 May 2007 (estimated)
  2. Study start25 Jul 2003
  3. Primary completion23 Sep 2004
  4. Study completion14 Jul 2006

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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
82 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00472459
Sponsor's protocol ID
PC T313/03
Status last verified
Mar 2025
First submitted
10 May 2007
Last updated
18 Apr 2025
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Photodynamic therapy with Metvix 160 mg/g cream in people with Actinic Keratosis and Warts, run by Galderma R&D at 11 sites in 5 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 9 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 18 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Sweden, Denmark, Germany, Norway, United Kingdom. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 18 Apr 2025). 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 Accumulated New Skin Lesions at Month 3 (time frame: At Month 3). The study lists 10 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 18 Apr 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in