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Acne VulgarisPhase 2NCT00594425

Photodynamic Therapy (PDT) With Methyl Aminolevulinate (MAL) Cream in Moderate to Severe Acne

A Phase 2 study testing Methyl aminolevulinate (MAL) PDT in people with Acne Vulgaris, run by Photocure at 14 sites in United States.

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

This multicenter study will be divided into 2 phases. The first phase will be an open label, dose-escalation phase, while the second will be a blinded, randomized, vehicle-controlled, parallel-group, dose-response phase. Read more about this study

Who is it for?
Ages 15 to 40 years
Conditions the study is for
Acne Vulgaris
What is being tested?
Methyl aminolevulinate (MAL) PDT
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
150 participants
Where
14 sitesUnited States
Study dates
Feb 2007to 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 15 to 40 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Female and male patients, age 15 to 40 years with moderate to severe facial acne vulgaris (IGA score 3-4).
  • Patients with skin type I to IV (Fitzpatrick).
  • Patients with 20 to 100 inflammatory lesions (papules, pustules, and nodules) on the face excluding lesions on the nose and in the peri-ocular area.
  • Patients with up to 200 noninflammatory lesions (open and closed comedones) on the face.
  • Patients with no more than 2 nodular lesions on the face.
  • Patients who are surgically sterile, postmenopausal, abstinent, or willing to use an adequate means of contraception including birth control pills, or barrier methods and spermicide for at least 14 days prior to Day 0. Patients using birth control pills must have used the same product and dose for at least 6 months and must agree to stay with the same product and dose for an additional 6 months.
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  • Patients must be willing and capable of following study instructions to the extent and degree required by the protocol.
  • Patients must sign the approved informed consent form prior to any study procedures.
  • Patients must be willing to be photographed. Patients must be willing to sign a photography consent form.

Who cannot join

  • Known allergy to MAL, to a similar PDT compound, or to excipients of the cream.
  • Participation in other clinical studies either concurrently or within the last 30 days.
  • Patients who have a condition or who are in a situation, which, in the investigator's opinion, may put the patient at risk, may confound the study results, or may interfere with the patient's participation in the study.
  • Clinically significant sensitivity to visible light, or has porphyria or porphyrin sensitivity.
  • Exposure to ultraviolet radiation (UVB phototherapy, sun tanning salons) within the last 30 days.
  • Patients with a washout period for topical treatments for their acne of less than 14 days. Medicated cleansers may be used during the washout period and stopped before the treatment.
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  • Patients with a washout period for oral antibiotics for treatment of their acne of less than 1 month.
  • Patients with a washout period for oral isotretinoin of less than 6 months.
  • Patients with a beard or other facial hair that might interfere with study assessments.

Trial locations and contacts

14 sites in 1 country.

14 sites in 1 country

United States14 sites
  • Academic Dermatology Associates

    Albuquerque, New Mexico, 87106

  • Michigan Center for Research Corp

    Clinton Twp, Michigan, 48038

  • Dermatology Treatment & Research

    Dallas, Texas, 75230

  • Suzanne Bruce and Associates, PA

    Houston, Texas, 77056

  • The Education & Research Foundation, Inc.

    Lynchburg, Virginia, 24501-1604

  • DuPage Medical Group

    Naperville, Illinois, 60563

  • Virginia Clinical Research, Inc.

    Norfolk, Virginia, 23507

  • Central Sooner Research

    Norman, Oklahoma, 73069

  • Oregon Dermatology and Research Center

    Portland, Oregon, 97210

  • Dermatology Associates of Rochester

    Rochester, New York, 14623

  • Dermatology Research Center, Inc.

    Salt Lake City, Utah, 84124

  • The Dermatology Clinical Research Center of San Antonio

    San Antonio, Texas, 78229

  • Therapeutics Clinical Research

    San Diego, California, 92123

  • Solano Clinical Research

    Vallejo, California, 94589

Other trials in United States

About this study

This multicenter study will be divided into 2 phases. The first phase will be an open label, dose-escalation phase, while the second will be a blinded, randomized, vehicle-controlled, parallel-group, dose-response phase. The second phase will only start if the first phase succeeds in establishing well tolerated dose(s). Patients with moderate to severe acne vulgaris in the face will be included.The results from part 2 has been presented in the result section.

Read the detailed description

For the second part: All patients will receive 4 PDT sessions 2 weeks apart using a light dose of 37 J/cm2. One treatment group will receive vehicle cream, while the other 2 groups will receive MAL cream with a concentration of 40 mg/g and 80 mg/g, respectively. The MAL and vehicle cream will be applied in a thin layer on clean skin and left for 1.5 hours under occlusion before illumination.

Conditions
Acne Vulgaris
Being tested
Methyl aminolevulinate (MAL) PDT
Medical subject headings
Acne Vulgaris

What participants receive

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

  • Methyl aminolevulinate (MAL) PDTDrug

    Cream application followed by illumination with red light

Study groups in NCT00594425
Study groupRoleWhat they receive
1ExperimentalPDT using MAL concentration A
Receives: Drug: Methyl aminolevulinate (MAL) PDT
2ExperimentalPDT using MAL concentration B
Receives: Drug: Methyl aminolevulinate (MAL) PDT
3Placebo comparatorPDT using Placebo cream
Receives: Drug: Methyl aminolevulinate (MAL) PDT

What is being measured

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

  1. Proportion of Success, Defined as Improvement of at Least 2 Grades From Baseline According to the IGA Scale Based on Facial Assessment

    Measured: 12 weeks after last treatment

  2. Change in Facial Inflammatory (Nodules, Papules, and Pustules) Lesion Counts

    Measured: 12 weeks after last treatment

  3. Change in Facial Inflammatory (Nodules, Papules, and Pustules) Lesion Counts From Baseline

    Measured: 12 weeks

Secondary outcomes (31)
  1. Median Percentage Change in Facial Inflammatory (Nodules, Papules, and Pustules) Lesion Counts From Baseline

    Measured: 3 weeks after last treatment

  2. Median Percentage Change in Facial Inflammatory (Nodules, Papules, and Pustules) Lesion Counts From Baseline

    Measured: 6 weeks after last treatment

  3. Median Percentage Change in Facial Non Inflammatory Lesion Counts From Baseline

    Measured: 6 weeks after last treatment

  4. Percent Reduction in Total Lesion Counts From Baseline

    Measured: 6 weeks after last treatment

  5. Proportion of Success, Defined as Improvement of at Least 2 Grades From Baseline According to the IGA Scale Based on Facial Assessment

    Measured: 6 weeks after last treatment

  6. The Proportion of Patients Rated as Clear or Almost Clear at 12 Weeks After Last Treatment

    Measured: 12 weeks after last treatment

  7. Facial Pain Using Visual Analouge Scale From 0 to 10, Were 0 Indicates no Pain and 10 Indicates Worst Pain.

    Measure was assessed on a Visual Analogue Scale from 0 to 10 cm

    Measured: immediately after illumination-first treatment

  8. Facial Pain Using Visual Analouge Scale From 0 to 10, Were 0 Indicates no Pain and 10 Indicates Worst Pain

    Measure was assessed on a Visual Analogue Scale from 0 to 10 cm

    Measured: immediately after second treatment

  9. Facial Pain Using Visual Analouge Scale From 0 to 10, Were 0 Indicates no Pain and 10 Indicates Worst Pain.

    Measure was assessed on a Visual Analogue Scale from 0 to 10 cm

    Measured: immediately after third treatment

  10. Facial Pain Using Visual Analouge Scale From 0 to 10, Were 0 Indicates no Pain and 10 Indicates Worst Pain.

    Measure was assessed on a Visual Analogue Scale from 0 to 10 cm

    Measured: immediately after illumination-fourth treatment treatment

  11. Proportion of Patients With Mild and Moderate Erythema After First Treatment

    Measured: immediately after first treatment

  12. Proportion of Patients With Mild and Moderate Erythema After First Treatment

    Measured: 2 days after first treatment

  13. Proportion of Patients With Mild and Moderate Erythema After Second Treatment

    Measured: immediately after second treatment

  14. Proportion of Patients With Mild and Moderate Erythema After Third Treatment

    Measured: immediately after third treatment

  15. Proportion of Patients With Mild and Moderate Erythema After Fourth Treatment

    Measured: immediately after fourth treatment

  16. Proportion of Patients With Severe Erythema After First Treatment

    Measured: immediately after first treatment

  17. Proportion of Patients With Severe Erythema 2 Days After First Treatment

    Measured: 2 days after first treatment

  18. Proportion of Patients With Severe Erythema 7 Days After First Treatment

    Measured: 7 days after first treatment

  19. Proportion of Patients With Severe Erythema After Second Treatment

    Measured: immediately after second treatment

  20. Proportion of Patients With Severe Erythema After Third Treatment

    Measured: immediately after third treatment

  21. Proportion of Patients With Severe Erythema After Fourth Treatment

    Measured: immediately after fourth treatment

  22. Proportion of Patients With Mild and Moderate Hyperpigmentation After First Treatment

    Measured: 2 days after treatment

  23. Proportion of Patients With Mild and Moderate Hyperpigmentation After First Treatment

    Measured: 2 weeks after first treatment

  24. Proportion of Patients With Mild and Moderate Hyperpigmentation After Last Treatment

    Measured: 2 weeks after last treatment

  25. Proportion of Patients With Mild and Moderate Hyperpigmentation After Last Treatment

    Measured: 6 weeks after last treatment

  26. Proportion of Patients With Mild and Moderate Hyperpigmentation After Last Treatment

    Measured: 12 weeks after last treatment

  27. Proportion of Patients With Mild and Moderate Hypopigmentation After First Treatment

    Measured: 2 days after first treatment

  28. Proportion of Patients With Mild and Moderate Hypopigmentation After Last Treatment

    Measured: 2 weeks after last treatment

  29. Proportion of Patients With Mild and Moderate Hypopigmentation After First Treatment

    Measured: 2 weeks after first treatment

  30. Proportion of Patients With Mild and Moderate Hypopigmentation After Last Treatment

    Measured: 6 weeks after last treatment

  31. Proportion of Patients With Mild and Moderate Hypopigmentation After Last Treatment

    Measured: 12 weeks after last treatment

Timeline

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

  1. First posted15 Jan 2008 (estimated)
  2. Study startFeb 2007
  3. Primary completionJul 2008
  4. Study completionSep 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
150 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00594425
Sponsor's protocol ID
PC TA202B/06
Status last verified
Aug 2013
First submitted
3 Jan 2008
Last updated
8 Aug 2013
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Methyl aminolevulinate (MAL) PDT in people with Acne Vulgaris, run by Photocure at 14 sites in United States.

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 9 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 8 Aug 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States. 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. Some participants in this study may receive a placebo. 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 8 Aug 2013). 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?

Proportion of Success, Defined as Improvement of at Least 2 Grades From Baseline According to the IGA Scale Based on Facial Assessment (time frame: 12 weeks after last treatment). The study lists 3 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 8 Aug 2013.

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