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.
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
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 group | Role | What they receive |
|---|---|---|
| 1 | Experimental | PDT using MAL concentration A Receives: Drug: Methyl aminolevulinate (MAL) PDT |
| 2 | Experimental | PDT using MAL concentration B Receives: Drug: Methyl aminolevulinate (MAL) PDT |
| 3 | Placebo comparator | PDT 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.
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
Change in Facial Inflammatory (Nodules, Papules, and Pustules) Lesion Counts
Measured: 12 weeks after last treatment
Change in Facial Inflammatory (Nodules, Papules, and Pustules) Lesion Counts From Baseline
Measured: 12 weeks
Secondary outcomes (31)
Median Percentage Change in Facial Inflammatory (Nodules, Papules, and Pustules) Lesion Counts From Baseline
Measured: 3 weeks after last treatment
Median Percentage Change in Facial Inflammatory (Nodules, Papules, and Pustules) Lesion Counts From Baseline
Measured: 6 weeks after last treatment
Median Percentage Change in Facial Non Inflammatory Lesion Counts From Baseline
Measured: 6 weeks after last treatment
Percent Reduction in Total Lesion Counts From Baseline
Measured: 6 weeks after last treatment
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
The Proportion of Patients Rated as Clear or Almost Clear at 12 Weeks After Last Treatment
Measured: 12 weeks after last treatment
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
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
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
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
Proportion of Patients With Mild and Moderate Erythema After First Treatment
Measured: immediately after first treatment
Proportion of Patients With Mild and Moderate Erythema After First Treatment
Measured: 2 days after first treatment
Proportion of Patients With Mild and Moderate Erythema After Second Treatment
Measured: immediately after second treatment
Proportion of Patients With Mild and Moderate Erythema After Third Treatment
Measured: immediately after third treatment
Proportion of Patients With Mild and Moderate Erythema After Fourth Treatment
Measured: immediately after fourth treatment
Proportion of Patients With Severe Erythema After First Treatment
Measured: immediately after first treatment
Proportion of Patients With Severe Erythema 2 Days After First Treatment
Measured: 2 days after first treatment
Proportion of Patients With Severe Erythema 7 Days After First Treatment
Measured: 7 days after first treatment
Proportion of Patients With Severe Erythema After Second Treatment
Measured: immediately after second treatment
Proportion of Patients With Severe Erythema After Third Treatment
Measured: immediately after third treatment
Proportion of Patients With Severe Erythema After Fourth Treatment
Measured: immediately after fourth treatment
Proportion of Patients With Mild and Moderate Hyperpigmentation After First Treatment
Measured: 2 days after treatment
Proportion of Patients With Mild and Moderate Hyperpigmentation After First Treatment
Measured: 2 weeks after first treatment
Proportion of Patients With Mild and Moderate Hyperpigmentation After Last Treatment
Measured: 2 weeks after last treatment
Proportion of Patients With Mild and Moderate Hyperpigmentation After Last Treatment
Measured: 6 weeks after last treatment
Proportion of Patients With Mild and Moderate Hyperpigmentation After Last Treatment
Measured: 12 weeks after last treatment
Proportion of Patients With Mild and Moderate Hypopigmentation After First Treatment
Measured: 2 days after first treatment
Proportion of Patients With Mild and Moderate Hypopigmentation After Last Treatment
Measured: 2 weeks after last treatment
Proportion of Patients With Mild and Moderate Hypopigmentation After First Treatment
Measured: 2 weeks after first treatment
Proportion of Patients With Mild and Moderate Hypopigmentation After Last Treatment
Measured: 6 weeks after last treatment
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.
- First posted15 Jan 2008 (estimated)
- Study startFeb 2007
- Primary completionJul 2008
- Study completionSep 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Acne VulgarisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Photocure
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- David Pariser, MD, Principal investigator, AAD
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Aug 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Photodynamic Therapy (PDT) With Methyl Aminolevulinate (MAL) Cream in Moderate to Severe Acne
- ClinicalTrials.gov ID
- NCT00594425
- Acronym / sponsor ID
- PC TA202B/06
- Conditions
- Acne Vulgaris
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 150 participants (actual)
- Lead sponsor
- PhotocureIndustry (pharma, biotech, devices)
- Study start
- Feb 2007
- Primary completion
- Jul 2008 (actual)
- Study completion
- Sep 2008 (actual)
- First posted
- 15 Jan 2008 (estimated)
- Results
- Posted 8 Aug 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: Methyl aminolevulinate (MAL) PDTPDT using MAL concentration A |
| 2 | Experimental | Drug: Methyl aminolevulinate (MAL) PDTPDT using MAL concentration B |
| 3 | Placebo comparator | Drug: Methyl aminolevulinate (MAL) PDTPDT using Placebo cream |
Who may qualify
- Ages
- 15 to 40 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (9 listed)
- 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.
Key exclusion criteria (9 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Methyl aminolevulinate (MAL) PDTCream application followed by illumination with red light | Drug | 1, 2, 3 |
Primary outcome
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
Change in Facial Inflammatory (Nodules, Papules, and Pustules) Lesion Counts
Time frame: 12 weeks after last treatment
Change in Facial Inflammatory (Nodules, Papules, and Pustules) Lesion Counts From Baseline
Time frame: 12 weeks
31 secondary outcomes
Median Percentage Change in Facial Inflammatory (Nodules, Papules, and Pustules) Lesion Counts From Baseline
Time frame: 3 weeks after last treatment
Median Percentage Change in Facial Inflammatory (Nodules, Papules, and Pustules) Lesion Counts From Baseline
Time frame: 6 weeks after last treatment
Median Percentage Change in Facial Non Inflammatory Lesion Counts From Baseline
Time frame: 6 weeks after last treatment
Percent Reduction in Total Lesion Counts From Baseline
Time frame: 6 weeks after last treatment
Proportion of Success, Defined as Improvement of at Least 2 Grades From Baseline According to the IGA Scale Based on Facial Assessment
Time frame: 6 weeks after last treatment
The Proportion of Patients Rated as Clear or Almost Clear at 12 Weeks After Last Treatment
Time frame: 12 weeks after last treatment
Facial Pain Using Visual Analouge Scale From 0 to 10, Were 0 Indicates no Pain and 10 Indicates Worst Pain.
Time frame: immediately after illumination-first treatment
Facial Pain Using Visual Analouge Scale From 0 to 10, Were 0 Indicates no Pain and 10 Indicates Worst Pain
Time frame: immediately after second treatment
Facial Pain Using Visual Analouge Scale From 0 to 10, Were 0 Indicates no Pain and 10 Indicates Worst Pain.
Time frame: immediately after third treatment
Facial Pain Using Visual Analouge Scale From 0 to 10, Were 0 Indicates no Pain and 10 Indicates Worst Pain.
Time frame: immediately after illumination-fourth treatment treatment
Proportion of Patients With Mild and Moderate Erythema After First Treatment
Time frame: immediately after first treatment
Proportion of Patients With Mild and Moderate Erythema After First Treatment
Time frame: 2 days after first treatment
Proportion of Patients With Mild and Moderate Erythema After Second Treatment
Time frame: immediately after second treatment
Proportion of Patients With Mild and Moderate Erythema After Third Treatment
Time frame: immediately after third treatment
Proportion of Patients With Mild and Moderate Erythema After Fourth Treatment
Time frame: immediately after fourth treatment
Proportion of Patients With Severe Erythema After First Treatment
Time frame: immediately after first treatment
Proportion of Patients With Severe Erythema 2 Days After First Treatment
Time frame: 2 days after first treatment
Proportion of Patients With Severe Erythema 7 Days After First Treatment
Time frame: 7 days after first treatment
Proportion of Patients With Severe Erythema After Second Treatment
Time frame: immediately after second treatment
Proportion of Patients With Severe Erythema After Third Treatment
Time frame: immediately after third treatment
Proportion of Patients With Severe Erythema After Fourth Treatment
Time frame: immediately after fourth treatment
Proportion of Patients With Mild and Moderate Hyperpigmentation After First Treatment
Time frame: 2 days after treatment
Proportion of Patients With Mild and Moderate Hyperpigmentation After First Treatment
Time frame: 2 weeks after first treatment
Proportion of Patients With Mild and Moderate Hyperpigmentation After Last Treatment
Time frame: 2 weeks after last treatment
Proportion of Patients With Mild and Moderate Hyperpigmentation After Last Treatment
Time frame: 6 weeks after last treatment
Proportion of Patients With Mild and Moderate Hyperpigmentation After Last Treatment
Time frame: 12 weeks after last treatment
Proportion of Patients With Mild and Moderate Hypopigmentation After First Treatment
Time frame: 2 days after first treatment
Proportion of Patients With Mild and Moderate Hypopigmentation After Last Treatment
Time frame: 2 weeks after last treatment
Proportion of Patients With Mild and Moderate Hypopigmentation After First Treatment
Time frame: 2 weeks after first treatment
Proportion of Patients With Mild and Moderate Hypopigmentation After Last Treatment
Time frame: 6 weeks after last treatment
Proportion of Patients With Mild and Moderate Hypopigmentation After Last Treatment
Time frame: 12 weeks after last treatment
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Aug 2013.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
David Pariser, MD principal investigator
AAD
14 sites in 1 country: see every site and its status.
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.