AzTrials
AzTrials

Actinic KeratosisPhase 1/2NCT01922050

A Study of Increasing Strengths, Safety and Efficacy of Two Formulas of LEO 43204 on the Face or the Chest in Patients With Actinic Keratosis

A Phase 1/2 study testing LEO 43204 Formulation 1, LEO 43204 Formulation 2 and LEO 43204 Formulation 1 Dose X in people with Actinic Keratosis, run by LEO Pharma at 25 sites in 2 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

Part 1: To identify Maximum Tolerated Dose (MTD) levels of two formulations of LEO 43204 after once daily treatment for two consecutive days Part 2: To evaluate efficacy of two formulations of LEO 43204 in two doses after once daily treatment for two consecutive days compared to vehicle formulations Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Actinic Keratosis
What is being tested?
LEO 43204 Formulation 1, LEO 43204 Formulation 2 and LEO 43204 Formulation 1 Dose X
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
320 participants
Where
25 sitesin 2 countries
Study dates
Oct 2013to Nov 2014
Phase
Phase 1/2
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Following verbal and written information about the trial, subject must provide informed consent documented by signing the Informed Consent Form (ICF) prior to any trial-related procedures.
  • Part 1: Subjects with 5 to 20 clinically typical, visible and discrete AKs on the face
  • Part 2: Subjects with 5 to 20 clinically typical, visible and discrete AKs on either the face or within a contiguous area of approximately 250 cm2 (40 in2) on the chest
  • Subject at least 18 years of age.
  • Female subjects must be of either:
  • Non-childbearing potential, i.e., have a confirmed clinical history of sterility (e.g., the subject is without a uterus or have tubal ligation), or,
  • Childbearing potential, provided there is a confirmed negative urine pregnancy test prior to trial treatment.
  • Female subjects of childbearing potential must use effective contraception throughout the study.

Who cannot join

  • Location of the treatment area within 5 cm (2 inches) of:
  • an incompletely healed wound,
  • a suspected basal or squamous cell carcinoma.
  • Prior treatment with ingenol mebutate gel on the treatment area.
  • Lesions in the treatment areas that have:
  • atypical clinical appearance (e.g., hypertrophic, hyperkeratotic or cutaneous horns) and/or
Show all 18Show fewer
  • recalcitrant disease (e.g., did not respond to cryotherapy on two previous occasions).
  • History or evidence of skin conditions other than the trial indication that would interfere with the evaluation of the trial medication (e.g., eczema, unstable psoriasis, xeroderma pigmentosum, Rosacea), at the investigator's discretion.
  • Use of cosmetic or therapeutic products and procedures which could interfere with the assessments of the treatment areas.
  • Any other disease or medical condition such as history or presence of cancer, cardiovascular, pulmonary, hepatic, renal, hematological, gastrointestinal, endocrine, immunological, or neurological disease or disorder, that, in the opinion of the investigator, makes the subject unsuitable to participate in the trial.
  • Any abnormal laboratory or ECG findings that are clinically significant and would impact the safety of the subjects or the interpretation of the study results, as determined by the investigator.
  • Anticipated need for hospitalisation or out-patient surgery during the first 15 days after the first trial medication application. Note that cosmetic/therapeutic procedures are not excluded if they fall outside of the criteria detailed in Prohibited Therapies or Medications.
  • Known sensitivity or allergy to any of the ingredients in the LEO 43204.
  • Presence of acute sunburn within the treatment areas.
  • Current enrolment or participation in an investigational clinical trial within 30 days of entry into this trial.
  • Subjects previously randomised in the trial (Part 1 or 2).
  • Female subjects who are breastfeeding.
  • In the opinion of the investigator, the subject is unlikely to comply with the Clinical Study Protocol (e.g., alcoholism, drug dependency or psychotic state).

Trial locations and contacts

25 sites in 2 countries.

25 sites in 2 countries

United States13 sites
  • Great Lakes Research Group, Inc.

    Bay City, Michigan, 48706

  • Research Institute of Deaconess Clinic

    Evansville, Indiana, 47713

  • Hudson Dermatology, LLC

    Evansville, Indiana, 47714

  • Torrance Clinical Research Institute Inc.

    Lomita, California, 90717

  • Mount Sinai School of Medicine

    New York, New York, 10029

  • Leavitt Medical Associates of Florida

    Ormond Beach, Florida, 32174

  • Omni Dermatology

    Phoenix, Arizona, 85018

  • DermAssociates, PC

    Rockville, Maryland, 20850

  • Clinical Trials of Texas, Inc.

    San Antonio, Texas, 78229

  • Dermatology Cosmetic Laser Medical Associates of La Jolla, Inc.

    San Diego, California, 92121

  • Clinical Research Center, Morsani Center for Advanced Healthcare

    Tampa, Florida, 33612

  • The Dermatology Group, P.C.

    Verona, New Jersey, 07044

  • Henry Ford Medical Center, Dept. of Dermatology

    West Bloomfield, Michigan, 48322

Other trials in United States

Canada12 sites
  • Ultranova Skincare

    Barrie, Ontario, L4M 6L2

  • Co-Medica Research Network Inc.

    Courtice, Ontario, L1E 3C3

  • Stratica Medical Inc.

    Edmonton, Alberta, T5K 1X3

  • Dermatrials Research Incorporated

    Hamilton, Ontario, L8N 1V6

  • The Guenther Dermatology Research Centre

    London, Ontario, N6A 3H7

  • Lynderm Research Inc.

    Markham, Ontario, L3P 1A8

  • Durondel C.P. Inc./Dermatology Clinic

    Moncton, New Brunswick, E1C 8X3

  • SKiN Centre for Dermatology

    Peterborough, Ontario, K9J 1Z2

  • Centre de Recherche Dermatologique du Quebec Metropolitain

    Québec, Quebec, G1V 4X7

  • Guildford Dermatology Specialists

    Surrey, British Columbia, V3R 6A7

  • K. Papp Clinical Research

    Waterloo, Ontario, N2J 1C4

  • XLR8 Medical Research

    Windsor, Ontario, N8W 1E6

Other trials in Canada

About this study

Official title: Safety and Efficacy of Escalating Doses of Two LEO 43204 Formulations Applied Once Daily for Two Consecutive Days on Full Face or Approximately 250 cm2 (40 in2) on the Chest in Subjects With Actinic Keratosis

Part 1:

To identify Maximum Tolerated Dose (MTD) levels of two formulations of LEO 43204 after once daily treatment for two consecutive days

Part 2:

To evaluate efficacy of two formulations of LEO 43204 in two doses after once daily treatment for two consecutive days compared to vehicle formulations

Being tested
LEO 43204 Formulation 1, LEO 43204 Formulation 2, LEO 43204 Formulation 1 Dose X, LEO 43204 Formulation 1 Dose Y, LEO 43204 Formulation 2 Dose XX
Medical subject headings
Keratosis, Actinic

What participants receive

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

  • LEO 43204 Formulation 1Drug

  • LEO 43204 Formulation 2Drug

  • LEO 43204 Formulation 1 Dose XDrug

  • LEO 43204 Formulation 1 Dose YDrug

  • LEO 43204 Formulation 2 Dose XXDrug

  • LEO 43204 Formulation 2 Dose YYDrug

  • Placebo Formulation 1Drug

  • Placebo Formulation 2Drug

Study groups in NCT01922050
Study groupRoleWhat they receive
Part 1: LEO 43204 Formulation 1ExperimentalOpen-Label, Dose-Escalation, Once-Daily, 2-Day Treatment
Receives: Drug: LEO 43204 Formulation 1
Part 1: LEO 43204 Formulation 2ExperimentalOpen-Label, Dose-Escalation, Once-Daily, 2-Day Treatment
Receives: Drug: LEO 43204 Formulation 2
Part 2: LEO 43204 Formulation 1 Dose XExperimentalDouble-Blind, Once-Daily, 2-Day Treatment
Receives: Drug: LEO 43204 Formulation 1 Dose X
Part 2: LEO 43204 Formulation 1 Dose YExperimentalDouble-Blind, Once-Daily, 2-Day Treatment
Receives: Drug: LEO 43204 Formulation 1 Dose Y
Part 2: LEO 43204 Formulation 2 Dose XXExperimentalDouble-Blind, Once-Daily, 2-Day Treatment
Receives: Drug: LEO 43204 Formulation 2 Dose XX
Part 2: LEO 43204 Formulation 2 Dose YYExperimentalDouble-Blind, Once-Daily, 2-Day Treatment
Receives: Drug: LEO 43204 Formulation 2 Dose YY
Part 2: Placebo Formulation 1Placebo comparatorDouble-Blind, Once-Daily, 2-Day Treatment
Receives: Drug: Placebo Formulation 1
Part 2: Placebo Formulation 2Placebo comparatorDouble-Blind, Once-Daily, 2-Day Treatment
Receives: Drug: Placebo Formulation 2

What is being measured

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

  1. Part 1: Number of Participants Experiencing a Dose Limiting Toxicity (DLT) Based on Local Skin Responses (LSRs)

    The number of participants experiencing DLTs are tabulated by treatment group. This was used to identify the maximum tolerated dose (MTD) of LEO 43204 after once daily treatment for 2 consecutive days.The MTD was defined as the highest dose level with less than 4 out of 12 participants(cohorts 1 to 4) or less than 6 out of 18 participants(cohorts 5 and 6) experiencing a DLT

    DLT was defined as one or more of the following 3 LSRs:

    • Crusting Grade 4
    • Erosion/Ulceration Grade 4
    • Vesiculation/Pustulation Grade 4 or two or more of the following five LSRs:
    • Erythema Grade 4
    • Crusting Grade 3
    • Swelling Grade 4
    • Erosion/Ulceration Grade 3
    • Vesiculation/Pustulation Grade 3

    The Local Skin Responses consists of the following 6 categories: Erythema, flaking/scaling, crusting, swelling, vesiculation/pustulation, erosion/ulceration. Each individual LSR category are given a numeric grade of severity from 0-4. Grade 0 being no presence and 4 being the highest grade of severity.

    Measured: From Day 1 up to and including Day 8

  2. Part 2: Percent Reduction From Baseline in Actinic Keratosis (AK) Counts (Multiple Imputation)

    Measured: At Week 8

Secondary outcomes (2)
  1. Part 2: Percentage of Participants With Complete Clearance of Actinic Keratosis Lesions (AKs) (Multiple Imputation)

    Complete clearance was defined as a 100% reduction from baseline in AK count. For treatment groups Vehicle, 0.006 and 0.012 the table shows the percentage of mean number of participants across imputations with complete clearance. For treatment group 0.018 the table shows the percentage of mean number of participants with complete clearance in observed cases.

    Measured: At Week 8

  2. Part 2: Percentage of Participants With Partial Clearance of AKs (Multiple Imputation)

    Partial clearance was defined as at least 75% reduction from baseline in AK count.

    For treatment groups Vehicle, 0.006 and 0.012 the table shows the percentage of mean number of participants across imputations with partial clearance. For treatment group 0.018 the table shows the percentage of mean number of participants with partial clearance in observed cases.

    Measured: At Week 8

Timeline

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

  1. First posted14 Aug 2013 (estimated)
  2. Study startOct 2013
  3. Primary completionNov 2014
  4. Study completionNov 2014

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
320 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01922050
Sponsor's protocol ID
LP0084-1013
Status last verified
Feb 2019
First submitted
12 Aug 2013
Last updated
6 Mar 2025
Data monitoring committee
No
Individual data sharing
No

Publications

  • Bourcier M, Stein Gold L, Guenther L, Andreassen CM, Selmer J, Goldenberg G. A dose-finding trial with a novel ingenol derivative (ingenol disoxate: LEO 43204) for field treatment of actinic keratosis on full face or 250 cm2 on the chest. J Dermatolog Treat. 2017 Nov;28(7):652-658. doi: 10.1080/09546634.2017.1303568. Epub 2017 Apr 4.

    PubMed 28264612

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing LEO 43204 Formulation 1, LEO 43204 Formulation 2 and LEO 43204 Formulation 1 Dose X in people with Actinic Keratosis, run by LEO Pharma at 25 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 8 inclusion and 18 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 6 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in United States, Canada. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 27 Feb 2019). 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?

Part 1: Number of Participants Experiencing a Dose Limiting Toxicity (DLT) Based on Local Skin Responses (LSRs) (time frame: From Day 1 up to and including Day 8). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01922050, which also lists 1 linked publication.

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 6 Mar 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
Clinical Trial NCT01922050 | AzTrials