Clinical trial · Interventional
Short Incubation Methylaminolevulinate Photodynamic Therapy Without Occlusion
Safety and Efficacy of Photodynamic Therapy With Short Incubation Methylaminolevulinate Without Occlusion in the Treatment of Actinic Keratoses.
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Actinic keratoses on the face are often numerous and widespread. The application of Methylaminolevulinate (MAL) on individual lesions followed by the application of a plastic film on each lesion is difficult and takes time for subjects with many actinic keratoses. The waiting period of 3 hours between MAL cream application and red light exposure is also long for patients. The goal of this study is to evaluate the safety and efficacy of photodynamic therapy (PDT) with MAL with a shorter cream application time (90 minutes) and when MAL is applied on the entire face without the plastic film.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Actinic Keratosis | — | UNRESOLVED | — |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Methylaminolevulinate (Metvix, Metvixia) | Drug | Methyl Aminolevulinate | ALIAS |
| Photodynamic Therapy (Aktilite) | Device | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- MAL-PDT 90 min incubation, no occlusion
- description
- Patients had 2-4 g of Methylaminolevulinate (MAL) spread on the entire face without occlusion and waited 90 minutes prior to photodynamic therapy (PDT) using red light.
- interventionNames
- Drug: Methylaminolevulinate (Metvix, Metvixia)
- Device: Photodynamic Therapy (Aktilite)
Primary outcomes (1)
- measure
- Mean Number of Facial Actinic Keratoses at Week 12
- timeFrame
- 12 weeks
Secondary outcomes (8)
- measure
- Number of Patients With Complete Clinical Response of All Actinic Keratoses at Week 12
- timeFrame
- 12 weeks
- description
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Age 18 or older. * Patient with at least 5 actinic keratoses of the face at Day 0. * Patient was willing to use an adequate contraceptive method or was surgically sterile, post menopausal, abstinent or with a same sex partner. Adequate means of contraception included oral contraceptives, IUD in use for 30 days before Day 0, barrier methods and spermicide in use at least 14 days before Day 0. * Patient capable of giving informed consent. Exclusion Criteria: * Patient with allergy to methylaminolevulinate or any component of the vehicle which includes peanut and almond oil. * Patient with clinically significant sensitivity to visible light, porphyria or porphyrin sensitivity. * Patient used any topical treatment for actinic keratoses (including imiquimod and 5-fluouracil), on the face within 4 weeks preceding Day 0. * Patient had cryotherapy or surgery on the face within 4 weeks preceding Day 0. * Patient with any malignant skin lesion (such as basal cell carcinoma, invasive squamous cell carcinoma or Bowen's disease) on the face at Day 0. * Patient used photodynamic therapy, with any topical or systemic photosensitizer within 8 weeks preceding Day 0. * Patient was exposed to excessive ultraviolet radiation (UVB phototherapy, sun tanning salons) within the 4 weeks preceding Day 0. * Patient used any investigational drug within 4 weeks preceding Day 0. * Patient with problems of alcoholism or drug abuse in the past year. * Patient with any unstable or serious uncontrolled medical condition. * Current pregnancy or lactation. * Patient with any serious dermatological disorder, including malignancies that would either put the patient at risk or interfere with efficacy or safety evaluations. * Patient with Fitzpatrick phototype IV, V or VI (inadequate penetration of red light in dark skinned subjects. * Patients with extensive facial hair (e.g., beard) that would either impair red light exposure or interfere with lesion evaluation.
References
Publications (1)
- BACKGROUNDGriffiths CE, Wang TS, Hamilton TA, Voorhees JJ, Ellis CN. A photonumeric scale for the assessment of cutaneous photodamage. Arch Dermatol. 1992 Mar;128(3):347-51. PMID 1550366