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Phase 2 N=29

Maximal Use Systemic Exposure (MUSE) Study of Levulan Kerastick

Keratosis, Actinic

Enrolled (actual)
29
Serious AEs
0.0%
Results posted
Jan 2017
Primary outcome: Primary: Maximum Baseline Corrected Plasma Concentration (Cmax) for ALA — 79.85 ng/mL

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Aminolevulinic Acid (ALA) (Drug); BLU-U (Device)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
DUSA Pharmaceuticals, Inc.
Primary completion
Apr 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Maximum Baseline Corrected Plasma Concentration (Cmax) for ALA
79.85
PRIMARY
Time at Which Cmax is Attained (Tmax) for ALA
2
PRIMARY
AUCt
282.1
PRIMARY
The Terminal Exponential Half-life (T1/2,z)
4.602
SECONDARY
Hyperpigmentation
6; 14; 6; 3; 0
SECONDARY
Hyperpigmentation
6; 14; 6; 3; 0
SECONDARY
Hyperpigmentation
6; 14; 6; 3; 0
SECONDARY
Hypopigmentation
8; 21; 0; 0; 0
SECONDARY
Hypopigmentation
8; 21; 0; 0; 0
SECONDARY
Hypopigmentation
8; 21; 0; 0; 0
SECONDARY
Erythema
12; 7; 10; 0; 0
SECONDARY
Erythema
12; 7; 10; 0; 0
SECONDARY
Erythema
12; 7; 10; 0; 0
SECONDARY
Erythema
12; 7; 10; 0; 0
SECONDARY
Edema
29; 0; 0; 0; 0
SECONDARY
Edema
29; 0; 0; 0; 0
SECONDARY
Edema
29; 0; 0; 0; 0
SECONDARY
Edema
29; 0; 0; 0; 0
SECONDARY
Stinging/Burning
29; 0; 0; 0
SECONDARY
Stinging/Burning
29; 0; 0; 0
SECONDARY
Stinging/Burning
29; 0; 0; 0
SECONDARY
Stinging/Burning
29; 0; 0; 0
SECONDARY
Stinging/Burning
29; 0; 0; 0
SECONDARY
Scaling and Dryness
19; 9; 1; 0; 0
SECONDARY
Scaling and Dryness
19; 9; 1; 0; 0
SECONDARY
Scaling and Dryness
19; 9; 1; 0; 0
SECONDARY
OOZING/VESICULATION/CRUSTING
28; 1; 0; 0; 0
SECONDARY
OOZING/VESICULATION/CRUSTING
28; 1; 0; 0; 0
SECONDARY
OOZING/VESICULATION/CRUSTING
28; 1; 0; 0; 0

Summary

The purpose of this study is to evaluate the potential for systemic exposure of aminolevulinic acid (ALA) when applied topically under occlusion, in a maximal use setting in patients with multiple actinic keratoses (AK) involving the upper extremities.

Eligibility Criteria

Inclusion Criteria

  • At least 6 Grade 1/2 AKs on one upper extremity AND
  • At least 12 Grade 1/2 AKs on the OTHER upper extremity

Exclusion Criteria

  • Pregnancy
  • history of cutaneous photosensitization, porphyria, hypersensitivity to porphyrins or photodermatosis
  • lesions suspicious for skin cancer (skin cancer not ruled out by biopsy) or untreated skin cancers within the Treatment Area
  • Body Mass Index (BMI) > 32.0 kg/m2
  • skin pathology or condition which could interfere with the evaluation of the test product or requires the use of interfering topical or systemic therapy
  • significant blood loss within 60 days or donated blood/plasma within 72 hours prior to Visit 2 (Baseline)
  • tested positive at screening for human immunodeficiency virus (HIV) or was known to be seropositive for HIV
  • a history of lead poisoning or a history of a significant exposure to lead or a screening lead level above 6μg/dl
  • tested positive at screening for hepatitis B surface antigen, hepatitis C antibody or had a history of a positive result
  • positive drug screen at Screening
  • Screening safety labs are clinically significant in the opinion of the investigator
  • major surgery within 30 days prior to Visit 2 (Baseline) or plans to have surgery during the study
  • Subject is immunosuppressed
  • currently enrolled in an investigational drug or device study
  • has received an investigational drug or been treated with an investigational device within 30 days prior to Visit 2 (Baseline)
  • known sensitivity to one or more of the vehicle components (ethyl alcohol, isopropyl alcohol, laureth 4, polyethylene glycol)
  • use of the following topical preparations on the extremities to be treated:
  • Keratolytics including urea (greater than 5%), alpha hydroxyacids [e.g.glycolic acid, lactic acid, etc. greater than 5%], salicylic acid (greater than 2%) within 2 days of initiation of treatment
  • Cryotherapy within 2 weeks of initiation of treatment
  • Retinoids, including tazarotene, adapalene, tretinoin, retinol, within 4 weeks of initiation of treatment
  • Microdermabrasion, laser ablative treatments, ALA-PDT, chemical peels, 5-FU, diclofenac, imiquimod or other topical treatments for AK within 8 weeks of initiation of treatment
  • use of systemic retinoid therapy within 6 months of initiation of treatment
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02281136). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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