A Pilot Study of the Treatment of Facial Nodular and Nodulocystic Basal Cell Carcinoma With Double Curettage and Cautery Followed by Application of Imiquimod to the Base
Recruitment status was Not yet recruiting
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Purpose
The purpose of this study is to determine recurrence rates of nodular Basal Cell Carcinomas on the face removed with curettage and electrodessication (cautery) followed by application of Imiquimod cream to the base and further to achieve lower recurrence rates than after treatment with curettage and electrodessication alone.
| Condition | Intervention |
|---|---|
|
Basal Cell Carcinoma |
Drug: Imiquimod cream Procedure: curettage and cautery |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Pilot Study of the Treatment of Facial Nodular and Nodulocystic Basal Cell Carcinoma With Double Curettage and Cautery Followed by Application of Imiquimod to the Base |
- Basal Cell Carcinoma recurrence rates in 3 years
| Estimated Enrollment: | 50 |
Basal Cell Carcinomas (BCC) are the commonest form of skin cancer in the white population. The face is where they most frequently occur and the nodular BCCs are the commonest type. Curettage and cautery/electrodessication (C&C) has been an established way of management of nodular BCCs for years, being a simple surgical procedure readily performed in outpatient clinics with good aesthetic results and high cure rates. The purpose of this study is to determine recurrence rates of nodular BCCs on the face removed with C&C followed by application of Imiquimod cream to the base and further to achieve lower recurrence rates than after treatment with C&C alone. Imiquimod is an immune response modifier with anti-tumour effects already licensed for the treatment of superficial BCCs in the UK.
Eligibility| Ages Eligible for Study: | 49 Years to 89 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Well-defined primary, not previously treated nodulo-cystic BCC
- Size of the lesions: ≤ 1cm diameter
- Facial lesions
- Patient compliance competent
- Patient physically able to apply the treatment (cream)
Exclusion Criteria:
- Recurrent lesions
- Superficial, morphoeic or pigmented BCC
- Lesions close to vital structures; i.e. where C&C is not considered a standard treatment (eyelids, inner canthus, free borders)
- Lesions within 1 cm of the eyelids, nose, lips and hairline
- Immunosuppressed patients
- Women in childbearing age, pregnancy and breast-feeding
- Ages <50 or >90
- Patients compliance incompetent
- Patients physically incapable to apply the treatment (cream)
- Patients with Gorlin Syndrome (nevoid Basal Cell Carcinoma syndrome)
Contacts and Locations| Contact: Robert Herd, Consultant Dermatologist | +441412111000 ext 6259 | robert.herd@northglasgow.scot.nhs.uk |
| United Kingdom | |
| Dermatology Department, Western Infirmary | Not yet recruiting |
| Glasgow, Lanarkshire, United Kingdom, G11 6NT | |
| Contact: Robert Herd, Consultant Dermatologist +441412111000 ext 6259 robert.herd@northglasgow.scot.nhs.uk | |
| Contact: Areti Makrygeorgou, Staff Grade Dr +441412111000 ext 2903 amakrygeorgou@hotmail.com | |
| Sub-Investigator: Areti Makrygeorgou, Staff Grade Dr | |
| Sub-Investigator: Robert Herd, Consultant Dermatologist | |
| Principal Investigator: Lorna MacKintosh, Specialist Registrar | |
| Principal Investigator: | Lorna MacKintosh, Specialist Registrar | Western Infirmary |
| Study Chair: | Areti Makrygeorgou, Staff Grade Dr | Western Infirmary |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00463359 History of Changes |
| Other Study ID Numbers: | WN07DE002, EudraCT No: 2007-001961-14 |
| Study First Received: | April 19, 2007 |
| Last Updated: | April 19, 2007 |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Keywords provided by University of Glasgow:
|
basal cell carcinoma curettage Imiquimod treatment |
Additional relevant MeSH terms:
|
Carcinoma Carcinoma, Basal Cell Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Neoplasms, Basal Cell Imiquimod |
Adjuvants, Immunologic Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions Antineoplastic Agents Therapeutic Uses Interferon Inducers |
ClinicalTrials.gov processed this record on June 17, 2013