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Combining Topical Imiquimod 5% Cream With a Pulsed Dye Laser to Treat Port Wine Stain Birthmarks (Aldara)

This study is enrolling participants by invitation only.

Sponsors and Collaborators: University of California, Irvine
Beckman Laser Institute Medical Clinic
Graceway Pharmaceuticals
Sturge Weber Foundation
Information provided by: University of California, Irvine
ClinicalTrials.gov Identifier: NCT00585247
  Purpose

Port wine stains (PWS) are red birthmarks that without treatment persist for a lifetime. They are frequently found on the face and can be conspicuous and disfiguring, negatively impacting social interactions for these patients. Treating PWS is difficult. The standard of care is to use laser treatment, but over 80% of patients fail to completely clear despite multiple treatments. The growth of additional blood vessels (angiogenesis) following the PDL treatment is likely an important factor in why these lesions persist despite therapy.


Condition Intervention Phase
Port Wine Stain
Drug: topical imiquimod 5% cream
Phase I

Genetics Home Reference related topics:   Skin Conditions  

MedlinePlus related topics:   Birth Defects   Skin Conditions  

ChemIDplus related topics:   S 26308   Acetaminophen  

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Other, Randomized, Double Blind (Subject, Investigator), Single Group Assignment, Safety/Efficacy Study
Official Title:   Combining Topical Imiquimod 5% Cream With a Pulsed Dye Laser to Treat Port Wine Stain Birthmarks

Further study details as provided by University of California, Irvine:

Primary Outcome Measures:
  • determine if applying imiquimod cream to PWS after laser therapy will improve lightening of these lesions. [ Time Frame: 8 weeks ] [ Designated as safety issue: Yes ]

Estimated Enrollment:   20
Study Start Date:   November 2006
Estimated Study Completion Date:   July 2012
Estimated Primary Completion Date:   July 2012 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1 Drug: topical imiquimod 5% cream
one sachet per 25 cm2 of treatment area

Detailed Description:

Imiquimod is a topical cream that affects the immune response and has been noted to inhibit blood vessel formation. It has been used to successfully treat other vascular growths such as hemangiomas. The research' expect that it will have similar effects on port wine stains, but this has not yet been reported. This study is to determine if applying imiquimod cream to PWS after laser therapy will improve lightening of these lesions.

In this single center study, PWS subjects will receive treatment to their PWS with a laser in combination with epidermal cooling. The lasers to be utilized are FDA approved for treatment of PWS birthmarks and are currently used at the Beckman Laser Institute.

Starting the first post-treatment day, subjects will apply one sachet per 25 cm2 of treatment area of either imiquimod 5% cream or vehicle (placebo) cream to a limited area (25 cm2) of their PWS three days each week (eg, M-W-F or T-Th-S) for 8 weeks. At each dosing period, study drug should remain in place for 8±2 hrs (preferably during normal sleeping hours) and remain unoccluded.

Randomization to treatment or control group will occur after laser treatment of their PWS. Subjects in either treatment arm will therefore receive equivalent laser therapy.

  Eligibility
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Diagnosis of PWS birthmark
  • Male and female subjects of any age who are in good health.
  • Fitzpatrick skin type I-VI

Exclusion Criteria:

  • Pregnant or lactating
  • History of cutaneous photosensitivity
  • History of hypersensitivity to imiquimod 5% cream or any of its components
  • History of photodermatoses
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00585247

Locations
United States, California
Beckman Laser Institute Medical and Surgical Cilnic    
      Irvine, California, United States, 92612

Sponsors and Collaborators
University of California, Irvine
Beckman Laser Institute Medical Clinic
Graceway Pharmaceuticals
Sturge Weber Foundation

Investigators
Principal Investigator:     Kristen M Kelly, M.D     Beckman Laser Institute Medical Clinic    
  More Information

Responsible Party:   Beckman Laseer Institute ( Kristen Kelly, M.D )
Study ID Numbers:   3M-39936;3M, graceway pharma., P41-RR01192;NIH-LAMMP
First Received:   December 18, 2007
Last Updated:   March 26, 2008
ClinicalTrials.gov Identifier:   NCT00585247
Health Authority:   United States: Institutional Review Board

Keywords provided by University of California, Irvine:
birthmarks  

Study placed in the following topic categories:
Skin Diseases
Nevi flammei, familial multiple
Port-Wine Stain
Interferons
Connective Tissue Diseases
Skin Abnormalities
Infant, Newborn, Diseases
Imiquimod
Congenital Abnormalities
Interferon Alfa-2b
Acetaminophen

Additional relevant MeSH terms:
Skin and Connective Tissue Diseases
Interferon Inducers
Immunologic Factors
Antineoplastic Agents
Therapeutic Uses
Physiological Effects of Drugs
Adjuvants, Immunologic
Congenital, Hereditary, and Neonatal Diseases and Abnormalities
Pharmacologic Actions

ClinicalTrials.gov processed this record on May 15, 2008