The Efficacy and Tolerability of Oleogel-S-10 in Patients With Actinic Keratoses - Full Text View

Purpose

In this study the impact of Oleogel-S-10 versus placebo on actinic keratoses over a treatment period of 3 months will be tested. Additionally, once and twice daily applications are tested.

Condition	Intervention	Phase
Actinic Keratoses	Drug: Oleogel-S-10	Phase 2

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment
Official Title:	Randomized, Multicenter, Double Blind Study to Compare the Efficacy and Tolerability of Oleogel-S-10 for 3 Month Versus Placebo Only in Patients With Mild to Moderate Actinic Keratoses Located at the Face and Head Oleogel-S-10 in Actinic Keratoses Trial

Resource links provided by NLM:

Genetics Home Reference related topics: hystrix-like ichthyosis with deafness lamellar ichthyosis nonbullous congenital ichthyosiform erythroderma

U.S. FDA Resources

Further study details as provided by Birken AG:

Primary Outcome Measures:

Objective response of the marker actinic keratosis, defined as histologically complete or partial clearance. [ Time Frame: 18 weeks ] [ Designated as safety issue: Yes ]
Objective response of the marker actinic keratosis, defined as his-tologically complete or partial clearance (partial clearance = down-grading in Cockerell-classification). The marker actinic keratosis is defined as an initially selected lesion within the target area that will be used for final biopsy.

Secondary Outcome Measures:

Histologically controlled complete clearance Histologically controlled downstaging 75 % clearance rate Dose response relationship Time to clinically complete response Tolerability [ Time Frame: 18 weeks ] [ Designated as safety issue: Yes ]

Enrollment:	165
Study Start Date:	October 2008
Study Completion Date:	November 2010
Primary Completion Date:	November 2010 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: 1 Oleogel-S-10 vehicle for three months once a day (54 patients)	Drug: Oleogel-S-10 topical use once or twice daily
Experimental: 2 Oleogel-S-10 vehicle for three months twice a day (54 patients)	Drug: Oleogel-S-10 topical use once or twice daily
Placebo Comparator: 3 Placebo (petroleum jelly) for three months once a day (27 patients)	Drug: Oleogel-S-10 topical use once or twice daily
Placebo Comparator: 4 Placebo (petroleum jelly) for three months twice a day (27 patients)	Drug: Oleogel-S-10 topical use once or twice daily

Detailed Description:

Oleogel-S-10 has shown efficacy and was well tolerated in two previous clinical trials. In the second open label phase II trial the efficacy of Oleogel-S-10 alone was similar compared to a more invasive treatment with cryotherapy. Response rates of 85% with a clear-ance of more than 75 % of the lesions of the patients treated with Oleogel-S-10 over three months were reported. These encouraging results led to the present randomized, multicenter, double blind phase II trial. The efficacy of the treatment shall be tested in a double blind placebo controlled (petroleum jelly) fashion in order to obtain more reliable results for the planning of a phase III study.

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

At least two mild to moderate actinic keratoses located at the facial skin or the head (except lips)
Actinic keratoses with a diameter of 0,5 - 2 cm,
- that are definitely distinguished from other lesions and display a minimum distance of 0,5 cm to neighbored lesions
- that are evaluated as histopathological grade 1 to 3
histologically proven AK within three months before study entry
prepared and able to give written informed consent
≥ 18 years of age
In case of females: postmenopause defined as
- natural menopause with menses > 1 year ago
- serum FSH (> 20 IU/l) and E2 levels in the postmenopausal range or
- patients who had bilateral oophorectomy
prepared and comply with all study requirements, including the following:
- application of Oleogel-S10 on the treatment area once or twice a day
- 4 clinic visits during the pre-study, treatment, post-treatment, and follow-up period
- pre- and post-treatment biopsy for histological confirmation (of clearance) of AK-diagnosis
Representative histologic slide and tissue block were shipped

Exclusion Criteria:

Active immunosuppressive therapy
data of clinically significant, unstable, cardiovascular or hematologic, hepatic, neurologic, renal, endocrine, collagen-vascular, or gastrointestinal abnormalities or diseases Note: Patients with clinically stable medical conditions including, but not limited to, controlled hypertension, diabetes mellitus type II, hypercholesterolemia, or osteoarthritis will be allowed to enter the study
known allergies to any excipient in the study drug
any dermatological disease and/or condition in the treatment or surrounding area (3 cm distances from treatment area) that may be exacerbated by treatment with Oleogel-S-10 or cause difficulty with examination
active chemical dependency or alcoholism, as assessed by the investigator
pregnant and lactating women
currently participating in another clinical study or have completed another clinical study with an investigational drug within the past 30 days
received topical treatment at the treatment area with diclofenac gel, imiquimod or 5-FU within a time period of 1 month
Concomitant existence of non-treated (non-excised) basal cell carcinoma, squamous cell carcinoma or malignant melanoma
Invasive tumors within the treatment area, e.g.: merkel cell carcinoma, squamous cell carcinoma, basal cell carcinoma, the latter is accepted if completely surgically removed Note: A biopsy of any lesion within the treatment or surrounding area suggestive of malignancy should be performed at the pre-study screening visit. If invasive SCC or other malignant conditions are confirmed within the treatment area, the patient will not be included in the study.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00786994

Locations

Germany
Universitäts-Hautklinik Freiburg
Freiburg, Germany, 79104

Sponsors and Collaborators

Birken AG

Investigators

Principal Investigator:

Claus Garbe, Prof. Dr.

Universitätshautklinik Tübingen

More Information

No publications provided

Responsible Party:	Birken GmbH
ClinicalTrials.gov Identifier:	NCT00786994 History of Changes
Other Study ID Numbers:	5006000
Study First Received:	November 5, 2008
Last Updated:	January 28, 2011
Health Authority:	Germany: Federal Institute for Drugs and Medical Devices

Keywords provided by Birken AG:

Actinic Keratoses

Additional relevant MeSH terms:

Keratosis
Keratosis, Actinic
Ichthyosis
Keratoacanthoma
Skin Diseases

Precancerous Conditions
Neoplasms
Skin Abnormalities
Congenital Abnormalities
Infant, Newborn, Diseases

ClinicalTrials.gov processed this record on May 19, 2013