Aminolevulinic Acid-photodynamic Therapy for Facial Actinic Keratosis Treatment and Prevention

  • End date
    Jun 1, 2025
  • participants needed
  • sponsor
    Shanghai Dermatology Hospital
Updated on 22 January 2021


Background Actinic keratoses (AKs) are often treated separately, lesion by lesion. However, in the past years, AKs have been described as a field disease and not limited to single clinically apparent lesions. Treatment should therefore target an area of field change which may treat the subclinical AKs and reduce the risk of development of further AKs, second tumours, and local recurrence.

Objectives The investigators sought to investigate whether field ALA-PDT of facial actinic keratosis would prevent new AKs, in comparison with a lesion area receiving the same ALA-PDT, in patients with clinical signs of field cancerization.

Methods Eighty patients, previously diagnosed as having AKs of the face, were randomized distribution into two groups. 10% aminolaevulinic acid (ALA)-PDT for field treatment was on one group and for a lesion area (Vehicle control cream was applied to the non-lesion area) was on the other group. During the next 5-year period of follow up, patients were clinically evaluated for new AKs.

Condition Actinic keratosis
Treatment ALA
Clinical Study IdentifierNCT03642535
SponsorShanghai Dermatology Hospital
Last Modified on22 January 2021


Yes No Not Sure

Inclusion Criteria

Clinical diagnosed with AK (OLSEN classification grade I, II, III), aged > 18 years (Because no dosing or adverse event data are currently available on the use of topical aminolevulinic acid in patients <18 years of age, children are excluded from this study)
All patients are unfit and reluctant to undergo surgery for any reasons, and volunteered to participate in the study and ability to understand and the willingness to sign a written informed consent. Patents are willing to pay for the treatment, and agreed to take a picture of the skin lesions

Exclusion Criteria

Those who had ALA-PDT and any other studies that affect this study within 12 weeks
There are other facial diseases that may affect the efficacy evaluation, such as other photodermatosis
Take phototoxic or photosensitizer within 8 weeks
Clinical and / or pathological prove that the tumor has invaded other organs or tissues
Serious immunocompromised persons
scar constitution
Patients are known to have skin photosensitivity, porphyria, or allergies to ALA, light or lidocaine
Persons are suffering from severe internal diseases, mental and mental illness, infectious diseases or pregnant or lactating women
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