Metvix Photodynamic Therapy (PDT) Versus Cryotherapy in Participants With Primary Superficial Basal Cell Carcinoma

Last updated: March 21, 2024
Sponsor: Galderma R&D
Overall Status: Completed

Phase

3

Condition

Carcinoma

Basal Cell Carcinoma

Treatment

Hand held liquid nitrogen spray cryotherapy

Metvix® cream

Clinical Study ID

NCT00469417
PC T304/99
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study was to compare the efficacy of Photodynamic Therapy (PDT) methyl aminolevulinate (MAL) cream to cryotherapy, in treatment of participants with primary superficial basal cell carcinoma (BCC).

Secondary objectives was to compare cosmetic outcome and tolerability (adverse events) in these participants, 3 months after treatment. In addition the recurrence rates in the two treatment groups will be compared up to five years after treatment.

Eligibility Criteria

Inclusion

Inclusion Criteria:

A participant with superficial BCC lesion(s) suitable for entry was defined as a participant with:

  • histologically confirmed diagnosis of primary superficial BCC lesion(s)

  • BCC lesions suitable for cryotherapy

  • males or females above 18 years of age

  • written informed consent. In accordance with Amendment 2 (local amendment), onlyparticipant above 19 years of age were to be included in Austria.

Exclusion

Exclusion Criteria:

A participant or lesion fulfilling any of the following criteria was ineligible for inclusion:

  • prior treatment of the BCC lesion(s)

  • participant with more than 10 eligible BCC lesions

  • a superficial BCC lesion with the largest diameter exceeding 15 mm on face/scalp,larger than 20 mm on extremities and neck and larger than 30 mm on the trunk

  • a superficial BCC lesion with the largest diameter smaller than 6 mm

  • participant with porphyria

  • participant with Gorlin's syndrome

  • pigmented superficial BCC lesion(s)

  • morpheaform lesion(s)

  • infiltrating lesion(s)

  • participants with a history of arsenic exposure

  • known allergy to Metvix®, a similar PDT compound or excipients of the cream

  • participation in other clinical studies either concurrently or within the last 30days

  • pregnant or breast-feeding; all women of child-bearing potential had to document anegative pregnancy test and use the pill or intrauterine device during thetreatments and for at least one month thereafter

  • conditions associated with a risk of poor protocol compliance.

In Amendment 1 the following exclusion criteria were added:

  • xeroderma pigmentosum lesion

  • concurrent use of immunosuppressive medication.

Study Design

Total Participants: 120
Treatment Group(s): 2
Primary Treatment: Hand held liquid nitrogen spray cryotherapy
Phase: 3
Study Start date:
October 18, 1999
Estimated Completion Date:
April 30, 2005

Study Description

BCC was a highly frequent skin malignancy, and accounts for approximately 75% of all non-melanoma skin cancers. It is the most common malignant tumour of any organ, mostly affecting head and neck (84%) in fair-skinned people. Several non-pharmacological treatment modalities was used for BCC, including excision surgery, Moh's surgery, radiation, curettage/electrodesiccation and cryotherapy. The treatment used depends on the type, size, depth and localisation of the BCC lesion.

The use of PDT was attractive for the treatment of BCCs because of its efficiency, mild and local side effects and excellent cosmetic outcome. Previous clinical experience was promising and participants with primary BCCs were included in this prospective, randomised, comparative, multicenter study to show that Metvix is non-inferior to alternative treatment with better cosmetic outcome.

The primary end-point is the number of participants in whom 75% or more of the BCC lesions have responded completely at 3 months after PDT with Metvix or 3 months after cryotherapy. Both on-site and independent, blinded response assessments analysed. The analysis based on the results of the independent review board constitutes the primary analysis.

The secondary end-points was the proportion of participants in whom less than 75% of the BCC lesions respond completely, number of lesions across participants that show complete response, evaluation of cosmetic outcome and adverse events 3 months after Metvix PDT or 3 months after cryotherapy. In addition 12, 24, 36, 48 and 60 months recurrence rates was assessed.

Connect with a study center

  • University of Graz

    Graz, 8036
    Austria

    Site Not Available

  • Universitaire Ziekenhuizen Leuven

    Leuven, B3000
    Belgium

    Site Not Available

  • Helsinki University Central Hospital

    Helsinki, 00029
    Finland

    Site Not Available

  • Hôpital Sainte-Marguerite

    Marseille, 13277
    France

    Site Not Available

  • Service de Dermatologie, C.H.U Saint Louis

    Paris, 754747
    France

    Site Not Available

  • Spedali di Brescia

    Brescia, 25125
    Italy

    Site Not Available

  • Länsjukhuset Ryhov

    Jönköping, 55185
    Sweden

    Site Not Available

  • Länsjukhuset Ryhov

    Jönköping, 55185
    Sweden

    Site Not Available

  • Universitetssjukhuset

    Linköping, 58185
    Sweden

    Site Not Available

  • Universitetssjukhuset

    Linköping, 58185
    Sweden

    Site Not Available

  • Huddinge Sjukhus

    Stockholm, 14186
    Sweden

    Site Not Available

  • Regionsjukhuset i Örebro

    Örebro, 70185
    Sweden

    Site Not Available

  • Regionsjukhuset i Örebro

    Örebro, 70185
    Sweden

    Site Not Available

  • University of Wales

    Cardiff, CF4 4XN
    United Kingdom

    Site Not Available

  • Ninewells Hospital

    Dundee, DDI 954
    United Kingdom

    Site Not Available

  • Falkirk and District Royal Infirmary

    Falkirk, F1 5QE
    United Kingdom

    Site Not Available

  • Glasgow University Hospital

    Glasgow, GI2 8QQ
    United Kingdom

    Site Not Available

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