E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Safety and local skin reactions in patients with basal cell carcinoma after combined treatment of blative fractional laser and ingenol mebutate. |
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E.1.1.1 | Medical condition in easily understood language |
Safety and local skin reactions in patients with basal cell carcinoma after combined treatment of blative fractional laser and ingenol mebutate. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Skin and Connective Tissue Diseases [C17] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10004146 |
E.1.2 | Term | Basal cell carcinoma |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
1) to investigate local skin reactions and safety of ablative fractional laser (AFXL)-assisted ingenol mebutate treatment of basal cell carcinoma (BCC) |
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E.2.2 | Secondary objectives of the trial |
1) to monitor tumor size, clearance and reduction clinically, by non-invasive imaging techniques and histologically.
2) to investigate the uptake and bio-distribution of a contras-enhancer (carboxy fluorescein (CaF)) in BCC, using CaF as a surrogate for uptake and bio-distribution of IM in AFXL-exposed BCC. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients with histologically verified, lwo-risk previously untreated superficial or nodular BCCs
>18 years old
Legally competent, able to give verbal and written consent
Subejcts in good general Health, who is willing to participate and able to give informed consent and can comply with protocol requirements
Female subjects of childbearing potential must be confirmed not pregnant by a negative urine pregnancy test prior to trial treatment. |
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E.4 | Principal exclusion criteria |
High risk BCC
Medical history of Gorlin syndrome or immunosuprresive medication
Known allergy to Picato or carboxy fluorescein
History of keloids
Lactating or pregnant women |
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E.5 End points |
E.5.1 | Primary end point(s) |
1) Local skin reactions
2) Safety
- prolonged edema
- blistering
- infection
-hyperpigmentation
-hypopigmentation
-scarring |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Baseline, Day 1,3,8,15,29 and 90 |
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E.5.2 | Secondary end point(s) |
1) Tumor size, clearance and reduction
2) CaF uptake and bio-distribution in AFXL exposed BCC |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1) Baseline, Day 29 and 90
2) Baseline, Day 1 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Local skin reactions after combined AFXL and PIcato treatment.
CaF uptake in BCC after AFXL exposure to mimic uptake and biodistribution of Picato. |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
Follow up visit 3 months after first treatment with Picato. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |