E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Basal cell carcinoma Simple nodular basal cell carcinoma at any body locations |
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E.1.1.1 | Medical condition in easily understood language |
Skin cancer (non-melanoma), basal cell carcinoma |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
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.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10066495 |
E.1.2 | Term | Basal cell carcinoma recurrent |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10073093 |
E.1.2 | Term | Nodular 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 |
The study aim is in BCCs exposed to AFL+topical vismodegib to determine 1) intra-tumoral vismodegib concentration and 2) the biologic response of vismodegib expressed by GLI mRNA level at 4 days. These results are compared with BCC-vismodegib concentration in patients undergoing systemic vismodegib treatment. |
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E.2.2 | Secondary objectives of the trial |
• BCC-vismodegib concentration in patients undergoing systemic vismodegib treatment (150 mg daily) for more than 2 weeks • Reduction in GLI1 mRNA expression in BCCs from baseline in patients undergoing systemic vismodegib treatment (150 mg daily) • Tolerability of laser and topical vismodegib evaluated as a. Local skin reactions evaluated day 4 . b. Plasma total vismodegib concentration day 4.
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Patients above 18 years of age • Clinically and histologically verified nodular BCC with diameter ≥8 mm at baseline. • Signed informed consent. • Female subjects of childbearing potential1 must be confirmed not pregnant by a negative pregnancy test prior to study treatment and must use a safe contraceptive method for 24 months after study participation. • Patients with multiple BCC or locally advanced BCC in continuous oral vismodegib treatment (150 mg per day) for at least 14 days. • Male subjects with female partners of childbearing potential must use condom until 2 months after study participation.
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E.4 | Principal exclusion criteria |
• Concomittant treatment with itraconazole, ketoconazole or imiquimod. • Concomittant chemotherapeutic treatment. • Infiltrative BCC or basosquamous carcinoma. • Pregnant or lactating women. • Allergies to vismodegib. • Patients with a tendency to form keloids. • Other skin diseases or tattoos in the treatment area.
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E.5 End points |
E.5.1 | Primary end point(s) |
To investigate the potential of laser and topical vismodegib exposure in BCC evaluated as • BCC vismodegib concentration day 4 after laser and topical vismodegib exposure • Biologic response expressed as GLI1 mRNA level in BCCs, and punch biopsy to determine GLI1 and Ki67 activity investigated by histologic samples at day 4. Baseline GLI1 mRNA activity is determined by 2 mm punch biopsy Each patients will have three 3 mm skin punch bipsies day 4 after AFL-vismodegib incubation. To determine changes in GLI1 mRNA activity, a 2 mm skin punch biopsy is sampled at an inclusion visit held 3-4 weeks before the treatment day. A blood test for total plasma vismodegib is sampled at day 4.
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
day 4 after laser and topical vismodegib application |
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E.5.2 | Secondary end point(s) |
• BCC-vismodegib concentration in patients undergoing systemic vismodegib treatment (150 mg daily) for more than 2 weeks • Reduction in GLI1 mRNA expression in BCCs from baseline in patients undergoing systemic vismodegib treatment (150 mg daily) • Tolerability of laser and topical vismodegib evaluated as a. Local skin reactions evaluated day 4. b. Plasma total vismodegib concentration day 4.
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
day 4 after laser and vismodegib emulsion treatment |
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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 | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | Yes |
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 | No |
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 | No |
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
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The GCP unit at Copenhagen University |
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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 | 1 |
E.8.9.1 | In the Member State concerned months | 3 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 3 |