About this trial
This research study is testing combination Blue-light photodynamic therapy and Sonidegib as a possible treatment for people with multiple basal cell carcinoma lesions.
Basal cell carcinoma lesions are typically treated by freezing the lesion or surgically removing the lesion. These types of treatment can cause scarring. Photodynamic therapy uses light along with a drug applied to the skin to kill the cancer cells and cause them to break apart. The light used can cause the skin to feel warm, but does not cause scarring.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or females, at least 18 years of age.
Diagnosis of BCC with at least 3 nodular lesions that measure 0.5 cm to 5 cm in diameter, located on the head and neck, trunk or extremities.
Diagnosis must be confirmed clinically at baseline with 1-3 lesions having been biopsied no sooner than 2 weeks prior to treatment.
Patients who may have high burden of disease (i.e., large lesions), who are non-surgical candidates or who refuse surgery.
Disqualifiers
Stable use of combined (estrogen and progestogen containing) hormonal contraception (oral, intravaginal, transdermal) or progestogen-only hormonal contraception (oral, injectable, implantable) associated with inhibition of ovulation
Intrauterine device (IUD); intrauterine hormone-releasing system
Bilateral tubal ligation;
Vasectomized partner (provided that the vasectomized partner is the sole sexual partner of the WOCBP study subject);
Trial design
Single group
Treatments tested in this trial
aminolevulinic acid HCL (ALA)
DrugPrior to ALA application, the areas will be cleaned with alcohol and debrided gently with prep tape. ALA will then be applied to each of the study lesions and allowed to incubate for 3 hours with occlusion prior to the PDT.
BLU-U device model 4170E
DeviceParticipants will be subjected to dose illumination with blue light (BLU-U Model 4170E) at a power fluence of 20 mW/cm2 for a total time of 16 minutes and 40 seconds (1,000 seconds). This will result in a total light delivery dose of 20 J/cm2.
Treatment groups
Trial outcomes
Primary outcomes
Primary efficacy outcome
Primary efficacy outcome measure: the overall response rate (ORR) to the combination therapy in patients, which is the proportion of evaluable study subjects who has complete response (CR) or partial response (PR) to the study treatment as defined in the protocol.
Review of AEs likely related to study drug
Primary safety outcome measure: the proportion of evaluable study participants who had a grade 3 or higher adverse event (AE) or any serious adverse event (SAE) that determined to be at least possibly or probably related to study treatment, or any AE which is at least possibly or probably related to study treatment that causes permanent study discontinuation. The efficacy outcome measure: the overall response rate (ORR) to the combination therapy in patients, which is the proportion of evaluable study subjects who has complete response (CR) or partial response (PR) to the study treatment.
Secondary outcomes
Review of disease progression
The secondary efficacy outcome measures: the proportion of evaluable subjects with progressive disease (PD), and the proportion of evaluable subjects with stable disease (SD). The proportion of evaluable study subjects who have complete histological clearance (CHC). The secondary safety outcome measures: the proportion of evaluable subjects who have AE of any specific grade or any specific type, or any SAE.
Sponsors and contacts
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Nathalie Zeitouni
Lead sponsor
US Dermatology Partners, Phoenix
Sponsor institution