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Clinical Trial of Neoadjuvant Itraconazole Therapy for Basal Cell Carcinoma

Clinical Trial on the Efficacy and Safety of Preoperative Oral Itraconazole Therapy for Basal Cell Carcinoma in Patients with Cutaneous Fungal Infections

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCTs031250702
Enrollment
12
Registered
2026-02-02
Start date
2026-02-17
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Basal cell carcionoma Skin tumor

Interventions

Patients with basal cell carcinoma scheduled for surgical excision and who have a concomitant cutaneous fungal infection will receive itraconazole 200 mg once daily, administered immediately after a m
D017964
Itoraconazole

Sponsors

Nakamura Yoshiyuki
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Eligible patients must meet all of the following criteria: Patients who (i) have a dermatophytic infection, cutaneous candidiasis, or other fungal skin infection for which oral itraconazole treatment is indicated, and (ii) have been diagnosed with basal cell carcinoma and are scheduled to undergo surgical excision. Patients with multiple basal cell carcinomas may be included, and the therapeutic effect on each lesion will be evaluated separately. Male or female patients aged 18 years or older at the time of obtaining consent. Patients who are able to attend scheduled visits in accordance with the study schedule. Patients who, after receiving a thorough explanation of this study, have fully understood the information and have provided written informed consent of their own free will.

Exclusion criteria

Exclusion criteria: Patients who meet any of the following criteria will be excluded from the study: Patients with current or past history of congestive heart failure. Patients who have had renal dysfunction (serum creatinine >= 1.6 mg/dL) within the 3 months prior to the date of informed consent. Patients who have had hepatic dysfunction within the 3 months prior to the date of informed consent (serum T-bil >= 1.5 mg/dL or ALT >= 100 IU/L) and are receiving colchicine. Patients who have had severe hepatic disease within the 3 months prior to the date of informed consent (serum T-bil >= 3 mg/dL or ALT >= 150 IU/L). Patients who are pregnant, may become pregnant during the study period, or are breastfeeding. Patients who are concomitantly receiving any of the following medications: Azelnidipine; Azelnidipine/Olmesartan Medoxomil; Anamorelin Hydrochloride; Aliskiren; Isavuconazonium Sulfate; Ivabradine; Ibrutinib; Eplerenone; Ergotamine/Caffeine/Isopropylantipyrine; Ergometrine; Quinidine; Simvastatin; Sildenafil; Dihydroergotamine; Suvorexant; Tadalafil; Ticagrelor; Triazolam; Nisoldipine; Finerenone; Vardenafil; Blonanserin; Venetoclax; Bepridil; Voclosporin; Pimozide; Methylergometrine; Lurasidone Hydrochloride; Rivaroxaban; Lomitapide; Pimozide. Patients deemed inappropriate for participation in the study by the principal investigator or a co-investigator.

Design outcomes

Primary

MeasureTime frame
The rate of change (percentage reduction) in lesion area from baseline to Days 30-50 after initiating oral administration of itraconazole.

Secondary

MeasureTime frame
The percent change in lesion area at the time of surgery, using the start of oral administration as baseline. The rate of negative surgical margins on histopathological examination. The proportion of Ki-67-positive tumor cells. The frequency and proportion of adverse events or relevant conditions, and the treatment continuation and discontinuation rates. The correlation between the reduction rate of the lesion and (1) the proportion of immune cells infiltrating the tumor, (2) molecular expression profiles of tumor cells, and (3) somatic gene mutations.

Contacts

Public ContactYoshiyuki Nakamura

University of Tsukuba Hospital

ynakamura@md.tsukuba.ac.jp+81-29-853-3128

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026