Actinic Keratoses
Conditions
Keywords
Actinic Keratoses, Blue light therapy, photosensitizer, Retinoid
Brief summary
Evaluating safety and efficacy of the use of topical retinoid with photodynamic therapy for the treatment of actinic keratoses.
Detailed description
Evaluating safety and efficacy of the use of topical retinoid with photodynamic therapy vs photodynamic therapy alone for the treatment of actinic keratoses.
Interventions
Topical Retinoid - Apply to AKs for 4 weeks Photo-therapy with photosensitizing agent- Apply to AKs at week 4
Photo-therapy with sensitizing agent - apply to AKs at week 4
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults aged 18-80 years old * Subjects with AK lesions who will receive PDT * Subjects with AK lesions in two areas other than face and scalp each with a surface area of 10cm2 or greater and at least 3 clinically diagnosed non-hypertrophic AK lesions in each * Subjects in good health * Subjects with willingness and the ability to understand and provide informed consent
Exclusion criteria
* Subjects who are pregnant or lactating * Subjects with a history of cutaneous photosensitivity or porphyria, hypersensitivity to porphyrins, or photodermatosis * Subjects with use of photosensitizing drugs within 1 week of study start * Subjects with use of topical medications such as corticosteroids, alpha-hydroxyacids or retinoids 2 weeks before study entry * Subjects who received previous treatment of target AKs within 4 weeks * Subjects who are unable to understand the protocol or give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Live blinded rater and blinded photo rater analysis of areas at week 0 and week 6 for erythema, edema, crusting, ulceration, palpability, need to cease/delay treatment, and overall response in reduction of number of actinic keratoses (AKs). | 6 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Subjects will assess pain, burning and itching on a scale of 0-3 at week 0, during retinoid treatment, during photo-therapy, one day after, and week 6. Also, principal investigator will evaluate adverse events at week 6. | 6 weeks |