Actinic Keratosis
Conditions
Keywords
actinic keratosis, skin lesions, 5-ALA, AK, Blu-Light
Brief summary
The purpose of this study is to compare the treatment of skin growths called actinic keratoses (AK) with 5-ALA PDT, an FDA-approved treatment, versus treatment with other conventionally used FDA-approved agents such as cryotherapy, Imiquimod, or 5-fluorouracil (5-FU).
Interventions
20% 5-ALA ampoules will be crushed and prepared for application after shaking for 3 minutes. Topical ALA will be applied liberally on skin with extra pressure on lesions. Incubation of ALA will take place for 0-3 hours. Exposure to Blue U light source (417 nm) (DUSA), will be performed for Actinic Keratosis for 15 minutes. Application of combination light sources will be performed when lesions are traced with one pass of Pulsed dye laser (595 nm) (Candela) followed by exposure to Blue U light source for 5-8 minutes pending response.
Cryotherapy will be performed on lesions only every 2 week intervals. Application of Imiquimod will be done on the treated skin area 5 days weekly for 4-6 weeks. 5-FU will be once daily on the treated areas 4- 6 weeks. Responses will be monitored every 2 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18-95 years old * Diagnosied with actinic keratoses.
Exclusion criteria
* Patients who have had Isotretinoin therapy less that 1 year prior to screening. * Patients who have an adverse reaction to light exposure (for example photo- exacerbated seizures). * History of porphyria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Actinic keratosis /incomplete therapy and reoccurence | 18 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Erythema | 2 weeks post therapy | Early skin responses 2 weeks post therapy (erythema, scaling, post inflammatory skin changes, fine wrinkling of skin, mottled pigmentation) |
Countries
United States