Actinic Keratosis, Basal Cell Carcinoma
Conditions
Keywords
Moderate to severe actinic keratoses, Difficult to treat nodular basal cell carcinomas
Brief summary
Nodular Basal Cell Carcinomas: Compare the efficacy and safety of conventional versus fractional laser assisted PDT for difficult to treat nodular cell carcinomas in the face. Actinic keratosis: Compare the efficacy and safety of conventional versus fractional laser assisted PDT for moderate to severe actinic keratoses located in the face and on the hands.
Interventions
Photodynamic therapy using methyl-aminolevulinate and red light (37 J/cm2)
Pretreatment with fractional CO2 laser before methyl-aminolevulinate PDT
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 or older * Skin type I-III * Fertile women using secure birth control * Moderate to severe actinic keratoses in the face or on the hands, * Difficult to treat nodular basal cell carcinomas in the face
Exclusion criteria
* Pregnancy or breast feeding patients * Patients with porphyria * Patients with Gorlins syndrome * Patients with a tendency to produce hypertrophic scars or keloids * Patients with known allergy to Metvix * Patients who are not considered able to follow the treatment protocol (e.g. severely alcoholic, dementia, mentally ill etc.) * Patients with pigmented or morphea basal cell carcinomas * Know herpes simplex virus infection in treatment areas
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Treatment response | 3 months | Clinical evaluation by a blinded physician. |
| Reoccurrence | 12 months | Clinical evaluation by a blinded physician |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain | during laser and PDT | Patient score (VAS 0-10) |
| Adverse effects | 12 months | scaring, hyper- and hypopigmentation |
| Fluorescence | 3 hours | Methyl-amonolevulinate uptake |
| Cosmetic result | 12 months | 4-point scale |
Countries
Denmark