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Comparison of two treatment options for patients with precursor lesions of skin cancer: colchicine cream versus 5-FU cream

Clinical and dermatoscopic evaluation of the effectiveness of Colchicine 0,5% cream versus 5-Fluorouracil 5% cream in the treatment of Actinic Keratosis and Cutaneous Cancerization Field: a randomized clinical trial

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
REBEC
Registry ID
RBR-487ctp
Enrollment
Unknown
Registered
2020-03-03
Start date
2020-03-17
Completion date
Unknown
Last updated
2025-10-27

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

Conditions

Actinic keratosis

Interventions

Each one of the 45 patients will receive one of two treatments on each forearm. One forearm from each research subject will receive Colchicine 0.5% cream twice a day for 07 days while the other forear
Drug

Sponsors

Instituto Lauro de Souza Lima (ILSL)
Lead Sponsor
Faculdade de Medicina da Universidade Estadual Paulista (FMB-UNESP)
Collaborator

Eligibility

Inclusion criteria

Inclusion criteria: Sign the Informed Consent Form; age over 18 years, both sexes; present a minimum of 3 and a maximum of 10 lesions clinically compatible with AK on each dorsal face of the forearm.

Exclusion criteria

Exclusion criteria: Exclusion criteria: treatment area that has an atypical clinical appearance, suggestive of carcinoma, or other extensive dermatoses; current and / or previous clinical diagnosis or evidence of any medical condition that exposes the patient to increased risks, interferes with the safety or efficacy of the proposed treatment; present hypersensitivity or allergy to any of the substances under study; patients using any systemic or topical immunosuppressive substance, oral retinoid, in addition to other local treatments (eg: corticosteroids, anti-inflammatories, topical retinoids); patients who have received any type of treatment for skin field cancerization less than 6 months before the start of the study; immunocompromised individuals; coagulation disorders; suspected or confirmed pregnancy; women of childbearing potential who do not use contraception; women who are breastfeeding. Discontinuation criteria: withdrawal of consent; presence of infection (erysipelas, cellulitis or abscess) during follow-up in the treatment areas; loss of follow-up; use of other AK treatment methods other than the one proposed; serious adverse event, at the investigator's discretion; pregnancy during follow-up; failure to take photographic images of the lesions on the days determined before the start of treatment.

Design outcomes

Primary

MeasureTime frame
It is expected to find complete resolution of all actinic keratoses within the area treated with colchicine cream by counting the number of lesions before and after treatment.

Secondary

MeasureTime frame
Evaluate the incomplete reduction in the count of the number of actinic keratoses, but that represents more than 75% of resolution, through the count of lesions before and after treatment;Check if there was improvement in the dermatoscopic findings of actinic keratoses after treatment, by examining the treated area with the aid of a dermatoscope;Check the profile of adverse effects of the medications used in the study through a dermatological consultation that will be carried out after 14 days of starting treatments. The following aspects will be evaluated: presence of erythema, local pain, edema, desquamation and other complaints that patients may describe;Check if there will be the appearance of non-melanoma skin cancer in the treated areas through dermatological examination performed after 14 and 90 days after the beginning of treatment;Assess whether there will be a reduction in the severity score of actinic keratoses by comparing the score obtained by the same patient at the beginning and at the end of the research

Countries

Brazil

Contacts

Public ContactAmanda Teixeira

Instituto Lauro de Souza Lima (ILSL)

amandasteixeira_@hotmail.com+55-014-991476497

Outcome results

None listed

Source: REBEC (via WHO ICTRP)