A trial comparing Metvix® photodynamic therapy followed by Mohs micrographic surgery against Mohs micrographic surgery alone for the treatment of basal cell carcinoma

ISRCTN ISRCTN03814856
DOI https://doi.org/10.1186/ISRCTN03814856
EudraCT/CTIS number 2005-004262-16
Secondary identifying numbers N/A
Submission date
03/02/2006
Registration date
03/04/2006
Last edited
16/05/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Habib Kurwa
Scientific

Dermatological Surgery and Laser Unit
St John's Institute of Dermatology
St Thomas' Hospital
London
SE1 7EH
United Kingdom

Study information

Study designSingle centre open randomised controlled pilot study with pre-entry concealment
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA trial comparing Metvix® photodynamic therapy followed by Mohs micrographic surgery against Mohs micrographic surgery alone for the treatment of basal cell carcinoma
Study objectivesThat using topical photodynamic therapy (PDT) prior to Mohs micrographic surgery (as an adjunct) in the treatment of basal cell carcinoma (BCC) will overall, reduce the post-Mohs wound defect size (mm^2) when compared to Mohs micrographic surgery alone
Ethics approval(s)Approved by St Thomas' Hospital Research Ethics Committee on 06/12/2005, reference number: 05/Q0702/219
Health condition(s) or problem(s) studiedBasal cell carcinoma (BCC)
InterventionTo assess whether the combination of PDT followed by Mohs micrographic surgery is superior to Mohs micrographic surgery alone in treating basal cell carcinoma in terms of reducing the post-Mohs wound defect and the mean number of stages required to achieve clearance
Intervention typeOther
Primary outcome measure1. To measure and compare the post-Mohs wound defect surface area (mm^2) in the two groups
2. To compare the mean number of stages required to clear the lesion by Mohs' micrographic surgery in the two groups
3. To compare recurrence rates of BCC at 12 months post-operatively. The lesion response will be defined as one complete response (complete clearance) or zero incomplete response (incomplete clearance).
Secondary outcome measures1. To assess whether there is any reduction in size (surface area, mm^2) of the lesion, clinically with PDT prior to Mohs (in the Metvix® PDT group) including assessment of fluorescence between the first and second sessions of PDT
2. Cosmetic outcome at months 3, 6 and 12 after the Mohs surgery
Overall study start date06/02/2006
Completion date01/10/2007

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants20
Key inclusion criteria1. Male or female subjects older than 18 years
2. The above should have a basal cell carcinoma at least 100 mm^2 in surface area and appropriate for treatment with Mohs micrographic surgery
3. Female subject of non-childbearing potential
4. Subject must be willing and capable of cooperating with the study protocol
5. Subject has to be able to read the patient information sheet as well as read and sign the informed consent form prior to any procedure
Key exclusion criteria1. BCCs with less than 100 mm^2 in surface area
2. Clinically or histologically morphoeic basal cell carcinoma
3. Female of child-bearing potential
4. Subject with a history of porphyria, xeroderma pigmentosa or other photosensitive skin condition
5. Subject with known hypersensitivity to methyl 5-aminolevulinate, a similar compound or excipients of the cream
6. Subject who is at risk in terms of precautions and contraindications in the package insert for Metvix®
7. Subject who has participated in another investigational drug or device research study within 30 days of enrolment
8. Subject with a condition or who is in a situation, which in the investigator’s opinion may put the subject at significant risk, may confound the study results or may interfere significantly with the subject’s participation in the study. This includes individuals unable to understand the implications or procedures of the trial, for example if they cannot adequately understand written or spoken English.
Date of first enrolment06/02/2006
Date of final enrolment01/10/2007

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Dermatological Surgery and Laser Unit
London
SE1 7EH
United Kingdom

Sponsor information

Guy's and St Thomas' NHS Foundation Trust (UK)
Hospital/treatment centre

c/o Jackie Pullen
Research and Development
St Thomas' Street
London
SE1 9RT
England
United Kingdom

Phone +44 (0)207 1885732
Email jackie.pullen@gstt.nhs.uk
ROR logo "ROR" https://ror.org/00j161312

Funders

Funder type

Government

Guy's and St Thomas' NHS Foundation Trust (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results 16/05/2019 No No

Editorial Notes

16/05/2019: Added clinicaltrialsregister.eu link to basic results (scientific).