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Completed

NCT Number: NCT01387711

PEP005 Gel - Biological Effects in Actinic Keratosis Assessed by Histology

This trial will be conducted to explore the biological effects in the skin following treatment with PEP005 Gel, 0.05% administered for two consecutive days, assessed by histology.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Universitätsmedizin Göttingen, Georg-August-Universität

Göttingen, D-37075, Germany

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female patients at least 18 years of age
  • Patients with AK lesions within a contiguous 25 cm2 area on the upper extremity
  • Patients with a 25 cm2 area of normal skin on the upper inner arm
  • Female subjects must be of either non-childbearing potential or childbearing potential, provided there is a confirmed negative urine pregnancy test prior to exposure, to rule out pregnancy
  • Female subjects of childbearing potential must be willing to consent to using high effective methods of contraception
  • Ability to follow study instructions and likely to complete all study requirements
  • Obtained written informed consent prior to any study-related procedures

Exclusion criteria

  • Location of the selected treatment areas within 5 cm of an incompletely healed wound within 10 cm of a suspected basal cell carcinoma (BCC) or squamous cell carcinoma (SCC)
  • History or evidence of skin conditions other than the study indication that would interfere with evaluation of the study medication
  • Clinical diagnosis/history or evidence of any medical condition that would expose a subject to an undue risk of a significant AE or interfere with assessments of safety, as determined by Investigator clinical judgment.
  • Anticipated need for in-patient hospitalisation or in-patient surgery during the study period.
  • Current participation in any other interventional clinical trial
  • Subjects who have received treatment with any non-marketed drug product within the last two months
  • Subject known or, in the opinion of the investigator, is unlikely to comply with the Clinical Study Protocol
  • Females who are pregnant, of child-bearing potential and wishing to become pregnant during the trial, or are breast feeding
  • Undergone cosmetic or therapeutic procedures within 2 cm of the selected treatment areas in the 2 weeks prior to the screening visit
  • Use of acid-containing therapeutic products within 2 cm of the selected treatment areas in the 2 weeks prior to the screening visit
  • Use of topical salves/topical steroids: within 2 cm of the selected treatment areas in the 2 weeks prior to the screening visit
  • Treatment with immunomodulators, cytotoxic drugs or interferon/interferon inducers, systemic medications that suppress the immune system or UVB in the last 4 weeks
  • Treatment with 5-FU, imiquimod, diclofenac, or photodynamic therapy: within 2 cm of the selected treatment areas within 8 weeks prior to any screening visit
  • Use of systemic retinoids

Treatment and study plan

PEP005 (Ingenol mebutat Gel, 0.05 %)

Drug

All eligible patients will receive PEP005 Gel, 0.05 %, on two consecutive days to both the AK Treatment Area and the Normal Skin Treatment Area

Primary outcomes

  1. Leukocytes Infiltration and degree of necrosis of the AK lesion and skin

    Time frame: From baseline until day 3

    Degree of skin infiltration of leukocytes and necrosis of the epidermis and dermis in the AK biopsies from Day 1, Day 2, and Day 3

Secondary outcomes

  1. Biological effects in the skin

    Time frame: from baseline till day day 3

    • Leukocytes Infiltration
    • Degree of skin infiltration of leukocytes
    • Necrosis
    • Haemorrhage
    • Immune cell activation
    • Apoptosis
    • Endothelium activation
    • RNA expression
    • Drug Transporter

    Number of participants with changes in normal skin and AK lesion biopsies

Sponsors and collaborators

Lead sponsor

LEO Pharma

Industry

Registry information

Official study title

A Phase I, Single-centre, Open Label, Within-subject Comparison Trial to Explore the Biological Effects of PEP005 (Ingenol Mebutate) Gel, 0.05%, Applied Once Daily for 2 Consecutive Days in Patients With Actinic Keratosis on the Upper Extremity

Important dates

Study start
2011
Primary completion
2012
Study completion
2012
First posted
Jul 4, 2011
Registry last updated
Feb 24, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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