The main purpose of this vehicle-controlled study is to determine the efficacy and safety of a solution of Actikerall® (containing 5-fluorouracil 0.5% and salicylic acid 10.0%) in the field-directed treatment of grade I-II actinic keratosis, when it is applied to the affected area once daily for 12 weeks. A secondary objective of this study is to evaluate the efficacy of Actikerall® solution on subclinical actinic keratosis lesions in a subset of patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
166
Almirall Investigational Site #3
Berlin, Germany
Almirall Investigational Site #5
Berlin, Germany
Almirall Investigational Site #4
Berlin, Germany
Percentage of patients with complete clinical clearance of actinic keratosis lesions in the treatment field
Complete Clinical Clearance is defined as no clinically visible actinic keratosis lesions in the selected treatment area
Time frame: Week 20
Percentage of patients with partial clinical clearance of actinic keratosis lesions in the treatment field
Partial clearance is defined as a 75% or greater reduction in the number of clinically visible actinic keratosis lesions in the selected treatment area
Time frame: Week 20
Percentage change from baseline in the total number of actinic keratosis lesions
Time frame: Week 20
Global assessment of efficacy by the physician (Physician Global Assessment)
Time frame: Week 20
Change from baseline in total score of the Dermatology Life Quality Index (DLQI)
Time frame: Week 20
Total score of the patients´ treatment satisfaction questionnaire for medication (TSQM)
Time frame: Week 20
Percentage of patients with complete clearance of three pre-defined subclinical actinic keratosis lesions
Sub-clinical lesions will be determined using reflectance confocal microscopy in a subset of 30 patients
Time frame: Week 20
Percentage change from baseline in the three selected actinic keratosis subclinical lesions
Sub-clinical lesions will be determined using reflectance confocal microscopy in a subset of 30 patients
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Almirall Investigational Site #1
Bochum, Germany
Almirall Investigational Site #8
Bochum, Germany
Almirall Investigational Site #6
Bonn, Germany
Almirall Investigational Site #9
Dülmen, Germany
Almirall Investigational Site #10
Friedrichshafen, Germany
Almirall Investigational Site #2
Selters, Germany
Almirall Investigational Site #7
Wuppertal, Germany
...and 4 more locations
Time frame: Week 20
Percentage of patients for which the clearance of one pre-defined representative clinical actinic keratosis lesion is confirmed by reflectance confocal microscopy
Determined using reflectance confocal microscopy in a subset of 30 patients
Time frame: Week 20
The number of patients with adverse events
Time frame: Week 20