Cellular and Molecular Events During Treatment of Actinic Keratosis With Imiquimod 5% Cream
Study Details
Study Description
Brief Summary
Treatment of actinic keratosis with imiquimod cream is expected to cause changes in the genes that are turned on, and turned off, by skin cells. Some of the drug induced changes in skin cells should also be visible using a special microscope. This study examines both types of changes.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
The primary objective of this study was to assess apoptosis by examining the gene expression profiles of actinic keratosis (AK) lesions that were treated with imiquimod 5% cream or vehicle cream once daily 3 times per week for 4 weeks. Secondary objectives were to assess the utility of confocal microscopy (CM) to visually track cellular response to treatment with study cream compared with clinical and histological evaluations, and to evaluate the safety of treatment with imiquimod in subjects with AK on the balding scalp.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Imiquimod cream Imiquimod 5% cream containing 12.5 mg of imiquimod per 250 mg of cream Applied 3 times per week for 4 weeks |
Drug: Aldara (imiquimod 5% cream)
Imiquimod 5% cream containing 12.5 mg of imiquimod per 250 mg of cream
Other Names:
|
Placebo Comparator: Vehicle cream Vehicle cream 250 mg Applied 3 times per week for 4 weeks |
Drug: Vehicle cream
Vehicle cream in 250 mg
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Gene expression profiling of treated lesions [weeks 1, 2, and 4, and at 4 weeks post-treatment]
Secondary Outcome Measures
- Confocal microscopic evaluation before, during and post treatment [weeks 1, 2, 4 and at 4 weeks post-treatment]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Have actinic keratoses on balding scalp
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Discontinuation of tanning bed use
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Discontinuation of moisturizers
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Avoidance of retinol products
Exclusion Criteria:
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Uncontrolled, clinically significant medical condition
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Dermatologic disease other than actinic keratosis in treatment area
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Loma Linda University Medical Center | Loma Linda | California | United States | 92350 |
Sponsors and Collaborators
- Graceway Pharmaceuticals, LLC
Investigators
- Study Director: TC Meng, MD, Graceway Pharmaceuticals
Study Documents (Full-Text)
None provided.More Information
Publications
- Torres A, Storey L, Anders M, Miller RL, Bulbulian BJ, Jin J, Raghavan S, Lee J, Slade HB, Birmachu W. Immune-mediated changes in actinic keratosis following topical treatment with imiquimod 5% cream. J Transl Med. 2007 Jan 26;5:7.
- Torres A, Storey L, Anders M, Miller RL, Bulbulian BJ, Jin J, Raghavan S, Lee J, Slade HB, Birmachu W. Microarray analysis of aberrant gene expression in actinic keratosis: effect of the Toll-like receptor-7 agonist imiquimod. Br J Dermatol. 2007 Dec;157(6):1132-47. Epub 2007 Oct 18.
- 1467-IMIQ