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CompletedNCT00003611Updated Jul 13, 2016

Acitretin in Preventing Skin Cancers in Patients With Previously Treated Skin Cancers Who Have Undergone Organ Transplantation

An interventional study of acitretin and placebo in Non-melanomatous Skin Cancer, sponsored by Alliance for Clinical Trials in Oncology. Completed at 11 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-07-13.

Sponsored by Alliance for Clinical Trials in Oncology · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
129
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the development or recurrence of cancer. The use of acitretin may be an effective way to prevent the recurrence or further development of skin cancer.

PURPOSE: Randomized clinical trial to study the effectiveness of acitretin in preventing skin cancers in patients with at least two previously treated skin cancers who have undergone organ transplantation.

Read the detailed description

OBJECTIVES:

  • Determine the chemopreventive efficacy of acitretin in immunosuppressed solid organ transplant recipients with a history of multiple previous basal cell carcinoma (BCC) or squamous cell carcinoma (SCC) skin cancer resections.
  • Evaluate human papillomavirus (HPV) as a possible etiologic cofactor in the development of cutaneous epidermal dysplasia/carcinoma from skin tissues of these patients.
  • Determine the effect of acitretin on potential surrogate endpoint biomarkers and HPV DNA in normal (sun protected), sun-exposed, and dysplastic and carcinoma (SCC/BCC) skin specimens.

OUTLINE: This is a randomized study. Patients are stratified according to age (at least 18 to under 50 vs 50 to 59 vs 60 to 69 vs 70 and over), number of prior skin cancers in past 5 years (2 vs 3 vs at least 4), time since most recent skin cancer occurrence (less than 12 months vs at least 12 months), sunburn susceptibility (none vs moderate vs high), visible skin damage (mild vs moderate vs severe).

Patients receive either oral acitretin or placebo daily for 2 years. Skin biopsies are obtained at 1 year from normal areas and from any areas with skin cancer for genetic studies.

Patients are followed every 6 months.

02

Conditions studied

  • Non-melanomatous Skin Cancer

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Keywords

  • basal cell carcinoma of the skin
  • squamous cell carcinoma of the skin
03

In context

Skin Neoplasms

582 studies on the registry are indexed under Skin Neoplasms; 114 are open to participants now.

This study's enrollment of 129 is above the median of 53 across 416 interventional studies indexed under Skin Neoplasms.

Browse Skin Neoplasms studies →

Lead sponsor

Alliance for Clinical Trials in Oncology is the lead sponsor of 499 studies on the registry; 27 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Solid organ recipient (kidney, liver, heart, lung, or pancreas) receiving immunosuppressive agents (e.g., prednisone, other corticosteroid, azathioprine, cyclosporine, tacrolimus, mycophenolate mofetil)
  • At least 6 months since transplant
  • At least 2 prior (same event or separate events) basal cell carcinomas (BCC) or squamous cell carcinomas (SCC) resected

    • All visible BCC and SCC resected

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Life expectancy:

  • Greater than 2 years

Hematopoietic:

  • WBC at least 3400/mm\^3
  • Platelet count at least 100,000/mm\^3
  • Hemoglobin at least 10.0 g/dL

Hepatic:

  • Bilirubin no greater than 1.5 times upper limit of normal (ULN)
  • Alkaline phosphatase no greater than 3 times ULN
  • SGOT no greater than 3 times ULN

Renal:

  • Creatinine no greater than 1.5 times ULN

Other:

  • Not pregnant or nursing
  • Fertile patients must use two effective forms of birth control for at least 1 month before, during, and at least 3 years after study
  • No history of oral retinoid intolerance
  • No significant, uncontrolled hyperlipidemia
  • No other significant medical condition or threatened allograft rejection state where retinoid use would be contraindicated

PRIOR CONCURRENT THERAPY:

Other:

  • At least 1 year since prior retinoids
  • No concurrent oral vitamin A supplements, topical retinoids, or other potentially irritating skin preparations
  • No alcohol during and for 2 months after study
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
129 participants (actual)

Study arms

  • Experimental
    acitretin

    Patients receive oral acitretin daily for 2 years. Skin biopsies are obtained at 1 year from normal areas and from any areas with skin cancer for genetic studies. Patients are followed every 6 months.

    Drug: acitretin

  • Placebo comparator
    placebo

    Patients receive placebo daily for 2 years. Skin biopsies are obtained at 1 year from normal areas and from any areas with skin cancer for genetic studies. Patients are followed every 6 months.

    Other: placebo

Interventions

  • Drugacitretin
  • Otherplacebo
06

What researchers measure

Primary outcomes

  1. rate of new primary nonmelanoma skin cancers

    Time frame: Up to 1.5 years

07

Study locations

11 sites
  • CCOP - Scottsdale Oncology Program
    Scottsdale, Arizona 85259-5404, United States
  • Mayo Clinic
    Jacksonville, Florida 32224, United States
  • CCOP - Illinois Oncology Research Association
    Peoria, Illinois 61602, United States
  • CCOP - Carle Cancer Center
    Urbana, Illinois 61801, United States
  • CCOP - Iowa Oncology Research Association
    Des Moines, Iowa 50309-1016, United States
  • CCOP - Wichita
    Wichita, Kansas 67214-3882, United States
  • Mayo Clinic Cancer Center
    Rochester, Minnesota 55905, United States
  • CentraCare Health Plaza
    Saint Cloud, Minnesota 56303, United States
  • Medcenter One Health System
    Bismarck, North Dakota 58501, United States
  • Rapid City Regional Hospital
    Rapid City, South Dakota 57709, United States
  • CCOP - Sioux Community Cancer Consortium
    Sioux Falls, South Dakota 57104, United States
08

References and documents

Publications

  • Kadakia KC, Barton DL, Loprinzi CL, Sloan JA, Otley CC, Diekmann BB, Novotny PJ, Alberts SR, Limburg PJ, Pittelkow MR. Randomized controlled trial of acitretin versus placebo in patients at high-risk for basal cell or squamous cell carcinoma of the skin (North Central Cancer Treatment Group Study 969251). Cancer. 2012 Apr 15;118(8):2128-37. doi: 10.1002/cncr.26374. Epub 2011 Aug 31. PubMed 21882176 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 13, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00003611
Lead sponsor
Alliance for Clinical Trials in Oncology
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jan 27, 2003
Start date
May 2000
Primary completion
Feb 2003
Completion
Jun 2003
Last update
Jul 13, 2016

Study contacts

Mark R. Pittelkow, MD
study chair · Mayo Clinic

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2016. You cannot join it, but the record below documents what was studied.

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