ClinicalTrials.gg
CompletedNCT02157623Updated Jul 30, 2020Results posted

Blue vs Red Light During Levulan Based Photodynamic Therapy in Patients With Basal Cell Nevus Syndrome

An interventional study of Levulan and Red Light PDT in Basal Cell Nevus Syndrome, sponsored by Edward Maytin, MD, PhD. Completed at 1 site in United States. Per ClinicalTrials.gov, last updated 2020-07-30.

Sponsored by Edward Maytin, MD, PhD · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
3
Allocation
Not applicable
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 20 studies in Basal Cell Nevus Syndrome with a site in United States — 1 open to participants now, 1 under way, none of them phase 3. Basal Cell Nevus Syndrome · United States.

Enrollment
18th of 18
3 · median 35
Started
2016
with 1 other
No phase
2 of 20
none open now
Registered
10th of 20
by date
Lead sponsor
1 of 20
Edward Maytin, MD, PhD

Among the 20 studies in Basal Cell Nevus Syndrome with a site in United States, this one is the 18th largest by enrollment of the 18 interventional ones that give a count, is one of 2 that started in 2016, is one of 2 with no phase, and was the 10th registered.

Basal Cell Nevus Syndrome

35 studies on the registry are indexed under Basal Cell Nevus Syndrome; 4 are open to participants now.

Browse Basal Cell Nevus Syndrome studies →

Open to participants now

1 of the 20 studies in Basal Cell Nevus Syndrome with a site in United States is open now. Recruiting first, the newest first:

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 3 Basal Cell Nevus Syndrome studies recruiting now, 3 set no upper age limit and none stop at 75 or younger; 3 take children under 18; none take healthy volunteers.

This study: all sexes · no healthy volunteers.

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02

Study summary

The investigators will be testing whether aminolevulinate-based (Levulan™) Photodynamic Therapy (PDT) shows effectiveness in the treatment and prevention of cutaneous basal cell carcinoma (BCC) in Basal Cell Nevus Syndrome (BCNS) patients. Levulan™ PDT is an FDA-approved method widely used currently for squamous precancers of the skin. The investigators hypothesize that PDT will provide exceptional benefit in the BCNS population because PDT is nonmutagenic, nonscarring, and can be safely repeated many times. Additionally, the study will investigate whether there are any differences in tumor clearance between the Blu-U® (blue lamp) and Aktilite™(red lamp) therapies.

Read the detailed description

This is a pilot intra-patient comparative study to evaluate the ability of cyclic Photodynamic Therapy (PDT) using Red (635 nm) or Blue (400 nm) light with 5-Aminolevulinic acid, to eliminate BCC skin cancers that occur in patients with Basal Cell Nevus Syndrome (Gorlin-Goltz Syndrome).

Patients will receive 3 cycles of Red light and Blue light PDT treatments, for a total of 6 treatments, over a 4 month period. Cycles will be spaced 2 months apart. Each cycle consists of a double course of PDT treatment with treatments spaced one week apart. Every subject will be treated with two light sources, blue and red, according to randomized assignments made to left side or right side of the body. There will be a final assessment visit at month 6.

03

Conditions studied

  • Basal Cell Nevus Syndrome

Keywords

  • Basal Cell Nevus Syndrome
  • Gorlin's Syndrome
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Men, women, and children of any age or ethnic group who meet eligibility
  • Patients under 18 years of age must be accompanied and co-consented, by a parent or legal guardian.
  • Patients must have a diagnosis of Basal Cell Nevus Syndrome (BCNS)
  • For diagnosis of BCNS, the patient must have either 2 major criteria, one major and two minor criteria, or one major criterion plus molecular confirmation of a PTCH1 gene mutation
  • Major criteria are:

    • (1) BCC prior to age 20 years, or excessive number of BCCs out of proportion to prior sun exposure and skin type
    • (2) keratocyst of the jaw prior to age 20
    • (3) palmar or plantar pitting
    • (4) lamellar calcification of the falx cerebri
    • (5) medulloblastoma
    • (6) first degree relative with BCNS
  • Minor criteria are:

    • (1) rib anomalies, or other specific skeletal malformations including kyphoscoliosis and short 4th metacarpals
    • (2) macrocephaly
    • (3) cleft/lip or palate;
    • (4) fibroma of the heart or ovary
    • (5) ocular abnormalities
    • (6) other rare abnormalities
  • At least two BCC tumors, preferably more, located in different body regions or located greater than 10 cm apart in locations that can be reproducibly separated into red and blue illumination fields
  • Female subjects are not pregnant or nursing or planning to become pregnant during the study
  • Subjects must have the ability to understand and the willingness to sign a written document

Exclusion criteria

Exclusion Criteria:

  • Pregnant, planning on getting pregnant or nursing
  • Currently participating in another clinical trial
  • Using any topical treatment for their BCC tumors, unless discontinued at least 1 month prior
  • Currently being treated for other cancers with medical or radiation therapy
  • Patients with a known to 5-aminolevulinic acid or any component of the study material
  • Patients with a history of a photosensitivity disease, including porphyria cutanea tarda
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    Red Light PDT and Blue Light PDT

    The tumor clearance with one side treated with Levulan and Red light PDT, and the contralateral side treated with Blue light PDT.

    Drug: Levulan · Other: Red Light PDT · Other: Blue Light PDT

Interventions

  • Levulan application followed by Red or Blue light PDT

    Also known as: Levulan™, Levulan® Kerastick® for Topical Solution, 5-aminolevulinic acid, aminolevulinic acid HCL, ALA

  • OtherRed Light PDT

    Aktilite™ (red lamp) after Levulan application on lesions

    Also known as: Aktilite™, Red Lamp, Red Light, PDT

  • OtherBlue Light PDT

    Blu-U® (blue lamp) after Levulan application on lesions

    Also known as: Blu-U, Blue Lamp, Blue Light, PDT

06

What researchers measure

Primary outcomes

  1. Tumor Clearance Rate Following Red or Blue Light PDT

    The rate of clearance of existing BCC tumors will be assessed in patients with BCNS, using clinical and photographic measurements. The endpoint will be assessed for tumors in a Red light treatment field and a Blue light treatment field in each patient, and compared (bilateral intrapatient comparison).

    Time frame: 6 months

Secondary outcomes

  1. Pain During Illumination

    Pain reported by the patient, using a 0-10 Visual Analog Scale (VAS), where 0 is no pain and 10 is maximum pain possible.

    Time frame: Maximum value reported during the illumination period

  2. Patient Satisfaction Survey

    Overall patient satisfaction with the technique will be assessed using a simple survey: 6 = extremely satisfied; 5 = very satisfied; 4 = somewhat satisfied; 3 = somewhat dissatisfied; 2 = very dissatisfied; 1 = extremely dissatisfied.

    Time frame: 6 months

07

Results

Posted Jun 2, 2017

Participant flow

Participant flow — Overall Study
MilestoneRed Light/Blue Light Participants
Started3
Completed3
Not completed0

Outcome measures

PrimaryTumor Clearance Rate Following Red or Blue Light PDT

The rate of clearance of existing BCC tumors will be assessed in patients with BCNS, using clinical and photographic measurements. The endpoint will be assessed for tumors in a Red light treatment field and a Blue light treatment field in each patient, and compared (bilateral intrapatient comparison).

Time frame:
6 months
Reported as:
Mean · Percentage of tumors cleared
Tumor Clearance Rate Following Red or Blue Light PDT
Percentage of tumors clearedRed Light Photodynamic TherapyBlue Light Photodynamic Therapy
Tumor Clearance Rate Following Red or Blue Light PDT87.3 (75 to 96)99 (97 to 100)
SecondaryPain During Illumination

Pain reported by the patient, using a 0-10 Visual Analog Scale (VAS), where 0 is no pain and 10 is maximum pain possible.

Time frame:
Maximum value reported during the illumination period
Reported as:
Mean · VAS score value
Pain During Illumination
VAS score valuePain During Red LightPain During Blue Light
Pain During Illumination5.6 ± 2.03.7 ± 1.7
SecondaryPatient Satisfaction Survey

Overall patient satisfaction with the technique will be assessed using a simple survey: 6 = extremely satisfied; 5 = very satisfied; 4 = somewhat satisfied; 3 = somewhat dissatisfied; 2 = very dissatisfied; 1 = extremely dissatisfied.

Time frame:
6 months
Reported as:
Mean · Scores on the rating scale
Patient Satisfaction Survey
Scores on the rating scaleRed Light TreatmentBlue Light Treatment
Patient Satisfaction Survey5.3 (5 to 6)5.6 (5 to 6)

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Red Light Photodynamic Therapy0/3 (0%)0/3 (0%)0/3 (0%)
Blue Light Photodynamic Therapy0/3 (0%)0/3 (0%)0/3 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Red Light / Blue Light Participants
<=18 years0
Between 18 and 65 years3
>=65 years0
Age, Continuous
Age, Continuous(years)Red Light / Blue Light Participants
Mean42 (33 to 54)
Sex: Female, Male
Sex: Female, Male(Participants)Red Light / Blue Light Participants
Female1
Male2
Region of Enrollment
Region of Enrollment(Participants)Red Light / Blue Light Participants
United States3
08

Study locations

1 site
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
09

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2016 to primary completion in Sep 2016, 7 months.

Results were first posted in Jun 2017, 9 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 2, 2014
First posted
Jun 6, 2014
StartActual
Feb 1, 2016
Primary completionActual
Sep 1, 2016
CompletionActual
Dec 1, 2016
Results first posted
Jun 2, 2017
Last update
Jul 30, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 30, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02157623
Lead sponsor
Edward Maytin, MD, PhD
Responsible party
Edward Maytin, MD, PhD (Staff, The Cleveland Clinic) — Sponsor-investigator
First posted
Jun 6, 2014
Start date
Feb 1, 2016
Primary completion
Sep 1, 2016
Completion
Dec 1, 2016
Results posted
Jun 2, 2017
Last update
Jul 30, 2020

Study contacts

Edward V. Maytin, MD, PhD
principal investigator · The Cleveland Clinic

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Aminolevulinic Acid

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