ClinicalTrials.gg
CompletedNCT02354261Updated Aug 5, 2020

Open-label Trial of SUBA™-Itraconazole (SUBA-Cap) in Subjects With Basal Cell Carcinoma Nevus Syndrome (BCCNS)

A Phase 2 interventional study of SUBA-Itraconazole in Basal Cell Carcinoma in Basal Cell Nevus Syndrome, sponsored by HedgePath Pharmaceuticals, Inc.. Completed at 5 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-08-05.

Sponsored by HedgePath Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
38
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 171 studies in Carcinoma, Basal Cell with a site in United States — 23 open to participants now, 38 under way, 2 of them phase 3. Carcinoma, Basal Cell · United States.

Enrollment
71st of 139
38 · median 40
Started
2015
with 5 others
Phase 2
46 of 171
6 open now
Registered
78th of 171
by date

Among the 171 studies in Carcinoma, Basal Cell with a site in United States, this one is the 71st largest by enrollment of the 139 interventional ones that give a count, is one of 6 that started in 2015, is one of 46 in phase 2, and was the 78th registered.

Carcinoma, Basal Cell

389 studies on the registry are indexed under Carcinoma, Basal Cell; 69 are open to participants now.

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Open to participants now

23 of the 171 studies in Carcinoma, Basal Cell with a site in United States are open now. Recruiting first, the newest first:

18 more — sign in →

All 23 open studies →

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 52 Carcinoma, Basal Cell studies recruiting now, 48 (92%) set no upper age limit and none (0%) stop at 75 or younger; 9 take children under 18; 2 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The study will assess the safety and efficacy of SUBA-Cap in subjects with Basal Cell Carcinoma Nevus Syndrome.

Read the detailed description

Single arm, phase IIb, multi-center, open-label study evaluating the use of oral SUBA-Cap in subjects with Basal Cell Carcinoma Nevus Syndrome and non-metastatic Basal Cell Carcinoma.

Following informed consent, subjects will undergo a skin biopsy for Gli1 analysis and an assessment of extent of disease using both tumor measurements (using modified Response Evaluation Criteria in Solid Tumors criteria) and color photographs of the skin.

Subjects will receive daily oral SUBA-Cap, at a starting dose of 150 mg twice daily (BID). Reassessments of disease will be conducted at weeks 4, 8, 16, and then every 8 weeks thereafter. Subjects with evidence of response (partial or complete) will be re-evaluated at least 4 weeks later for confirmation. Subjects may continue to receive SUBA-Cap until disease progression (defined as the appearance of one or more new lesions or ulceration of a target lesion) that requires a change in therapy (surgical intervention or use of other systemic therapy) or the appearance of unacceptable side effects. Pharmacokinetic assessments (serial trough levels) will be performed at defined intervals and, when possible, prior to and following any dose adjustment. Skin biopsies will be taken for Gli1 expression at defined intervals.

03

Conditions studied

  • Basal Cell Carcinoma in Basal Cell Nevus Syndrome

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Keywords

  • Basal Cell Carcinoma Nevus Syndrome
  • BCCNS
  • BCC
  • itraconazole
  • basal cell carcinoma
  • locally advanced basal cell carcinoma
04

Who can participate

Ages eligible
18 Years and older
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

  • performance status of 0 or 1
  • Diagnosis of Basal Cell Carcinoma Nevus Syndrome (BCCNS)
  • Histologic confirmation of BCC from at least one lesion
  • History of surgical removal of at least ten (10) prior BCCs
  • as defined, namely at least ten (10) measurable lesions such that the sum of the longest diameters of the measurable lesions is at least 40 mm.
  • Has failed, refused, or is not eligible for standard of care therapy for BCC
  • Willingness to abstain from the use of non-study treatments for BCC, including but not limited to topical medications, PDT, and/or irradiation therapy.
  • At least four weeks from prior major surgery
  • Women who are pre-menopausal or not surgically sterile must be willing to use an acceptable method for the duration of the study and for 30 days following the last dose of study drug
  • Sexually active men must be willing to use an acceptable contraceptive method for the duration of time on study and for 30 days following the last dose of study drug
  • Clinical laboratory values within the following ranges:

    1. Negative serum pregnancy test
    2. Adequate hematologic function ( ≥1.5 x 10\^9/L; count ≥75x10\^9/L; ≥9g/dL (in the absence of red blood cell transfusions in the prior 14 days)
    3. (PT-INR) or activated partial thromboplastin time (APTT) \<1.5 times the , unless currently receiving anticoagulants
    4. Serum creatinine ≤ 1.5 x ULN or calculated ≥60 mL/min
    5. Total ≤ 1.5x the upper limit of normal unless considered due to Gilbert syndrome in which case, ≤ 3x the upper limit of normal
    6. (ALT) and aspartate aminotransferase (AST) levels ≤ the upper limit of normal
  • Willingness to undergo (BCC lesions and normal skin)
  • Willingness to provide prior and study-related BCC biopsies for central review
  • Willingness to participate in collection of pharmacokinetic samples
  • Willingness to not donate blood, semen, or eggs for the duration of the study and for 3 months following discontinuation of SUBA-Cap
  • Willingness to delay removal of otherwise surgically eligible BCC's

Exclusion criteria

Exclusion Criteria:

  • Presence of BCC
  • Subjects who would be disserved significantly by a delay in conventional therapy, such as surgical intervention of their BCC
  • Prior use of a hedgehog inhibitor (e.g., sonidegib, vismodegib) or Itraconazole within the past 6 months
  • History of progressive disease on a hedgehog inhibitor (e.g., sonidegib, vismodegib) or other Hh pathway inhibitors for the treatment of BCC
  • Pregnant and/or nursing women
  • Use of any medications metabolized by the cytochrome P450 3A4 isoenzyme system () known to lead to potentially serious and/or life threatening adverse events when used in conjunction with itraconazole
  • Any illness that is likely to reduce absorption of oral medications
  • (Fridericia) interval of >450 msec for females and >430 msec for males
  • Use of any medications known to result in a prolongation of the QT interval
  • History of congestive heart failure or other cardiac abnormality that would contraindicate the use of itraconazole
  • Any condition or situation which in the Investigator's opinion may put the subject at significant risk, could confound the study results, or could interfere significantly with the subject's participation in the study
  • Any indication of compromised liver function that would otherwise contraindicate use of itraconazole
  • Any concurrent , except for squamous cell carcinoma of the skin and cervical carcinoma in situ, that is likely to require treatment within the next two years or would interfere with study requirements
  • Psychiatric illness and/or social situations (e.g., excessive alcohol use or use of illicit drugs) that would interfere with study compliance
  • Known infection, active or active infection (testing not required unless indicated by history)
  • Known allergy to itraconazole or any of its
Terms in these criteria, in plain language(20)

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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
38 participants (actual)

Study arms

  • Experimental
    SUBA-Itraconazole

    Subjects will receive an oral dose of 300 mg SUBA-itraconazole daily.

    Drug: SUBA-Itraconazole

Interventions

  • Subjects will receive an oral dose of 300 mg SUBA-Itraconazole daily.

    Also known as: SUBA-Cap

06

What researchers measure

Primary outcomes

  1. Response rate of BCC lesions

    Time frame: Up to 26 weeks

Secondary outcomes

  1. Safety and tolerance; measured by number of subjects with adverse events

    Time frame: Participants will be followed for the duration of study participation, an expected average of 26 weeks

  2. Number of new BCCs eligible for surgical resection

    Time frame: Up to 26 weeks

  3. Duration of response in those subjects that have responded

    Time frame: Up to 26 weeks

  4. Time to next therapy (systemic therapy or surgical intervention)

    Time frame: Up to 26 weeks

  5. Change in the number of jaw cysts

    Time frame: Up to 26 weeks

  6. Changes in the number of palmar/plantar pits

    Time frame: Up to 26 weeks

  7. Gli1 expression in normal skin

    Time frame: Up to 26 weeks

  8. Levels of itraconazole and hydroxy-itraconazole in the skin

    Time frame: Up to 26 weeks

  9. Levels of itraconazole and hydroxy-itraconazole in the blood

    Time frame: For Cycle 1 and Cycle 2, Up to week 8

07

Study locations

5 sites
  • Dermatology Specialists, Inc
    Oceanside, California 92056, United States
  • Ameriderm Research
    Ormond Beach, Florida 32174, United States
  • Grekin Skin Institute
    Warren, Michigan 48034, United States
  • Stony Brook University
    East Setauket, New York 11733, United States
  • Penn State Hershey Medical Center
    Hershey, Pennsylvania 17033, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2015 to primary completion in Mar 2019, 43 months.

Of 43 phase 2 interventional studies under Carcinoma, Basal Cell, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 67. This study's 43 months is close to that.

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

Registered
Jan 21, 2015
First posted
Feb 3, 2015
StartActual
Aug 7, 2015
Primary completionActual
Mar 2019
CompletionActual
Mar 2019
Last update
Aug 5, 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 Aug 5, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02354261
Lead sponsor
HedgePath Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Feb 3, 2015
Start date
Aug 7, 2015
Primary completion
Mar 2019
Completion
Mar 2019
Last update
Aug 5, 2020

Study contacts

James Solomon, MD, PhD
principal investigator · Ameriderm Clinical Research

Oversight

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

Not currently enrolling

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

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Discussion

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Studies of the drug tested here: Itraconazole Dispersion In Polymer Matrix

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