ClinicalTrials.gg
CompletedNCT06654999Updated Jul 9, 2025

How Consistent is the Output of DERM, When Used to Assess Images of Potentially Cancerous Skin Lesions.

An observational study in Skin Cancer, Melanoma of Skin and Squamous Cell Cancer, sponsored by Skin Analytics Limited. Completed at 3 sites in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-09.

Primary conditionMelanomaRegistry: Skin NeoplasmsReclassifiedWhy we changed it
Registry
Skin Neoplasms — the first condition term the registry derived for this study.
ClinicalTrials.gg
Melanoma
Why
  1. The study's listed conditions name Melanoma, a narrower term within Skin Neoplasms.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Skin Analytics Limited · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
115
Ages
18 Years and older
Sex
All
01

Study summary

DERM is a Medical Device that uses artificial intelligence to help doctors check if a skin lesion might be cancerous. It works by analysing close-up pictures of skin lesions taken with a smartphone.

This study aims to demonstrate how consistent (precise) the output of DERM is: i.e. does it provide the same result when it analyses multiple photos of the same lesion (repeatability), and when the same lesion is photographed by different people, or with different cameras (reproducibility).

Adults with at least one skin lesion that doctors are checking for cancer, as part of their standard care, will be able to take part. Suitable lesions will be photographed three times, each by three different people using three sets of image capture hardware (specifically, an iPhone 11 with a DL200/HR dermoscopic lens). Each image will be checked for good image quality as it is captured. Images will then be transferred to DERM, where they'll be analysed.

The DERM output won't be shared with the patients or doctors involved in the study. The patients will continue to have their skin lesion biopsy/excised, in accordance with standard of care. Their diagnosis will be collected and compared to the output from DERM.

02

Conditions studied

  • Skin Cancer
  • Melanoma of Skin
  • Squamous Cell Cancer
  • Basal Cell Cancer

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Keywords

  • Precision
  • DERM
  • Repeatability
  • Reproducability
03

In context

Melanoma Reclassified

3,370 studies on the registry are indexed under Melanoma; 578 are open to participants now.

This study's enrollment of 115 is below the median of 187 across 488 observational studies indexed under Melanoma.

Browse Melanoma studies →

Lead sponsor

Skin Analytics Limited is the lead sponsor of 5 studies on the registry; none are open to participants now.

Compared within Melanoma, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Skin Neoplasms. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients will be recruited in specialist dermatology clinics in the UK.

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

  • Male or Female,
  • aged 18 years or above,
  • Willing and able to give for participation in the study,
  • Has at least one skin lesion that, following assessment by a primary care provider and a dermatology specialist, will be biopsied due to a high suspicion of skin cancer, and is suitable for assessment by DERM.
  • In the Investigator's opinion, able and willing to comply with all study requirements.

Exclusion criteria

Exclusion Criteria:

  • Patients with more than one skin lesion due for
  • Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participant at risk because of participation in the study, or may influence the result of the study, or the participant's ability to participate in the study.

To be suitable for inclusion, a skin lesion must NOT have ANY of the following limitations:

  • Be located on an anatomical site of different skin structure: palms of hands or soles of feet (acral lesion), mucosal surfaces (lips and eyes) or under nail (ungal lesion),
  • Have a diameter greater than the diameter of the dermoscopic lens,
  • Be located on an anatomical site unsuitable for photographing, including on surface of genitals and hair-bearing areas,
  • Have been previously biopsied, excised, treated or is otherwise traumatised
  • Be located in an area of visible scarring or tattooing.
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.

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.

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
115 participants (actual)
Patient registry
No

Groups and cohorts

  • All patients

    All patients will have their skin lesion imaged in the same way

    Device: Deep Ensemble for the Recognition of Malignancy (DERM)

Interventions

  • DeviceDeep Ensemble for the Recognition of Malignancy (DERM)

    DERM variants "+" and "DS"

06

What researchers measure

Primary outcomes

  1. Reproducibility: Average Positive Agreement (APA) of DERM on malignant lesions is >80%

    Each lesion will be imaged by three users using three sets of the image capture hardware, generating nine data sets (user/hardware combinations) per lesion. Each lesion image data set will consist of 3 repeated measures, resulting in 27 measures per lesion

    Time frame: 1 day

  2. Repeatability: Average Positive Agreement (APA) of DERM on malignant lesions is >80%

    Each lesion will be imaged by three users using three sets of the image capture hardware, generating nine data sets (user/hardware combinations) per lesion. Each lesion image data set will consist of 3 repeated measures, resulting in 27 measures per lesion.

    Time frame: 1 day

Secondary outcomes

  1. Reproducibility: Average Negative Agreement (ANA) of DERM on benign lesions is >50%

    Each lesion will be imaged by three users using three sets of the image capture hardware, generating nine data sets (user/hardware combinations) per lesion. Each lesion image data set will consist of 3 repeated measures, resulting in 27 measures per lesion.

    Time frame: 1 day

  2. Repeatability: Average Negative Agreement (ANA) of DERM on benign lesions is >50%

    Each lesion will be imaged by three users using three sets of the image capture hardware, generating nine data sets (user/hardware combinations) per lesion. Each lesion image data set will consist of 3 repeated measures, resulting in 27 measures per lesion.

    Time frame: 1 day

07

Study locations

3 sites
  • Norwich and Norfolk Hospitals Trust
    Norwich, United Kingdom
  • University Hospitals Dorset
    Poole, United Kingdom
  • Surrey and Sussex Hospital Trust
    Redhill, United Kingdom
08

References and documents

Individual participant data

Plan to share: Undecided — Subject to constraints in patient consent

No publications or documents are linked to this record.

09

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 Dec 2024 to primary completion in Jun 2025, 6 months.

Of 59 industry-sponsored observational studies under Melanoma, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 80. This study's 6 months is below that.

Counting every sponsor, half of 236 studies reached it within 71 months; a quarter within 35 and three quarters within 223.

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

Registered
Oct 22, 2024
First posted
Oct 23, 2024
StartActual
Dec 18, 2024
Primary completionActual
Jun 30, 2025
CompletionActual
Jun 30, 2025
Last update
Jul 9, 2025
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 9, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06654999
Lead sponsor
Skin Analytics Limited
Responsible party
Sponsor
First posted
Oct 23, 2024
Start date
Dec 18, 2024
Primary completion
Jun 30, 2025
Completion
Jun 30, 2025
Last update
Jul 9, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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