CLFX453X2201

  • Research type

    Research Study

  • Full title

    A randomized, vehicle controlled, active comparator, parallel group study to evaluate safety, tolerability and preliminary efficacy of topical LFX453 formulations in patients with actinic keratosis

  • IRAS ID

    169855

  • Contact name

    Mads Soerensen

  • Contact email

    mads.soerensen@novartis.com

  • Sponsor organisation

    Novartis Institutes for BioMedical Research (NIBR)

  • Eudract number

    2014-003613-28

  • Duration of Study in the UK

    1 years, 0 months, 1 days

  • Research summary

    Actinic keratosis (AK), are pre-malignant cancerous skin lesions that develop in response to prolonged sun exposure. The lesions may in time develop into invasive cancer.
    Toll-like-receptor 7 (TLR7) is an essential component of the immune system, and TLR7 stimulators such as Aldara are approved for the treatment of AK, however other immune responses are also stimulated leading to undesirable side effects, especially skin irritation.
    LFX453 is a stimulator of TLR7 with the potential to offer similar effect with fewer side effects.
    In this study, two creams of LFX453 will be tested for their tolerability, safety, and efficacy against their matching placebos (inactive creams). Aldara, is included for comparison.
    Following a screening period of up to 4 weeks, all five different creams will be dosed for two 4-week intervals separated by a 4-week pause. After the end of treatment patients will enter an 8 week follow-up period before completing the study. A total of 80 patients are expected to enter the study.
    In order to be eligible, patients must be 18-75 years, male, or female of non-childbearing potential, have at least 5 AK lesions within a 25 cm2 area on the face and/or scalp, and an additional AK lesion outside the intended treatment area. Patients must not have any concomitant illness that could confound the clinical evaluation of AK. In situ skin cancer types are allowed if completely removed before the start of the study.
    Patients will during the study undergo clinical evaluation of AK and local irritation, as well as physical examinations, blood draws, and ECGs for safety assessments. Blood will be drawn for analysis of drug in the blood and certain proteins in the blood.
    Optional to the patients are skin biopsies taken for analysis of proteins and drug levels in the skin, and blood samples for DNA markers.

  • REC name

    London - West London & GTAC Research Ethics Committee

  • REC reference

    15/LO/0581

  • Date of REC Opinion

    24 Apr 2015

  • REC opinion

    Favourable Opinion