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Trial registered on ANZCTR
Registration number
ACTRN12613000333718
Ethics application status
Approved
Date submitted
15/03/2013
Date registered
26/03/2013
Date last updated
11/08/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Topical Acitretin for the Treatment of rough scaly spots of sun-damaged skin or premalignant condition of thick, scaly, or crusty patches of sun-damaged skin (Facial Actinic Keratosis).
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Scientific title
A Double-blind Randomised Placebo-controlled Study of Topical Acitretin and Placebo for the Treatment of Facial Actinic Keratosis.
Protocol Number: DP-001
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Secondary ID [1]
281224
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Nil
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Universal Trial Number (UTN)
U1111-1134-5593
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Trial acronym
ATAK
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Facial actinic keratoses
287412
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Condition category
Condition code
Skin
287746
287746
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0
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Dermatological conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants are randomised to receive topical acitretin or placebo for 24 weeks. About 1g of Acitretin 0.25% w/w or 0.5% w/w will be applied once daily to the face. A three week follow-up for all participants occurs at the completion of the treatment phase. The dose concentration is determined by randomisation.
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Intervention code [1]
285690
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Treatment: Drugs
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Comparator / control treatment
Placebo moisturiser gel applied once daily for 24 weeks.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Comparison of the partial clearance rates for each treatment group. The proportion of participants with 75 % or greater reduction of the number of AK Lesions on the face at the end of treatment compared to baseline. Measured by clinical assessment by the Principal Investigator or Sub-Investigator (lesion count).
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Assessment method [1]
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Timepoint [1]
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24 weeks
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Secondary outcome [1]
299177
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Comparison of the total number of all visible or palpable AKs on the entire face at the end of treatment (i.e. those present at baseline and any new lesions) for each treatment group, measured by clinical assessment by the Principal Investigator or Sub-Investigator (lesion count).
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Assessment method [1]
299177
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Timepoint [1]
299177
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24 weeks
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Secondary outcome [2]
299178
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Comparison of the change in the EIS Score for the entire face by treatment group compared with baseline.
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Assessment method [2]
299178
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Timepoint [2]
299178
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Weeks 8, 16, and 24/end of treatment
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Eligibility
Key inclusion criteria
- At least 3, to a maximum of 25, visible or palpable AK lesions on the face determined by clinical diagnosis.
- Males, or postmenopausal/surgically sterile females.
- Willing and able to comply with the protocol and study requirements.
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Minimum age
40
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Atypical AK on the face.
- Diagnosis of SBCC on the face.
- Treatment with oral acitretin.
- Treatment with 5FU, imiquimod, diclofenac, PEP005 or topical retinoids on the face.
- Treatment with a dermatological procedure or surgery on the face.
- Other potentially confounding skin disorders on the face.
- Females of child bearing potential.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
2/04/2013
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Actual
10/04/2013
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Date of last participant enrolment
Anticipated
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Actual
11/09/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
75
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4555
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New Zealand
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State/province [1]
4555
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Bay of Plenty
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Country [2]
4556
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New Zealand
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State/province [2]
4556
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Auckland
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Country [3]
4557
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New Zealand
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State/province [3]
4557
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Waikato
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Funding & Sponsors
Funding source category [1]
286001
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Commercial sector/Industry
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Name [1]
286001
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Douglas Pharmaceuticals Ltd
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Address [1]
286001
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Cnr Te Pai Place and Central Park Drive,
Lincoln,
Auckland 0610
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Country [1]
286001
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New Zealand
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Primary sponsor type
Commercial sector/Industry
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Name
Douglas Pharmaceuticals Ltd
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Address
Cnr Te Pai Place and Central Park Drive,
Lincoln,
Auckland 0610
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
284819
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Country [1]
284819
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
288048
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Northern A Health and Disability Ethics Committee
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Ethics committee address [1]
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Ministry of Health 1 the Terrace PO Box 5013 Wellington 6011
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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11/10/2012
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Approval date [1]
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16/11/2012
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Ethics approval number [1]
288048
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12/NTA/56
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Summary
Brief summary
Acitretin is a synthetic retinoid, structurally related to vitamin A. Its efficacy in psoriasis is well known as an oral treatment for severe psoriasis and disorders of keratinisation. A study of oral acitretin has shown benefit in renal transplant patients with Actinic Keratoses (AKs). AKs, also referred to as solar keratoses, are premalignant intra-epidermal skin lesions that usually arise in photodamaged skin areas. Acitretin is therefore expected to be of benefit in the treatment of AK. Topical acitretin may be associated with few, if any, systemic side effects whilst at the same time producing higher concentrations at the site of treatment compared with oral acitretin. The efficacy and safety of topical acitretin against a placebo control is to be assessed by a phase 2a study, involving approximately 75 participants in New Zealand.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Marius Rademaker
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Address
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Tristram Clinic
200 Collingwood Street
Hamilton
3204
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Country
34707
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New Zealand
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Phone
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+64 78381035
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Fax
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+64 78382032
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Email
34707
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[email protected]
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Contact person for public queries
Name
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Lindsay Boy
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Address
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Douglas Pharmaceuticals Ltd
P.O.Box 45 027,
Te Atatu Peninsula,
Auckland 0651
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Country
17954
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New Zealand
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Phone
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+ 64 98350660
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Fax
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+ 64 98350690
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Email
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[email protected]
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Contact person for scientific queries
Name
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Marius Rademaker
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Address
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Tristram Clinic
200 Collingwood Street
Hamilton
3204
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Country
8882
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New Zealand
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Phone
8882
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+64 78381035
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Fax
8882
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+64 78382032
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Email
8882
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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