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Trial Title: Effect of Lipikar Urea 30% Before Actinic Keratoses Treatment

NCT ID: NCT06274320

Condition: Actinic Keratoses

Conditions: Official terms:
Keratosis, Actinic
Keratosis

Conditions: Keywords:
actinic keratoses
Lipikar Urea 30%
Olsen grade

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Supportive Care

Masking: Triple (Care Provider, Investigator, Outcomes Assessor)

Intervention:

Intervention type: Other
Intervention name: Group A: holistic approach
Description: 2-week Lipikar Urea 30% application (once daily in the evening) + 4-week Tolak® treatment (once daily in the evening)
Arm group label: Group A: holistic approach

Intervention type: Other
Intervention name: Group B: Tolak® Standard of use
Description: 4-week Tolak® alone treatment (once daily in the evening)
Arm group label: Group B: Tolak® Standard of use

Summary: This study is conducted in one center in Germany, in adult subjects having actinic keratoses (grade I or II) lesions on the scalp and meeting specific inclusion/exclusion criteria. The purpose of the study is to evaluate a holistic management (efficacy, tolerability and lesion cosmetic outcomes) of Tolak® treatment.

Detailed description: Actinic keratoses (AK) are chronic skin changes usually induced by UV radiation. There are numerous options to treat AK. Some of the most used field-directed therapies include topical therapy with 5-fluorouracil (5-FU) cream and photodynamic therapy. However, the treatment with 5-FU is not without side effects (erythema, pruritus, itching/burning, etc.). Therefore, in daily clinical practice, cosmetic pre- and concomitant applications of cosmetics are often recommended to increase the efficacy as well as the tolerability of Tolak®. The aim of this randomized, evaluator blinded, controlled parallel group study conducted in compliance with the 2013 version of the Declaration of Helsinki is to determine whether and how the application of cosmetics leads to an influence on the microbiome of AK. Statistical method: The variables will be analyzed by using the Cochran-Mantel-Haenszel (CMH) statistic, after ridit transformation with the row mean difference statistics, testing the hypothesis of equality. Each test will be two-sided, at the 0.050 significance level.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - diagnosis of at least 4 non-hypertrophic, non-hyperkeratotic actinic keratosis of the the scalp - planned treatment of actinic keratoses of the scalp with Tolak® - Olsen grade I or II Exclusion Criteria: - known or documented intolerance to any of the ingredients of Tolak® or Lipikar Urea 30% - treatment of actinic keratoses in the treatment area within the past 3 months (e.g. photodynamic therapy, topical 5-FU, diclofenac, imiquimod, cryotherapy etc.) - suspected invasive squamous cell cancer in the treatment area - chronic wounds, erosions, pre-existing inflamed or infected skin with disruption of the epidermal barrier in the treatment area current or within the last 8 weeks given systemic cancer medication or systemic treatment with 5-Fluorouracil

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: CentroDerm GmbH

Address:
City: Wuppertal
Country: Germany

Status: Recruiting

Start date: April 5, 2024

Completion date: June 2025

Lead sponsor:
Agency: Cosmetique Active International
Agency class: Industry

Source: Cosmetique Active International

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06274320

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