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NCT00847912: VAKCCT

CSP #562 - The VA Keratinocyte Carcinoma Chemoprevention Trial

Completed Phase 4 Results posted Last updated 11 June 2021
What this trial tests

Phase 4 trial testing 5-fluorouracil in Carcinoma, Basal Cell in 954 participants. Completed in 30 July 2016.

Timeline
26 June 2009
Primary endpoint
28 June 2013
30 July 2016

Quick facts

Lead sponsorVA Office of Research and Development
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposeprevention
Enrollment954
Start date26 June 2009
Primary completion28 June 2013
Estimated completion30 July 2016
Sites13 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

VA Office of Research and Development — full company profile →

Who can join

Eligibility, any sex, with Carcinoma, Basal Cell or Carcinoma, Squamous Cell. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

The Time to Diagnosis of the First Keratinocyte Carcinoma (KC) on the Face or Ears for Which Surgery is Performed Primary · From randomization to last visit prior to end of study date (6/30/2013), assessed up to four years

Diagnosis of the first Primary Basil Cell Carcinoma (BCC) or primary Squamous Cell Carcinoma (SCC) on the face or ears that was removed surgically.

GroupValue95% CI
Arm 1: 5-fluorouracil3.373.21 – NA
Arm 2: Placebo, Vehicle Control3.523.08 – 3.70
Hazard Ratio for Surgically Treated KC Primary · date of randomization to last visit before end of study follow up (6/30/2013), assessed up to four years
GroupValue95% CI
Arm 1: 5-fluorouracil182
Arm 2: Placebo, Vehicle Control177

Adverse events — posted to ClinicalTrials.gov

Time frame: Active monitoring of Adverse Events and Serious Adverse Events began when the participant signed the Consent Form. Adverse Event data collection ended when the participant ended study participation, and Serious Adverse Event data collection continued until 30 days after study participation ended, assessed up to four years.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm 1: 5-fluorouracil
Serious: 190/468 (41%)
Deaths:
Arm 2: Placebo
Serious: 190/464 (41%)
Deaths:

Serious adverse events (363 terms)

ReactionSystemArm 1: 5-fluorouracilArm 2: Placebo
PneumoniaInfections and infestations
Coronary artery diseaseCardiac disorders
Atrial fibrillationCardiac disorders
FallInjury, poisoning and procedural complications
OsteoarthritisMusculoskeletal and connective tissue disorders
Chest painGeneral disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
Cardiac failure congestiveCardiac disorders
Myocardial infarctionCardiac disorders
Cerebrovascular accidentNervous system disorders
DeathGeneral disorders
Urinary tract infectionInfections and infestations
Acute myocardial infarctionCardiac disorders
Angina unstableCardiac disorders
DehydrationMetabolism and nutrition disorders
Lung neoplasm malignantNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Deep vein thrombosisVascular disorders
Acute coronary syndromeCardiac disorders
CellulitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Bladder cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
DementiaNervous system disorders
Transient ischaemic attackNervous system disorders
Renal failure acuteRenal and urinary disorders
Other adverse events (170 terms — click to expand)

ReactionSystemArm 1: 5-fluorouracilArm 2: Placebo
DermatitisSkin and subcutaneous tissue disorders
Sleep disorderPsychiatric disorders
PainGeneral disorders
HaemorrhageVascular disorders
NauseaGastrointestinal disorders
NasopharyngitisInfections and infestations
FallInjury, poisoning and procedural complications
HeadacheNervous system disorders
AcneSkin and subcutaneous tissue disorders
Photosensitivity reactionSkin and subcutaneous tissue disorders
Eye swellingEye disorders
BronchitisInfections and infestations
DizzinessNervous system disorders
Eye irritationEye disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
FatigueGeneral disorders
SwellingGeneral disorders
HordeolumInfections and infestations
SinusitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
Rash macularSkin and subcutaneous tissue disorders
Skin haemorrhageSkin and subcutaneous tissue disorders
Eye painEye disorders
Abdominal discomfortGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
ConstipationGastrointestinal disorders
Tooth lossGastrointestinal disorders
TendernessGeneral disorders
CellulitisInfections and infestations
Herpes zosterInfections and infestations
InfectionInfections and infestations
PneumoniaInfections and infestations
Limb injuryInjury, poisoning and procedural complications
HypoaesthesiaNervous system disorders
ParaesthesiaNervous system disorders
NephrolithiasisRenal and urinary disorders
BlisterSkin and subcutaneous tissue disorders

Most-reported serious reactions: Pneumonia, Coronary artery disease, Atrial fibrillation, Fall, Osteoarthritis, Chest pain, Chronic obstructive pulmonary disease, Cardiac failure congestive.

Data from ClinicalTrials.gov NCT00847912 adverse events section.

Sponsor's own description

The main purpose of this study is to see if 5-fluorouracil (5-FU) skin cream can prevent the growth of new skin cancers on the face and ears. The cost of trying to prevent skin cancer will be compared to the usual cost of treating skin cancer. Participants are being asked to be a part of this study because the participants have been treated for two or more skin cancers within the past five (5) years. At least one of these cancers occurred on the face or ears. Having had two or more skins cancers in the past 5 years makes it likely that participants will develop additional skin cancers in the future. Exposure to ultraviolet radiation from the sun or artificial sources such as tanning beds is a major cause of basal cell and squamous cell carcinoma of the skin. Using lotions, creams, or gels that contain sunscreens can help protect the skin from premature aging and damage that may lead to skin cancer. The 5-FU skin cream used in this study is FDA-approved to treat some types of skin cancers and spots that might become skin cancer. However, 5-FU skin cream has never been studied to see if it can prevent skin cancer. This drug is not approved by the FDA for how it will be used in this study. In this study, one half of the patients will use the 5-FU cream and the other half will use a skin cream that looks identical to the 5-FU cream but does not have 5-FU or any other active drug in it. Approximately twelve VA medical centers will work together in this study. About one thousand (1000) patients will be in this study. The study is sponsored by the U.S. Department of Veterans Affairs Cooperative Studies Program.

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Chemoprevention of Basal and Squamous Cell Carcinoma With a Single Course of Fluorouracil, 5%, Cream: A Randomized Clinical Trial.
    Weinstock MA, Thwin SS, Siegel JA, Marcolivio K, et al · · 2018 · cited 83× · PMID 29299592 · DOI 10.1001/jamadermatol.2017.3631
  2. Long-term Efficacy of Topical Fluorouracil Cream, 5%, for Treating Actinic Keratosis: A Randomized Clinical Trial.
    Pomerantz H, Hogan D, Eilers D, Swetter SM, et al · · 2015 · cited 72× · PMID 25950503 · DOI 10.1001/jamadermatol.2015.0502
  3. Evaluation of Long-term Clearance Rates of Interventions for Actinic Keratosis: A Systematic Review and Network Meta-analysis.
    Steeb T, Wessely A, Petzold A, Brinker TJ, et al · · 2021 · cited 26× · PMID 34347015 · DOI 10.1001/jamadermatol.2021.2779
  4. Recent Advances in Clinical Research for Skin Cancer Chemoprevention.
    Tow R, Hanoun S, Andresen B, Shahid A, et al · · 2023 · cited 9× · PMID 37568635 · DOI 10.3390/cancers15153819
  5. The association of metformin use with keratinocyte carcinoma development in high-risk patients.
    Misitzis A, Stratigos AJ, Beatson M, Mastorakos G, et al · · 2020 · cited 5× · PMID 33047438 · DOI 10.1111/dth.14402
  6. Effect of Topical Fluorouracil Cream on Photodamage: Secondary Analysis of a Randomized Clinical Trial.
    Korgavkar K, Lee KC, Weinstock MA, Veterans Affairs Keratinocyte Carcinoma Chemoprevention (VAKCC) Trial Group. · · 2017 · cited 3× · PMID 28877312 · DOI 10.1001/jamadermatol.2017.2578

Verify or expand the search:

Other trials of 5-fluorouracil

Trials testing the same drug.

Other recruiting trials for Carcinoma, Basal Cell

Currently open trials in the same condition.

Other VA Office of Research and Development trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00847912.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing