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NCT03483935: MTAK

Microwave Therapy for Treatment of Precancerous Actinic Keratoses

Completed NA Results posted Last updated 6 March 2023
What this trial tests

NA trial testing Microwave treatment in Actinic Keratoses in 18 participants. Completed in 28 February 2019.

Timeline
7 March 2018
Primary endpoint
28 February 2019
28 February 2019

Quick facts

Lead sponsorUniversity of Dundee
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment18
Start date7 March 2018
Primary completion28 February 2019
Estimated completion28 February 2019
Sites1 location across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

University of Dundee

Who can join

18 and older, any sex, with Actinic Keratoses or Precancerous Skin Lesion. 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.

Resolution of AK Lesions Following Microwave Treatment Primary · Baseline, day 8, 15, 28, 42, 60 and 120

The resolution of each treated AK lesion will be determined by clinical assessment. Resolution is predetermined as either partial (resolution of the area covered by the microwave probe, but with a rim or persistent AK) or full (complete resolution of the entire AK) over all time periods. Response will be assessed at visits 3 (day 8), 4 (day 15), 6 (day 28), 8 (day 42), 10 (day 60) and 11 (day 120). Mixed-effects logistic regression models analysed the effect of microwave therapy with random effects for participant and visit (≤ 6 per participant). Each visit will be analysed as a categorical va

Day 8
GroupValue95% CI
Microwave Energy Treatment73
Control2
Day 15
GroupValue95% CI
Microwave Energy Treatment73
Control7
Day 28
GroupValue95% CI
Microwave Energy Treatment86
Control9
Day 42
GroupValue95% CI
Microwave Energy Treatment86
Control9
Day 60
GroupValue95% CI
Microwave Energy Treatment81
Control11
Day 120
GroupValue95% CI
Microwave Energy Treatment84
Control13
Complete Resolution of AKs Following Microwave Treatment Primary · Baseline, day 8, 15, 28, 42, 60 and 120

The resolution of each treated AK lesion will be determined by clinical assessment. Resolution is predetermined as either partial (resolution of the area covered by the microwave probe, but with a rim or persistent AK) or full (complete resolution of the entire AK) over all time periods. Treatment will be given at day 1, with a second treatment on day 28 based on a clinical decision. Response will be assessed at visits 3 (day 8), 4 (day 15), 6 (day 28), 8 (day 42), 10 (day 60) and 11 (day 120). Clinical photos will be taken at each hospital visit. Mixed-effects logistic regression models analy

Day 8
GroupValue95% CI
Microwave Energy Treatment4
Control1
Day 15
GroupValue95% CI
Microwave Energy Treatment7
Control1
Day 28
GroupValue95% CI
Microwave Energy Treatment20
Control2
Day 42
GroupValue95% CI
Microwave Energy Treatment23
Control3
Day 60
GroupValue95% CI
Microwave Energy Treatment41
Control5
Day 120
GroupValue95% CI
Microwave Energy Treatment39
Control6
Partial Resolution of AKs Following Microwave Treatment Primary · Baseline, day 8, 15, 28, 42, 60 and 120

The resolution of each treated AK lesion will be determined by clinical assessment. Resolution is predetermined as either partial (resolution of the area covered by the microwave probe, but with a rim or persistent AK) or full (complete resolution of the entire AK) over all time periods. Treatment will be given at day 1, with a second treatment on day 28 based on a clinical decision. Response will be assessed at visits 3 (day 8), 4 (day 15), 6 (day 28), 8 (day 42), 10 (day 60) and 11 (day 120). Clinical photos will be taken at each hospital visit. Mixed-effects logistic regression models analy

Day 8
GroupValue95% CI
Microwave Energy Treatment69
Control1
Day 15
GroupValue95% CI
Microwave Energy Treatment66
Control6
Day 28
GroupValue95% CI
Microwave Energy Treatment66
Control7
Day 42
GroupValue95% CI
Microwave Energy Treatment63
Control6
Day 60
GroupValue95% CI
Microwave Energy Treatment40
Control6
Day 120
GroupValue95% CI
Microwave Energy Treatment45
Control7
Level of Pain Experienced During Treatment Secondary · Treatment 1 (day 1) and treatment 2 (day 28)

To evaluate the safety and tolerability of microwave treatment as a therapy for AK, participants were asked about level of pain during treatment. Participants were asked to rate their pain level during each treatment as i) mild, ii) moderate or iii) severe.

Mild pain during treatment
GroupValue95% CI
Treatment 17
Treatment 25
Moderate pain during treatment
GroupValue95% CI
Treatment 132
Treatment 227
Severe pain during treatment
GroupValue95% CI
Treatment 154
Treatment 219
Duration of Pain Post Treatment Secondary · Treatment 1 (day 1) and Treatment 2 (day 28)

To evaluate the safety and tolerability of microwave treatment as a therapy for AK, participants were asked about the duration of pain immediately after each treatment. Duration was grouped into 5 pre-determined periods, i) few seconds, ii) up to 5 minutes, iii) up to 10 minutes, iv) up to 20 minutes and v) over 30 minutes. The decision to administer a second treatment was made by the investigator.

Duration: Few seconds
GroupValue95% CI
Treatment 17
Treatment 28
Duration: Up to 5 minutes
GroupValue95% CI
Treatment 12
Treatment 22
Duration: Up to 10 minutes
GroupValue95% CI
Treatment 11
Treatment 20
Duration: Up to 20 minutes
GroupValue95% CI
Treatment 11
Treatment 20
Duration: Over 30 minutes
GroupValue95% CI
Treatment 10
Treatment 20
Change in Ki67 Staining Determined Immunohistochemically by the Use of Specific Antibodies on Fixed Material Secondary · Day 15

To identify the mode of action of microwave treatment on biomarkers of cell proliferation as a therapy for AK. Results are provided on the staining positivity scale of +, ++ and +++. The minimum value is + , meaning the least staining. The maximum value is +++, meaning the most staining identified.

GroupValue95% CI
Microwave Energy Treatment9
Microwave Energy Treatment1
Microwave Energy Treatment1
Change in Hematoxylin and Eosin Stain Secondary · Day 15 OR day 42

To identify the mode of action of microwave treatment on biomarkers of cell survival.

GroupValue95% CI
Change in Hematoxylin and Eosin Stain11

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse event data was collected from the date of consent until the participant's last study visit. For Stage 1, study duration was 1 day. For stage 2, RCT, maximum participant duration on the trial was 35 days washout period (if required) and 120 days trial duration. SAEs were followed up for both stages until 30 days after the participant's last visit.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Stage 1 Dose Finding Study
Serious: 0/7 (0%)
Deaths: 0/7
Stage 2 RCT
Serious: 1/11 (9%)
Deaths: 0/11

Serious adverse events (1 terms)

ReactionSystemStage 1 Dose Finding StudyStage 2 RCT
Tibia fractureInjury, poisoning and procedural complications
Other adverse events (17 terms — click to expand)

ReactionSystemStage 1 Dose Finding StudyStage 2 RCT
Treatment administration site painGeneral disorders
Treatment administration site scabGeneral disorders
Treatment administration site erythemaGeneral disorders
Treatment administration site pruritusGeneral disorders
Treatment administration site exfoliationGeneral disorders
Treatment administration site erosionGeneral disorders
Skin tightnessSkin and subcutaneous tissue disorders
Treatment administration site paraesthesiaGeneral disorders
Procedural headacheInjury, poisoning and procedural complications
Skin woundInjury, poisoning and procedural complications
Tooth abscessInfections and infestations
Lower respiratory tract infectionInfections and infestations
Abdominal discomfortGastrointestinal disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
ParonychiaInfections and infestations
Tibia fractureInjury, poisoning and procedural complications
Humerus fractureInjury, poisoning and procedural complications

Most-reported serious reactions: Tibia fracture.

Data from ClinicalTrials.gov NCT03483935 adverse events section.

Sponsor's own description

This is a two-stage feasibility study to determine if focussed microwave energy is a suitable treatment for Actinic Keratoses (AK). The two study stages are as follows: Stage 1: To determine the electrical properties of permittivity in AK on the hand and bald scalp for subsequent optimisation of the SWIFT instrument to provide the correct dose of microwave energy to the AK. Stage 2: 1. Evaluate the efficacy of microwave energy as a treatment for AK 2. Evaluate the long-term resolution of AK following microwave treatment 3. Assess the feasibility and acceptability of using microwave energy as a treatment for AK 4. Identify the potential mode of action of microwave energy in the treatment of AK. The primary objective is to evaluate the efficacy of microwave therapy versus no treatment on the resolution of AK lesions using visual assessment. The primary outcome measure is full or partial resolution of the AK assessed by skin examination.

Publications & conference data

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

  1. A feasibility study of microwave therapy for precancerous actinic keratosis.
    Jackson DN, Hogarth FJ, Sutherland D, Holmes EM, et al · · 2020 · cited 8× · PMID 32030723 · DOI 10.1111/bjd.18935
  2. Microwave hyperthermia represses human papillomavirus oncoprotein activity and induces cell death due to cell stress in 3D tissue models of anogenital precancers and cancers.
    Conley MJ, Epifano I, Kirk A, Stevenson A, et al · · 2023 · cited 3× · PMID 37068348 · DOI 10.1016/j.ebiom.2023.104577

Verify or expand the search:

Other recruiting trials for Actinic Keratoses

Currently open trials in the same condition.

Other University of Dundee trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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