Clinical trial Recruiting at 12 sites Phase 3 Interventional Ages 18 to 85

Reformulated Levulan Kerastick with blue light for actinic keratosis on the face or bald scalp

Official title: Randomized, Multi-Center, Evaluator-Blind, Vehicle-Controlled Study to Evaluate Efficacy and Safety of Reformulated Levulan Kerastick Plus Photodynamic Therapy (PDT) for Field-Directed Treatment in Patients With Actinic Keratosis (AK) of Face and (Bald) Scalp

Run by Sun Pharmaceutical Industries Limited · NCT07144345 · Data updated 2026-11-12

This Phase 3 trial will test whether reformulated Levulan Kerastick (aminolevulinic acid 20%) followed by blue light photodynamic therapy clears 4–8 mild-to-moderate actinic keratosis lesions in adults.

More Actinic Keratosis (AK) trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 85 Years
SexAll
Enrollment160 (estimated)
SponsorSun Pharmaceutical Industries Limited
Industry-sponsored
Locations12 sites (Fremont, California and 11 other locations)
StatusRecruiting
StartedNovember 19, 2025
Main results expectedJanuary 2027
Study endsApril 2027
Registry record updatedNovember 4, 2026
Trial IDNCT07144345 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18–85 in good general health with 4–8 mild-to-moderate (Olsen grade 1–2) actinic keratosis lesions confined to the face or bald scalp who can attend clinic visits and follow study precautions.

Probably not a fit

Patients with Olsen grade 3 lesions, suspicious or untreated skin cancers, lesions outside the defined treatment area, pregnant women, or those unable to attend in-person visits are unlikely to qualify or benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized, multicenter, evaluator-blind, vehicle-controlled Phase 3 trial will enroll about 160 adults with 4–8 mild-to-moderate actinic keratosis lesions on either the face or bald scalp and randomize them into four arms based on active drug versus vehicle and incubation time. Participants receive topical application of reformulated Levulan Kerastick (or vehicle) followed by blue light photodynamic therapy, with up to two PDT sessions depending on lesion clearance. The primary endpoint is complete clearance rate at Week 12, and secondary endpoints include lesion-level clearance, partial clearance, change in lesion count and area, recurrence, cosmetic response, and patient satisfaction. Safety monitoring includes adverse events, local skin reactions, vital signs, and laboratory tests.

Why it matters

Potential benefit: If successful, the regimen could increase clearance of AK lesions and improve cosmetic outcomes using a field-directed PDT approach.

How similar studies have gone: ALA-based photodynamic therapy has shown effectiveness for actinic keratosis in prior studies, and this trial tests a reformulated Levulan Kerastick and incubation-time strategy built on that established approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Patient is a male or non-pregnant female aged 18-85 years.
2. Patient must have 4-8 mild to moderate actinic keratosis (AK) lesions (Olsen grade 1 or 2) in a single treatment area (either face or bald scalp, not both), each ≤1 cm in diameter and spaced at least 1 cm apart. \[The treatment area should be approximately 25 cm², excluding sensitive facial regions (eyes, lips, nostrils, ears, mouth)\]
3. Patients must be in good general health, avoid sunbathing or tanning devices, and maintain a consistent skincare routine throughout the study.
4. Patient is willing to stop using all topical products within the Treatment Area within 8 hours of a scheduled clinic visit with an efficacy evaluation.
5. Women of childbearing potential must use highly effective contraception; men with such partners must use barrier methods unless surgically sterile.

Exclusion Criteria:

1. Presence of Olsen grade 3 AK, untreated or suspicious skin cancers, or significant skin abnormalities (e.g., psoriasis, eczema) in the treatment area.
2. Active herpes simplex infection or history of ≥2 outbreaks in the treatment area within the past year.
3. History of cutaneous photosensitization, porphyria, photodermatosis, or hypersensitivity to porphyrins.
4. Positive human immunodeficiency virus (HIV) test result, hepatitis B surface (HBS) antigen, or hepatitis C virus (HCV) test result
5. Immunosuppressed status (e.g., HIV, organ transplant) or known coagulation defects.
6. Use of specific topical therapies (e.g., retinoids, steroids, cryotherapy, PDT, chemical peels) on the treatment area within 2 days to 8 weeks prior to randomization.
7. Recent use of certain systemic therapies (e.g., corticosteroids, immune-modulators, retinoids, cytotoxic drugs) within 6 weeks to 6 months prior to randomization.
8. Recent use of hypericin or other phototoxic/photoallergic medications (e.g., tetracyclines, psoralenes, St. John's wort) within 8 weeks of randomization.
9. Clinically significant or unstable illnesses, or history of alcohol/drug abuse in the past year.
10. Pregnancy/lactation, recent or current participation in another clinical study, or any other condition deemed unsuitable by the Investigator.

Where it's running

  • Center for Dermatology Clinical Research, Inc
    Fremont, California, United States
    Recruiting
  • Center for Clinical and Cosmetic Research
    Aventura, Florida, United States
    Recruiting
  • Arlington Dermatology
    Rolling Meadows, Illinois, United States
    Recruiting
  • The Indiana Clinical Trials Center, PC
    Plainfield, Indiana, United States
    Recruiting
  • Dermatologic Surgery Center of Washington
    Chevy Chase, Maryland, United States
    Recruiting
  • Minnesota Clinical Study Center
    New Brighton, Minnesota, United States
    Recruiting
Show 6 more locations
  • Medisearch, LLC
    Saint Joseph, Missouri, United States
    Recruiting
  • Onsite Clinical Solutions, LLC
    Huntersville, North Carolina, United States
    Recruiting
  • Oregon Dermatology and Research Center
    Portland, Oregon, United States
    Recruiting
  • Palmetto Clinical Trial Services, LLC
    Greenville, South Carolina, United States
    Recruiting
  • Tennessee Clinical Research Center
    Nashville, Tennessee, United States
    Recruiting
  • Premier Clinical Research
    Spokane, Washington, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.