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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 85 Years |
| Sex | All |
| Enrollment | 160 (estimated) |
| Sponsor | Sun Pharmaceutical Industries Limited Industry-sponsored |
| Locations | 12 sites (Fremont, California and 11 other locations) |
| Status | Recruiting |
| Started | November 19, 2025 |
| Main results expected | January 2027 |
| Study ends | April 2027 |
| Registry record updated | November 4, 2026 |
| Trial ID | NCT07144345 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
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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
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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
- Study coordinator: Head, Regulatory Affairs
- Email: Clinical.Trial@sunpharma.com
- Phone: 9122 66455645
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Reformulated Levulan Kerastick plus blue‑light PDT for actinic keratoses on the upper arm
This trial will test whether applying a reformulated Levulan Kerastick (aminolevulinic acid 20%) followed by blue‑light photodynamic therapy can clear 4–8 mild-to-moderate actinic keratoses on one upper arm in adults.
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Using Imipramine to Reduce Pain from Photodynamic Therapy for Skin Lesions
This study is testing if using Imipramine with photodynamic therapy can help reduce pain for people getting treatment for actinic keratosis.
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A randomized split-face study tests a combination of three lasers and light therapy to improve sun-damaged facial skin and potentially help prevent skin cancer in adults with actinic keratosis.
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Pharmacokinetic test of reformulated Levulan Kerastick for actinic keratosis on forearms or face
This study tests how the reformulated Levulan Kerastick behaves in the body when used on actinic keratosis lesions on the arms or face, followed by blue-light treatment.
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Tirbanibulin in adults with facial actinic keratosis: seeing if it improves appearance and skin feel
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.