Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 and up

Using topical imipramine with photodynamic therapy for skin lesions in veterans

Official title: Acid Sphingomyelinase Inhibition to Mitigate the Environmental Exposure Risks of Ultraviolet Light-Induced Actinic Neoplasia and Squamous Cell Carcinoma in US Veterans

Run by VA Office of Research and Development · NCT06778434 · Data updated 2026-11-12

This study is testing if using a skin cream called imipramine along with light therapy can help veterans with precancerous skin lesions get better results from their treatment.

More Actinic Keratosis (AK) trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment48 (estimated)
SponsorVA Office of Research and Development
Federal
Locations1 site (Dayton, Ohio)
StatusRecruiting
StartedApril 1, 2025
Main results expectedMarch 30, 2029
Study endsMarch 30, 2029
Registry record updatedDecember 22, 2025
Trial IDNCT06778434 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adult males and females aged 18 and older with fair skin types who have been prescribed PDT for actinic keratosis.

Probably not a fit

Patients currently taking tricyclic antidepressants or selective serotonin reuptake inhibitors, or those with certain skin conditions or active rashes, may not benefit from this study.

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

What this trial studies

This study evaluates the effects of topical imipramine when used alongside photodynamic therapy (PDT) to treat actinic keratosis in veterans. PDT is a standard treatment for precancerous skin lesions, and this research aims to determine if imipramine can mitigate the immunosuppressive effects of PDT, potentially enhancing its efficacy. Participants will be recruited from the Dayton VA Medical Center, where they will receive both treatments under careful monitoring. The study focuses on adult patients with fair skin types who have been prescribed PDT for their skin conditions.

Why it matters

Potential benefit: If successful, this approach could improve treatment outcomes for veterans with actinic keratosis by enhancing the effectiveness of photodynamic therapy.

How similar studies have gone: While PDT is a well-established treatment, the combination with topical imipramine has not been previously evaluated, making this a novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adult Males and Females ages 18 and older who are patients at the Dayton VAMC Dermatology clinics
* Skin type must be "Fair", Fitzpatrick type I or II, due to the presence of actinic damage in this population.
* Subjects must have a VA physician's order to receive PDT treatment on their forearms.
* Willing to participate and understand the informed consent document.
* Willing to avoid excess sun exposure/tanning beds to the area to be treated with PDT.
* Has stable transportation to attend study visits at DVA

Exclusion Criteria:

* Currently taking any tricyclic antidepressants (TCAs)
* Currently taking any selective serotonin reuptake inhibitor (SSRI)
* Has Porphyria
* Large tattoos in areas to be tested
* Pregnancy or nursing
* Taking any oral or topical medications that could interfere with the PDT
* Active rashes in the areas

Where it's running

  • Dayton VA Medical Center, Dayton, OH
    Dayton, Ohio, United States
    Recruiting

Study contacts

  • Principal investigator: Jeffrey Travers, MD — Dayton VA Medical Center, Dayton, OH
  • Study coordinator: Craig A Rohan, MD
  • Email: craig.rohan@va.gov
  • Phone: (937) 245-7500

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.