Topical methyl aminolevulinate photodynamic therapy using red light-emitting diode light for multiple actinic keratoses: A randomized study

Rolf Markus Szeimies*, Robert T. Matheson, Steven A. Davis, Ashish C. Bhatia, Yvonne Frambach, Winfried Klövekorn, Heike Fesq, Carola Berking, Julia Reifenberger, Diamant Thaçi

*Corresponding author for this work

Research output: Contribution to journalArticle

69 Scopus citations

Abstract

Background Photodynamic therapy (PDT) is an effective treatment for actinic keratoses (AKs). Light-emitting diodes (LEDs) offer practical advantages when treating multiple lesions. Objective To evaluate the efficacy and tolerability of PDT using a LED and topical methyl aminolevulinate (MAL) for treatment of multiple AKs. METHODS AND MATERIALS One hundred thirty-one patients with four to 10 non-pigmented, previously untreated thin or moderately thick AKs on the face or scalp were enrolled in this multicenter, double-blind, randomized, placebo-controlled study. MAL or matching placebo cream was applied to the débrided lesion surface for 3 hours before illumination with noncoherent red light (630 nm, light dose 37 J/cm 2). Treatment was repeated 1 week later. Results Efficacy was evaluated in 57 patients with 418 lesions treated with MAL PDT and 58 with 414 lesions treated with placebo PDT. Sixteen patients were excluded as protocol violators (not randomized). MAL PDT was superior (p<.001) to placebo PDT in lesion complete response rates (83.3%, 95% confidence interval (CI)=79.3-86.7%, vs 28.7%, 95% CI=24.4-33.4%) and patient complete response rates (all lesions showing complete response; 68.4%, 95% CI=54.8-80.1% vs 6.9%, 95% CI=1.9-16.7%). ConclusionS Topical MAL PDT using a LED is an effective treatment for multiple AKs. This study was supported by Photocure, ASA.

Original languageEnglish (US)
Pages (from-to)586-592
Number of pages7
JournalDermatologic Surgery
Volume35
Issue number4
DOIs
StatePublished - Apr 1 2009

ASJC Scopus subject areas

  • Dermatology
  • Surgery

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    Szeimies, R. M., Matheson, R. T., Davis, S. A., Bhatia, A. C., Frambach, Y., Klövekorn, W., Fesq, H., Berking, C., Reifenberger, J., & Thaçi, D. (2009). Topical methyl aminolevulinate photodynamic therapy using red light-emitting diode light for multiple actinic keratoses: A randomized study. Dermatologic Surgery, 35(4), 586-592. https://doi.org/10.1111/j.1524-4725.2009.01096.x