Could a cream make skin cancer treatment less painful and more effective?
NCT ID NCT05688904
First seen Aug 20, 2026 · Last updated Aug 21, 2026 · Updated 1 time
Summary
This pilot study tests whether applying a topical imipramine cream before photodynamic therapy (PDT) can reduce pain and improve treatment of actinic keratoses, which are precancerous skin lesions. Adults with fair skin who are scheduled for PDT on their face, scalp, or forearms may participate. The study will compare the combination of imipramine plus PDT against PDT alone, measuring pain levels during treatment and the number of lesions remaining after six months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Topical 4% imipramine cream applied before photodynamic therapy
- What this could lead to
- If it works, this could make photodynamic therapy for precancerous skin lesions less painful and more effective, improving patient comfort and outcomes.
- What could go wrong
- This is a small pilot study, and the combination is new. It may not reduce pain or improve effectiveness, and there could be skin irritation or other side effects from the topical imipramine.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 24 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2023
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male or female ages 18 and older * Skin type must be "Fair", Fitzpatrick type I to III, due to the presence of actinic damage in this population. * Subjects need to have a physician's order to receive PDT treatment on their face, scalp or 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. Exclusion Criteria: * Those currently taking any tricyclic antidepressants (TCAs) * Those currently taking any selective serotonin reuptake inhibitor (SSRI) * Those with porphyria * Large tattoos in the treated areas * Pregnancy or nursing * Taking any oral or topical medications that could interfere with the PDT (Appendix A) * Active rashes in the area
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
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Contacts and locations
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Wright State Physicians
RECRUITINGFairborn, Ohio, 45324, United States
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