LUGANO, 01 October, 2021 – A new prototype photodynamic therapy (PDT) device that can be used at home significantly reduces pain levels during treatment of basal cell carcinoma (BCC), while achieving efficacy comparable with a hospital stay.1 These findings come from a breakthrough pilot study, presented today at the 30th EADV Congress.
The efficacy of PDT, a treatment that involves light-sensitive medicine and a light source to destroy abnormal cancer cells, for low-risk BCC has been proven through multiple studies. However, a need to reduce the pain experienced during treatment and the long hospital stay prompted the development of a new device, even before the COVID-19 pandemic. Standard PDT treatment consists of two sessions performed within a hospital environment that usually requires a 1.5-2 hour wait with a one-week interval.
Ana Gabriela Salvio, lead author of the study commented: “The importance of a portable PDT device is crucial in its country of origin, Brazil, where many patients need to travel more than 300km to receive specialised dermatological treatment. However, the global pandemic accelerated the need to develop this at-home treatment element, which has the potential to impact the treatment of BCC internationally.”
15 BCC patients took part in the pilot study at Amaral Carvalho Hospital together with Sao Carlos Institute of Physics, in Sao Paulo State, Brazil. The first PDT session was performed at the hospital where a 20% methyl aminolevulinate cream was applied to the BCC lesion, which was then illuminated for 20 minutes with a commercial red light LED device.
Immediately after the first illumination, a light layer of cream was applied and the new portable irradiation device - the size of a coin - was fixed to the skin using medical adhesive tape. The patient was then sent home and advised to turn on the illumination after 1.5 hours and turn it off after 2 hours.
Pain was assessed every 3 minutes during the hospital PDT treatment session and self-reported every 20 minutes during home treatment on a numerical scale from 0 to 10. The median score values were compared between hospital and home treatments.
According to histological analysis, the clearance at 30 days after PDT was 86.67%, which is similar to standard PDT treatment, and the pain score was significantly lower for the PDT treatment performed at home [self-reported by the patients as a 1 for the first three measures and a 0 for the four that followed], as compared to 3-4 for the hospital treatment, suggesting that a more comfortable treatment with less pain is possible.
“Our study results could have a hugely positive impact on the treatment of basal cell carcinoma in Brazil and the rest of the world.”, says Ana Gabriela Salvio, “Patients reporting much lower levels of pain from the at-home treatment is really encouraging, especially because it doesn’t come at the cost of efficacy.”
Following the success of the pilot study, a clinical trial with more than 200 participants has been approved. The new portable irradiation device is also in the process of being patented.
“The fight against skin cancer is an important priority for the EADV,” shares Marie-Aleth Richard, EADV Board Member and Professor at the University Hospital of La Timone, Marseille, “The findings of this breakthrough pilot study present a new, exciting way of delivering cancer therapies for home treatment, with the potential to transform how BCC is treated globally. This is of course only possible after confirmation of both BCC diagnosis and PDT treatment indication.”
Notes to Editors
A reference to the EADV 30th Congress or EADV Congress 2021 must be included when communicating any information within this press release.
For further information or to arrange an expert interview, please contact:
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About Basal Cell Carcinoma
Basal cell carcinoma (BCC) is the most common type of skin cancer, accounting for approximately 70-80% of all cases, and its incidence continues to rise.2 There are a number of different types of BCC, each of which can look and behave differently.3 BCC commonly develops in the head and neck, although it can be found anywhere on the skin. It is mainly caused by sun exposure or develops in people who received radiation therapy as children. This type of skin cancer usually grows slowly and rarely spreads to other parts of the body.4
Founded in 1987, EADV is a leading European Dermato-Venereology Society with the important aims of improving the quality of patient care, furthering knowledge and education of dermatologists and venereologists globally through innovation, and advocating on behalf of the speciality and patients. EADV collaborates with other organisations to provide a strong and clear voice to influence the European health agenda. It is a non-profit organisation with nearly 7,000 members across 116 different countries in the world, providing a valuable service for every type of dermato-venereologist professional.
To find out more visit https://www.eadv.org/.
About EADV 30th Congress 2021:
The EADV's 30th Congress Anniversary Edition is a special celebration of three decades of science and innovation in the Dermatology and Venereology field. The 4-day Scientific Programme packed full with new findings and scientific breakthroughs and provides a unique opportunity to hear the latest in Dermato-Venereology and connect with leading experts. To find out more visit https://www.eadvcongress2021.org/.
- Salvio, AG, Requenna M.B., Stringasci M. et al., Photodynamic Therapy performed at home: The use of a portable device to decrease the patient’s stay at hospital without compromising the efficacy of basal cell carcinoma treatment; Abstract no. 1289, submitted to EADV 30th Congress, 29-02 October 2021
- Ciążyńska M, Narbutt J, Woźniacka A, Lesiak A. Trends in basal cell carcinoma incidence rates: a 16-year retrospective study of a population in central Poland. Advances in Dermatology and Allergology/Postȩpy Dermatologii i Alergologii. 2018; Feb;35(1):47.
- Types | Skin cancer | Cancer Research UK. Cancerresearchuk.org. 2021. Accessed September 2021. Available from: https://www.cancerresearchuk.org/about-cancer/skin-cancer/types
- Cancer Net introduction. Available from https://www.cancer.net/cancer-types/skin-cancer-non-melanoma/introduction Accessed September 2021