Evidence map›Paper›PMID 29471147›Full record

Trial reportPhotodiagnosis and photodynamic therapy2018

Blue light versus red light for photodynamic therapy of basal cell carcinoma in patients with Gorlin syndrome: A bilaterally controlled comparison study.

Edward V Maytin, Urvashi Kaw, Muneeb Ilyas, Judith A Mack, Bo Hu

Registry-linked trialOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Photodiagnosis and photodynamic therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06623201 (Blue-Light Photodynamic Therapy and Sonidegib for Multiple Basal Cell Carcinomas), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06623201 phase1recruitingnot on this mapstarted 2024, after this paper: background citation

Blue-Light Photodynamic Therapy and Sonidegib for Multiple Basal Cell Carcinomas

TypeinterventionalSponsorNathalie ZeitouniRan2024 to 2026Enrolled20ConditionsBasal Cell Carcinoma (BCC)Armsaminolevulinic acid HCL (ALA), BLU-U device model 4170E
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 53 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. A case of skin lesions of basal cell nevus syndrome.Postepy dermatologii i alergologii · 2021
    Article
  13. Visible light. Part I: Properties and cutaneous effects of visible light.Journal of the American Academy of Dermatology · 2021
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Edward V MaytinDepartment of Dermatology, Cleveland, OH 44195, United States; Department of Biomedical Engineering, Lerner Research Institute, Cleveland, OH 44195, United States; Wellman Center for Photomedicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, United States. Electronic address: maytine@ccf.org.
Urvashi KawDepartment of Dermatology, Cleveland, OH 44195, United States.
Muneeb IlyasDepartment of Dermatology, Cleveland, OH 44195, United States.
Judith A MackDepartment of Dermatology, Cleveland, OH 44195, United States; Department of Biomedical Engineering, Lerner Research Institute, Cleveland, OH 44195, United States.
Bo HuDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH 44195, United States.
Cleveland Clinic · USCleveland Clinic Lerner College of Medicine · USHarvard University · US

Funding

Small Molecule Enhancers of Photodynamic Therapy for Skin CancerP01CA084203 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Brian William Pogue · 2001 to 2026
$27.9M
NCI NIH HHS P01 CA084203
6 · The paper itself

Abstract

backgroundPhotodynamic therapy (PDT) is a non-scarring alternative for treating basal cell carcinoma (BCC) in patients with Basal Cell Nevus Syndrome (BCNS), also known as Gorlin syndrome. In Europe, red light (635 nm) is the predominant source for PDT, whereas in the United States blue light (400 nm) is more widely available. The objective of this study was to conduct a head-to-head comparison of blue light and red light PDT in the same BCNS patients.

methodsIn a pilot study of three patients with 141 BCC lesions, 5-aminolevulinate (20% solution) was applied to all tumors. After 4 h, half of the tumors were illuminated with blue light and the remainder with red light. To ensure safety while treating this many tumors simultaneously, light doses were escalated gradually. Six treatments were administered in three biweekly sessions over 4 months, with a final evaluation at 6 months. Tumor status was documented with high-resolution photographs. Persistent lesions were biopsied at 6 months.

resultsClearance rates after blue light (98%) were slightly better than after red light (93%), with blue light shown to be statistically non-inferior to red light. Eight suspicious lesions were biopsied, 5 after red light (5/5 were BCC) and 3 after blue light (1 was BCC). Blue light PDT was reportedly less painful.

conclusionBlue light and red light PDT appear to be equally safe and perhaps equally effective for treating BCC tumors in BCNS patients. Further studies to evaluate long-term clearance after blue light PDT are needed.

Indexed as

LightAdultAminolevulinic AcidBasal Cell CarcinomaBasal Cell Nevus SyndromeFemaleHumansMaleMiddle AgedPatient SatisfactionPhotochemotherapyPhotosensitizing AgentsPilot ProjectsSkin NeoplasmsAminolevulinic AcidPhotosensitizing AgentsAminolevulinic acidBasal cell carcinomaBasal cell nevus syndromeBlue lightPhotodynamic therapy

Identifiers

PMID29471147
PMCPMC5985214
OpenAlexW2792854179

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.