Non-melanomatous Skin Cancer Clinical Trial
Official title:
In Vivo and In Vitro Pharmacology of Sirolimus in Subjects With Basal Cell Nevus Syndrome
RATIONALE: Studying samples of blood and tissue from patients with basal cell nevus syndrome
and from healthy participants in the laboratory may help doctors learn more about changes
that may occur in DNA and identify biomarkers related to basal cell nevus syndrome.
Chemoprevention is the use of certain drugs to keep cancer from forming, growing, or coming
back. The use of sirolimus may keep basal cell skin cancer from forming in patients with
basal cell nevus syndrome.
PURPOSE: This phase I trial is studying topical sirolimus in patients with basal cell nevus
syndrome and in healthy participants.
OBJECTIVES:
Primary
- Compare messenger RNA and protein expression patterns in patients with basal cell nevus
syndrome (BCNS) vs in cultured cells of healthy participants (control) before treatment
to identify a set of genes that are differentially expressed in BCNS.
- Assess the effects of topical sirolimus on gene expression (genes identified in the
primary objective) in vivo using keratinocytes, fibroblasts, and lymphocytes from
patients with BCNS and from healthy participants (controls) by targeted expression
methods.
OUTLINE: Patients and healthy participants receive topical sirolimus ointment twice daily
for 12 weeks.
Blood and skin biopsies are obtained at baseline and at week 12 for gene and protein
expression studies. Alterations in RNA are measured by microarray analysis. Alterations in
protein expression are measured by 2-dimensional gel electrophoresis and matrix-assisted
laser desorption ionization time-of-flight mass spectrometry.
After completion of study therapy, patients and healthy participants are followed at 4
weeks.
PROJECTED ACCRUAL: A total of 16 patients and healthy participants will be accrued for this
study.
;
Masking: Open Label, Primary Purpose: Prevention
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