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Trial registered on ANZCTR
Registration number
ACTRN12621000527864
Ethics application status
Approved
Date submitted
19/07/2020
Date registered
5/05/2021
Date last updated
28/01/2024
Date data sharing statement initially provided
5/05/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Bioactives-Enhanced Sunscreen Trial (BEST): Evaluating the effect of a Mineral Sunscreen containing Bioactive agents against Standard Sunscreen use on Sun Damage and Pre-cancerous lesions
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Scientific title
Randomized, Within-Patient, Clinical Trial Comparing the effect of a Mineral Sunscreen containing Bioactive agents against Standard Sunscreen use on Sun-damage and Pre-cancerous lesions among persons at higher risk of skin cancer
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Secondary ID [1]
301754
0
None
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Universal Trial Number (UTN)
U1111-1255-2131
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Trial acronym
BEST (Bioactives-Enhanced Sunscreen Trial)
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Linked study record
Not applicable
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Health condition
Health condition(s) or problem(s) studied:
actinic keratosis
318211
0
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sundamage from UV and other radiation
318212
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Condition category
Condition code
Skin
316218
316218
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0
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Dermatological conditions
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Public Health
316219
316219
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0
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Health promotion/education
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Daily use of a mineral sunscreen containing bioactive agents (even when no sun exposure planned); intra-patient on one side the bioactive sunscreen daily (ipsilateral limb, and on the other (contralateral limb) standard sunscreen use. The anatomical side of each limb will be randomised.
- mode of administration: sunscreen application on sites as directed on the container.
- the duration and frequency of administration: twice daily for the duration of the trial and after water immersion. Expected 3-9 months (including follow up period).
- strategies used to monitor adherence to the intervention: sunscreen and sun exposure diary to be reviewed during follow up visits
- depending on the review visit assessment, the sunscreen use may be continued longer and data collected.
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Intervention code [1]
318049
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Prevention
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Intervention code [2]
318050
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Treatment: Other
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Comparator / control treatment
Control treatment is standard commercially available sunscreen that will be provided (without bioactive agents)
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in number actinic keratoses - monitored by clinical counts (by physician)
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Assessment method [1]
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Timepoint [1]
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3 Months post intervention commencement
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Secondary outcome [1]
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Change in sun damage of skin- monitored by examination with lamps such as Wood's lamp or other similar scans
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Assessment method [1]
393678
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Timepoint [1]
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3 Months after intervention and 3 months post study.
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Eligibility
Key inclusion criteria
People with outdoor exposure lifestyles, and fair skin (Fitzpatrick I and II) with higher risk of skin cancer) that are regular uses of sunscreen
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Minimum age
30
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
People unable to manage the treatment regimen during the study period or those unable to provide informed consent. Healthy volunteers will be included if they have sun damage i.e. healthy here refers to general health and not skin health.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Containers of Study Sunscreen and Control Sunscreen will be in unmarked tubs i.e. ingredients not marked.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
As this is an intra-patient trial with each participant serving as treatment arm and placebo, this will be simple randomisation by coin-toss
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/05/2025
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Actual
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Date of last participant enrolment
Anticipated
31/08/2025
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Actual
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Date of last data collection
Anticipated
30/03/2026
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
22734
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New Zealand
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State/province [1]
22734
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Auckland
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Funding & Sponsors
Funding source category [1]
306185
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Hospital
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Name [1]
306185
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Skin Surgery Clinic
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Address [1]
306185
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271A Blockhouse Bay Road,
Auckland 0600
New Zealand
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Country [1]
306185
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New Zealand
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Primary sponsor type
Commercial sector/Industry
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Name
Skin Surgery Clinic
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Address
Sharad Paul, Director
Skin Surgery Clinic
271A Blockhouse Bay Road
Auckland 0600
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Country
New Zealand
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Secondary sponsor category [1]
306658
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University
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Name [1]
306658
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Auckland University of Technology
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Address [1]
306658
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Auckland University of Technology (AUT)
Private Bag 92006
Auckland 1142 , New Zealand
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Country [1]
306658
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New Zealand
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Other collaborator category [1]
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Individual
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Name [1]
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Allanah Knight
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Address [1]
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Massey University
Palmerston North 4442
New Zealand
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Country [1]
281386
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New Zealand
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Other collaborator category [2]
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Individual
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Name [2]
281387
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Robin Hankin
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Address [2]
281387
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Dept of mathematical sciences and statistics
Auckland University of Technology
Private Bag 92006
Auckland 1142 , New Zealand
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Country [2]
281387
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
306397
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HDECS (Health and Disability Ethics Committees)
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Ethics committee address [1]
306397
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Ministry of Health Health and Disability Ethics Committees PO Box 5013 Wellington 6140
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Ethics committee country [1]
306397
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New Zealand
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Date submitted for ethics approval [1]
306397
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17/05/2021
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Approval date [1]
306397
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30/09/2021
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Ethics approval number [1]
306397
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Ethics ref: 21/CEN/178
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Summary
Brief summary
This study has been designed as an interventional study to determine if daily use of a bioactive-enhanced sunscreen helps reduce precancerous lesions such as actinic keratoses. Currently non-melanoma skin cancer is the most prevalent skin cancer. In New Zealand sunscreens are not regulated. This study is to study the efficacy of a sunscreen (especially developed sunscreen for this study that has passed both the TGA (Australia), EU and FDA regulations, and contains additional bioactive ingredients such as seaweed extracts and niacinamide) in reducing pre-cancerous lesions. At present while physicians (in both primary and secondary care) deal with these pre-cancerous lesions, sunscreen use is not diligently monitored by physicians, and most patients only use sunscreen during planned outdoor exposure. Given even on a cloudy day one has significant UV exposure, and there is also incidental exposure to other artificial lighting and radiation, this study sets out to evaluate the daily application of the study sunscreen over a 3 month period even during periods of no sun exposure. The study is designed as a within-patient (randomized to use the study sunscreen on one limb, and standard sunscreen on the control limb). Evaluation will involve photography, lesion counts and assessment of UV damage.
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Trial website
Not applicable
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
103742
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A/Prof Sharad Paul
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Address
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Skin Surgery Clinic
271A Blockhouse Bay Road
Auckland 0600
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Country
103742
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New Zealand
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Phone
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+64 98286438
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Fax
103742
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+64 98286432
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Email
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[email protected]
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Contact person for public queries
Name
103743
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Sharad Paul
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Address
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Skin Surgery Clinic
271A Blockhouse Bay Road
Auckland 0600
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Country
103743
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New Zealand
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Phone
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+64 98286438
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Fax
103743
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Email
103743
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[email protected]
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Contact person for scientific queries
Name
103744
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Sharad Paul
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Address
103744
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Skin Surgery Clinic
271A Blockhouse Bay Road
Auckland 0600
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Country
103744
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New Zealand
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Phone
103744
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+64 98286438
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Fax
103744
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+64 98286432
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Email
103744
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
All individual data after de-identification
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When will data be available (start and end dates)?
3 months following publication of results for a maximum of 5 years.
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Available to whom?
case by case basis at the discretion of primary sponsor
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Available for what types of analyses?
no specific limitations
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How or where can data be obtained?
By contacting lead investigator. Contact
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
8543
Informed consent form
380171-(Uploaded-05-03-2021-12-51-56)-Study-related document.doc
15048
Ethical approval
380171-(Uploaded-04-02-2022-14-17-44)-Study-related document.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF