Photodynamic Therapy with 5-aminolevulinic Acid 10% Gel and Red Light for the Treatment of Actinic Keratosis, Nonmelanoma Skin Cancers, and Acne: Current Evidence and Best Practices.

5-aminolevulinic acid gel Ameluz BF-200 ALA BF-RhodoLED Photodynamic therapy acne actinic keratosis non-melanoma skin cancer red light

Journal

The Journal of clinical and aesthetic dermatology
ISSN: 1941-2789
Titre abrégé: J Clin Aesthet Dermatol
Pays: United States
ID NLM: 101518173

Informations de publication

Date de publication:
Oct 2021
Historique:
entrez: 3 1 2022
pubmed: 4 1 2022
medline: 4 1 2022
Statut: ppublish

Résumé

Photodynamic therapy (PDT) can be an effective treatment for actinic keratosis (AK) as well as selected non-melanoma skin cancers (NMSCs), such as Bowen's disease and superficial basal cell carcinoma. PDT has also demonstrated effectiveness in the management of acne vulgaris. Results from controlled clinical trials have shown the safety and efficacy of PDT for these conditions with the use of different photosensitizers and a wide range of light sources. PDT has been employed effectively as monotherapy and in combination with other topicals and alternate light or laser energy therapies. This article provides expert practical guidance for the use of the newest 5-aminolevulinic acid (ALA) product (ALA 10% gel) plus red light as monotherapy for AKs, NMSC, and acne. Here, information from clinical guidelines and a summary of supporting evidence is provided for each cutaneous condition. The authors also provide detailed guidance for employing ALA 10% gel, a photosensitizer precursor, for each of these applications.

Identifiants

PMID: 34976292 PMC: PMC8711613
pubmed: 34976292
pmc: PMC8711613

Types de publication

Journal Article Review

Langues

eng

Pagination

E53-E65

Informations de copyright

Copyright © 2021. Matrix Medical Communications. All rights reserved.

Déclaration de conflit d'intérêts

DISCLOSURES: Dr. Zeitouni is an investigator, speaker, and scientific advisory board member for Biofrontera. Dr. Bhatia has affiliations with Almirall, Biofrontera, Galderma, Ortho, Pharmaderm, and SunPharma. Dr. Ceilley is a consultant to Biofrontera and SunPharma. Dr. Cohen is a on the scientific advisory board and has participated in a clinical trial for Biofrontera. Dr. Del Rosso is a consultant for Biofrontera. Dr. Moore is a consultant and investigator for and has received grants and honoraria from Biofrontera. Dr. Schlesinger is a consultant and investigator for Biofrontera; a consultant, investigator, and on the speaker bureau for Almirall; a consultant for SunPharma; and a consultant and investigator for Galderma. Dr. Siegel is a consultant to Biofrontera, SunPharma, and Almirall. Dr. Willey holds patent PCT/US 2018/042505. Dr. Goldman is a clinical investigator for Biofrontera.

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Auteurs

Nathalie C Zeitouni (NC)

Dr. Zeitouni is with Medical Dermatology Specialists, University of Arizona COM Phoenix in Phoenix, Arizona.
Dr. Bhatoa is with Therapeutics Clinical Research in San Diego, California.
Dr. Ceilley is with Dermatology PC in West Des Moines, Iowa.
Dr. Cohen is with AboutSkin Dermatology and DermSurgery in Greenwood Village, Colorado.
Dr. Del Rosso is with JDR Dermatology Research in Las Vegas, Nevada.
Dr. Moore is with Arlington Research Center in Arlington, Texas, and Baylor University Medical Center in Dallas, Texas.
Dr. Munavalli is with Dermatology, Laser, & Vein Specialists of the Carolinas in Charlotte, North Carolina.
Dr. Pariser is with the Department of Dermatology, Eastern Virginia Medical School and Virginia Clinical Research, Inc. in Norfolk, Virginia.
Dr. Schlesinger is with the Dermatology and Laser Center of Charleston and the Clinical Research Center of the Carolinas in Charleston, South Carolina, and the Department of Dermatology, SUNY Downstate Health Sciences University and the Brooklyn VA Medical Center in Brooklyn, New York.
Dr. Siegel is with Long Island Skin Cancer and Dermatologic Surgery in New York, New York.
Dr. Willey is with Surgical and Aesthetic Dermatology in Sacramento, California.
Dr. Goldman is with Cosmetic Laser Dermatology, A West Dermatology Company in San Diego, California.

Neal Bhatia (N)

Dr. Zeitouni is with Medical Dermatology Specialists, University of Arizona COM Phoenix in Phoenix, Arizona.
Dr. Bhatoa is with Therapeutics Clinical Research in San Diego, California.
Dr. Ceilley is with Dermatology PC in West Des Moines, Iowa.
Dr. Cohen is with AboutSkin Dermatology and DermSurgery in Greenwood Village, Colorado.
Dr. Del Rosso is with JDR Dermatology Research in Las Vegas, Nevada.
Dr. Moore is with Arlington Research Center in Arlington, Texas, and Baylor University Medical Center in Dallas, Texas.
Dr. Munavalli is with Dermatology, Laser, & Vein Specialists of the Carolinas in Charlotte, North Carolina.
Dr. Pariser is with the Department of Dermatology, Eastern Virginia Medical School and Virginia Clinical Research, Inc. in Norfolk, Virginia.
Dr. Schlesinger is with the Dermatology and Laser Center of Charleston and the Clinical Research Center of the Carolinas in Charleston, South Carolina, and the Department of Dermatology, SUNY Downstate Health Sciences University and the Brooklyn VA Medical Center in Brooklyn, New York.
Dr. Siegel is with Long Island Skin Cancer and Dermatologic Surgery in New York, New York.
Dr. Willey is with Surgical and Aesthetic Dermatology in Sacramento, California.
Dr. Goldman is with Cosmetic Laser Dermatology, A West Dermatology Company in San Diego, California.

Roger I Ceilley (RI)

Dr. Zeitouni is with Medical Dermatology Specialists, University of Arizona COM Phoenix in Phoenix, Arizona.
Dr. Bhatoa is with Therapeutics Clinical Research in San Diego, California.
Dr. Ceilley is with Dermatology PC in West Des Moines, Iowa.
Dr. Cohen is with AboutSkin Dermatology and DermSurgery in Greenwood Village, Colorado.
Dr. Del Rosso is with JDR Dermatology Research in Las Vegas, Nevada.
Dr. Moore is with Arlington Research Center in Arlington, Texas, and Baylor University Medical Center in Dallas, Texas.
Dr. Munavalli is with Dermatology, Laser, & Vein Specialists of the Carolinas in Charlotte, North Carolina.
Dr. Pariser is with the Department of Dermatology, Eastern Virginia Medical School and Virginia Clinical Research, Inc. in Norfolk, Virginia.
Dr. Schlesinger is with the Dermatology and Laser Center of Charleston and the Clinical Research Center of the Carolinas in Charleston, South Carolina, and the Department of Dermatology, SUNY Downstate Health Sciences University and the Brooklyn VA Medical Center in Brooklyn, New York.
Dr. Siegel is with Long Island Skin Cancer and Dermatologic Surgery in New York, New York.
Dr. Willey is with Surgical and Aesthetic Dermatology in Sacramento, California.
Dr. Goldman is with Cosmetic Laser Dermatology, A West Dermatology Company in San Diego, California.

Joel L Cohen (JL)

Dr. Zeitouni is with Medical Dermatology Specialists, University of Arizona COM Phoenix in Phoenix, Arizona.
Dr. Bhatoa is with Therapeutics Clinical Research in San Diego, California.
Dr. Ceilley is with Dermatology PC in West Des Moines, Iowa.
Dr. Cohen is with AboutSkin Dermatology and DermSurgery in Greenwood Village, Colorado.
Dr. Del Rosso is with JDR Dermatology Research in Las Vegas, Nevada.
Dr. Moore is with Arlington Research Center in Arlington, Texas, and Baylor University Medical Center in Dallas, Texas.
Dr. Munavalli is with Dermatology, Laser, & Vein Specialists of the Carolinas in Charlotte, North Carolina.
Dr. Pariser is with the Department of Dermatology, Eastern Virginia Medical School and Virginia Clinical Research, Inc. in Norfolk, Virginia.
Dr. Schlesinger is with the Dermatology and Laser Center of Charleston and the Clinical Research Center of the Carolinas in Charleston, South Carolina, and the Department of Dermatology, SUNY Downstate Health Sciences University and the Brooklyn VA Medical Center in Brooklyn, New York.
Dr. Siegel is with Long Island Skin Cancer and Dermatologic Surgery in New York, New York.
Dr. Willey is with Surgical and Aesthetic Dermatology in Sacramento, California.
Dr. Goldman is with Cosmetic Laser Dermatology, A West Dermatology Company in San Diego, California.

James Q Del Rosso (JQ)

Dr. Zeitouni is with Medical Dermatology Specialists, University of Arizona COM Phoenix in Phoenix, Arizona.
Dr. Bhatoa is with Therapeutics Clinical Research in San Diego, California.
Dr. Ceilley is with Dermatology PC in West Des Moines, Iowa.
Dr. Cohen is with AboutSkin Dermatology and DermSurgery in Greenwood Village, Colorado.
Dr. Del Rosso is with JDR Dermatology Research in Las Vegas, Nevada.
Dr. Moore is with Arlington Research Center in Arlington, Texas, and Baylor University Medical Center in Dallas, Texas.
Dr. Munavalli is with Dermatology, Laser, & Vein Specialists of the Carolinas in Charlotte, North Carolina.
Dr. Pariser is with the Department of Dermatology, Eastern Virginia Medical School and Virginia Clinical Research, Inc. in Norfolk, Virginia.
Dr. Schlesinger is with the Dermatology and Laser Center of Charleston and the Clinical Research Center of the Carolinas in Charleston, South Carolina, and the Department of Dermatology, SUNY Downstate Health Sciences University and the Brooklyn VA Medical Center in Brooklyn, New York.
Dr. Siegel is with Long Island Skin Cancer and Dermatologic Surgery in New York, New York.
Dr. Willey is with Surgical and Aesthetic Dermatology in Sacramento, California.
Dr. Goldman is with Cosmetic Laser Dermatology, A West Dermatology Company in San Diego, California.

Angela Y Moore (AY)

Dr. Zeitouni is with Medical Dermatology Specialists, University of Arizona COM Phoenix in Phoenix, Arizona.
Dr. Bhatoa is with Therapeutics Clinical Research in San Diego, California.
Dr. Ceilley is with Dermatology PC in West Des Moines, Iowa.
Dr. Cohen is with AboutSkin Dermatology and DermSurgery in Greenwood Village, Colorado.
Dr. Del Rosso is with JDR Dermatology Research in Las Vegas, Nevada.
Dr. Moore is with Arlington Research Center in Arlington, Texas, and Baylor University Medical Center in Dallas, Texas.
Dr. Munavalli is with Dermatology, Laser, & Vein Specialists of the Carolinas in Charlotte, North Carolina.
Dr. Pariser is with the Department of Dermatology, Eastern Virginia Medical School and Virginia Clinical Research, Inc. in Norfolk, Virginia.
Dr. Schlesinger is with the Dermatology and Laser Center of Charleston and the Clinical Research Center of the Carolinas in Charleston, South Carolina, and the Department of Dermatology, SUNY Downstate Health Sciences University and the Brooklyn VA Medical Center in Brooklyn, New York.
Dr. Siegel is with Long Island Skin Cancer and Dermatologic Surgery in New York, New York.
Dr. Willey is with Surgical and Aesthetic Dermatology in Sacramento, California.
Dr. Goldman is with Cosmetic Laser Dermatology, A West Dermatology Company in San Diego, California.

Gilly Munavalli (G)

Dr. Zeitouni is with Medical Dermatology Specialists, University of Arizona COM Phoenix in Phoenix, Arizona.
Dr. Bhatoa is with Therapeutics Clinical Research in San Diego, California.
Dr. Ceilley is with Dermatology PC in West Des Moines, Iowa.
Dr. Cohen is with AboutSkin Dermatology and DermSurgery in Greenwood Village, Colorado.
Dr. Del Rosso is with JDR Dermatology Research in Las Vegas, Nevada.
Dr. Moore is with Arlington Research Center in Arlington, Texas, and Baylor University Medical Center in Dallas, Texas.
Dr. Munavalli is with Dermatology, Laser, & Vein Specialists of the Carolinas in Charlotte, North Carolina.
Dr. Pariser is with the Department of Dermatology, Eastern Virginia Medical School and Virginia Clinical Research, Inc. in Norfolk, Virginia.
Dr. Schlesinger is with the Dermatology and Laser Center of Charleston and the Clinical Research Center of the Carolinas in Charleston, South Carolina, and the Department of Dermatology, SUNY Downstate Health Sciences University and the Brooklyn VA Medical Center in Brooklyn, New York.
Dr. Siegel is with Long Island Skin Cancer and Dermatologic Surgery in New York, New York.
Dr. Willey is with Surgical and Aesthetic Dermatology in Sacramento, California.
Dr. Goldman is with Cosmetic Laser Dermatology, A West Dermatology Company in San Diego, California.

David M Pariser (DM)

Dr. Zeitouni is with Medical Dermatology Specialists, University of Arizona COM Phoenix in Phoenix, Arizona.
Dr. Bhatoa is with Therapeutics Clinical Research in San Diego, California.
Dr. Ceilley is with Dermatology PC in West Des Moines, Iowa.
Dr. Cohen is with AboutSkin Dermatology and DermSurgery in Greenwood Village, Colorado.
Dr. Del Rosso is with JDR Dermatology Research in Las Vegas, Nevada.
Dr. Moore is with Arlington Research Center in Arlington, Texas, and Baylor University Medical Center in Dallas, Texas.
Dr. Munavalli is with Dermatology, Laser, & Vein Specialists of the Carolinas in Charlotte, North Carolina.
Dr. Pariser is with the Department of Dermatology, Eastern Virginia Medical School and Virginia Clinical Research, Inc. in Norfolk, Virginia.
Dr. Schlesinger is with the Dermatology and Laser Center of Charleston and the Clinical Research Center of the Carolinas in Charleston, South Carolina, and the Department of Dermatology, SUNY Downstate Health Sciences University and the Brooklyn VA Medical Center in Brooklyn, New York.
Dr. Siegel is with Long Island Skin Cancer and Dermatologic Surgery in New York, New York.
Dr. Willey is with Surgical and Aesthetic Dermatology in Sacramento, California.
Dr. Goldman is with Cosmetic Laser Dermatology, A West Dermatology Company in San Diego, California.

Todd Schlesinger (T)

Dr. Zeitouni is with Medical Dermatology Specialists, University of Arizona COM Phoenix in Phoenix, Arizona.
Dr. Bhatoa is with Therapeutics Clinical Research in San Diego, California.
Dr. Ceilley is with Dermatology PC in West Des Moines, Iowa.
Dr. Cohen is with AboutSkin Dermatology and DermSurgery in Greenwood Village, Colorado.
Dr. Del Rosso is with JDR Dermatology Research in Las Vegas, Nevada.
Dr. Moore is with Arlington Research Center in Arlington, Texas, and Baylor University Medical Center in Dallas, Texas.
Dr. Munavalli is with Dermatology, Laser, & Vein Specialists of the Carolinas in Charlotte, North Carolina.
Dr. Pariser is with the Department of Dermatology, Eastern Virginia Medical School and Virginia Clinical Research, Inc. in Norfolk, Virginia.
Dr. Schlesinger is with the Dermatology and Laser Center of Charleston and the Clinical Research Center of the Carolinas in Charleston, South Carolina, and the Department of Dermatology, SUNY Downstate Health Sciences University and the Brooklyn VA Medical Center in Brooklyn, New York.
Dr. Siegel is with Long Island Skin Cancer and Dermatologic Surgery in New York, New York.
Dr. Willey is with Surgical and Aesthetic Dermatology in Sacramento, California.
Dr. Goldman is with Cosmetic Laser Dermatology, A West Dermatology Company in San Diego, California.

Daniel M Siegel (DM)

Dr. Zeitouni is with Medical Dermatology Specialists, University of Arizona COM Phoenix in Phoenix, Arizona.
Dr. Bhatoa is with Therapeutics Clinical Research in San Diego, California.
Dr. Ceilley is with Dermatology PC in West Des Moines, Iowa.
Dr. Cohen is with AboutSkin Dermatology and DermSurgery in Greenwood Village, Colorado.
Dr. Del Rosso is with JDR Dermatology Research in Las Vegas, Nevada.
Dr. Moore is with Arlington Research Center in Arlington, Texas, and Baylor University Medical Center in Dallas, Texas.
Dr. Munavalli is with Dermatology, Laser, & Vein Specialists of the Carolinas in Charlotte, North Carolina.
Dr. Pariser is with the Department of Dermatology, Eastern Virginia Medical School and Virginia Clinical Research, Inc. in Norfolk, Virginia.
Dr. Schlesinger is with the Dermatology and Laser Center of Charleston and the Clinical Research Center of the Carolinas in Charleston, South Carolina, and the Department of Dermatology, SUNY Downstate Health Sciences University and the Brooklyn VA Medical Center in Brooklyn, New York.
Dr. Siegel is with Long Island Skin Cancer and Dermatologic Surgery in New York, New York.
Dr. Willey is with Surgical and Aesthetic Dermatology in Sacramento, California.
Dr. Goldman is with Cosmetic Laser Dermatology, A West Dermatology Company in San Diego, California.

Andrea Willey (A)

Dr. Zeitouni is with Medical Dermatology Specialists, University of Arizona COM Phoenix in Phoenix, Arizona.
Dr. Bhatoa is with Therapeutics Clinical Research in San Diego, California.
Dr. Ceilley is with Dermatology PC in West Des Moines, Iowa.
Dr. Cohen is with AboutSkin Dermatology and DermSurgery in Greenwood Village, Colorado.
Dr. Del Rosso is with JDR Dermatology Research in Las Vegas, Nevada.
Dr. Moore is with Arlington Research Center in Arlington, Texas, and Baylor University Medical Center in Dallas, Texas.
Dr. Munavalli is with Dermatology, Laser, & Vein Specialists of the Carolinas in Charlotte, North Carolina.
Dr. Pariser is with the Department of Dermatology, Eastern Virginia Medical School and Virginia Clinical Research, Inc. in Norfolk, Virginia.
Dr. Schlesinger is with the Dermatology and Laser Center of Charleston and the Clinical Research Center of the Carolinas in Charleston, South Carolina, and the Department of Dermatology, SUNY Downstate Health Sciences University and the Brooklyn VA Medical Center in Brooklyn, New York.
Dr. Siegel is with Long Island Skin Cancer and Dermatologic Surgery in New York, New York.
Dr. Willey is with Surgical and Aesthetic Dermatology in Sacramento, California.
Dr. Goldman is with Cosmetic Laser Dermatology, A West Dermatology Company in San Diego, California.

Mitchel P Goldman (MP)

Dr. Zeitouni is with Medical Dermatology Specialists, University of Arizona COM Phoenix in Phoenix, Arizona.
Dr. Bhatoa is with Therapeutics Clinical Research in San Diego, California.
Dr. Ceilley is with Dermatology PC in West Des Moines, Iowa.
Dr. Cohen is with AboutSkin Dermatology and DermSurgery in Greenwood Village, Colorado.
Dr. Del Rosso is with JDR Dermatology Research in Las Vegas, Nevada.
Dr. Moore is with Arlington Research Center in Arlington, Texas, and Baylor University Medical Center in Dallas, Texas.
Dr. Munavalli is with Dermatology, Laser, & Vein Specialists of the Carolinas in Charlotte, North Carolina.
Dr. Pariser is with the Department of Dermatology, Eastern Virginia Medical School and Virginia Clinical Research, Inc. in Norfolk, Virginia.
Dr. Schlesinger is with the Dermatology and Laser Center of Charleston and the Clinical Research Center of the Carolinas in Charleston, South Carolina, and the Department of Dermatology, SUNY Downstate Health Sciences University and the Brooklyn VA Medical Center in Brooklyn, New York.
Dr. Siegel is with Long Island Skin Cancer and Dermatologic Surgery in New York, New York.
Dr. Willey is with Surgical and Aesthetic Dermatology in Sacramento, California.
Dr. Goldman is with Cosmetic Laser Dermatology, A West Dermatology Company in San Diego, California.

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