Pilot Trial of Supplemental Vitamin A and Nicotinamide
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Vitamin A, Nicotinamide, Other: Placebo.
- Who it may be relevant to
- Registry conditions: Skin Cancer, Kidney Transplant Recipients. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Pilot Trial of Supplemental Vitamin A and Nicotinamide and Levels of Blood Vitamin A and Nicotinamide
Overview
The goal of this clinical trial is to assess the feasibility and safety of oral nicotinamide (NAM; a derivative of vitamin B3 \[niacin\]) and vitamin A in a high-risk population of kidney transplant recipients with a history of skin cancer to generate preliminary data for future cancer prevention clinical trials.
Interventions
- Drug Vitamin A
1,000 μg retinyl palmitate twice a day for 6 months - Drug Nicotinamide
500 mg NAM twice a day for 6 months - Other Other: Placebo
Identical placebo pills twice a day
Primary outcome measures
- Change of Blood Vitamin A and Nicotinamide Levels [Time frame: 6 months]
Eligibility criteria
Inclusion criteria
- 18 years old or greater;
- Either History of 2 or more histologically confirmed invasive cutaneous SCCs in the past 2 years or
- At least one previously billed Healthcare Common Procedure Coding System code 17004 (destruction of 15 or more benign or premalignant lesions of the integumentary system);
- Understands, reads, and writes English proficiently.
Exclusion criteria
- Liver disease;
- Active peptic ulcer disease;
- Recent myocardial infarction;
- Hypotension;
- Internal malignancy within past 5 years;
- Renal impairment with eGFR<15 mL/min/1.73 m2;
- Being unable for follow up due to social reasons;
- Gorlin's syndrome or other genetic skin cancer syndrome;
- Huge number of current skin cancers;
- Metastatic SCC or invasive melanoma within the past 5 years;
- Pregnancy or lactation;
- Need for ongoing carbamazepine use (which could have a possible interaction with NAM);
- Use of acitretin or other oral retinoids within the past 6 months;
- Use of supplemental NAM, niacin, vitamin A, or beta carotene within the past 6 months;
- Field treatment for actinic keratoses (AKs) within the previous 4 weeks;
- Use of topical steroids.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Quadruple blind
- Primary purpose
- Basic science
Study locations
United States · 1 center
- Rhode Island Hospital — Providence
Identifiers
NCT: NCT05702398 · 19792