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Ameluz

Phase 3FDA approved 2016

Superficial Basal Cell Carcinoma | Small molecule | Oncology |Biofrontera Inc.|Trials Updated: Jan 14, 2026

Ameluz development status

FDA approval May 10, 2016
Approval holderBiofrontera
ApplicationNDA208081
Highest phase Phase 3
Registered trials 6 across 2 sponsors since Oct 2013

Label indication 1. INDICATIONS AND USAGE AMELUZ, in combination with photodynamic therapy (PDT) using BF-RhodoLED ® or RhodoLED ® XL lamp, a narrowband, red light illumination source, is indicated for lesion-directed and field-directed treatment of actinic keratoses (AKs) of mild-to-moderate severity on the face and scalp. FDA label

Ameluz target and mechanism

ModalitySmall molecule

Also known as Photodynamic therapy, RhodoLED-XL®, BF-200 ALA gel, BF-200 ALA, BF-200 ALA 10%

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment217

FDA Designations

No designations recorded

Ameluz clinical trials

Ameluz · 3 trials · 4 indications

Phase 3 1Phase 2 1Phase 1 1
NCT03573401Study to Evaluate the Safety and Efficacy of BF-200 ALA (Ameluz®) and BF-RhodoLED® in the Treatment of Superficial Basal Cell Carcinoma (sBCC) With Photodynamic Therapy (PDT).Superficial Basal Cell Carcinoma
ACTIVE NOT_RECRUITING187 Analytics
PHASE3ACTIVE NOT_RECRUITING
Study to Evaluate the Safety and Efficacy of BF-200 ALA (Ameluz®) and BF-RhodoLED® in the Treatment of Superficial Basal Cell Carcinoma (sBCC) With Photodynamic Therapy (PDT).
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Study Endpoints

Primary Endpoints

Composite Clinical and Histological Response of the Subject's Main Target Lesion as Assessed 12 Weeks After the Start of the Last PDT Cycle That Included Treatment of the Main Target Lesion.
12 weeks after the start of the last PDT cycle that included treatment of the Main Target Lesion

Each subject had one Main Target Lesion. The composite clinical and histological response rate of the subjects' Main Target Lesions is the percentage of subjects with a clinically and histologically cleared Main Target lesion 12 weeks after the start of the last PDT cycle that included treatment of the Main Target Lesion (Visit 5 or Visit 8).

Number of participants with histological clearance of treated SCCis lesion.
an average of 12 weeks

Histological clearance is defined as the absence of detectable evidence of SCCis tumor cell nests by the central pathology reports

Percentage of clearance of actinic keratoses
2 months

Percentage of actinic keratosis lesion clearance at 1 and 2 months after 2 treatments with the combination of Ameluz and BBL on the face.

Cosmetic outcomes
2 months

Cosmetic outcomes in photoaging of the face evaluated by Subject and Investigator Global Aesthetic Improvement Scale (GAIS) at 1 and 2 months post last PDT. Scale: Very Satisfied (better than expected), Satisfied (as expected), Unsatisfied (worse than expected)

Secondary Endpoints

Main Target Lesion Clinical Response Rate (According to Clinical Assessment Only) Assessed 12 Weeks After the Start of the Last PDT Cycle
12 weeks after the start of the last PDT cycle
Main Target Lesion Histological Response Rate (According to Histological Assessment Only) Assessed 12 Weeks After the Start of the Last PDT Cycle
12 weeks after the start of the last PDT cycle
Subject Complete Clinical Response (Complete Clearance of All Target Lesions According to Clinical Assessment Only) Assessed 12 Weeks After the Start of the Last PDT Cycle.
12 weeks after the start of the last PDT cycle
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BF-200 ALAEXPERIMENTALTopical application of BF-200 ALA containing 7.8% 5-ALA (5-aminolevulinic acid). Photodynamic therapy (PDT)
VehiclePLACEBO_COMPARATORTopical application of vehicle to BF-200 ALA containing no active ingredient. Photodynamic therapy (PDT)
Photodynamic Therapy (using Red light dose)EXPERIMENTAL20 participants will be enrolled to this arm
Two PDT treatmentsEXPERIMENTALEach subject will receive 2 treatments of photodynamic therapy using Ameluz and HEROic BBL to treat facial AK and signs of photodamage.

Interventions

NameTypeDescription
Photodynamic therapy (PDT) (ALA-PDT, Ameluz®-PDT)COMBINATION_PRODUCTThe Main Target Lesion will be marked by at least 3 ink marks prior to PDT to enable precise excision for histopathological assessment 12 weeks after the first or second PDT cycle dependent on the clearance status of the lesion. All target lesions should be prepared prior to drug application by degreasing, removal of all scabs and crusts, and roughening of the surface, if appropriate. Bleeding should be avoided. The formulations will then be applied to the lesions (maximal combined lesion area incl. margin is 20 cm²) located in 1 to 2 illumination areas. The medication should be applied to the entire lesion(s) plus a 0.5 - 1.0 cm margin surrounding each lesion at a thickness of 1 mm, allowed to dry (for approximately 10 minutes), covered with occlusive dressing, and incubated for approximately 3 h. Thereafter, any remnants of the IMP will be removed carefully and the PDT illumination will be administered using the light emitting diode (LED) red light device BF-RhodoLED®.
Placebo Photodynamic therapy (PDT) (vehicle to BF-200 ALA containing no active ingredient)COMBINATION_PRODUCTThe Main Target Lesion will be marked by at least 3 ink marks prior to PDT to enable precise excision for histopathological assessment 12 weeks after the first or second PDT cycle dependent on the clearance status of the lesion. All target lesions should be prepared prior to drug application by degreasing, removal of all scabs and crusts, and roughening of the surface, if appropriate. Bleeding should be avoided. The formulations will then be applied to the lesions (maximal combined lesion area incl. margin is 20 cm²) located in 1 to 2 illumination areas. The medication should be applied to the entire lesion(s) plus a 0.5 - 1.0 cm margin surrounding each lesion at a thickness of 1 mm, allowed to dry (for approximately 10 minutes), covered with occlusive dressing, and incubated for approximately 3 h. Thereafter, any remnants of the IMP will be removed carefully and the PDT illumination will be administered using the light emitting diode (LED) red light device BF-RhodoLED®.
Aminolevulinic acid hydrochloride 10% topical gel with Red LightCOMBINATION_PRODUCTParticipants will have their facial Cutaneous Squamous Cell Carcinoma in situ (SCCis) prepped then treated with Aminolevulinic acid hydrochloride 10% topical gel (Ameluz ®), followed by red light therapy administered for 13 minutes and 30 seconds to deliver the total desired light dose to the SCCis lesion.
AmeluzDRUGbroad band light (BBL) with the use of Ameluz
Sciton HEROicDEVICEEach subject will receive 2 treatments of photodynamic therapy using Ameluz and HEROic BBL to treat facial AK and signs of photodamage.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites18

Inclusion Criteria: * Willingness and ability to sign the informed consent form and Health Insurance Portability and Accountability Act (HIPAA) form. A study-specific informed consent form and a HIPAA form must be obtained in writing for all subjects prior to starting any study procedures. * Men or...

Countries:United States
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Frequently asked questions about Ameluz

What is Ameluz?

Ameluz is a topical prescription gel containing aminolevulinic acid hydrochloride 10%, developed by Biofrontera Inc. (ticker BFRI). It is used with red light in photodynamic therapy to treat skin conditions including actinic keratoses, cutaneous squamous cell carcinoma, and superficial basal cell carcinoma. It is a small molecule therapy in the dermatology field.

What is Ameluz used for?

Ameluz is used in photodynamic therapy for actinic keratoses, cutaneous squamous cell carcinoma, and superficial basal cell carcinoma. It is applied to the skin and activated with red light to treat these dermatologic conditions. Biofrontera Inc. (BFRI) is developing it across these indications.

Who makes Ameluz?

Ameluz is made by Biofrontera Inc., which trades under the ticker BFRI. The company develops the topical gel for use in photodynamic therapy across dermatologic conditions including actinic keratoses and certain skin cancers.

What phase is Ameluz in?

Ameluz is in clinical development, with trials spanning Phase 1 through Phase 3. It is investigational and has not been stated as FDA approved in the available information. Biofrontera Inc. (BFRI) is evaluating it in studies for actinic keratoses, cutaneous squamous cell carcinoma, and superficial basal cell carcinoma.

What clinical trials is Ameluz in?

Ameluz has been studied in trials including NCT07053852, a completed Phase 1 study of activation with BBL HEROic for actinic keratoses and photodamage; NCT06577311, a recruiting Phase 2 study in facial cutaneous squamous cell carcinoma in situ; and NCT03573401, an active Phase 3 study in superficial basal cell carcinoma.