Fractional co2 Laser Followed by Either Vitamin c or Tranexamic Acid in Treatment of Melasma.
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ClinicalTrials.gov Identifier: NCT05911698 |
Recruitment Status :
Not yet recruiting
First Posted : June 22, 2023
Last Update Posted : August 15, 2023
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The aim of the study:
1.To compare the efficacy and safety of fractional CO2 laser in combination with vitamin c and tranexamic acid in the treatment of melasma.
2 .To assess the value of dermoscope in measuring of the response to treatment in melasma patients compared to clinical scoring.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Melasma | Device: Fractional co2 laser | Not Applicable |
Melasma is a chronic dermatologic condition defined by hyperpigmented macules and patches that appear in areas of sun exposure .
Traditionally, the mainstays of treatment for melasma have been topical bleaching agents and strict photoprotection.
Additional adjuvant treatment modalities include chemical peels, dermabrasion, and laser treatments, all of which have demonstrated limited efficacy. There has been an interest in studying the effects of vitamin c and tranexamic acid in melasma.
The development of fractional resurfacing has led to improvements to melasma treatment with decreased incidence of post-inflammatory hyperpigmentation; these improvements are due to the enhanced healing times and decreased inflammation as a result of the formation of microscopic columns of tissue destruction.
These microscopic columns of damaged tissue are surrounded by areas of normal tissue, allowing for shorter migratory paths for the healing keratinocytes.
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 25 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Fractional co2 Laser Followed by Either Vitamin c or Tranexamic Acid in Treatment of Melasma. Asplit Face Dermoscopic and Clinical Study. |
Estimated Study Start Date : | October 28, 2023 |
Estimated Primary Completion Date : | March 2024 |
Estimated Study Completion Date : | March 2024 |
Arm | Intervention/treatment |
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Patients with all types of melasma
Fractional ablative CO2 laser : For each patient, Right side of the face : Fractional ablative CO2 laser will be followed by immediate topical application of vitamin c 3% . Left side of the face: Fractional ablative CO2 laser will be followed by immediate topical application of tranexamic acid.
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Device: Fractional co2 laser
The development of fractional resurfacing has led to improvements to melasma treatment with decreased incidence of post-inflammatory hyperpigmentation; these improvements are due to the enhanced healing times and decreased inflammation as a result of the formation of microscopic columns of tissue destruction. These microscopic columns of damaged tissue are surrounded by areas of normal tissue, allowing for shorter migratory paths for the healing keratinocytes. |
- Efficacy and safety of fractional CO2 laser in treatment of melasma. [ Time Frame: 1year ]
1.: For each patient, Right side of the face : Fractional ablative CO2 laser will be followed by immediate topical application of vitamin c 3% . Left side of the face: Fractional ablative CO2 laser will be followed by immediate topical application of tranexamic acid.
- Fractional ablative CO2 laser sessions will be performed using the following parameters: power 8-10 W (according to the skin type), spacing 1000 μm (5.3% density), dwell time 400 μs, and stack .
- During the session, protective goggles will be used both by the patient and by the physician. acid in the treatment of melasma. 2 .To assess the value of dermoscope in measuring of the response to treatment in melasma patients compared to clinical scoring.
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Ages Eligible for Study: | 20 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- All types of melasma (epidermal, dermal, and mixed) will be included .
- Patients older than 19 years of age.
Exclusion Criteria:
- Pregnancy, breastfeeding.
- Patients taking drugs that induce facial pigmentation e.g, oral contraceptive pills, or hormonal replacement therapy at the time of the study or during the past 12 months.
- Patients using of any topical bleaching within 1 month before recruitment.
- Employment of chemical peels or laser therapy during the past 6 months.
- Concomitant use of anticoagulants, bleeding disorders.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05911698
Contact: Khadija Qenawi, Doctor | +201140109931 | diganova796@gmail.com |
Principal Investigator: | Khadija Qenawi, Doctor | Assiut University | |
Study Director: | Hanan Ahmed, Professor | Assiut University | |
Study Director: | Reham Maher, Professor | Assiut University |
Responsible Party: | Khadija Qenawi, Doctor, Assiut University |
ClinicalTrials.gov Identifier: | NCT05911698 |
Other Study ID Numbers: |
Fractional laser in melasma |
First Posted: | June 22, 2023 Key Record Dates |
Last Update Posted: | August 15, 2023 |
Last Verified: | August 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Melanosis Hyperpigmentation Pigmentation Disorders Skin Diseases |