AzTrials
AzTrials

Acquired HypomelanosisNCT04419350

Microneedling for Acquired Hypomelanosis

A study testing Microneedling in people with Acquired Hypomelanosis, run by Cairo University at 1 site in Egypt.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Acquired hypomelanosis is a type of cutaneous melanocytopenic hypomelanosis, denoting the lightening of the skin due to a reduction in the number of epidermal and/or follicular melanocytes secondary to physical agents,post-inflammatory, and iatrogenic (steroids). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Acquired Hypomelanosis
What is being tested?
Microneedling
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteEgypt
Study dates
15 Sep 2019to 1 May 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Localized acquired hypomelanosis secondary to any insult, post-inflammatory or iatrogenic of no more than 2 years duration, affecting any anatomical site except genitalia, of any size larger than 3 cm in diameter.
  • Patients older than 18 years old, consenting to go through the microneedling procedure.
  • Both genders.

Who cannot join

  • Congenital and hereditary hypomelanosis.
  • Vitiligo
  • Pregnancy and lactation.
  • Patients with history of any autoimmune disease.
  • Patients with history of keloids formation.
  • Patient on systemic steroids, retinoids, immunosuppressant or anticoagulant therapy.

Trial locations and contacts

1 site in 1 country.

Egypt1 site
  • Cairo University

    Cairo, 35855

Other trials in Egypt

About this study

Official title: Microneedling for Acquired Hypomelanosis : A Randomized Controlled Trial

Acquired hypomelanosis is a type of cutaneous melanocytopenic hypomelanosis, denoting the lightening of the skin due to a reduction in the number of epidermal and/or follicular melanocytes secondary to physical agents,post-inflammatory, and iatrogenic (steroids).

Derma roller is the basic device of microneedling , performs superficial, controlled puncturing of the skin by rolling with miniature fine needles and used as a collagen induction therapy and a transdermal delivery system for therapeutic drugs and vaccines.

This minute trauma to the skin that activates regenerative mechanisms and wound healing by releasing growth factors. The release of cytokines and deposition of hemosiderin from dermal bleeding induce the activation of melanocyte and stimulate skin pigmentation plus transdermal traveling of melanocyte

Read the detailed description

The aim of this study to evaluate the efficacy and safety of microneedling as a treatment model for patients with acquired hypomelanosis.

Patients with an acquired hypomelanosis from outpatient clinic, department of dermatology, Cairo university,n=20. including:

▪Patients, both genders and older than 18 years with localized acquired hypomelanosis

Excluding:

  • Congenital and hereditary hypomelanosis.
  • Vitiligo
  • Pregnancy and lactation.
  • Patients with a history of any autoimmune disease.
  • Patients with a history of keloid formation.
  • Patient on systemic steroids, retinoids, immunosuppressant or anticoagulant therapy.

Methodology in details:

  • An informed written consent will be obtained from the patient or his legal guardian if he is younger than 21years old.
  • For every patient detailed history will focus on the onset, course, duration of hypomelanosis, the type of insult, previous treatments, systemic illness and drug history. The examination will describe the anatomical site, size, degree of skin lightening, skin texture and presence or absence of hair in the affected area.
  • The area to be treated will be specified and split into two halves then randomized into one of both arms: treatment or no treatment.
  • One session of microneedling will be performed on the treatment arm by using dermaroller 1.5 mm long. The microneedling will be done from the edge of the normal skin towards the center of the hypopigmented lesion in all the directions (horizontal, vertical. diagonal).
  • Patients will be then monitored for three months for signs of repigmentation.
  • Patient's improvement will be objectively assessed monthly for repigmentation using patient's and physician's scales.

Possible Risk:

Pain, transient bleeding, erythema, mild edema and infection at the site of microneedling. Failure of treatment is also a possibility.

Primary outcomes:

Efficacy of microneedling for acquired hypomelanosis after 3 months.

Secondary outcome:

Safety as defined by the occurrence of adverse events during, shortly after the procedure (2weeks), and after 3 months.

Sample size(number of patients included):20 patients

Source of funding: self funding

Being tested
Microneedling
Keywords
Microneedling, Dermaroller, acquired hypomelanosis, skin pigmentation, hypopigmentation, patient satisfaction, leukoderma
Medical subject headings
Pigmentation Disorders, Hypopigmentation, Patient Satisfaction, Vitiligo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MicroneedlingProcedure or surgery

    One session of microneedling will be performed by using dermaroller 1.5 mm. The microneedling done from the edge of the normal skin towards the center of the hypopigmented lesion in all the directions (horizontal, vertical. diagonal).

Study groups in NCT04419350
Study groupRoleWhat they receive
treatmentExperimentalmicroneedling.
Receives: Procedure: Microneedling
No treatmentNo interventionNo treatment will be done to these hypopigmented lesions

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Efficacy of microneedling for acquired hypomelanosis assessed by skin mapping for peripheral tanning.

    drawing the lesion's surface area through transparent stencil paper

    Measured: 3 months post treatment

  2. Efficacy of microneedling for acquired hypomelanosis assessed by visual analogue scale for surface tanning

    using hue skin tone color scale

    Measured: 3 months post treatment

  3. Efficacy of microneedling for acquired hypomelanosis assessed by vitiligo extent score for a target area for marginal and perifollicular repigmentation.

    The repigmentation assessed by percentage value range from 0- 100% where the 100 % means full repigmentation, the value is a result of an equation where the estimated percentage of marginal repigmentation add to ( remaining area (%) plus estimated percent of perifollicular pigmentation in the remaining area(%) divided by 100)

    Measured: 3 months post treatment

  4. Efficacy of microneedling for acquired hypomelanosis assessed by the patient's satisfaction score

    3-point scale (not satisfied, moderately satisfied, extremely satisfied).

    Measured: 3 months post treatment

  5. Efficacy of microneedling for acquired hypomelanosis assessed by patient global percent of his own improvement(0-100%).

    the patient evaluation to lesion by percentage value for repigmentation ranged from 0- 100% which represent full repigmentation.

    Measured: 3 months post treatment

  6. Efficacy of microneedling for acquired hypomelanosis assessed by mean physician's global assessment for percent of improvement (0-100%).

    One unblinded and 2 blinded investigators assessed the global improvement through photographs of the lesions before and after 3 months of therapy. The lesions were photographed on a black background using a single reflex camera with standardized settings (ambient light, same position, and distance from the patient).

    Measured: 3 moonths post treatment.

Secondary outcomes (1)
  1. Incidence of microneedling adverse events

    Safety as defined by occurrence of pain, bleeding, local infection, skin flaking, and scarring during, shortly after the procedure (2weeks), and at the end of the study.

    Measured: Day 1 to 14 and after 3 months.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Jun 2020
  2. Study start15 Sep 2019
  3. Primary completion1 Apr 2020
  4. Study completion1 May 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
* The area to be treated will be specified and split into two halves then randomized using sealed envelope into one of both arms: treatment or no treatment. * One session of microneedling using derma roller 1.5 mm will be done.
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04419350
Sponsor's protocol ID
MN for acquired hypomelanosis
Status last verified
Jun 2020
First submitted
23 May 2020
Last updated
9 Jun 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Zeitlin RE. Long-term psychosocial sequelae of paediatric burns. Burns. 1997 Sep;23(6):467-72. doi: 10.1016/s0305-4179(97)00045-4.

    PubMed 9429023
  • Tyack ZF, Pegg S, Ziviani J. Postburn dyspigmentation: its assessment, management, and relationship to scarring--a review of the literature. J Burn Care Rehabil. 1997 Sep-Oct;18(5):435-40. doi: 10.1097/00004630-199709000-00012.

    PubMed 9313126
  • Sperry K. Tattoos and tattooing. Part I: History and methodology. Am J Forensic Med Pathol. 1991 Dec;12(4):313-9. doi: 10.1097/00000433-199112000-00008.

    PubMed 1807141
  • Singh A, Yadav S. Microneedling: Advances and widening horizons. Indian Dermatol Online J. 2016 Jul-Aug;7(4):244-54. doi: 10.4103/2229-5178.185468.

    PubMed 27559496
  • Siadat AH, Rezaei R, Asilian A, Abtahi-Naeini B, Rakhshanpour M, Raei M, Hosseini SM. Repigmentation of Hypopigmented Scars Using Combination of Fractionated Carbon Dioxide Laser with Topical Latanoprost Vs. Fractionated Carbon Dioxide Laser Alone. Indian J Dermatol. 2015 Jul-Aug;60(4):364-8. doi: 10.4103/0019-5154.160481.

    PubMed 26288404
  • Kahn AM, Cohen MJ. Treatment for depigmentation following burn injuries. Burns. 1996 Nov;22(7):552-4. doi: 10.1016/0305-4179(96)88885-1.

    PubMed 8909758
  • Imokawa G. Autocrine and paracrine regulation of melanocytes in human skin and in pigmentary disorders. Pigment Cell Res. 2004 Apr;17(2):96-110. doi: 10.1111/j.1600-0749.2003.00126.x.

    PubMed 15016298
  • Hou A, Cohen B, Haimovic A, Elbuluk N. Microneedling: A Comprehensive Review. Dermatol Surg. 2017 Mar;43(3):321-339. doi: 10.1097/DSS.0000000000000924.

    PubMed 27755171
  • Glaich AS, Rahman Z, Goldberg LH, Friedman PM. Fractional resurfacing for the treatment of hypopigmented scars: a pilot study. Dermatol Surg. 2007 Mar;33(3):289-94; discussion 293-4. doi: 10.1111/j.1524-4725.2007.33058.x.

    PubMed 17338685
  • Cho S, Zheng Z, Park YK, Roh MR. The 308-nm excimer laser: a promising device for the treatment of childhood vitiligo. Photodermatol Photoimmunol Photomed. 2011 Feb;27(1):24-9. doi: 10.1111/j.1600-0781.2010.00558.x.

    PubMed 21198879
  • Chadwick S, Heath R, Shah M. Abnormal pigmentation within cutaneous scars: A complication of wound healing. Indian J Plast Surg. 2012 May;45(2):403-11. doi: 10.4103/0970-0358.101328.

    PubMed 23162241
  • Busch KH, Bender R, Walezko N, Aziz H, Altintas MA, Aust MC. Combination of medical needling and non-cultured autologous skin cell transplantation (ReNovaCell) for repigmentation of hypopigmented burn scars. Burns. 2016 Nov;42(7):1556-1566. doi: 10.1016/j.burns.2016.04.009. Epub 2016 May 4.

    PubMed 27156803
  • Busch KH, Bender R, Walezko N, Aziz H, Altintas MA, Aust MC. Combination of medical needling and non-cultured autologous skin cell transplantation (renovacell) for repigmentation of hypopigmented burn scars in children and young people. Ann Burns Fire Disasters. 2016 Jun 30;29(2):116-122.

    PubMed 28149233
  • Aust MC, Fernandes D, Kolokythas P, Kaplan HM, Vogt PM. Percutaneous collagen induction therapy: an alternative treatment for scars, wrinkles, and skin laxity. Plast Reconstr Surg. 2008 Apr;121(4):1421-1429. doi: 10.1097/01.prs.0000304612.72899.02.

    PubMed 18349665
  • Alexiades-Armenakas MR, Bernstein LJ, Friedman PM, Geronemus RG. The safety and efficacy of the 308-nm excimer laser for pigment correction of hypopigmented scars and striae alba. Arch Dermatol. 2004 Aug;140(8):955-60. doi: 10.1001/archderm.140.8.955.

    PubMed 15313811

Questions about this trial

What is this clinical trial studying?

A study testing Microneedling in people with Acquired Hypomelanosis, run by Cairo University at 1 site in Egypt.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Efficacy of microneedling for acquired hypomelanosis assessed by skin mapping for peripheral tanning. (time frame: 3 months post treatment). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04419350, which also lists 17 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jun 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in