AzTrials
AzTrials

Lichen Simplex ChronicusNCT06267066

Fractional Carbon Dioxide Laser: A Novel Therapeutic Option for Lichen Simplex Chronicus

A study testing Betamethasone Valerate 0.1% Cream, SmartXide® fractional carbon dioxide laser and Vaseline Topical Product in people with Lichen Simplex Chronicus, run by Cairo University at 2 sites in Egypt.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

The goal of this randomized control trial is to compare the use of fractional carbon dioxide (Co2) laser to topical corticosteroids to treat lichen simplex chronicus (LSC) patients presenting to Dermatology outpatient clinic, Faculty of Medicine, Cairo University. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Lichen Simplex Chronicus
What is being tested?
Betamethasone Valerate 0.1% Cream, SmartXide® fractional carbon dioxide laser and Vaseline Topical Product
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
2 sitesEgypt
Study dates
1 Mar 2024to 30 Aug 2024
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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Patients with LSC with no underlying dermatological disease, not on topical or systemic treatment for at least 4 weeks prior to study.

Who cannot join

  • Pregnant and lactating females.
  • Patients who are diagnosed with any systemic disease that can result in generalized pruritus (e.g. hepatic, renal, uncontrolled diabetes mellitus, thyroid,….etc ) from history.
  • Patients with contraindications to laser e.g., keloidal tendency, post inflammatory hyperpigmentation (PIH).
  • Patients with dermatological disease (e.g. psoriasis, atopic dermatitis, ….etc)

Trial locations and contacts

2 sites in 1 country.

Egypt2 sites
  • Lobna Alieldin

    Cairo, 11562

    Noha Asem, professor, 01003657120 ext. 20, kasralainirec@yahoo.com

    Lobna Alieldin, MSc, 01002279968 ext. 20, Lobnaalieldin@gmail.com

  • Lobna Alieldin

    Cairo, 11562

Other trials in Egypt

About this study

Official title: Fractional Carbon Dioxide Laser: A Novel Therapeutic Option for Lichen Simplex Chronicus: A Randomized Controlled Trial

The goal of this randomized control trial is to compare the use of fractional carbon dioxide (Co2) laser to topical corticosteroids to treat lichen simplex chronicus (LSC) patients presenting to Dermatology outpatient clinic, Faculty of Medicine, Cairo University.

Participants will:

Read more
  • Be assessed clinically by doctor
  • Biopsies will be taken from them by doctor
  • Receive treatment as laser or topical steroids or both
  • Fill in depression questionnaire.

Researchers will divide and compare groups as follows:

Sixty patients will be divided randomly through closed envelop technique into 2 groups (Group A and B) each of 30 patients. Group A will be subdivided into 2 groups (1 and 2). All LSC lesions will be treated in any patient having multiple lesions.

  • Group 1 - A: Patients will receive 3 monthly laser sessions, in addition to the use of topical emollients only once daily in between the sessions.
  • Group 2 - A: Patients will receive 3 monthly laser sessions, in addition to topical steroids twice daily and topical emollient once daily in between the sessions.
  • Group B: Patients will be prescribed topical steroids twice daily and topical emollient once daily for 3 months. to see if:
  1. Pruritus severity scale.
  2. Scaling, erythema, lichenification excoriation scores
  3. Visual analogue scale.
  4. Investigator's Global Assessment.
  5. Itching mediators (Interleukin-31, Nerve Growth Factor and Substance P assays (itching mediators)
  6. Depression improve more in which group of patients after treatment.
Read the detailed description

All the patients were subjected to the following:

  1. Before treatment:
  2. Consent: An informed written consent will be signed by each patient before enrolment in the study.
  3. Detailed history taking :
  • Personal history: name, age, sex, skin type, occupation, residence, marital status, and smoking.
  • History of present illness: onset, course, duration of disease, precipitating factors and any medications.
  • Past history of any associated systemic or dermatological diseases.
  • Family history of any dermatological disease e.g. psoriasis, atopic dermatitis,….etc.
  • Drug history.
  1. Skin biopsy: Two 3 mm punch biopsies will be taken from the lesion from each patient under local anesthesia using (Lidocaine®). One for histopathology to confirm diagnosis of LSC and the other for measuring itching mediators in the lesion before treatment by enzyme-linked immunosorbent assay (ELISA)). Another biopsy will be taken from a non lesional skin from same patient for measuring itching mediators by ELISA. Biopsies for ELISA will be stored at -20 degree celsius in eppendorfs with 3 ml phosphate buffer saline (PBS) added to each eppendorf. Tissue samples with PBS will be homogenized by a grinder, then centrifuged for 20 minutes at 3000 revolutions per minute (rpm) speed, the supernatant will be removed to be added to the ELISA kit wells for Human Interleukin-31, Nerve Growth Factor and Substance P assays (itching mediators)
  2. Clinical assessment:
  3. Pruritus severity scale.
  4. Scaling, erythema, lichenification excoriation scores
  5. Visual analogue scale.
  6. Investigator's Global Assessment.
  7. Depression assessment: Beck Depression Inventory questionnaire will be used to assess the depression in each patient .
  8. Therapeutic Intervention: Patients will be divided as discussed before. - Topical steroids used will be a moderate potency topical steroid.
  • Fractional carbon dioxide laser sessions for groups A (1 and 2) by laser machine.
  • Parameters of laser session: (Parameters will be adjusted according to skin type, lesion thickness and condition) Power 15 to 20 watt according to skin color. Dwell time 800 to1000 milliseconds. Spacing 600 micrometers. Stack 2 II. After treatment:
  1. Assessment of biochemical efficacy (measuring itching mediators after treatment): After one month from the last session for group A and after one month from stoppage of steroids for group B, a skin biopsy from the plaque (from a nearby site to the former one) will be taken as discussed before for ELISA.
  2. Assessment of clinical efficacy by scores as discussed before.
  3. Depression assessment: Beck Depression Inventory questionnaire will be repeated.
  4. Assessment of safety:
  • Assessment of side effects of laser and their treatment: Erythema, burning sensation, PIH, pruritus and/or pixilation. • Assessment of side effects of topical corticosteroids and their treatment: Atrophy, telangiectasia, hypopigmentation, hypertrichosis, purpura, ulceration, irritation, secondary infection.
  • Assessment of side effects of skin biopsy and their treatment: Bleeding, secondary infection and/or Scarring.
Being tested
Betamethasone Valerate 0.1% Cream, SmartXide® fractional carbon dioxide laser, Vaseline Topical Product
Keywords
Lichen Simplex Chronicus, Fractional carbon dioxide laser, Depression, Interleukin 31, Nerve Growth Factor, Substance P
Medical subject headings
Neurodermatitis, Depression, Hereditary Sensory and Autonomic Neuropathies

What participants receive

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

  • Betamethasone Valerate 0.1% CreamDrug

    Moderate potency

  • SmartXide® fractional carbon dioxide laserDevice

    Ablative

  • Vaseline Topical ProductDrug

    Emollient

Study groups in NCT06267066
Study groupRoleWhat they receive
Topical CorticosteroidsActive comparatorPatients will be prescribed topical steroids cream twice daily and topical emollient once daily for 3 months.
Receives: Drug: Betamethasone Valerate 0.1% Cream; Drug: Vaseline Topical Product
Fractional carbon dioxideActive comparatorPatients will receive 3 monthly laser sessions, in addition to the use of topical emollients only once daily in between the sessions.
Receives: Device: SmartXide® fractional carbon dioxide laser; Drug: Vaseline Topical Product
Combined topical corticosteroids and LaserActive comparatorPatients will receive 3 monthly laser sessions, in addition to topical steroids twice daily and topical emollient once daily in between the sessions.
Receives: Drug: Betamethasone Valerate 0.1% Cream; Device: SmartXide® fractional carbon dioxide laser; Drug: Vaseline Topical Product

What is being measured

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

  1. Comparison between 2 groups regarding change in Pruritus severity scale

    Minimum value: 3 , Maximum value: 22 , higher scores mean a worse outcome.

    Measured: through study completion, an average of 5months

  2. Comparison between 2 groups regarding change in Visual analogue scale

    Minimum value:0 , Maximum value: 10, higher scores mean a worse outcome.

    Measured: through study completion, an average of 5months

  3. Comparison between 2 groups regarding change in Investigator's Global Assessment.

    Minimum value: 0, Maximum value: 3, higher scores mean a worse outcome.

    Measured: through study completion, an average of 5months

  4. Comparison between 2 groups regarding change in Scaling score

    Minimum value: 0, Maximum value: 3, higher scores mean a worse outcome.

    Measured: through study completion, an average of 5months

  5. Comparison between 2 groups regarding change in Erythema score

    Minimum value: 0, Maximum value: 3, higher scores mean a worse outcome.

    Measured: through study completion, an average of 5months

  6. Comparison between 2 groups regarding change in Lichenification score

    Minimum value: 0, Maximum value: 3, higher scores mean a worse outcome.

    Measured: through study completion, an average of 5months

  7. Comparison between 2 groups regarding change in Excoriation score

    Minimum value: 0, Maximum value: 3, higher scores mean a worse outcome.

    Measured: through study completion, an average of 5months

Secondary outcomes (3)
  1. change of depression score in both groups.

    Minimum value: 0, Maximum value: 63, higher scores mean a worse outcome.

    Measured: through study completion, an average of 5months

  2. change of itching mediators' levels (IL-31, Nerve Growth Factor and substance) between 2 groups

    all will be measured by pg/ml

    Measured: through study completion, an average of 5months

  3. Comparison of itching mediator's levels in lesional, non-lesional skin and healthy controls

    all will be measured by pg/ml

    Measured: through study completion, an average of 5months

Timeline

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

  1. First posted20 Feb 2024
  2. Study start1 Mar 2024 (estimated)
  3. Primary completion1 Aug 2024 (estimated)
  4. Study completion30 Aug 2024 (estimated)

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
Sixty patients will be divided randomly through closed envelop technique into 2 groups (Group A and B) each of 30 patients. Group A will be subdivided into 2 groups (1 and 2) each of 15 patients. All LSC lesions will be treated in any patient having multiple lesions. Group 1 - A: Patients will receive 3 monthly laser sessions, in addition to the use of topical emollients only once daily in between the sessions. Group 2 - A: Patients will receive 3 monthly laser sessions, in addition to topical steroids twice daily and topical emollient once daily in between the sessions. Group B: Patients will be prescribed topical steroids twice daily and topical emollient once daily for 3 months.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06267066
Sponsor's protocol ID
MD-232-2022
Status last verified
Feb 2024
First submitted
19 Jan 2024
Last updated
20 Feb 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Participants' data that underlie reported results will be shared upon request, after deidentification, for researches who provide a methodologically sound proposal to access data to achieve aims in the approved proposal. This is beginning 3 months up to 12 months after publication.

Publications

  • Esmat S, Sany I, Alieldin L, Nour Z, Azzazi Y. Fractional Carbon Dioxide Laser for Lichen Simplex Chronicus: A Randomized Controlled Trial. Dermatol Surg. 2026 Mar 1;52(3):247-252. doi: 10.1097/DSS.0000000000004809. Epub 2025 Aug 6.

    PubMed 40767880

Questions about this trial

What is this clinical trial studying?

A study testing Betamethasone Valerate 0.1% Cream, SmartXide® fractional carbon dioxide laser and Vaseline Topical Product in people with Lichen Simplex Chronicus, run by Cairo University at 2 sites 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 1 inclusion and 4 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: status not confirmed, as of the sponsor's last update on 20 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites 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?

Results are not available in the source record.

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

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Comparison between 2 groups regarding change in Pruritus severity scale (time frame: through study completion, an average of 5months). The study lists 7 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 NCT06267066, which also lists 1 linked publication.

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 20 Feb 2024.

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