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KeloidKBTNCT07835438

Transdermal Versus Intralesional Betamethasone for Keloids

A study testing Compound betamethasone and Medium-frequency Therapeutic Device in people with Keloid, run by First Hospital of China Medical University at 1 site in China.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This study aims to evaluate the efficacy and safety of transdermal delivery of compound betamethasone using a medium-frequency device compared with intralesional injection in the treatment of keloids. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Keloid
What is being tested?
Compound betamethasone and Medium-frequency Therapeutic Device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
45 participants
Where
1 siteChina
Study dates
25 Apr 2025to 29 Nov 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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

  • 1. Participants diagnosed with keloids by investigators according to established clinical criteria.
  • 2. At least one keloid lesion with a maximum diameter greater than 0.5 cm. 3. Duration of keloid ≥ 6 months (mature keloid). 4. Age ≥ 18 years. 5. Fitzpatrick skin types II-IV. 6. Participants who are suitable for both intralesional injection of Diprospan and transdermal drug delivery using a medium-frequency therapeutic device.
  • 7. Participants seeking improvement in the appearance of keloids. 8. Willing to participate and able to provide written informed consent and comply with follow-up visits.

Who cannot join

  • 1. Active infection of keloids (e.g., itching, pain, ulceration, suppuration), unhealed wounds, or other skin conditions that may affect efficacy evaluation.
  • 2. Use of the following treatments within specified timeframes prior to randomization:
  • Within 2 weeks: topical anti-scar medications.
  • Within 4 weeks: laser therapy, immunosuppressive agents (e.g., 5-fluorouracil), or systemic antibiotics (e.g., tetracyclines, macrolides).
  • Within 8 weeks: intralesional Diprospan or triamcinolone injection.
  • Within 12 weeks: biologic agents with immunomodulatory effects (e.g., monoclonal antibodies).
Show all 11Show fewer
  • Within 6 months: radiotherapy or botulinum toxin injection. 3. Known allergy or contraindication to Diprospan. 4. History of coagulation disorders or current/planned use of anticoagulant, antiplatelet, or thrombolytic therapy (e.g., warfarin, aspirin).
  • 5. Pregnant or breastfeeding women, or those planning pregnancy or unwilling to use contraception.
  • 6. Patients with severe systemic diseases or abnormal laboratory findings that make them unsuitable for the study (e.g., serious organ disease or active autoimmune disease).
  • 7. Refusal to sign informed consent. 8. Inability to communicate or comply with study procedures (e.g., cognitive impairment, psychiatric or neurological disorders).
  • 9. Any other condition deemed unsuitable by the investigator. 10. Inability to adhere to treatment schedule or follow-up for personal or other reasons.

Trial locations and contacts

1 site in 1 country.

China1 site
  • First Hospital of China Medical University

    Shenyang, Liaoning, 110001

Other trials in China

About this study

Official title: A Randomized Controlled Study on the Efficacy and Safety of Transdermal Delivery of Compound Betamethasone Via a Medium-Frequency Device Versus Intralesional Injection in Patients With Keloids

This study aims to evaluate the efficacy and safety of transdermal delivery of compound betamethasone using a medium-frequency device compared with intralesional injection in the treatment of keloids. A total of 45 patients will be enrolled and assigned in a 1:2 ratio to either the intralesional injection group or the transdermal delivery group. Participants will receive three treatment sessions over an 8-week period. Clinical outcomes will be assessed using the Vancouver Scar Scale (VSS), Patient and Observer Scar Assessment Scale (POSAS), and patient-reported outcomes at multiple follow-up time points up to 52 weeks. Safety will be evaluated through monitoring of adverse events, vital signs, and laboratory tests.

Read the detailed description

Keloids are benign fibroproliferative skin disorders characterized by excessive collagen deposition and abnormal scar growth beyond the boundaries of the original wound. Intralesional injection of compound betamethasone is a commonly used treatment for keloids; however, repeated injections are often associated with pain and poor patient tolerance.

This study is a randomized, open-label, single-center clinical trial designed to evaluate the efficacy and safety of transdermal delivery of compound betamethasone using a medium-frequency therapeutic device compared with conventional intralesional injection in patients with keloids.

A total of 45 participants with clinically diagnosed keloids will be enrolled and randomized in a 1:2 ratio into two groups: an intralesional injection group and a transdermal delivery group. Participants in the control group will receive intralesional injections of compound betamethasone directly into keloid lesions. Participants in the experimental group will receive transdermal delivery of compound betamethasone using a medium-frequency therapeutic device.

All participants will receive three treatment sessions over an 8-week treatment period and will be followed for up to 52 weeks. The primary outcome is the improvement rate of Vancouver Scar Scale (VSS) scores at Week 24 compared with baseline. Secondary outcomes include Patient and Observer Scar Assessment Scale (POSAS) scores, pain and pruritus assessed by Verbal Rating Scale (VRS), patient satisfaction, quality of life measures, recurrence rate, and incidence of adverse events.

This study aims to determine whether transdermal delivery of compound betamethasone using a medium-frequency therapeutic device provides comparable or superior efficacy with improved tolerability compared with conventional intralesional injection for the treatment of keloids.

Conditions
Keloid
Being tested
Compound betamethasone, Medium-frequency Therapeutic Device
Keywords
keloid, Betamethasone, Transdermal delivery, Medium-frequency therapy, Intralesional injection
Medical subject headings
Keloid

What participants receive

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

  • Compound betamethasoneDrug

    Compound betamethasone will be administered either via intralesional injection or transdermal delivery using a medium-frequency therapeutic device.

  • Medium-frequency Therapeutic DeviceDevice

    A medium-frequency therapeutic device will be used to facilitate transdermal delivery of compound betamethasone into keloid lesions.

Study groups in NCT07835438
Study groupRoleWhat they receive
Intralesional Injection GroupActive comparatorParticipants in this group will receive intralesional injections of compound betamethasone directly into keloid lesions at predefined intervals over 8 weeks for a total of three treatment sessions.
Receives: Drug: Compound betamethasone
Transdermal Delivery GroupExperimentalParticipants in this group will receive transdermal delivery of compound betamethasone using a medium-frequency therapeutic device over an 8-week period for a total of three sessions.
Receives: Drug: Compound betamethasone; Device: Medium-frequency Therapeutic Device

What is being measured

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

  1. Improvement Rate in Vancouver Scar Scale (VSS) Total Score at 24 Weeks After the Final Treatment

    The version of the Vancouver Scar Scale (VSS) used in this study assesses four scar characteristics: color, thickness, vascularity, and pliability. Color is scored from 0 to 3, thickness from 0 to 4, vascularity from 0 to 3, and pliability from 0 to 5. The total VSS score ranges from 0 to 15. Higher scores indicate greater scar severity and therefore a worse outcome. The primary outcome is the improvement rate in the VSS total score at 24 weeks after the final treatment compared with baseline.

    Measured: Baseline and 24 weeks after the final treatment

Secondary outcomes (25)
  1. Improvement Rate of Vancouver Scar Scale (VSS) Score at Multiple Time Points

    The improvement rate of Vancouver Scar Scale (VSS) scores compared with baseline will be assessed at multiple time points to evaluate treatment efficacy over time.

    Measured: Baseline, Week 4, Week 8, Week 12, Week 24, and Week 52

  2. Patient and Observer Scar Assessment Scale (POSAS) Patient Scale Total Score

    The Patient Scale of the Patient and Observer Scar Assessment Scale (POSAS) consists of six items, each scored from 1 to 10. The total score ranges from 6 to 60. Lower scores indicate scar characteristics more similar to normal skin, whereas higher scores indicate a greater difference from normal skin and therefore a worse outcome.

    Measured: At the first, second, and third treatment visits, and at 24 and 52 weeks after the final treatment

  3. Patient Satisfaction Score

    Patient satisfaction is assessed using a 5-point patient satisfaction rating scale ranging from 0 to 4: 0 = no improvement/poor, 1 = slightly dissatisfied, 2 = neutral, 3 = generally satisfied, and 4 = very satisfied. Higher scores indicate greater patient satisfaction and therefore a better outcome.

    Measured: 24 and 52 weeks after the final treatment

  4. Pain Intensity Assessed Using the Verbal Rating Scale (VRS)

    Pain intensity is assessed using the Verbal Rating Scale (VRS), with scores ranging from 0 to 4: 0 = no pain, 1 = mild, 2 = moderate, 3 = severe, and 4 = very severe. Higher scores indicate greater pain intensity and therefore a worse outcome.

    Measured: At each follow-up visit through 52 weeks after the final treatment

  5. Dermatology Life Quality Index (DLQI) Total Score

    The Dermatology Life Quality Index (DLQI) is a 10-item questionnaire assessing the impact of skin disease on health-related quality of life. The total score ranges from 0 to 30. Higher scores indicate greater impairment in quality of life and therefore a worse outcome.

    Measured: Baseline, 4 weeks after the final treatment, 24 weeks after the final treatment, and 52 weeks after the final treatment

  6. Recurrence Rate

    The recurrence rate of keloids will be evaluated within 1 year after treatment based on predefined clinical criteria.

    Measured: Up to Week 52

  7. Incidence of Adverse Events

    The number and severity of treatment-related adverse events will be recorded throughout the study.

    Measured: Baseline to Week 52

  8. Patient and Observer Scar Assessment Scale (POSAS) Observer Scale Total Score

    The Observer Scale of the Patient and Observer Scar Assessment Scale (POSAS) consists of five items, each scored from 1 to 10. The total score ranges from 5 to 50. Lower scores indicate scar characteristics more similar to normal skin, whereas higher scores indicate a greater difference from normal skin and therefore a worse outcome.

    Measured: At the first, second, and third treatment visits, and at 24 and 52 weeks after the final treatment

  9. Pruritus Intensity Assessed Using the Verbal Rating Scale (VRS)

    Pruritus intensity is assessed using the Verbal Rating Scale (VRS), with scores ranging from 0 to 4: 0 = no pruritus, 1 = mild, 2 = moderate, 3 = severe, and 4 = very severe. Higher scores indicate greater pruritus intensity and therefore a worse outcome.

    Measured: At each follow-up visit through 52 weeks after the final treatment

  10. Skindex-29 Symptoms Domain Score

    The Skindex-29 is a dermatology-specific health-related quality-of-life questionnaire. The Symptoms domain score ranges from 0 to 100. Higher scores indicate greater symptom-related impairment in quality of life and therefore a worse outcome.

    Measured: Baseline, Week 4, Week 24, and Week 52

  11. Skindex-29 Emotions Domain Score

    The Skindex-29 is a dermatology-specific health-related quality-of-life questionnaire. The Emotions domain score ranges from 0 to 100. Higher scores indicate greater emotional impairment related to the skin condition and therefore a worse outcome.

    Measured: Baseline, Week 4, Week 24, and Week 52

  12. Skindex-29 Functioning Domain Score

    The Skindex-29 is a dermatology-specific health-related quality-of-life questionnaire. The Functioning domain score ranges from 0 to 100. Higher scores indicate greater impairment in daily and social functioning related to the skin condition and therefore a worse outcome.

    Measured: Baseline, Week 4, Week 24, and Week 52

  13. 36-Item Short Form Health Survey (SF-36) Physical Functioning Domain Score

    The Physical Functioning domain of the 36-Item Short Form Health Survey (SF-36) assesses limitations in physical activities due to health. The domain score ranges from 0 to 100. Higher scores indicate better physical functioning and therefore a better outcome.

    Measured: Baseline, 4 weeks after the final treatment, 24 weeks after the final treatment, and 52 weeks after the final treatment

  14. 36-Item Short Form Health Survey (SF-36) Role Limitations Due to Physical Health Domain Score

    The Role Limitations Due to Physical Health domain of the 36-Item Short Form Health Survey (SF-36) assesses limitations in work or other daily activities caused by physical health problems. The domain score ranges from 0 to 100. Higher scores indicate fewer role limitations and therefore a better outcome.

    Measured: Baseline, 4 weeks after the final treatment, 24 weeks after the final treatment, and 52 weeks after the final treatment

  15. 36-Item Short Form Health Survey (SF-36) Bodily Pain Domain Score

    The Bodily Pain domain of the 36-Item Short Form Health Survey (SF-36) assesses pain intensity and interference with normal activities. The domain score ranges from 0 to 100. Higher scores indicate less pain and less pain-related interference and therefore a better outcome.

    Measured: Baseline, 4 weeks after the final treatment, 24 weeks after the final treatment, and 52 weeks after the final treatment

  16. 36-Item Short Form Health Survey (SF-36) General Health Domain Score

    The General Health domain of the 36-Item Short Form Health Survey (SF-36) assesses participants' perceptions of their overall health. The domain score ranges from 0 to 100. Higher scores indicate better perceived general health and therefore a better outcome.

    Measured: Baseline, 4 weeks after the final treatment, 24 weeks after the final treatment, and 52 weeks after the final treatment

  17. 36-Item Short Form Health Survey (SF-36) Vitality Domain Score

    The Vitality domain of the 36-Item Short Form Health Survey (SF-36) assesses energy and fatigue. The domain score ranges from 0 to 100. Higher scores indicate greater vitality and less fatigue and therefore a better outcome.

    Measured: Baseline, 4 weeks after the final treatment, 24 weeks after the final treatment, and 52 weeks after the final treatment

  18. 36-Item Short Form Health Survey (SF-36) Social Functioning Domain Score

    The Social Functioning domain of the 36-Item Short Form Health Survey (SF-36) assesses the extent to which physical or emotional health interferes with normal social activities. The domain score ranges from 0 to 100. Higher scores indicate better social functioning and therefore a better outcome.

    Measured: Baseline, 4 weeks after the final treatment, 24 weeks after the final treatment, and 52 weeks after the final treatment

  19. 36-Item Short Form Health Survey (SF-36) Role Limitations Due to Emotional Problems Domain Score

    The Role Limitations Due to Emotional Problems domain of the 36-Item Short Form Health Survey (SF-36) assesses limitations in work or other daily activities caused by emotional problems. The domain score ranges from 0 to 100. Higher scores indicate fewer role limitations and therefore a better outcome.

    Measured: Baseline, 4 weeks after the final treatment, 24 weeks after the final treatment, and 52 weeks after the final treatment

  20. 36-Item Short Form Health Survey (SF-36) Mental Health Domain Score

    The Mental Health domain of the 36-Item Short Form Health Survey (SF-36) assesses psychological well-being and emotional distress. The domain score ranges from 0 to 100. Higher scores indicate better mental health and therefore a better outcome.

    Measured: Baseline, 4 weeks after the final treatment, 24 weeks after the final treatment, and 52 weeks after the final treatment

  21. Symptom Checklist-90 (SCL-90) Total Score

    The Symptom Checklist-90 (SCL-90) is a 90-item self-report questionnaire used to assess a broad range of psychological symptoms. Each item is scored from 1 to 5, where higher item scores indicate greater symptom severity. The total score ranges from 90 to 450. Higher total scores indicate greater psychological distress and therefore a worse outcome.

    Measured: Baseline, 4 weeks after the final treatment, 24 weeks after the final treatment, and 52 weeks after the final treatment

  22. 9-Item Hamilton Depression Rating Scale (HAMD) Total Score

    The 9-item version of the Hamilton Depression Rating Scale (HAMD) used in this study assesses depressed mood, feelings of guilt, suicidality, difficulty falling asleep, disturbed sleep, early-morning awakening, work and interests, psychomotor retardation, and agitation. Items are scored on either a 0-to-4 or 0-to-2 scale, yielding a total score ranging from 0 to 28. Higher scores indicate greater severity of depressive symptoms and therefore a worse outcome.

    Measured: Baseline, 4 weeks after the final treatment, 24 weeks after the final treatment, and 52 weeks after the final treatment

  23. Hamilton Anxiety Rating Scale (HAMA) Total Score

    The Hamilton Anxiety Rating Scale (HAMA) consists of 14 items assessing psychological and somatic symptoms of anxiety. Each item is scored from 0 to 4, where 0 indicates no symptoms and 4 indicates very severe symptoms. The total score ranges from 0 to 56. Higher scores indicate greater severity of anxiety symptoms and therefore a worse outcome.

    Measured: Baseline, 4 weeks after the final treatment, 24 weeks after the final treatment, and 52 weeks after the final treatment

  24. Keloid-Specific Quality of Life Questionnaire Physical Domain Score

    The keloid-specific quality of life questionnaire used in this study includes a Physical Domain consisting of five items assessing physical impairment related to keloids, including pain, pruritus, and limitations in daily activities. Each item is scored on a six-level scale using values of -5, -3, -1, 1, 3, and 5. The domain score is calculated as the arithmetic mean of the item scores and ranges from -5 to 5. Higher scores indicate greater physical impairment related to keloids and therefore a worse outcome.

    Measured: Baseline, 4 weeks after the final treatment, 24 weeks after the final treatment, and 52 weeks after the final treatment

  25. Keloid-Specific Quality of Life Questionnaire Psychological Domain Score

    The keloid-specific quality of life questionnaire used in this study includes a Psychological Domain consisting of nine items assessing the psychological and social impact of keloids, including embarrassment, self-image, concealment, social discomfort, and self-confidence. Each item is scored on a six-level scale using values of -5, -3, -1, 1, 3, and 5. The domain score is calculated as the arithmetic mean of the item scores and ranges from -5 to 5. Higher scores indicate greater psychological impairment related to keloids and therefore a worse outcome.

    Measured: Baseline, 4 weeks after the final treatment, 24 weeks after the final treatment, and 52 weeks after the final treatment

Timeline

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

  1. First posted23 Sep 2026
  2. Study start25 Apr 2025
  3. Primary completion16 Jun 2026
  4. Study completion29 Nov 2026 (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
Masking
None (open label)
Enrolment
45 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07835438
Sponsor's protocol ID
FAH-CMU-2025-keloids-01
Acronym
KBT
Status last verified
Sep 2026
First submitted
24 Mar 2026
Last updated
23 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Compound betamethasone and Medium-frequency Therapeutic Device in people with Keloid, run by First Hospital of China Medical University at 1 site in China.

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 11 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: under way, not looking for participants, as of the sponsor's last update on 23 Sep 2026. 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 China. 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?

This study is still under way. Results are not available in the source record yet.

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?

Improvement Rate in Vancouver Scar Scale (VSS) Total Score at 24 Weeks After the Final Treatment (time frame: Baseline and 24 weeks after the final treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 23 Sep 2026.

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