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CompletedNCT02601105Updated May 4, 2021Results posted

Topical Centella Asiatica and the Cosmetic Appearance of Stretch Marks

An interventional study of Placebo Vehicle Cream and Centella Asiatica Cream in Stretch Marks, Striae Distensae and Cosmetic Appearance of Stretch Marks, sponsored by University of California, Davis. Completed at 1 site in United States. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-05-04.

Sponsored by University of California, Davis · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The purpose of this study is to clinically evaluate the efficacy, safety as well as patient satisfaction in the use of topical Centella asiatica (CA) on the cosmetic appearance of stretch marks.

Read the detailed description

Subjects with abdominal stretch marks will be enrolled in to this study. The presence of abdominal stretch marks will be confirmed by a board certified dermatologist. The right and the left side of the abdomen will be randomized by binary randomization to treatment with CA cream or the vehicle cream. Therefore each patient will serve as their own control.

Each half of the abdomen will be subjected to topical treatment with CA 1% Cream formulated in PCCA Lipoderm® base or PCCA Lipoderm® base as the placebo vehicle treatment based on prior randomization. The creams will be given to the patient in blinded fashion: Cream A (containing CA) and cream B (vehicle/placebo) with instructions apply both formulations daily at night.

Patients will be asked to return to clinic at 6 weeks and 12 weeks for follow up assessment for a total of 3 sessions (baseline, 6 weeks, 12 weeks). High-resolution digital photographs of the stretch marks will be taken at baseline and at each follow-up visit to document clinical response. Two physician graders blinded to the photographs and the treatments will assess cosmetic outcome on a six-point analog scale

The width of the treated stretch marks in each subject will also be measured at the baseline and 8 weeks after the final treatment. The difference of the width will be converted into the percentage of reduction from the baseline.

Subjects will also be asked to complete two surveys at each visit. The two surveys include patient satisfaction with cosmetic and clinical outcome based on a five-point scale.

02

Conditions studied

  • Stretch Marks
  • Striae Distensae
  • Cosmetic Appearance of Stretch Marks

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Keywords

  • gotu kola
  • centella asiatica
03

In context

Striae Distensae

39 studies on the registry are indexed under Striae Distensae; 6 are open to participants now.

This study's enrollment of 15 is below the median of 28 across 38 interventional studies indexed under Striae Distensae.

Browse Striae Distensae studies →

Lead sponsor

University of California, Davis is the lead sponsor of 798 studies on the registry; 146 are open to participants now.

Of its 65 completed or terminated interventional studies of FDA-regulated products, 43 (66%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  1. English-speaking subjects over the age of 18
  2. Subjects clinically diagnosed with stretch marks

Exclusion criteria

Exclusion Criteria:

  1. History of keloid scarring
  2. Isotretinoin use within the last 6 months
  3. Oral prednisone use within the last 3 months
  4. Non-ablative laser procedures to the abdomen within 1 year of study initiation
  5. Ablative resurfacing procedures to the abdomen within 3 years of the study initiation
  6. Pregnancy
  7. Use of immunosuppressive drugs
  8. Known hypersensitivity to Centella asiatica
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Single group
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
15 participants (actual)

Study arms

  • Placebo comparator
    Placebo Vehicle Cream

    Lipoderm® base served as the placebo vehicle control to be applied every night to demarcated 10 x 10 cm area containing stretch marks on randomly assigned side of abdomen for 12 weeks.

    Other: Placebo Vehicle Cream

  • Experimental
    Centella Asiatica Cream

    An alcoholic extract of CA (verified by HPLC) mixed into a Lipoderm® base served as the treatment cream to be applied every night to demarcated 10 x 10 cm area containing stretch marks on the opposite side of the abdomen for 12 weeks.

    Other: Centella Asiatica Cream

Interventions

  • OtherPlacebo Vehicle Cream

    Lipoderm Cream alone

  • OtherCentella Asiatica Cream

    1% Centella Asiatica in lipoderm

06

What researchers measure

Primary outcomes

  1. Cosmetic Outcome- Fraction Improving by at Least 1 Point Increase in Overall Appearance of Stretch Marks

    Assessed by four blinded evaluators by observing comparative baseline photographs using 6 point scale (worsened = -1 points, no improvement = 0 points, mild = 1 points, \<25% improvement, moderate = 2 points, 26-50% improvement, good = 3 points, 51-75% improvement, excellent = 4 points, \>75% improvement)

    Time frame: 12 weeks

  2. Stretch Mark Width/Area

    Stretch mark width: measured at week 12. This will be converted into the percentage of reduction from the baseline.

    Time frame: 12 weeks

07

Results

Posted May 4, 2021

Participant flow

Placebo Cream; Centella Asiatica Bsln.
Participant flow — Placebo Cream; Centella Asiatica Bsln.
MilestoneAll Study Participants
Started15
Completed15
Not completed0
Placebo Cream; Centella Asiatica Week 6
Participant flow — Placebo Cream; Centella Asiatica Week 6
MilestoneAll Study Participants
Started15
Completed15
Not completed0
Placebo Cream; Centella Asiatica Week 12
Participant flow — Placebo Cream; Centella Asiatica Week 12
MilestoneAll Study Participants
Started15
Completed13
Not completed2

Outcome measures

PrimaryCosmetic Outcome- Fraction Improving by at Least 1 Point Increase in Overall Appearance of Stretch Marks

Assessed by four blinded evaluators by observing comparative baseline photographs using 6 point scale (worsened = -1 points, no improvement = 0 points, mild = 1 points, \<25% improvement, moderate = 2 points, 26-50% improvement, good = 3 points, 51-75% improvement, excellent = 4 points, \>75% improvement)

Time frame:
12 weeks
Reported as:
Count of participants · Participants
Cosmetic Outcome- Fraction Improving by at Least 1 Point Increase in Overall Appearance of Stretch Marks
ParticipantsPlacebo Vehicle CreamCentella Asiatica
Cosmetic Outcome- Fraction Improving by at Least 1 Point Increase in Overall Appearance of Stretch Marks35
PrimaryStretch Mark Width/Area

Stretch mark width: measured at week 12. This will be converted into the percentage of reduction from the baseline.

Time frame:
12 weeks
Reported as:
Mean · percent change
Stretch Mark Width/Area
percent changePlacebo Vehicle CreamCentella Asiatica
Stretch Mark Width/Area0.8 ± 0.050.87 ± 0.06

Adverse events

Collected over Adverse event data was collected during the study duration of 12 weeks.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo Vehicle Cream0/15 (0%)0/15 (0%)0/15 (0%)
Centella Asiatica0/15 (0%)0/15 (0%)0/15 (0%)

Baseline characteristics

The right and the left side of the abdomen were randomized by binary randomization to treatment with CA cream or the vehicle cream. Therefore each patient will serve as their own control.

Age, Categorical
Age, Categorical(Participants)All Study Participants
<=18 years0
Between 18 and 65 years15
>=65 years0
Age, Continuous
Age, Continuous(years)All Study Participants
Mean42.5 (24 to 63)
Sex: Female, Male
Sex: Female, Male(Participants)All Study Participants
Female15
Male0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)All Study Participants
American Indian or Alaska Native0
Asian2
Native Hawaiian or Other Pacific Islander0
Black or African American3
White8
More than one race1
Unknown or Not Reported1
Region of Enrollment
Region of Enrollment(Participants)All Study Participants
United States15
08

Study locations

1 site
  • University of California Davis
    Sacramento, California 95816, United States
09

References and documents

Publications

  • Cho S, Park ES, Lee DH, Li K, Chung JH. Clinical features and risk factors for striae distensae in Korean adolescents. J Eur Acad Dermatol Venereol. 2006 Oct;20(9):1108-13. doi: 10.1111/j.1468-3083.2006.01747.x. PubMed 16987267 ↗
  • Brinkhaus B, Lindner M, Schuppan D, Hahn EG. Chemical, pharmacological and clinical profile of the East Asian medical plant Centella asiatica. Phytomedicine. 2000 Oct;7(5):427-48. doi: 10.1016/s0944-7113(00)80065-3. PubMed 11081995 ↗
  • Incandela L, Cesarone MR, Cacchio M, De Sanctis MT, Santavenere C, D'Auro MG, Bucci M, Belcaro G. Total triterpenic fraction of Centella asiatica in chronic venous insufficiency and in high-perfusion microangiopathy. Angiology. 2001 Oct;52 Suppl 2:S9-13. PubMed 11666128 ↗
  • Lu L, Ying K, Wei S, Fang Y, Liu Y, Lin H, Ma L, Mao Y. Asiaticoside induction for cell-cycle progression, proliferation and collagen synthesis in human dermal fibroblasts. Int J Dermatol. 2004 Nov;43(11):801-7. doi: 10.1111/j.1365-4632.2004.02047.x. PubMed 15533060 ↗
  • Rosen H, Blumenthal A, McCallum J. Effect of asiaticoside on wound healing in the rat. Proc Soc Exp Biol Med. 1967 May;125(1):279-80. doi: 10.3181/00379727-125-32070. No abstract available. PubMed 6027541 ↗
  • Sunilkumar, Parameshwaraiah S, Shivakumar HG. Evaluation of topical formulations of aqueous extract of Centella asiatica on open wounds in rats. Indian J Exp Biol. 1998 Jun;36(6):569-72. PubMed 9731470 ↗
  • Gungor S, Sayilgan T, Gokdemir G, Ozcan D. Evaluation of an ablative and non-ablative laser procedure in the treatment of striae distensae. Indian J Dermatol Venereol Leprol. 2014 Sep-Oct;80(5):409-12. doi: 10.4103/0378-6323.140296. PubMed 25201840 ↗
  • Mazzarello V, Farace F, Ena P, Fenu G, Mulas P, Piu L, Rubino C. A superficial texture analysis of 70% glycolic acid topical therapy and striae distensae. Plast Reconstr Surg. 2012 Mar;129(3):589e-590e. doi: 10.1097/PRS.0b013e3182419c40. No abstract available. PubMed 22374035 ↗
  • Garcia Hernandez JA, Madera Gonzalez D, Padilla Castillo M, Figueras Falcon T. Use of a specific anti-stretch mark cream for preventing or reducing the severity of striae gravidarum. Randomized, double-blind, controlled trial. Int J Cosmet Sci. 2013 Jun;35(3):233-7. doi: 10.1111/ics.12029. Epub 2013 Jan 15. PubMed 23237514 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 4, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02601105
Lead sponsor
University of California, Davis
Responsible party
Sponsor
First posted
Nov 10, 2015
Start date
Oct 2014
Primary completion
Aug 2015
Completion
Nov 2015
Results posted
May 4, 2021
Last update
May 4, 2021

Study contacts

Raja K Sivamani, MD, MS, CAT
principal investigator · UC Davis Department of Dermatology

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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