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Status unknownNCT03765021Updated Dec 5, 2018

Tranexamic Acid vs Fractional CO2 Laser in Post-acne Hyperpigmentation

An interventional study of Tranexamic Acid and Fractional CO2 laser in Post Inflammatory Hyperpigmentation, sponsored by Cairo University. Status unknown. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-12-05.

Sponsored by Cairo University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Nov 2018), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

comparing between the effect of intradermal injection of TXA and low power low density fractional CO2 lasers on post acne hyperpigmentation

Read the detailed description

Randomized controlled split-face study. One side of the face will be assigned to TXA intradermal microinjection using Kapron 500mg/5ml ampoules (Amoun Pharmaceutical Company), the dose of 1 ml syringe with 100mg/ml. TXA will be prepared under sterile conditions. Injections will be applied intradermally on hyperpigmented areas at 1cm intervals. The injection will be repeated every two weeks for three months. The other side of the face will be randomly assigned to low power fractional CO2 laser with a power of 12 watts, spacing 700 micrometers (low density), and dwell time 300 microsecond every four weeks for three months.

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Conditions studied

  • Post Inflammatory Hyperpigmentation

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03

In context

Hyperpigmentation

102 studies on the registry are indexed under Hyperpigmentation; 20 are open to participants now.

This study's planned enrollment of 25 is below the median of 38 across 89 interventional studies indexed under Hyperpigmentation.

Browse Hyperpigmentation studies →

Lead sponsor

Cairo University is the lead sponsor of 4,780 studies on the registry; 1,427 are open to participants now.

Of its 36 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Egyptians of both sexes.
  • Age > 18.
  • Patients who can avoid sun exposure one week after sessions.
  • Patients who stopped taking systemic isotretinoin for more than six months.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy and lactation.
  • Concomitant use of anticoagulants.
  • Bleeding disorders.
  • Personal or family history of DVT or thromboembolic events.
  • Scarring and keloid tendency.
  • Active skin infection, active HSV.
  • History of photosensitivity or photosensitizing medication.
  • Occupational sun exposure.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
25 participants (estimated)

Study arms

  • Experimental
    Tranexamic acid injection (Kapron)

    One side of the face will be assigned to TXA intradermal microinjection using Kapron 500mg/5ml ampoules (Amoun Pharmaceutical Company), the dose of 1 ml syringe with 100mg/ml. TXA will be prepared under sterile conditions. Injections will be applied intradermally on hyperpigmented areas at 1cm intervals. The injection will be repeated every two weeks for three months.

    Drug: Tranexamic Acid

  • Active comparator
    Fractional CO2 laser resurfacing

    The other side of the face will be randomly assigned to do low power fractional CO2 laser with a power of 12 watts, spacing 700 micrometers (low density), and dwell time 300 microsecond every four weeks for three months.

    Device: Fractional CO2 laser

Interventions

  • DrugTranexamic Acid

    One side of the face will be assigned to TXA intradermal microinjection using Kapron 500mg/5ml ampoules (Amoun Pharmaceutical Company), the dose of 1 ml syringe with 100mg/ml. TXA will prepared under sterile conditions. Injections will be applied intradermally on hyperpigmented areas at 1cm intervals. The injection will be repeated every two weeks for three months.

    Also known as: Kapron

  • DeviceFractional CO2 laser

    The other side of the face will be randomly assigned to low power fractional CO2 laser with a power of 12 watts, spacing 700 micrometers (low density), and dwell time 300 microsecond every four weeks for three months.

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What researchers measure

Primary outcomes

  1. Measurement of melanin index to assess change of post-acne hyperpigmentation

    the melanin index (MI) average is 1.10 +/-0.29 with higher values showing worse outcome. It will be measured using reflectance spectrophotometer in order to assess the degree of hyperpigmentation

    Time frame: 3 months

  2. Measurement of erythema index to assess change of post-acne hyperpigmentation

    the erythema index (EI) average is 1.29 +/- 0.38 with higher values showing worse outcome. It will be measured using reflectance spectrophotometer in order to assess the degree of erythema

    Time frame: 3 months

  3. Measurement of post-acne hyperpigmentation index to assess change of post-acne hyperpigmentation

    the post-acne hyperpigmentation index (PAHPI) ranges from 6-22 with higher values showing worse outcome. It is a summation of three scores (Postinflammatory hyperpigmentation(PIH) lesion size, median lesion intensity compared with surrounding skin and the number of PIH lesions).

    Time frame: 3 months

  4. Patient satisfaction score to assess change of post-acne hyperpigmentation

    It is a score ranging from 1-4 with improvement 0-25%=1, 26-50%= 2, 51-75%=3 and more than 75%=4 so higher values of patient satisfaction score showing better outcome

    Time frame: 3 months

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Tawfic SO, Abdel Hay R, Salim H, Elmasry MF. Tranexamic acid versus fractional carbon dioxide laser in post-acne hyperpigmentation. Dermatol Ther. 2021 Nov;34(6):e15103. doi: 10.1111/dth.15103. Epub 2021 Sep 6. PubMed 34414642 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 5, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03765021
Lead sponsor
Cairo University
Responsible party
Maha Fathy Elmasry (principal investigator, Cairo University) — Principal investigator
First posted
Dec 5, 2018
Start date
Dec 2018 (estimated)
Primary completion
Jul 2019 (estimated)
Completion
Jul 2019 (estimated)
Last update
Dec 5, 2018

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Nov 2018. You cannot join it, but the record below documents what was studied.

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