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CompletedNCT03928444Updated Sep 30, 2019

Evaluation of the Efficacy and Tolerability of Autologous Adipose Tissue Derived Stem Cells on Facial Rejuvenation

An interventional study of intradermal injection of adipose derived stem cells to one side of the face and intradermal injection of saline to one side of the face in Skin Rejuvenation, sponsored by Alexandria University. Completed at 1 site in Egypt. Open to female participants aged 35 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-09-30.

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

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Jan 2019, registered Apr 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
35 Years and older
Sex
Female
01

Study summary

This study is to evaluate the efficacy and tolerability of autologous adipose tissue derived stem cells in facial rejuvenation.

Read the detailed description

Skin aging is a complex biological process that can be categorized into either extrinsic or intrinsic aging. Intrinsic aging is an inherent degenerative process caused by decreased proliferative capacity leading to cellular senescence. Extrinsic aging is caused by factors such as UV radiations, smoking and alcohol consumption.The physiological changes associated with aging of the skin are manifested in xerosis, dramatic loss of skin elasticity due to damage to collagen and elastin fibers; as well as barrier function, modification of rhytides and deficiencies in the regenerative property of the skin. All of which ultimately result in thinning of the skin, malar fat atrophy and pigmentary changes.Aging skin undergoes thinning of the epidermis that is caused by reduction of vascularity and hydration. On average, the thickness of the epidermis is reduced by about 6.4% during each decade of life.Skin aging effects can be assessed based on the skin appearance (texture and roughness, fine lines and wrinkles), structure, elasticity, hydration and barrier function. Many new non-invasive or minimally invasive bioengineering advances in recent years have enabled the quantitative analysis of skin properties during the aging processRecently, adult stem cells such as mesenchymal stem cells (MSCs) have been used in variable dermatologic conditions due to its regenerative properties such as wound healing, rejuvenation, acne scar and hair fall treatment. Different types of MSCs could be derived from different tissues as for example; bone marrow stem cells (BMSCs), adipose tissue-derived stem cells (ADSCs), and skin-derived stem cells (SDSCs)Adipose tissue derived stem cells are currently favorable compared to other types of adult stem cells as the procedure is easy, safe with minimal donor site morbidity. The process of obtaining a considerable amount of adipose tissues sufficient to use in skin regeneration is highly appealing due to its relative availability and accessibility. They secrete variable growth factors that affect surrounding environment as vascular endothelial growth factor (VEGF), platelet derived growth factor (PDGF), insulin like growth factors (IGF) and others

02

Conditions studied

  • Skin Rejuvenation

Keywords

  • Adipose tissue derived stem cells
  • Facial rejuvenation
03

In context

Lead sponsor

Alexandria University is the lead sponsor of 569 studies on the registry; 125 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Clinically diagnosed facial skin aging.
  • Glogau photoaging score II and III.
  • Body mass index ≥20 with adequate abdominal or other subcutaneous adipose tissue accessible for lipoaspiration.

Exclusion criteria

Exclusion Criteria:

  • History of keloid formation.
  • Any coincidental chronic illness (e.g. metabolic, autoimmune or endocrinal) or malignancy.
  • Any bleeding or coagulation disorder or recent use of anticoagulant therapy.
  • Active infection.
  • History of any previous aesthetic procedure on the face within the past 6 months.
  • History of intake of anti-aging systemic or topical medications within the previous 3 months.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    stem cells

    one side of the face to be treated with intradermal stem cells

    Procedure: intradermal injection of adipose derived stem cells to one side of the face

  • Placebo comparator
    control

    one side of face treated with intradermal saline

    Procedure: intradermal injection of saline to one side of the face

Interventions

  • Procedureintradermal injection of adipose derived stem cells to one side of the face

    Lipoaspiration for preparation of ADSC will be done according to the following technique: Under local anesthesia using strict aseptic technique, a small incision will be done in the lateral aspect of the thigh or lower abdomen, through which the infiltration cannula will be introduced to inject the local anesthetic solution using the wet technique. This will be followed 15 minutes later by lipo-aspiration of (50 ml fat ) using a blunt tipped cannula under the negative suction pressure of a 60 ml syringe. * Autologous adipose tissue derived stem cells (At-ADSCs) will be separated from the lipo-aspirate using enzymatic digestion and differential centrifugation in the Center of Excellence for Research in Regenerative Medicine and its Application (CERRMA), Alexandria Faculty of Medicine. * Viability of collected cells will be checked using trypan blue stain. Characterization of the isolated ADSCs population will be performed by flow cytometry.

  • Procedureintradermal injection of saline to one side of the face

    intradermal injection of saline to one side of the face

06

What researchers measure

Primary outcomes

  1. Assessment of the degree of aesthetic improvement using the global aesthetic improvement scale GAIS 5-point scale where: 2=much improved, 1=improved, 0=no change, -1=worse and -2=much worse.

    serial photography for assessment of degree of aesthetic improvement using the global aesthetic improvement scale GAIS 5-point scale where: 2=much improved, 1=improved, 0=no change, -1=worse and -2=much worse.

    Time frame: 6 months

Secondary outcomes

  1. Assessment of trans-epidermal water loss (TEWL) in gm /h-m2 using noninvasive probe (Dermal measurement system EDS12, UK) on both temple regions of the head

    Assessment of trans-epidermal water loss (TEWL) in gm /h-m2 using noninvasive probe (Dermal measurement system EDS12, UK) on both temple regions of the head

    Time frame: 6 months

  2. Assessment of skin hydration in units using noninvasive probe (Dermal measurement system EDS12, UK) on both temple regions of the head

    Assessment of hydration in units using noninvasive probe (Dermal measurement system EDS12, UK) on both temple regions of the head

    Time frame: 6 months

  3. Measurement of epidermal thickness in mm using UBM (Ultrasound Bio microscopy) on both temple regions of the head

    Measurement of epidermal thickness in mm using UBM (Ultrasound Bio microscopy) on both temple regions of the head

    Time frame: 6 months

  4. Measurement of dermal thickness in mm using UBM (Ultrasound Bio microscopy) on both temple regions of the head

    Measurement of dermal thickness in mm using UBM (Ultrasound Bio microscopy) on both temple regions of the head

    Time frame: 6 months

  5. A visual analog scale, will be used to assess participants' satisfaction by the treatment and side effects

    A visual analog scale, will be used to assess participants' satisfaction by the treatment and side effects

    Time frame: 6 months

07

Study locations

1 site
  • Aliaa Ismail
    Alexandria, 21521, Egypt
08

References and documents

Study documents

  • Study protocol · Jan 1, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 30, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03928444
Lead sponsor
Alexandria University
Responsible party
Aliaa Ismail Ali Ismail (principle investigator, Alexandria University) — Principal investigator
First posted
Apr 26, 2019
Start date
Jan 1, 2019
Primary completion
Aug 6, 2019
Completion
Aug 6, 2019
Last update
Sep 30, 2019

Study contacts

Carmen Ibrahim Farid Mohammed Amin, MD
study director · Assistant Professor of Dermatology, Faculty of Medicine, Alexandria University
Ossama Hussein Roshdy, MD
study director · Professor of Dermatology, Faculty of Medicine, Alexandria University
Wafaa Ibrahim Abdullah, MD
study director · Professor of Dermatology, Faculty of Medicine, Alexandria University
Radwa Ali Mehanna, PhD
study director · Assistant Professor of Physiology, Faculty of Medicine, Alexandria University
Nader Hussein Lotfy Bayoumi., MD, FRCS
study director · Professor of ophthalmology , Faculty of Medicine, Alexandria University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

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