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CompletedNCT04769089Updated Feb 24, 2021

Effects of Pulsed Dye and CO2 Laser in Treatment of Hypertrophic Burn Scars.

An interventional study of Treatment with Pulse Dye Laser and Treatment with CO2 Laser in Hypertrophic Scar, sponsored by The Metis Foundation. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2021-02-24.

Sponsored by The Metis Foundation · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years 1 month after the study started (first participant enrolled Dec 2017, registered Feb 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

A prospective, double blind, randomized controlled human clinical trial will be conducted by enrolling patients referred for laser treatment from the USAISR burn clinic. Laser candidates will be asked to participate who have an area of extremity or truncal scar measuring approximately 6cmX6cm total, in one contiguous region. The study sites, will consist of four equally sized treatment areas (3cm x 3cm), will be randomized to be treated with PDL, CO2, a combination of CO2+PDL, and an untreated control for 6 treatments. The areas will be photographed prior to each treatment and at the final visit 4-6 months after the last treatment. Color, pliability and thickness will be measured using a colorimeter, cutometer and high frequency ultrasound respectively at each appointment. Additionally, the Patient Observer Scar Assessment Scale (POSAS) will be used to score the quality of the scar, using two trained, blinded observers. The patients will also be asked on a voluntary basis for a pre-trial and post-trial 3mm punch biopsy to evaluate for the presence of histological changes.

02

Conditions studied

  • Hypertrophic Scar
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In context

Hypertrophy

656 studies on the registry are indexed under Hypertrophy; 87 are open to participants now.

This study's enrollment of 25 is below the median of 50 across 460 interventional studies indexed under Hypertrophy.

Browse Hypertrophy studies →

Lead sponsor

The Metis Foundation is the lead sponsor of 12 studies on the registry; 4 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Must have at least four areas of burn scar located on the trunk or extremities measuring 3cm x 3cm and not previously treated with laser.
  2. Timing: There has been a minimum of 1 month after burn closure
  3. The subject is at least 18 years of age and not older than 65.
  4. Able and willing to provide verbal and written consent.

Exclusion criteria

Exclusion Criteria:

  1. Active infection in experimental area
  2. Use of isotretinoin (Accutane) in last six months
  3. Life or limb-threatening injury/disease
  4. Prior history of non-compliance with medical regimes
  5. Active drug use/abuse
  6. Active psychiatric illness except depression (unless being treated for suicidal intentions)
  7. Pregnancy
  8. Active cancer, or new diagnosis of cancer within the past 5 years, with the exception of basal cell carcinoma, melanoma and squamous cell carcinoma, as long as the subject is disease free at the time of enrollment.
  9. Prior PDL or other laser treatment of the study area.
  10. Patient unable to tolerate laser procedure.
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Study design

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

Study arms

  • Experimental
    Pulse Dye Laser

    Treatment with PDL alone.

    Procedure: Treatment with Pulse Dye Laser

  • Experimental
    CO2 Laser

    Treatment with CO2 alone.

    Procedure: Treatment with CO2 Laser

  • Experimental
    Combination

    Treatment with both PDL and CO2 laser.

    Procedure: Treatment with combination of pulse dye laser and CO2 laser.

  • Active comparator
    No treatment

    No laser treatment.

    Other: Control

Interventions

  • ProcedureTreatment with Pulse Dye Laser

    Pulse Dye laser treatment will be applied to one randomized area with the 10mm hand piece, duration of 0.45ms, and fluence of 5.25J/s.

  • ProcedureTreatment with CO2 Laser

    CO2 laser treatment will be applied to one randomized area with the deep Fx hand piece, 300Hz, 15mJ, 15% density.

  • ProcedureTreatment with combination of pulse dye laser and CO2 laser.

    Pulse Dye laser and CO2 treatment will be applied to one randomized area. Pulse Dye will be applied with the 10mm hand piece, duration of 0.45ms, and fluence of 5.25J/s followed by the CO2 laser treatment with the deep Fx hand piece, 300Hz, 15mJ, 15% density.

  • OtherControl

    One area will be randomized to receive no laser treatment.

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What researchers measure

Primary outcomes

  1. Effectiveness of laser treatments

    Using the Patient and Observer Scar Assessment Scale (POSAS), evaluate the effectiveness of Pulse Dye Laser (PDL) and Carbon Dioxide (CO2) laser treatment on symptoms related to Hypertrophic Burn Scar (HBS)

    Time frame: 4-6 weeks post treatment

Secondary outcomes

  1. Improvement of symptoms

    To longitudinally compare the change in symptoms by treatment modality between treatment sessions by assessment with the Patient and Observer Scar Assessment Scale (POSAS) measured for each patient and two observers (to increase score reliability) at each follow-up visit.

    Time frame: 4-6 weeks post treatment

07

Study locations

1 site
  • United States Army Institute of Surgical Research
    Fort Sam Houston, Texas 78234, United States
08

References and documents

Publications

  • Cooper LE, Nuutila K, Kemp Bohan PM, Diaz V, Batchinsky M, Carlsson AH, Cancio LC, Chan RK. Analysis of the Utility of CO2 and Pulse-Dye Lasers Together and Separately in the Treatment of Hypertrophic Burn Scars. Ann Plast Surg. 2022 Aug 1;89(2):166-172. doi: 10.1097/SAP.0000000000003240. PubMed 35943226 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 24, 2021, 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
NCT04769089
Lead sponsor
The Metis Foundation
Collaborators
United States Army Institute of Surgical Research
Responsible party
Rodney Chan (Investigator, The Metis Foundation) — Principal investigator
First posted
Feb 24, 2021
Start date
Dec 19, 2017
Primary completion
Jun 24, 2020
Completion
Jun 24, 2020
Last update
Feb 24, 2021

Study contacts

Rodney Chan, MD
principal investigator · Metis Foundation

Oversight

Data monitoring committee
No
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 Feb 2021. You cannot join it, but the record below documents what was studied.

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