ClinicalTrials.gg
Not yet recruitingNCT05893108Updated Dec 5, 2023

Ethosomal Gel Bearing Losartan 5% for Keloid Treatment

A Phase 1/2 interventional study of Ethosomal gel bearing losartan 5% and triamcinolone acetonide 10 mg/ml in Keloid, sponsored by Yuni Eka Anggraini. Not yet recruiting at 1 site in Indonesia. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-12-05.

Sponsored by Yuni Eka Anggraini · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Sep 2024, 2 years 1 month ago, but the record still lists the study as not yet recruiting.
Phase
Phase 1/2
Study type
Interventional
Enrollment
46
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The objectives are to compare the efficacy of pre and post-treatment and between 5% losartan potassium loaded in ethosomal gel and 10 mg/ml triamcinolone acetonide injection based on the indicator score of The patient and observer scar assessment scale 3.0 (POSAS 3.0), degree of erythema and pigmentation, area size, thickness and density of human keloids.

Read the detailed description

After being informed about the study and the associated risks and benefits, participants will be randomly allocated to one of two groups, each consisting of 23 individuals. After being informed about the study and the associated risks and benefits, participants will be randomly allocated to one of two groups, each consisting of 23 individuals. One group will receive the topical application of 5% losartan gel, while the other will receive an injection of triamcinolone acetonide 10mg/ml. After being informed about the study and the associated risks and benefits, participants will be randomly allocated to one of two groups, each consisting of 23 individuals. To measure the subjective and objective changes that occur in the keloid before and after treatment, outcome assessors will be blinded. Measurements will be taken four times over the course of three months.

02

Conditions studied

  • Keloid

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Keywords

  • Angiotensin II
  • Angiotensin II blocker
  • 5 % Losartan Gel
  • 10 mg/ml Triamcinolone acetonide
  • Keloid
03

In context

Keloid

138 studies on the registry are indexed under Keloid; 26 are open to participants now.

This study's planned enrollment of 46 is above the median of 30 across 109 interventional studies indexed under Keloid.

Browse Keloid studies →

Lead sponsor

This is the only study on the registry with Yuni Eka Anggraini as lead sponsor.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • keloid patients who came to the outpatient clinic of general hospital Syafira Pekanbaru during 2023-2024,
  • age is greater than or equal to 18 year
  • keloid scar than or equal to 25 cm2
  • duration of keloids longer than or equal to 6 months
  • no drug interventions or not currently on keloid medications for the last two months.

Exclusion criteria

Exclusion Criteria:

  • subjects who do not understand the rubric of The patient and observer scar assessment scale (POSAS) and were not willing to participate
  • subjects with nodular keloids
  • subjects within antihypertensive therapy, pregnancy, , history of allergies, active skin lesions or bleeding in the keloid area.
  • subjects in the treatment of keloid within the last month.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
46 participants (estimated)

Study arms

  • Experimental
    Losartan

    ethosomal gel bearing losartan 5% applied two times a day for three consecutive months on keloids

    Drug: Ethosomal gel bearing losartan 5%

  • Active comparator
    Triamcinolone

    Intralesional injection of triamcinolone acetonide 10 mg/ml every two weeks for three consecutive months on keloid

    Drug: triamcinolone acetonide 10 mg/ml

Interventions

  • DrugEthosomal gel bearing losartan 5%

    A pharmaceutical company with a good manufacturing practice certificate is developing ethosomal gel bearing losartan 5%

  • Drugtriamcinolone acetonide 10 mg/ml

    Drug page: Triamcinolone Acetonide

    intralesional injection

    Also known as: TA 10 mg/ml

06

What researchers measure

Primary outcomes

  1. The patient and observer scar assessment scale score (POSAS 3.0)

    The Patient and Observer Scar Assessment Scale 3.0 consists of sixteen items of the patient questionnaire (PSAS) with maximum and minimum values are 80 and 16, consecutively; and seven items of the observer questionnaire (OSAS) with maximum and minimum values are 35 and 7, consecutively. The lower score, the better result of the keloid.

    Time frame: change from baseline the POSAS score at 4,8, and 12 weeks, consecutively.

Secondary outcomes

  1. Degree of erythema and hyperpigmentation

    The colors are taken using dermoscopy and quantifiably analysed using image analysis ImageJ

    Time frame: change from baseline the degree of erythema and hyperpigmentation at 4, 8 and 12 weeks, consecutively.

  2. the width of the keloid surface area (mm2)

    The surface area is taken by digital photography and quantifiably analysed using image analysis ImageJ

    Time frame: change from baseline width of keloid surface area at 4, 8 and 12 weeks, consecutively.

  3. The thickness of keloid (mm)

    The thickness of the keloids is assessed using high-frequency ultrasonography

    Time frame: change from baseline thickness of keloid at 4, 8 and 12 weeks, consecutively.

  4. The degree of pliability of keloid (durometer unit)

    The pliability of keloids is assessed using durometer shore type oo (Teclock Japan)

    Time frame: change from baseline pliability at 4, 8 and 12 weeks, consecutively.

07

Study locations

1 site
  • Rumah Sakit Syafira
    Pekanbaru, Riau, Indonesia
    • Yuni Eka Anggraini · Contact
    • Yuni Anggriaini · Principal investigator
    • Niken Trisnowati · Sub investigator
    • Ronny Martien · Sub investigator
    • Retno Danarti · Sub investigator
08

References and documents

Publications

  • Bock O, Schmid-Ott G, Malewski P, Mrowietz U. Quality of life of patients with keloid and hypertrophic scarring. Arch Dermatol Res. 2006 Apr;297(10):433-8. doi: 10.1007/s00403-006-0651-7. Epub 2006 Mar 10. PubMed 16528552 ↗
  • Elsaie ML. Update on management of keloid and hypertrophic scars: A systemic review. J Cosmet Dermatol. 2021 Sep;20(9):2729-2738. doi: 10.1111/jocd.14310. Epub 2021 Jul 3. PubMed 34169622 ↗
  • Steckelings UM, Czarnetzki BM. The renin-angiotensin-system in the skin. Evidence for its presence and possible functional implications. Exp Dermatol. 1995 Dec;4(6):329-34. doi: 10.1111/j.1600-0625.1995.tb00056.x. PubMed 8608339 ↗
  • Silva IMS, Assersen KB, Willadsen NN, Jepsen J, Artuc M, Steckelings UM. The role of the renin-angiotensin system in skin physiology and pathophysiology. Exp Dermatol. 2020 Sep;29(9):891-901. doi: 10.1111/exd.14159. PubMed 32697884 ↗
  • Hedayatyanfard K, Ziai SA, Niazi F, Habibi I, Habibi B, Moravvej H. Losartan ointment relieves hypertrophic scars and keloid: A pilot study. Wound Repair Regen. 2018 Jul;26(4):340-343. doi: 10.1111/wrr.12648. Epub 2018 Oct 25. PubMed 30099811 ↗
  • Khodaei B, Nasimi M, Nassireslami E, Seyedpour S, Rahmati J, Haddady Abianeh S, Motavalli Khiavi F. Efficacy of Topical Losartan in Management of Mammoplasty and Abdominoplasty Scars: A Randomized, Double-Blind Clinical Trial. Aesthetic Plast Surg. 2022 Oct;46(5):2580-2587. doi: 10.1007/s00266-022-02935-2. Epub 2022 May 25. PubMed 35614156 ↗

Individual participant data

Plan to share: Yes — Data obtained through this study may be provided to qualified researchers with academic interest in keloid treatment. Data or samples shared will be coded, with no protected health information included. Approval of the request of the dataset is prerequisites to the sharing of data with the requesting party.

Supporting information: Study protocol, Informed consent form, Clinical study report

Time frame: Two years after publishing the result, the data will be provided and be made accessible for up to 24 months. Extensions will be considered on a case-by-case basis.

Access criteria: Access to trial IPD can be requested by qualified researchers engaging in independent scientific research.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Mar 2024; primary completion for Sep 2024, 6 months later.

How these figures are worked out, and which studies are left out of them.

Registered
May 24, 2023
First posted
Jun 7, 2023
StartEst.
Mar 30, 2024
Primary completionEst.
Sep 30, 2024
CompletionEst.
Oct 30, 2024
Last update
Dec 5, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05893108
Lead sponsor
Yuni Eka Anggraini
Collaborators
Gadjah Mada University
Responsible party
Yuni Eka Anggraini (Candidate of Doctor, Gadjah Mada University) — Sponsor-investigator
First posted
Jun 7, 2023
Start date
Mar 30, 2024 (estimated)
Primary completion
Sep 30, 2024 (estimated)
Completion
Oct 30, 2024 (estimated)
Last update
Dec 5, 2023

Study contacts

Anggraini
Contact
yuniea2001@mail.ugm.ac.id
(+62) 0813-6300-9995

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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