CClinicalTrials.gg
CompletedNCT07028567Updated Jun 19, 2025

Subcision Followed by Diluted Calcium Hydroxylapatite Injection Versus Subcision Followed by Painting CROSS TCA Technique for the Treatment of Atrophic Acne Scars

An interventional study of Calcium hydroxylapatite filler and Painting chemical reconstruction of skin scars trichloroacetic acid technique in Subcision, Calcium Hydroxylapatite and Trichloroacetic Acid, sponsored by Tanta University. Completed at 1 site in Egypt. Open to participants aged 20 Years to 50 Years. Per ClinicalTrials.gov, last updated 2025-06-19.

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

From the registry’s dates

  • Registered 2 years 5 months after the study started (first participant enrolled Jan 2023, registered Jun 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
20 Years to 50 Years
Sex
All
01

Study summary

This study aimed to compare the safety and efficacy of subcision followed by diluted calcium hydroxyapatite injection versus subcision followed by the painting original chemical reconstruction of skin scars (CROSS) technique using trichloroacetic acid (TCA) for the treatment of atrophic acne scars.

Read the detailed description

Atrophic scars present as depressions secondary to fibrous contractions. Subcision is a technique in which a needle is inserted under the acne scar to sever the fibrous tissue (tethers) that bind down the scar. This releases the fibrous tissue.

The original chemical reconstruction of skin scars (CROSS) technique using trichloroacetic acid (TCA) entails focal application of highly concentrated TCA (70% to 100%) with firm pressure applied to the entire atrophic area using a sharpened wooden applicator until frosting occurs.

Fillers containing hyaluronic acid, calcium hydroxyapatite, and poly-L-lactic acid are increasingly used to correct atrophic acne scarring as they augment soft tissue in variable degree and are most effective in soft rolling or boxcar scars.

02

Conditions studied

  • Subcision
  • Calcium Hydroxylapatite
  • Trichloroacetic Acid
  • Atrophic Acne Scar

Browse trials for

03

In context

Atrophy

828 studies on the registry are indexed under Atrophy; 122 are open to participants now.

This study's enrollment of 13 is below the median of 34 across 603 interventional studies indexed under Atrophy.

Browse Atrophy studies →

Lead sponsor

Tanta University is the lead sponsor of 963 studies on the registry; 304 are open to participants now.

Of its 16 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
20 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age from 20 to 50 years.
  • Both sexes.
  • Patients with atrophic acne scars.

Exclusion criteria

Exclusion Criteria:

  • Patients with Fitzpatrick skin phototypes V and VI.
  • Receiving systemic isotretinoin medication at the time of the study.
  • Active bacterial, viral or fungal infections in the treatment area.
  • Hypertrophic scarring or keloidal tendency.
  • Photosensitivity or photodermatitis.
  • Unrealistic expectation, bleeding, coagulation disorders, and any other related skin disease.
  • Pregnant or lactating females.
  • Chronic debilitating diseases such as diabetes mellitus, cardiovascular diseases, renal failure, hepatic diseases, chronic respiratory diseases or any endocrine diseases.
  • History of immunosuppressive drug intake or chemotherapy within 6 months before treatment.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    Study group

    Patients with atrophic acne scars.

    Drug: Calcium hydroxylapatite filler · Drug: Painting chemical reconstruction of skin scars trichloroacetic acid technique

Interventions

  • DrugCalcium hydroxylapatite filler

    Patients received calcium hydroxylapatite filler (CaHA) (Radiesse®).

  • DrugPainting chemical reconstruction of skin scars trichloroacetic acid technique

    Patients received painting chemical reconstruction of skin scars (CROSS) trichloroacetic acid (TCA) technique.

06

What researchers measure

Primary outcomes

  1. Patient satisfaction

    Patient satisfaction was assessed at the final follow-up visit using a 5-point Likert-type scale, comparing outcomes to the pre-treatment condition. The scale ranged from 1 (highly dissatisfied), 2 (slightly dissatisfied), 3 (neither satisfied nor dissatisfied), 4 (satisfied), to 5 (highly satisfied).

    Time frame: One week

07

Study locations

1 site
  • Tanta University
    Tanta, El-Gharbia 31527, Egypt
08

References and documents

Individual participant data

Plan to share: Yes — The data will be available upon a reasonable request from the corresponding author after the end of study for one year.

Supporting information: Study protocol

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07028567
Lead sponsor
Tanta University
Responsible party
Riham Mohamed ElSayed ElSetiha (Resident of Dermatology and Venereology, Faculty of Medicine, Tanta University, Tanta, Egypt., Tanta University) — Principal investigator
First posted
Jun 19, 2025
Start date
Jan 1, 2023
Primary completion
Jun 22, 2023
Completion
Jun 22, 2023
Last update
Jun 19, 2025

Oversight

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

Not currently enrolling

This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion