CClinicalTrials.gg
Active, not recruitingNCT07222176Updated Oct 29, 2025

Effects of P-TIOX and Tixel Combined on Reducing Eye Wrinkles

An interventional study of Split-Face Tixel Treatment With and Without Topical Peptide-Based Cosmeceutical (P-TIOX) in Periocular Fine Wrinkles, sponsored by Main Line Center for Laser Surgery. Active, not recruiting at 1 site in United States. Open to participants aged 30 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-10-29.

Sponsored by Main Line Center for Laser Surgery · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2026, 4 months ago, but the record still lists the study as active, not recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
30 Years and older
Sex
All
01

Study summary

This study looks at whether using a cosmeceutical called P-TIOX together with a treatment called Tixel can reduce fine lines and wrinkles around the eyes better than Tixel treatment alone. Tixel is an FDA-approved device that uses heat to improve skin texture and firmness. P-TIOX is a topical product with ingredients that may help improve the skin's appearance and elasticity.

One side of the face will be treated with both P-TIOX and Tixel, while the other side will receive Tixel only. The study will last about 9 weeks and will include several treatments and evaluations using photos and expert assessments.

Participants may notice improvement in the skin around their eyes. The results will help doctors understand if this combination treatment is more effective.

Read the detailed description

This clinical trial is designed to evaluate the combined effect of a topical cosmeceutical, P-TIOX, with fractional thermal treatment using the Tixel device, on improving fine lines and wrinkles around the eyes (periocular region). The study will compare the outcomes of this combination therapy to Tixel treatment alone using a split-face design, where one side of each participant's face receives both treatments and the other side receives only Tixel.

Tixel is an FDA-cleared, fractional thermal-mechanical device that delivers controlled heat energy to the skin to stimulate collagen production and improve skin texture and elasticity. P-TIOX is an over-the-counter topical product containing a blend of peptides, acids, vitamins, and extracts that have been clinically shown to improve skin texture, elasticity, and the appearance of wrinkles.

The study will enroll 20 adult participants aged 30 years or older who have mild to moderate periocular wrinkles. Participants will be randomized to apply P-TIOX daily on one side of the face starting one week before the first Tixel treatment and continuing for the duration of the 9-week study period. Both sides will receive three standardized Tixel treatments spaced over four weeks.

Clinical outcomes will be assessed objectively by standardized photography using the Canfield Visia imaging system and analyzed by a blinded board-certified dermatologist using validated wrinkle severity scales. Subjective outcomes will be measured through patient self-assessment questionnaires. Safety will be monitored through adverse event reporting throughout the study.

This study aims to determine if combining P-TIOX with Tixel treatment provides superior improvement in periocular fine lines and wrinkles compared to Tixel alone, offering a potentially enhanced minimally invasive treatment option for facial rejuvenation.

02

Conditions studied

  • Periocular Fine Wrinkles

Keywords

  • Periocular fine wrinkles
  • periocular rhytides
  • periocular rejuventation
  • tixel
  • skinceuticals
  • P-TIOX
03

In context

Lead sponsor

Main Line Center for Laser Surgery is the lead sponsor of 5 studies on the registry; none are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Severity of 2, 3, or 4 based on the 5-point severity scale of both periocular areas
  • 30 years of age or older
  • Willingness to comply with study visits
  • Willingness to discontinue use of other topical cosmeceuticals/retinoids to the periocular region for the duration of the study

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding
  • Prior treatment with periocular laser, energy-based devices, neuromodulators, or dermal fillers within the past six months
  • Prior surgical intervention in the periocular region within the past twelve months
  • Use of topical retinoids in the periocular area within the past four weeks
  • Known hypersensitivity to any component of P-TIOX
  • Presence of active dermatologic or ocular disease in the treatment area
  • Active systemic infection
  • Active cold sore/herpes labialis infection
05

Study design

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

Study arms

  • Experimental
    Tixel Treatment With and Without Adjunctive P-TIOX in a Split-Face Design

    This arm involves a split-face treatment design where one side of the participant's periocular area receives a combination therapy of Tixel and topical P-TIOX, while the contralateral side receives Tixel treatment alone without any topical intervention. Tixel is a fractional thermal-mechanical device used to stimulate collagen remodeling and improve skin texture. P-TIOX is a topical cosmeceutical containing peptides and other active ingredients aimed at enhancing skin elasticity and reducing fine lines. Participants apply P-TIOX once daily to the designated side starting seven days prior to the first Tixel treatment and continuing for the duration of the 9-week study. Both sides receive standardized Tixel treatments at baseline, week 2, and week 4. The objective is to evaluate whether the addition of P-TIOX provides superior improvement in periocular fine lines and wrinkles compared to Tixel alone.

    Combination Product: Split-Face Tixel Treatment With and Without Topical Peptide-Based Cosmeceutical (P-TIOX)

Interventions

  • Combination productSplit-Face Tixel Treatment With and Without Topical Peptide-Based Cosmeceutical (P-TIOX)

    This intervention involves applying a topical peptide-based cosmeceutical (P-TIOX) daily to one periocular area, combined with fractional thermal-mechanical treatment using the Tixel device on both sides of the face. The Tixel treatment delivers controlled heat energy to stimulate collagen remodeling and improve skin texture. One side of the face receives both P-TIOX and Tixel treatment, while the opposite side receives Tixel treatment alone, allowing comparison of the synergistic effects of the combination versus Tixel monotherapy.

06

What researchers measure

Primary outcomes

  1. Objective change in Periocular Fine Lines and Wrinkles by Canfield Visia Imaging Analysis

    Objective change in periocular fine lines and wrinkles will be measured using the Canfield Visia skin photography analysis system.

    Time frame: From baseline (Week 0) to final follow-up visit (Week 8 ± 7 days after initial Tixel treatment).

Secondary outcomes

  1. Subjective change in Periocular Wrinkles and Texture by Dermatologist Assessment

    A blinded, board-certified dermatologist will evaluate pre- and post-treatment photographs using a periocular wrinkle severity scale.

    Time frame: From baseline (Week 0) to final follow-up visit (Week 8 ± 7 days after initial Tixel treatment).

07

Study locations

1 site
  • Main Line Center for Laser Surgery
    Ardmore, Pennsylvania 19107, United States
08

References and documents

Publications

  • Bollela VR. Mind the gap! Med Educ. 2008 May;42(5):519. doi: 10.1111/j.1365-2923.2008.03073.x. No abstract available. PubMed 18412894 ↗
  • Sajwan RK, Solanki PR. Gold@Carbon Quantum Dots Nanocomposites Based Two-In-One Sensor: A Novel Approach for Sensitive Detection of Aminoglycosides Antibiotics in Food Samples. Food Chem. 2023 Jul 30;415:135590. doi: 10.1016/j.foodchem.2023.135590. Epub 2023 Feb 3. PubMed 36870212 ↗
  • Chou P, Wang GH, Hsueh SW, Yang YC, Kuo CC. Delta-Frequency Augmentation and Synchronization in Seizure Discharges and Telencephalic Transmission. iScience. 2020 Oct 9;23(11):101666. doi: 10.1016/j.isci.2020.101666. eCollection 2020 Nov 20. PubMed 33134896 ↗
  • Roy JM, Kazim SF, Rumalla K, Schmidt MH, Bowers CA. Geographic trends in the utilization of frailty as a preoperative decision-making tool in neurosurgery. J Neurosurg Sci. 2023 Dec;67(6):774-775. doi: 10.23736/S0390-5616.23.06104-0. Epub 2023 Jul 10. No abstract available. PubMed 37428009 ↗

Individual participant data

Plan to share: Yes — Available upon request

Supporting information: Study protocol, Sap, Csr

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 29, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07222176
Lead sponsor
Main Line Center for Laser Surgery
Responsible party
Kachiu Lee, MD (Principle Investigator, Main Line Center for Laser Surgery) — Principal investigator
First posted
Oct 29, 2025
Start date
Jun 1, 2025
Primary completion
Jun 1, 2026 (estimated)
Completion
Jun 1, 2027 (estimated)
Last update
Oct 29, 2025

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Oct 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