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Not yet recruitingNCT07472816Updated Mar 16, 2026

The Value of Adding Mini-oral Pulse Steroid Therapy in Preventing Peri-lesional Halo Post Non-cultured Epidermal Cell Suspension (NCES) in Cases With Stable Segmental and Non-acral Vitiligo.

A Phase 4 interventional study of Non-cultured epidermal cell suspension (NCES) surgery and Oral mini pulse in Vitiligo, sponsored by Cairo University. Not yet recruiting at 1 site in Egypt. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-03-16.

Sponsored by Cairo University · Phase 4, 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 not yet recruiting.
Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
12 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to learn if adding mini-oral pulse steroid therapy improves the results of non-cultured epidermal cell suspension (NCES) surgery in patients with stable vitiligo. It will also evaluate the safety of this treatment approach. The main questions it aims to answer are:

  • Does adding mini-oral pulse steroid therapy reduce the development of a perilesional halo after NCES surgery?
  • Does the addition of steroids improve the degree of repigmentation and overall treatment outcomes in vitiligo lesions?

Researchers will compare NCES surgery with mini-oral pulse steroids to NCES surgery alone to determine whether the steroid therapy improves surgical outcomes.

Participants will:

  • Undergo NCES vitiligo surgery for stable segmental or non-acral vitiligo lesions.
  • Be randomly assigned to receive either surgery alone or surgery plus low-dose oral mini-pulse dexamethasone therapy.
  • Attend follow-up visits and clinical assessments for approximately 4 months.
  • Receive excimer laser sessions twice weekly after healing and have standardized photographs and scoring assessments to evaluate repigmentation.
02

Conditions studied

  • Vitiligo

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Keywords

  • non-cultured epidermal cell suspension
  • Vitiligo
  • Segmental
  • non-acral
  • Mini-oral pulse steroid
  • peri-lesional halo
03

In context

Vitiligo

343 studies on the registry are indexed under Vitiligo; 96 are open to participants now.

This study's planned enrollment of 60 is above the median of 36 across 265 interventional studies indexed under Vitiligo.

Browse Vitiligo studies →

Lead sponsor

Cairo University is the lead sponsor of 4,941 studies on the registry; 1,458 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

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

04

Who can participate

Ages eligible
12 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Patients with segmental vitiligo lesions that are not responsive to conventional treatment.
  • Patients with non-Acral vitiligo lesions that are not responsive to conventional treatment and on sites known to be responsive to surgery, like the face and trunk.
  • Stability for ≥ 1 year.
  • Age ≥12 years.
  • Lack of systemic and topical treatment for at least 3 months prior inclusion in the study.

Exclusion criteria

Exclusion criteria:

  • Acral vitiligo.
  • Segmental vitiligo lesions that are responsive to conventional treatment.
  • Non acral vitiligo lesions on sites that are knowingly not responsive to surgery, like knees and elbows.
  • Active vitiligo; new lesions, expansion of old lesions, confetti like lesions, ill-defined edges, hypochromia, depigmentation of previously pigmented areas or koebnerization in \< 1 year.
  • Age \< 12 years.
  • Pregnant females.
  • Patients with to systemic like uncontrolled hypertension, diabetes or tuberculosis
  • Systemic and topical treatment in the past 3 months.
Terms in these criteria, in plain language(2)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Active comparator
    Non-cultured epidermal cell suspension surgery with Mini-Oral Pulse Steroid Therapy

    Participants will receive low-dose oral mini-pulse dexamethasone (5 mg/week given on two consecutive days) for 4 weeks before and 4 weeks after undergoing non-cultured epidermal cell suspension (NCES) surgery for stable vitiligo lesions. After healing, participants will receive excimer laser sessions twice weekly and will be followed for 4 months to assess repigmentation, development of perilesional halo, and treatment safety.

    Procedure: Non-cultured epidermal cell suspension (NCES) surgery · Drug: Oral mini pulse · Device: Excimer Sessions

  • Other
    Non-cultured epidermal cell suspension Surgery Alone

    Participants will undergo non-cultured epidermal cell suspension (NCES) surgery for stable vitiligo lesions without oral mini-pulse steroid therapy. After healing, participants will receive excimer laser sessions twice weekly and will be followed for 4 months to evaluate repigmentation outcomes and development of perilesional halo.

    Procedure: Non-cultured epidermal cell suspension (NCES) surgery · Device: Excimer Sessions

Interventions

  • ProcedureNon-cultured epidermal cell suspension (NCES) surgery

    Under aseptic precautions and local anesthesia, a Thiersch graft with a donor-to-recipient ratio of 1:3 will be harvested from the donor site (usually upper thigh/ buttocks). The skin graft will be transferred to trypsin-EDTA solution and incubated at 37 °C for 20-30 minutes to separate epidermis from the dermis, and then washed with lactated Ringer. The tissue will be teased gently with sterile forceps to release epidermal cells from the trypsin-digested graft. The white dermis will be removed, and the suspension will be centrifuged at 1000g for 5-10 minutes, and the supernatant will be discarded.

  • DrugOral mini pulse

    Oral mini-pulse steroids (low-dose dexamethasone: 5mg/week on 2 successive days per week) for 4 weeks before NCES and for 4 weeks afterward.

  • DeviceExcimer Sessions

    Patients will start Excimer sessions 2 times per week for 4 months after complete healing.

06

What researchers measure

Primary outcomes

  1. Incidence of perilesional halo

    • Comparing the incidence of perilesional halo after 4 months of treatment with NCES with and without OMP.

    Time frame: 4 months

  2. Percent change in VESTA score

    Comparing percent change in pigmentation as per VESTA score with and without OMP.

    Time frame: 4 months

  3. Percent change in the surface area of the depigmented patch using point counting technique

    Comparing percent change in the surface area of the depigmented patch following NCES using point counting technique with and without OMP

    Time frame: 4 months

Secondary outcomes

  1. Comparing physician global assessment between two groups

    Comparing physician global assessment after 4 months of treatment with NCES with and without OMP.

    Time frame: 4 months

  2. Assessing tolerability and safety of oral mini-pulse

    Assessing tolerability and safety of oral mini-pulse therapy along with NCES by assessing rate of infection and delayed healing.

    Time frame: 4 months

  3. Assessing change in visual analogue scale

    Assessing patient satisfaction with and without OMP using change in visual analogue scale.

    Time frame: 4 months

  4. Compare VESTA percentage change in different body sites and age groups

    Assessing response to NCES in different sites of body and different age groups and the duration needed for pigmentation to occur.

    Time frame: 4 months

07

Study locations

1 site
  • Dermatology out patient clinic, Faculty of Medicine, Cairo University
    Cairo, 11562, Egypt
    • Lobna Alieldin, Lecturer of Dermatology · ContactLobnaalieldin@cu.edu.eg · +201002279968
    • Samia Esmat, Professor of Dermatology · Principal investigator
    • Rania Mogawer, Associate professor of Dermato · Sub investigator
    • Lobna Alieldin, Lecturer of Dermatology · Sub investigator
    • Shrouq El-Essawy, Resident of Dermatology · Sub investigator
08

References and documents

Individual participant data

Plan to share: Yes — Data will be available from the corresponding author upon justified request

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: 3 months up to 12 months after publication.

Access criteria: Researches who provide a methodologically sound proposal to access data to achieve aims in the approved proposal.

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 Mar 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07472816
Lead sponsor
Cairo University
Responsible party
Lobna Gamal Alieldin (Lecturer, Cairo University) — Principal investigator
First posted
Mar 16, 2026
Start date
Mar 15, 2026 (estimated)
Primary completion
Jun 15, 2026 (estimated)
Completion
Jul 1, 2026 (estimated)
Last update
Mar 16, 2026

Oversight

Data monitoring committee
Yes
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 Mar 2026. You cannot join it, but the record below documents what was studied.

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