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Laser Removal of Age (Sun) Spots on Hands

Primary Purpose

Solar Lentigines

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Picosecond QS Nd:YAG Laser
Sponsored by
Cutera Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Solar Lentigines focused on measuring Sun, Age, Spot

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Females or Males, 18 to 60 years of age (inclusive).
  • Fitzpatrick Skin Type I - III (Appendix 2).
  • Clinical diagnosis of benign solar lentigines of the hands.
  • Presence of at least 5 lesions in the treatment area in diameters ranging from 1 to 8 mm.
  • Has not used any prescription or over the counter topical creams (e.g., hydroquinone, and/or retinoids and/or corticosteroids) used in the treatment of pigmentation in the treatment area within the last 4 weeks.
  • Willing to refrain from using any prescription or over the counter topical creams used for the treatment of pigmentation (e.g., hydroquinone, and/or retinoids and/or corticosteroids) in the treatment area during the study period.
  • Must be able to read, understand and sign the Informed Consent Form.
  • Willing and able to adhere to the treatment and follow-up schedule and before and after treatment care instructions.
  • Willing to protect and/or have very limited sun exposure and use an approved sunscreen of SPF 50 or higher in the treatment area starting up to 4 weeks before the treatment, every day for the duration of the study, including the follow-up period
  • Willing to have digital photographs taken of the treatment area
  • Agree not to undergo any other procedure(s) for the treatment of solar lentigines during the study.
  • Post-menopausal or surgically sterilized, or using a medically acceptable form of birth control at last 3 months prior to enrollment and during the entire course of the study.

Exclusion Criteria:

  • Participation in a study of another device of drug within 6 months prior to enrollment or during the study.
  • Prior treatment of solar lentigines of the hands, e.g., with Q-Switched laser, IPL, Chemical peel, cryotherapy within 6 months of study participation.
  • Having pre-malignant or malignant lesions (e.g., pigmented actinic keratosis, lentigo maligna [12], lentigo maligna melanoma), or history of a pre-malignant or malignant lesion in the treatment area.
  • Subject shows signs of actinic bronzing or recent tanning in the treatment area, and unable/unlikely to refrain from tanning during the study.
  • Skin abnormalities in the treatment area, e.g., cuts, scrapes, wounds, scars, large moles.
  • Pregnant and/or breastfeeding.
  • Having an infection, dermatitis or a rash in the treatment area.
  • Significant concurrent illness, such as diabetes mellitus or cardiovascular disease, e.g., uncontrolled hypertension
  • Suffering from coagulation disorders or taking prescription anticoagulation medications.
  • History of keloid scarring, hypertrophic scarring or of abnormal wound healing.
  • History of immunosuppression/immune deficiency disorders or currently using immunosuppression medications.
  • History of vitiligo or psoriasis.
  • History of connective tissue disease, such as systemic lupus erythematosus or scleroderma.
  • History of seizure disorders due to light.
  • Any use of medication that is known to increase sensitivity to light, such as tetracycline.
  • History of radiation to the treatment area or undergoing systemic chemotherapy for the treatment of cancer.
  • History of pigmentary disorders, particularly tendency for hyper- or hypo-pigmentation.
  • Anytime in life, having have used gold therapy (gold salts) for disorders such as rheumatologic disease or lupus.
  • Current smoker or history of smoking within 2 years of study participation.
  • As per the Investigator's discretion, any physical or mental condition which might make it unsafe for the subject to participate in this study.
  • History of allergy to topical antibiotics.

Sites / Locations

  • Cutera Research Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Picosecond QS Nd:YAG Laser

Arm Description

Laser Treatment with Investigational Device

Outcomes

Primary Outcome Measures

Median VAS Improvement Score as Assessed by Blinded Physician Reviewers
Improvement (clearing) in solar lentigines as assessed by blinded physician reviewers using a VAS 4 point scale 0-3 where 0=no change and 3=Very much improved.

Secondary Outcome Measures

Percent of Participants With Improvement Score >/=1
Improvement (clearing) in solar lentigines as assessed by participant using a 4-point VAS 0-3 scale where 0=no change and 3=very much improved. Scores >/=1 indicate improvement.
Percent of Participants Satisfied With Improvement (Clearing) in Solar Lentigines
Level of Satisfaction with Improvement (clearing) in solar lentigines as assessed by participants, as measured by spot Improvement: 3=Very Much Improved, 2=Much Improved, 1=Improved, and 0=No Change.
Mean Pain Score Associated With Laser Treatments
Subjects graded the level of pain associated with each laser treatment, using a 0-10 scale where 0=no pain and 10=worse possible pain, then averaged to get the mean across the treatments.
Percent of Subjects With Post-treatment Adverse Event

Full Information

First Posted
June 21, 2013
Last Updated
January 30, 2018
Sponsor
Cutera Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01885871
Brief Title
Laser Removal of Age (Sun) Spots on Hands
Official Title
Safety and Efficacy of Cutera Picosecond Q-Switched Nd:YAG Laser in the Treatment of Solar Lentigines
Study Type
Interventional

2. Study Status

Record Verification Date
October 2015
Overall Recruitment Status
Completed
Study Start Date
June 2013 (undefined)
Primary Completion Date
June 2014 (Actual)
Study Completion Date
August 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cutera Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine whether picosecond laser is effective in the treatment of age (sun) spots.
Detailed Description
The purpose of this study is to evaluate the safety and efficacy of Cutera Picosecond Q-Switched Nd:YAG 1064 and/or 532 nm laser in the treatment of benign pigmented lesions on the hands.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solar Lentigines
Keywords
Sun, Age, Spot

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Picosecond QS Nd:YAG Laser
Arm Type
Experimental
Arm Description
Laser Treatment with Investigational Device
Intervention Type
Device
Intervention Name(s)
Picosecond QS Nd:YAG Laser
Other Intervention Name(s)
Cutera
Intervention Description
Up to 2 laser treatments delivered 6 weeks apart
Primary Outcome Measure Information:
Title
Median VAS Improvement Score as Assessed by Blinded Physician Reviewers
Description
Improvement (clearing) in solar lentigines as assessed by blinded physician reviewers using a VAS 4 point scale 0-3 where 0=no change and 3=Very much improved.
Time Frame
12 weeks post- final treatment
Secondary Outcome Measure Information:
Title
Percent of Participants With Improvement Score >/=1
Description
Improvement (clearing) in solar lentigines as assessed by participant using a 4-point VAS 0-3 scale where 0=no change and 3=very much improved. Scores >/=1 indicate improvement.
Time Frame
12 weeks post- final treatment
Title
Percent of Participants Satisfied With Improvement (Clearing) in Solar Lentigines
Description
Level of Satisfaction with Improvement (clearing) in solar lentigines as assessed by participants, as measured by spot Improvement: 3=Very Much Improved, 2=Much Improved, 1=Improved, and 0=No Change.
Time Frame
12 weeks post- final treatment
Title
Mean Pain Score Associated With Laser Treatments
Description
Subjects graded the level of pain associated with each laser treatment, using a 0-10 scale where 0=no pain and 10=worse possible pain, then averaged to get the mean across the treatments.
Time Frame
During treatments
Title
Percent of Subjects With Post-treatment Adverse Event
Time Frame
During study duration 0-6 months.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Females or Males, 18 to 60 years of age (inclusive). Fitzpatrick Skin Type I - III (Appendix 2). Clinical diagnosis of benign solar lentigines of the hands. Presence of at least 5 lesions in the treatment area in diameters ranging from 1 to 8 mm. Has not used any prescription or over the counter topical creams (e.g., hydroquinone, and/or retinoids and/or corticosteroids) used in the treatment of pigmentation in the treatment area within the last 4 weeks. Willing to refrain from using any prescription or over the counter topical creams used for the treatment of pigmentation (e.g., hydroquinone, and/or retinoids and/or corticosteroids) in the treatment area during the study period. Must be able to read, understand and sign the Informed Consent Form. Willing and able to adhere to the treatment and follow-up schedule and before and after treatment care instructions. Willing to protect and/or have very limited sun exposure and use an approved sunscreen of SPF 50 or higher in the treatment area starting up to 4 weeks before the treatment, every day for the duration of the study, including the follow-up period Willing to have digital photographs taken of the treatment area Agree not to undergo any other procedure(s) for the treatment of solar lentigines during the study. Post-menopausal or surgically sterilized, or using a medically acceptable form of birth control at last 3 months prior to enrollment and during the entire course of the study. Exclusion Criteria: Participation in a study of another device of drug within 6 months prior to enrollment or during the study. Prior treatment of solar lentigines of the hands, e.g., with Q-Switched laser, IPL, Chemical peel, cryotherapy within 6 months of study participation. Having pre-malignant or malignant lesions (e.g., pigmented actinic keratosis, lentigo maligna [12], lentigo maligna melanoma), or history of a pre-malignant or malignant lesion in the treatment area. Subject shows signs of actinic bronzing or recent tanning in the treatment area, and unable/unlikely to refrain from tanning during the study. Skin abnormalities in the treatment area, e.g., cuts, scrapes, wounds, scars, large moles. Pregnant and/or breastfeeding. Having an infection, dermatitis or a rash in the treatment area. Significant concurrent illness, such as diabetes mellitus or cardiovascular disease, e.g., uncontrolled hypertension Suffering from coagulation disorders or taking prescription anticoagulation medications. History of keloid scarring, hypertrophic scarring or of abnormal wound healing. History of immunosuppression/immune deficiency disorders or currently using immunosuppression medications. History of vitiligo or psoriasis. History of connective tissue disease, such as systemic lupus erythematosus or scleroderma. History of seizure disorders due to light. Any use of medication that is known to increase sensitivity to light, such as tetracycline. History of radiation to the treatment area or undergoing systemic chemotherapy for the treatment of cancer. History of pigmentary disorders, particularly tendency for hyper- or hypo-pigmentation. Anytime in life, having have used gold therapy (gold salts) for disorders such as rheumatologic disease or lupus. Current smoker or history of smoking within 2 years of study participation. As per the Investigator's discretion, any physical or mental condition which might make it unsafe for the subject to participate in this study. History of allergy to topical antibiotics.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lourdes Moldre, NP
Organizational Affiliation
Cutera Inc.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cutera Research Center
City
Brisbane
State/Province
California
ZIP/Postal Code
94005
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes

Learn more about this trial

Laser Removal of Age (Sun) Spots on Hands

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