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A Prospective Multi-Center Study Using Laser for the Treatment of Melasma and Lentigines in Asian Skin

Primary Purpose

Melasma, Lentigines

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
enLighten Laser
Sponsored by
Cutera Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Melasma

Eligibility Criteria

20 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Female or Male, 20 to 75 years of age (inclusive).
  • Fitzpatrick Skin Type III - V.
  • Has moderate to severe melasma (any type), OR any type of lentigo/lentigines ≥ 6mm in diameter, and desires laser treatment.
  • Willing to refrain from using topical and systemic corticosteroids or retinoids, and topical or systemic prescription skin-lightening medications, except permitted topical steroid use as directed by study doctor.
  • Willing to maintain consistent skin care regimen on the treatment area for the duration of the study, including the follow-up period.
  • Must be able to read, understand and sign the Informed Consent Form.
  • Must be willing and able to adhere to the treatment and follow-up schedule and post-treatment care instructions.
  • Willing to have very limited sun exposure and use an approved sunscreen of SPF 50 or higher on the treatment area 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) in the treatment area during the study.
  • Post-menopausal or surgically sterilized, or using a medically acceptable form of birth control at least 3 months prior to enrollment and during the entire course of the study.

Exclusion Criteria:

  • Participation in a clinical trial of another device or drug within 6 months prior to enrollment or during the study.
  • Any type of prior cosmetic treatment to the target area within 6 months of study participation, such as laser or light-based procedures or surgery.
  • Prior injection of collagen, hyaluronic acid filler or any other dermal filler in the target area within 6 months of study participation.
  • Has mild melasma OR facial lentigo/lentigines less than 6mm in diameter.
  • History of refractory melasma.
  • History of allergy to local anesthetics, as applicable.
  • History of malignant tumors in the target area.
  • Skin abnormalities in the target area, e.g., cuts, scrapes, wounds.
  • 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 immunosuppressive medications.
  • History of vitiligo, eczema, 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 according to Investigator's discretion.
  • History of disease stimulated by heat, such as recurrent herpes simplex and/or herpes zoster (shingles) in the treatment area, unless treatment is conducted following a prophylactic regimen.
  • History of radiation to the treatment area or undergoing systemic chemotherapy for the treatment of cancer.
  • History of hormone treatment, such as estrogen, progesterone and/or oral contraceptives, initiated within 3 months of study participation, or planning to discontinue hormone therapy during the study, as applicable.
  • Systemic use of any prescription skin-lightening agent (such as tranexamic acid), isotretinoin (or other retinoid), photo-sensitizing medication, or corticosteroid within 6 months of and during study participation, except if the subject undergoes a 6-month wash-out period of excluded systemic prescriptions prior to first laser treatment.
  • Topical use of any prescription skin-lightening agent (such as hydroquinone), isotretinoin (or other retinoid), photo-sensitizing medication, or corticosteroid on the treatment area within 6 months of and during study participation, except permitted topical steroid use as directed by study doctor and if subject undergoes a 6-month wash-out period of excluded topical prescriptions prior to first laser treatment.
  • Anytime in life, had used gold therapy (gold salts) for disorders such as rheumatologic disease or lupus.
  • Excessively tanned in areas to be treated or unable/unlikely to refrain from tanning during the study.
  • As per the Investigator's discretion, any physical or mental condition which might make it unsafe for the subject to participate in this study.

Sites / Locations

  • Hong Kong Dermatology and Laser Centre
  • Aoyama Institute of Women's Medicine

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

enLighten Laser Treatment

Control

Arm Description

Melasma, Cohort I or Lentigines, Cohort II will be treated with dual-pulse duration, dual-wavelength 532nm KTP/1064nm Nd:YAG laser.

Melasma subjects randomized to non-treatment will receive no treatments.

Outcomes

Primary Outcome Measures

Investigator Assessment measured by 5-point improvement scale
Degree of improvement in melasma or lentigines at 3 months post-final treatment measured by 5-point improvement scale.

Secondary Outcome Measures

Subject Assessment measured by 5-point improvement scale
Degree of improvement in melasma or lentigines at 3 months post-final treatment measured by 5-point improvement scale.
Melasma Subject's MASI Improvement
Change in mean Melasma Area and Severity Index (MASI) value at 3 months post-final treatment as compared to baseline
Relative Melanin Index
Change in mean relative Melanin Index (MI) value at 3 months post-final treatment as compared to baseline as assessed by mexameter measurements
Pain and Adverse Events
Incidence and severity of adverse device effects during the study period, including subject pain level during laser treatment

Full Information

First Posted
March 3, 2015
Last Updated
January 30, 2017
Sponsor
Cutera Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02385994
Brief Title
A Prospective Multi-Center Study Using Laser for the Treatment of Melasma and Lentigines in Asian Skin
Official Title
A Prospective Multi-Center Study of a Novel Dual-Wavelength, Dual-Pulse Duration Laser for the Treatment of Melasma and Lentigines in Asian Skin
Study Type
Interventional

2. Study Status

Record Verification Date
January 2017
Overall Recruitment Status
Completed
Study Start Date
April 2015 (undefined)
Primary Completion Date
January 2017 (Actual)
Study Completion Date
January 2017 (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 investigation is to evaluate safety and efficacy of the Cutera enlighten dual-pulse duration, dual-wavelength 532nm KTP/1064nm Nd:YAG laser for the treatment of melasma and lentigines on the face in Asian skin.
Detailed Description
This is a multi-center prospective, 2 cohort study in 80 male or female subjects of Asian-descent, who desire laser treatment for moderate to severe melasma (all types) or lentigines (all types) located on the face. Forty subjects will be enrolled in cohort 1 and randomized to either treatment or control arm. Forty subjects will be enrolled for treatment of facial lentigines in cohort 2.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Melasma, Lentigines

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
80 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
enLighten Laser Treatment
Arm Type
Experimental
Arm Description
Melasma, Cohort I or Lentigines, Cohort II will be treated with dual-pulse duration, dual-wavelength 532nm KTP/1064nm Nd:YAG laser.
Arm Title
Control
Arm Type
No Intervention
Arm Description
Melasma subjects randomized to non-treatment will receive no treatments.
Intervention Type
Device
Intervention Name(s)
enLighten Laser
Intervention Description
enLighten Laser treatment with dual-pulse width and dual-wavelength
Primary Outcome Measure Information:
Title
Investigator Assessment measured by 5-point improvement scale
Description
Degree of improvement in melasma or lentigines at 3 months post-final treatment measured by 5-point improvement scale.
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Subject Assessment measured by 5-point improvement scale
Description
Degree of improvement in melasma or lentigines at 3 months post-final treatment measured by 5-point improvement scale.
Time Frame
12 weeks
Title
Melasma Subject's MASI Improvement
Description
Change in mean Melasma Area and Severity Index (MASI) value at 3 months post-final treatment as compared to baseline
Time Frame
12 weeks
Title
Relative Melanin Index
Description
Change in mean relative Melanin Index (MI) value at 3 months post-final treatment as compared to baseline as assessed by mexameter measurements
Time Frame
12 weeks
Title
Pain and Adverse Events
Description
Incidence and severity of adverse device effects during the study period, including subject pain level during laser treatment
Time Frame
Day 1

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female or Male, 20 to 75 years of age (inclusive). Fitzpatrick Skin Type III - V. Has moderate to severe melasma (any type), OR any type of lentigo/lentigines ≥ 6mm in diameter, and desires laser treatment. Willing to refrain from using topical and systemic corticosteroids or retinoids, and topical or systemic prescription skin-lightening medications, except permitted topical steroid use as directed by study doctor. Willing to maintain consistent skin care regimen on the treatment area for the duration of the study, including the follow-up period. Must be able to read, understand and sign the Informed Consent Form. Must be willing and able to adhere to the treatment and follow-up schedule and post-treatment care instructions. Willing to have very limited sun exposure and use an approved sunscreen of SPF 50 or higher on the treatment area 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) in the treatment area during the study. Post-menopausal or surgically sterilized, or using a medically acceptable form of birth control at least 3 months prior to enrollment and during the entire course of the study. Exclusion Criteria: Participation in a clinical trial of another device or drug within 6 months prior to enrollment or during the study. Any type of prior cosmetic treatment to the target area within 6 months of study participation, such as laser or light-based procedures or surgery. Prior injection of collagen, hyaluronic acid filler or any other dermal filler in the target area within 6 months of study participation. Has mild melasma OR facial lentigo/lentigines less than 6mm in diameter. History of refractory melasma. History of allergy to local anesthetics, as applicable. History of malignant tumors in the target area. Skin abnormalities in the target area, e.g., cuts, scrapes, wounds. 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 immunosuppressive medications. History of vitiligo, eczema, 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 according to Investigator's discretion. History of disease stimulated by heat, such as recurrent herpes simplex and/or herpes zoster (shingles) in the treatment area, unless treatment is conducted following a prophylactic regimen. History of radiation to the treatment area or undergoing systemic chemotherapy for the treatment of cancer. History of hormone treatment, such as estrogen, progesterone and/or oral contraceptives, initiated within 3 months of study participation, or planning to discontinue hormone therapy during the study, as applicable. Systemic use of any prescription skin-lightening agent (such as tranexamic acid), isotretinoin (or other retinoid), photo-sensitizing medication, or corticosteroid within 6 months of and during study participation, except if the subject undergoes a 6-month wash-out period of excluded systemic prescriptions prior to first laser treatment. Topical use of any prescription skin-lightening agent (such as hydroquinone), isotretinoin (or other retinoid), photo-sensitizing medication, or corticosteroid on the treatment area within 6 months of and during study participation, except permitted topical steroid use as directed by study doctor and if subject undergoes a 6-month wash-out period of excluded topical prescriptions prior to first laser treatment. Anytime in life, had used gold therapy (gold salts) for disorders such as rheumatologic disease or lupus. Excessively tanned in areas to be treated or unable/unlikely to refrain from tanning during the study. As per the Investigator's discretion, any physical or mental condition which might make it unsafe for the subject to participate in this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Henry Hin-Lee Chan, M.D., Ph.D
Organizational Affiliation
Hong Kong Dermatology and Laser Centre
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Kei Negishi, M.D., Ph.D
Organizational Affiliation
Tokyo Women's Medical University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hong Kong Dermatology and Laser Centre
City
Hong Kong
Country
China
Facility Name
Aoyama Institute of Women's Medicine
City
Tokyo
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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A Prospective Multi-Center Study Using Laser for the Treatment of Melasma and Lentigines in Asian Skin

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