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The Combination Therapy of Nanofat Grafting and PRP Compared With Microfat Grafting and PRP Synergy in Treating Striae Distensae

Primary Purpose

Treatments of Striae Distensae

Status
Unknown status
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Nanofat grafting
Microfat grafting
Platelet-rich plasma (PRP) Injection
Sponsored by
First Affiliated Hospital of Jinan University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Treatments of Striae Distensae focused on measuring Striae Distensae, Platelet-Rich Plasma (PRP), Nanofat Graft, Microfat Graft, Combination Therapy

Eligibility Criteria

18 Years - 35 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The striae distensae
  • Age ≤ 35 years old

Exclusion Criteria:

  • Skin allergy
  • Cicatricial diathesis
  • Skin inflammation or wound
  • Platelet dysfunction syndrome
  • Take anticoagulant drugs
  • Acute or chronic infection
  • Chronic liver disease
  • Active vitiligo, psoriasis, systemic lupus erythematosus

Sites / Locations

  • The First Affiliated Hospital of Jinan UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Nanofat grafting and PRP injection

Microfat grafting and PRP injection

Arm Description

Striae diatensae will be treated by nanofat grafting once every three months for 2 times combined with PRP injection once a month for 6 times.

Striae diatensae will be treated by microfat grafting once every three months for 2 times combined with PRP injection once a month for 6 times.

Outcomes

Primary Outcome Measures

Immunohistochemical analysis
The tissue extracted will be taken for immunohistochemical analysis to observe the amount of elastic fiber and collagen fiber,etc. More collagen fiber generated better outcome of the treatments.

Secondary Outcome Measures

Ultrasound
The striae distensae will be assessed by ultrasound in order to observe the change of dermal thickness of striae after the application of nanofat or microfat grafting with PRP injection. if the treatments worked, the dermal thickness will be increased.
Ultrasound
The striae distensae will be assessed by ultrasound in order to observe the change of width of striae after the application of nanofat or microfat grafting with PRP injection. Smaller the width better the results.

Full Information

First Posted
January 2, 2019
Last Updated
January 16, 2019
Sponsor
First Affiliated Hospital of Jinan University
Collaborators
Science and Technology Program of Guangzhou,Guangzhou Sipintang Biological technology Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03807986
Brief Title
The Combination Therapy of Nanofat Grafting and PRP Compared With Microfat Grafting and PRP Synergy in Treating Striae Distensae
Official Title
The Combination Therapy of Nanofat Grafting and Platelet-Rich Plasma Injection Compared With Microfat Grafting and Platelet-Rich Plasma Injection Synergy in Treating Striae Distensae
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Unknown status
Study Start Date
February 1, 2019 (Anticipated)
Primary Completion Date
May 1, 2019 (Anticipated)
Study Completion Date
December 31, 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
First Affiliated Hospital of Jinan University
Collaborators
Science and Technology Program of Guangzhou,Guangzhou Sipintang Biological technology Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Striae distensae is caused by the fracture and damage of the elastic fibers and collagen fibers, which is still a difficulty to overcome. Based on the studies demonstrated that platelet-rich plasma(PRP) has positive effect on superficial scar, and nanofat and microfat are effective in treating atrophic scar. So in this clinical trial, the investigators are going to treat striae distensae by using two combination therapies. One is nanofat grafting and PRP injection synergy, and the other one is treated by microfat grafting with PRP injection.
Detailed Description
The participants were randomly assigned into two groups. Group A is treated by nanofat grafting once every three months for 2 times combined with PRP injection once a month for 6 times. Group B will be treated by microfat grafting onceevery three months for 2 times combined with PRP injection once a month for 6 times. The participants were asked to come back 1、3、6、9 months after treatment for further follow-up.Before and after the treatment, the striae distensae will be assessed subjectively by satisfaction assessment, and objectively by ultrasound and immunohistochemical analysis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Treatments of Striae Distensae
Keywords
Striae Distensae, Platelet-Rich Plasma (PRP), Nanofat Graft, Microfat Graft, Combination Therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
12 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Nanofat grafting and PRP injection
Arm Type
Experimental
Arm Description
Striae diatensae will be treated by nanofat grafting once every three months for 2 times combined with PRP injection once a month for 6 times.
Arm Title
Microfat grafting and PRP injection
Arm Type
Experimental
Arm Description
Striae diatensae will be treated by microfat grafting once every three months for 2 times combined with PRP injection once a month for 6 times.
Intervention Type
Procedure
Intervention Name(s)
Nanofat grafting
Intervention Description
Nanofat grafting will be applied once every three months for 2 times.
Intervention Type
Procedure
Intervention Name(s)
Microfat grafting
Intervention Description
Microfat grafting will be applied once every three months for 2 times.
Intervention Type
Procedure
Intervention Name(s)
Platelet-rich plasma (PRP) Injection
Intervention Description
PRP Injection will be applied once a month for 6 times.
Primary Outcome Measure Information:
Title
Immunohistochemical analysis
Description
The tissue extracted will be taken for immunohistochemical analysis to observe the amount of elastic fiber and collagen fiber,etc. More collagen fiber generated better outcome of the treatments.
Time Frame
Change from baseline at 15 months.
Secondary Outcome Measure Information:
Title
Ultrasound
Description
The striae distensae will be assessed by ultrasound in order to observe the change of dermal thickness of striae after the application of nanofat or microfat grafting with PRP injection. if the treatments worked, the dermal thickness will be increased.
Time Frame
Change from baseline dermal thickness at 3,6,9,12,15 months of the treatments.
Title
Ultrasound
Description
The striae distensae will be assessed by ultrasound in order to observe the change of width of striae after the application of nanofat or microfat grafting with PRP injection. Smaller the width better the results.
Time Frame
Change from baseline width of striae at 3,6,9,12,15 months of the treatments.
Other Pre-specified Outcome Measures:
Title
Satisfaction assessments of participants: questionnaire
Description
The participants will fill in a questionnaire about the efficacy of the treatments. Participants will choose one of the following answers 'satisfied, unchanged, not satisfied' as feedback.
Time Frame
At 15th month.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The striae distensae Age ≤ 35 years old Exclusion Criteria: Skin allergy Cicatricial diathesis Skin inflammation or wound Platelet dysfunction syndrome Take anticoagulant drugs Acute or chronic infection Chronic liver disease Active vitiligo, psoriasis, systemic lupus erythematosus
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Pik Nga Cheung, MD
Phone
+8613631394662
Email
cheungpiknga@126.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Li Ling Xiao, MD
Organizational Affiliation
First Affiliated Hospital of Jinan University
Official's Role
Principal Investigator
Facility Information:
Facility Name
The First Affiliated Hospital of Jinan University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
500011
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Pik Nga Cheung, MD
Phone
+8613631394662
Email
cheungpiknga@126.com

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
9747352
Citation
Watson RE, Parry EJ, Humphries JD, Jones CJ, Polson DW, Kielty CM, Griffiths CE. Fibrillin microfibrils are reduced in skin exhibiting striae distensae. Br J Dermatol. 1998 Jun;138(6):931-7. doi: 10.1046/j.1365-2133.1998.02257.x.
Results Reference
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PubMed Identifier
30345576
Citation
Cho C, Cho E, Kim N, Shin J, Woo S, Lee J, Lee J, Lee E, Ha J. Biophysical properties of striae rubra and striae alba in human skin: Comparison with normal skin. Skin Res Technol. 2019 May;25(3):283-288. doi: 10.1111/srt.12645. Epub 2018 Oct 22.
Results Reference
background
PubMed Identifier
29451986
Citation
Forbat E, Al-Niaimi F. Treatment of striae distensae: An evidence-based approach. J Cosmet Laser Ther. 2019;21(1):49-57. doi: 10.1080/14764172.2017.1418515. Epub 2018 Feb 16.
Results Reference
background
PubMed Identifier
28551068
Citation
Hague A, Bayat A. Therapeutic targets in the management of striae distensae: A systematic review. J Am Acad Dermatol. 2017 Sep;77(3):559-568.e18. doi: 10.1016/j.jaad.2017.02.048. Epub 2017 May 24.
Results Reference
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The Combination Therapy of Nanofat Grafting and PRP Compared With Microfat Grafting and PRP Synergy in Treating Striae Distensae

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