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Clinical Study to Evaluate the Safety and Effectiveness of the Treatment With Tixel C on Acne Scars

Primary Purpose

Scars

Status
Withdrawn
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Tixel C
Sponsored by
Novoxel Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Scars focused on measuring Acne Scars, Post Acne, Scars

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. The Subjects will have atrophic mild to severe acne scars.
  2. Male or female subjects, age 18-65 years old.
  3. The subjects will have Fitzpatrick Skin Types I-VI.
  4. Willingness and ability to provide written informed consent, including photo consent and adherence to photography procedures (i.e., removal of jewelry and makeup), prior to the study.
  5. Willingness and ability to comply with protocol requirements, including returning for follow-up visits and abstaining from exclusionary procedures for the duration of the study.
  6. Females 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 (i.e., oral contraceptives, IUD, contraceptive implant, barrier methods with spermicide, or abstinence).

Exclusion Criteria:

  1. Subjects pregnant or planning to become pregnant, or have given birth less than three months ago or breast feeding.
  2. Subjects with significant exposure to ultraviolet light.
  3. Use of drugs that may induce hyperpigmentation such as amiodarone, clofazinmine, minocycline or chloroquine.
  4. History of facial acne scar treatments with laser, surgical, chemical, light based or radiofrequency facial treatments.
  5. Microdermabrasion, or prescription level glycolic acid treatments within three months prior to study participation.
  6. Active HSV-1. May be enrolled only after a prophylactic regime has been followed prior to treatment and according to the Investigator's discretion.
  7. History of keloid formation.
  8. Permanent facial implant over area of treatment.
  9. Injectable filler in area to be treated within nine months of investigation.
  10. History of collagen vascular disease.
  11. Subjects who have an impaired immune system, suffer from immunosuppressive diseases or are actively on immunosuppressive medications.
  12. Subjects currently taking or have taken an oral retinoid in the past six months.
  13. Subjects currently taking long-term oral steroid treatment
  14. Subjects with any skin pathology which can induce bullous lesions, urticaria, or demonstrate a Koebner phenomenon (psoriasis, lichen planus, etc.).
  15. History of autoimmune disease.
  16. History of any disease that inhibits pain sensation.
  17. History of Diabetes I or II.
  18. Concurrent therapy that, in the principal investigator's opinion, would interfere with the evaluation of the safety or effectiveness of the study treatment.
  19. Subjects who, in the Investigator's opinion, have a history of poor cooperation, non-compliance with medical treatment or unreliability.
  20. Enrollment in any active study involving the use of investigational devices or drugs who in the Investigator's opinion would interfere with the evaluation of the current investigative device.
  21. Any other contraindication stated in the guidance documents of the treatment device.
  22. Any existing skin disease that in the investigator's opinion would interfere with the evaluation of the safety of the study treatment and any other cause per the principal investigator's discretion.
  23. Hypertrophic facial acne scarring or other hypertrophic scarring.
  24. Failure to acquire adequate baseline and final photography.

Sites / Locations

  • Physicians Laser and Dermatology Institute
  • The Lehavit Akerman Main Clinic

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Tixel C

Arm Description

Tixel Treatment, between 3-5 treatment session according to investigator's review of subject response follow by 3 Follow up sessions, 1,3 and 6 month after last treatment visit. Subject would be questioned about pain levvel, subjective dountime assessment and subjective response assessment. Images would be taken before treatment visit and in Follow-Up.

Outcomes

Primary Outcome Measures

Safety Adverse Events report
Safety of the investigational device shall be assessed via quantification of the incidence of devicerelated/non-related undesired effects, which shall be documented and reported as an Adverse Event (AE) or as a Serious Adverse Event (SAE). Known undesired effects may be any of the list stated in the previous paragraph of Expected Possible Side Effects, or any other undesired effect, not described in the said list. The incidence of the device related undesired effects should be analyzed considering severity, causal relation to the investigational device and duration, whether it is transient or permanent.
Effectiveness using Goodman and Baron Assessment scale
Before starting therapy and at one and six months follow up visits, the subjects shall be photographed using clinical photography equipment. The images shall be evaluated by blinded raters. The evaluation shall be performed by three raters. The scores shall be analyzed according to the statistical plan of the study. Scale between 1-4; 1 = Macular, 4= Severe

Secondary Outcome Measures

Performance using Goodman and Baron Assessment scale
Live Assessment by a study investigator - In each visit, an investigator or his designee shall examine by observing the subject and photographs will be taken as outlined. Scale between 1-4; 1 = Macular, 4= Severe

Full Information

First Posted
February 6, 2020
Last Updated
January 10, 2021
Sponsor
Novoxel Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04269317
Brief Title
Clinical Study to Evaluate the Safety and Effectiveness of the Treatment With Tixel C on Acne Scars
Official Title
A Prospective Study With Blinded Assessment to Evaluate the Safety and Effectiveness of the Tixel C Fractional System in the Treatment of Acne Scars
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Withdrawn
Why Stopped
Delay in opening the study due to COVID-19, and following the sponsor's decision
Study Start Date
March 1, 2020 (Anticipated)
Primary Completion Date
January 10, 2021 (Actual)
Study Completion Date
January 10, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novoxel Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this research is to evaluate the safety and effectiveness of the Tixel C device for the treatment of acne scars, for improvement in the appearance of surface texture.
Detailed Description
44 participents between two research locations with moderate acne scars will receive 3-5 treatments sessions with the Tixel C device according to investigator's review of subject response. Improvement of acne scarring will ve evaluated at 1 month, 3 months and 6 months post treatment. Post-treatment response will be evaluated as well as any incidence of side efects throughout the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Scars
Keywords
Acne Scars, Post Acne, Scars

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Masking Description
Blinded assessed of the improvement would be done between Last FU images and before first treatment after randomization of the images.
Allocation
N/A
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Tixel C
Arm Type
Experimental
Arm Description
Tixel Treatment, between 3-5 treatment session according to investigator's review of subject response follow by 3 Follow up sessions, 1,3 and 6 month after last treatment visit. Subject would be questioned about pain levvel, subjective dountime assessment and subjective response assessment. Images would be taken before treatment visit and in Follow-Up.
Intervention Type
Device
Intervention Name(s)
Tixel C
Other Intervention Name(s)
Fractional
Intervention Description
Thermo-mechanical technology for fractional treatment of human skin. Dermal heating and coagulative effect that occur during the treatment session provide for dermal remodeling and collagen restructuring that promote acne scar appearance improvement.
Primary Outcome Measure Information:
Title
Safety Adverse Events report
Description
Safety of the investigational device shall be assessed via quantification of the incidence of devicerelated/non-related undesired effects, which shall be documented and reported as an Adverse Event (AE) or as a Serious Adverse Event (SAE). Known undesired effects may be any of the list stated in the previous paragraph of Expected Possible Side Effects, or any other undesired effect, not described in the said list. The incidence of the device related undesired effects should be analyzed considering severity, causal relation to the investigational device and duration, whether it is transient or permanent.
Time Frame
up to 12 months
Title
Effectiveness using Goodman and Baron Assessment scale
Description
Before starting therapy and at one and six months follow up visits, the subjects shall be photographed using clinical photography equipment. The images shall be evaluated by blinded raters. The evaluation shall be performed by three raters. The scores shall be analyzed according to the statistical plan of the study. Scale between 1-4; 1 = Macular, 4= Severe
Time Frame
up to 12 months; Improvement between last follow up and baseline (before first treatment)
Secondary Outcome Measure Information:
Title
Performance using Goodman and Baron Assessment scale
Description
Live Assessment by a study investigator - In each visit, an investigator or his designee shall examine by observing the subject and photographs will be taken as outlined. Scale between 1-4; 1 = Macular, 4= Severe
Time Frame
up to 12 months; Improvement between last follow up and baseline (before first treatment)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: The Subjects will have atrophic mild to severe acne scars. Male or female subjects, age 18-65 years old. The subjects will have Fitzpatrick Skin Types I-VI. Willingness and ability to provide written informed consent, including photo consent and adherence to photography procedures (i.e., removal of jewelry and makeup), prior to the study. Willingness and ability to comply with protocol requirements, including returning for follow-up visits and abstaining from exclusionary procedures for the duration of the study. Females 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 (i.e., oral contraceptives, IUD, contraceptive implant, barrier methods with spermicide, or abstinence). Exclusion Criteria: Subjects pregnant or planning to become pregnant, or have given birth less than three months ago or breast feeding. Subjects with significant exposure to ultraviolet light. Use of drugs that may induce hyperpigmentation such as amiodarone, clofazinmine, minocycline or chloroquine. History of facial acne scar treatments with laser, surgical, chemical, light based or radiofrequency facial treatments. Microdermabrasion, or prescription level glycolic acid treatments within three months prior to study participation. Active HSV-1. May be enrolled only after a prophylactic regime has been followed prior to treatment and according to the Investigator's discretion. History of keloid formation. Permanent facial implant over area of treatment. Injectable filler in area to be treated within nine months of investigation. History of collagen vascular disease. Subjects who have an impaired immune system, suffer from immunosuppressive diseases or are actively on immunosuppressive medications. Subjects currently taking or have taken an oral retinoid in the past six months. Subjects currently taking long-term oral steroid treatment Subjects with any skin pathology which can induce bullous lesions, urticaria, or demonstrate a Koebner phenomenon (psoriasis, lichen planus, etc.). History of autoimmune disease. History of any disease that inhibits pain sensation. History of Diabetes I or II. Concurrent therapy that, in the principal investigator's opinion, would interfere with the evaluation of the safety or effectiveness of the study treatment. Subjects who, in the Investigator's opinion, have a history of poor cooperation, non-compliance with medical treatment or unreliability. Enrollment in any active study involving the use of investigational devices or drugs who in the Investigator's opinion would interfere with the evaluation of the current investigative device. Any other contraindication stated in the guidance documents of the treatment device. Any existing skin disease that in the investigator's opinion would interfere with the evaluation of the safety of the study treatment and any other cause per the principal investigator's discretion. Hypertrophic facial acne scarring or other hypertrophic scarring. Failure to acquire adequate baseline and final photography.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jerome M Garden, MD
Organizational Affiliation
Physicians Laser and Dermatology Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Physicians Laser and Dermatology Institute
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
The Lehavit Akerman Main Clinic
City
Herzliya
ZIP/Postal Code
4672553
Country
Israel

12. IPD Sharing Statement

Learn more about this trial

Clinical Study to Evaluate the Safety and Effectiveness of the Treatment With Tixel C on Acne Scars

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