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A Study to Evaluate the Efficacy of Microneedling as a Stand-alone Treatment for Vitiligo

Primary Purpose

Vitiligo

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Skinpen Precision System
Sponsored by
Crown Laboratories, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Vitiligo

Eligibility Criteria

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

Inclusion Criteria:

  1. Adult male or female, ages 18 through 60.
  2. Clinical diagnosis of stable Vitiligo (no changes within the past 6 months) on any of the following body areas: face, neck, trunk, extremities, hands, feet (excluding digits).
  3. Subjects in generally good health and free of any conditions which, in the opinion of the investigator, would interfere with the study assessments.
  4. Subjects willing to discontinue all current therapies for vitiligo for the duration of the study.
  5. Women of childbearing potential agree to take a urine pregnancy test at the Baseline visit and Final visit.
  6. Individuals that are willing to provide written informed consent and are able to read, speak, write and understand the informed consent document.
  7. Willingness to cooperate and participate by following study requirements for the duration of the study and to report any changes in health status or medications, adverse event symptoms, or reactions immediately.

Exclusion Criteria:

  1. Individuals diagnosed with known allergies to facial or general skin care products.
  2. Individuals who have presence of an active systemic or local skin disease, apart from vitiligo, that may affect wound healing. Uncontrolled disease such as asthma, diabetes, hyperthyroidism, medically significant hypertension or hypothyroidism. Individuals having multiple health conditions may be excluded from participation even if the conditions are controlled by diet, medication, etc.
  3. Individuals with sensitivity to topical lidocaine, stainless steel, nickel, or chromium
  4. Individuals who have a recent or current history of inflammatory skin disease or cancerous/pre-cancerous lesion.
  5. Subjects currently or within the past 3 months on Vitiligo topical or systemic treatments.
  6. Use of skin lighteners or bleaching agents; hydroquinone, phenol peels or harsh chemicals.
  7. Individuals who have the inability to understand instructions or to give informed consent.
  8. Individuals who have a history of chronic drug or alcohol abuse.
  9. Individuals undergoing concurrent therapy that, in the Investigator's opinion, would interfere with the evaluation of the safety or efficacy of the study device.
  10. Individuals who are current smokers.
  11. Individuals who are nursing, pregnant, or planning to become pregnant during the study according to subject self-report.
  12. Individuals with a history of immunosuppression/immune deficiency disorders (including HIV infection or AIDS) or currently using immunosuppressive medications (e.g., azathioprine, belimumab, cyclophosphamide, Enbrel, Imuran, Humira, mycophenolate mofetil, methotrexate, prednisone, Remicade, Stelara.) and/or radiation as determined by study documentation.
  13. Individuals with any planned surgeries, overnight hospitalization, and/or invasive medical procedures during the course of the study.
  14. Individuals who are currently participating in any other study involving the use of investigational device or drugs at another research facility or doctor's office within 4 weeks prior to inclusion into the study.
  15. Individuals who have any condition, which in the opinion of the Investigator makes the patient unable to complete the study per protocol (e.g. patients not likely to avoid other facial cosmetic treatments; patients not likely to stay in the study for its duration because of other commitments, concomitant conditions, or past history; patients anticipated to be unreliable, or patients who have a concomitant condition that may develop symptoms that might confuse or confound study treatments or assessments)

Sites / Locations

  • Crown Laboratories

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Microneedling with Skinpen Precision System

Arm Description

Skinpen precision system will be used in accordance with the instructions in the IFU on the treatment area. A numbing cream will be applied at least 20-30 minutes before the Skinpen Precision system treatment is done. The affected areas will be treated at depths of up to 2.50mm. Treatment depth will be recorded for each treatment at every visit. Subjects will be dispensed with the Blue Lizard sunscreen and trained on proper use.

Outcomes

Primary Outcome Measures

Physician's Global Assessment (PGA)
PGA to be completed starting at Visit 2 and on, prior to each treatment. The primary endpoint is to achieve Grade 2, 3 or 4 on the PGA Scale comparing photographs from baseline to visits 12, 13, and 14. This is a 5 Grade Repigmentation Scale. This assessment uses a scale of G0-G4. This global assessment will be done by the investigator starting at Visit 2 and afterwards. G4 Excellent > 75% Repigmentation G3 Very Good 50%-75% Repigmentation G2 Good 25%-50% Repigmentation G1 Satisfactory <25% Repigmentation G0 Poor No Repigmentation

Secondary Outcome Measures

Subject's assessment of their pre and post-treatment images using the Vitiligo Noticeability Scale (VNS)
Subject's assessment of their pre and post-treatment images using the Vitiligo Noticeability Scale. A score of 3,4, or 5 indicates the success of the treatment.

Full Information

First Posted
August 26, 2021
Last Updated
May 23, 2023
Sponsor
Crown Laboratories, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05053022
Brief Title
A Study to Evaluate the Efficacy of Microneedling as a Stand-alone Treatment for Vitiligo
Official Title
A Study to Evaluate the Efficacy of Microneedling as a Stand-alone Treatment for Vitiligo
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
July 29, 2021 (Actual)
Primary Completion Date
November 21, 2022 (Actual)
Study Completion Date
January 24, 2023 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a study that is being conducted in order to assess the efficacy of microneedling as a stand-alone treatment for vitiligo. Vitiligo is an autoimmune depigmentation disease of the skin that is characterized by the destruction of epidermal melanocytes by CD8+ T cells. The pathogenesis of Vitiligo has been linked to autoimmunity, oxidative stress, and genetic susceptibility.
Detailed Description
Microneedling is a minimally invasive technique developed for skin rejuvenation. In the treatment for vitiligo, the procedure causes micro-inflammations on the epidermis and enhances melanocytes and keratinocytes migration. This process leads to the stimulation and repigmentation of vitiligo areas. Several topical therapies such as Tacrolimus and 5-Fluorouracilused in conjunction with microneedling have yielded favorable repigmentation results. This study aims to evaluate the repigmentation rates of microneedled vitiligo patches without any topical medications other than sunscreen. There will be a total of 8 -12 treatments over the course of 244 days, with subjects receiving a treatment every 2 weeks.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
A proof of concept study to determine the safety and efficacy of Microneedling in patients with stable Vitiligo.
Masking
None (Open Label)
Allocation
N/A
Enrollment
13 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Microneedling with Skinpen Precision System
Arm Type
Experimental
Arm Description
Skinpen precision system will be used in accordance with the instructions in the IFU on the treatment area. A numbing cream will be applied at least 20-30 minutes before the Skinpen Precision system treatment is done. The affected areas will be treated at depths of up to 2.50mm. Treatment depth will be recorded for each treatment at every visit. Subjects will be dispensed with the Blue Lizard sunscreen and trained on proper use.
Intervention Type
Device
Intervention Name(s)
Skinpen Precision System
Intervention Description
Subjects will receive a total of 8-12 treatments with the Skinpen Precision system targeting their Vitiligo lesions.
Primary Outcome Measure Information:
Title
Physician's Global Assessment (PGA)
Description
PGA to be completed starting at Visit 2 and on, prior to each treatment. The primary endpoint is to achieve Grade 2, 3 or 4 on the PGA Scale comparing photographs from baseline to visits 12, 13, and 14. This is a 5 Grade Repigmentation Scale. This assessment uses a scale of G0-G4. This global assessment will be done by the investigator starting at Visit 2 and afterwards. G4 Excellent > 75% Repigmentation G3 Very Good 50%-75% Repigmentation G2 Good 25%-50% Repigmentation G1 Satisfactory <25% Repigmentation G0 Poor No Repigmentation
Time Frame
Through Study Completion, over the course of 244 days
Secondary Outcome Measure Information:
Title
Subject's assessment of their pre and post-treatment images using the Vitiligo Noticeability Scale (VNS)
Description
Subject's assessment of their pre and post-treatment images using the Vitiligo Noticeability Scale. A score of 3,4, or 5 indicates the success of the treatment.
Time Frame
Through Study Completion, over the course of 244 days

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: Adult male or female, ages 18 through 60. Clinical diagnosis of stable Vitiligo (no changes within the past 6 months) on any of the following body areas: face, neck, trunk, extremities, hands, feet (excluding digits). Subjects in generally good health and free of any conditions which, in the opinion of the investigator, would interfere with the study assessments. Subjects willing to discontinue all current therapies for vitiligo for the duration of the study. Women of childbearing potential agree to take a urine pregnancy test at the Baseline visit and Final visit. Individuals that are willing to provide written informed consent and are able to read, speak, write and understand the informed consent document. Willingness to cooperate and participate by following study requirements for the duration of the study and to report any changes in health status or medications, adverse event symptoms, or reactions immediately. Exclusion Criteria: Individuals diagnosed with known allergies to facial or general skin care products. Individuals who have presence of an active systemic or local skin disease, apart from vitiligo, that may affect wound healing. Uncontrolled disease such as asthma, diabetes, hyperthyroidism, medically significant hypertension or hypothyroidism. Individuals having multiple health conditions may be excluded from participation even if the conditions are controlled by diet, medication, etc. Individuals with sensitivity to topical lidocaine, stainless steel, nickel, or chromium Individuals who have a recent or current history of inflammatory skin disease or cancerous/pre-cancerous lesion. Subjects currently or within the past 3 months on Vitiligo topical or systemic treatments. Use of skin lighteners or bleaching agents; hydroquinone, phenol peels or harsh chemicals. Individuals who have the inability to understand instructions or to give informed consent. Individuals who have a history of chronic drug or alcohol abuse. Individuals undergoing concurrent therapy that, in the Investigator's opinion, would interfere with the evaluation of the safety or efficacy of the study device. Individuals who are current smokers. Individuals who are nursing, pregnant, or planning to become pregnant during the study according to subject self-report. Individuals with a history of immunosuppression/immune deficiency disorders (including HIV infection or AIDS) or currently using immunosuppressive medications (e.g., azathioprine, belimumab, cyclophosphamide, Enbrel, Imuran, Humira, mycophenolate mofetil, methotrexate, prednisone, Remicade, Stelara.) and/or radiation as determined by study documentation. Individuals with any planned surgeries, overnight hospitalization, and/or invasive medical procedures during the course of the study. Individuals who are currently participating in any other study involving the use of investigational device or drugs at another research facility or doctor's office within 4 weeks prior to inclusion into the study. Individuals who have any condition, which in the opinion of the Investigator makes the patient unable to complete the study per protocol (e.g. patients not likely to avoid other facial cosmetic treatments; patients not likely to stay in the study for its duration because of other commitments, concomitant conditions, or past history; patients anticipated to be unreliable, or patients who have a concomitant condition that may develop symptoms that might confuse or confound study treatments or assessments)
Facility Information:
Facility Name
Crown Laboratories
City
Dallas
State/Province
Texas
ZIP/Postal Code
75234
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Evaluate the Efficacy of Microneedling as a Stand-alone Treatment for Vitiligo

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