search
Back to results

Combined Therapy for Acne Scars

Primary Purpose

Atrophic Acne Scar

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Nonablative fractional laser (Fraxel re:store, Solta Medical, Bothell, WA) alone
Nonablative fractional laser (Fraxel re:store, Solta Medical, Bothell, WA) alternating with microneedling with radiofrequency (Intracel, Perigee Medical, Redwood City, CA)
Sponsored by
Goldman, Butterwick, Fitzpatrick and Groff
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atrophic Acne Scar focused on measuring Acne, Acne scar, Face, Microneedling, Intracel, Fraxel

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers
  1. Inclusion criteria

    1. Male or female in general good health ages 18 and older
    2. Fitzpatrick skin type I-VI
    3. Subject has completed an appropriately administered informed consent process which includes signing the IRB approved consent form
    4. Negative urine pregnancy test at baseline (if applicable)
    5. Willingness to have facial exams and digital photos performed of the face
    6. Moderate to severe atrophic acne scarring on the face per ECCA (échelle d'évaluation clinique des cicatrices d'acné) acne grading scale
    7. No change in estrogen releasing contraceptive method in 3 months, and no plans to change this contraceptive method during the course of the study
    8. No change in topical skin care
    9. Female patients will be either of non-childbearing potential defined as:

      1. Having no uterus
      2. No menses for at least 12 months. Or;

        Women of childbearing potential (WOCBP) must agree to use an effective method of birth control during the course of the study, such as:

      1. Oral contraceptive pill, injection, implant, patch, vaginal ring, intrauterine device
      2. Intrauterine coil
      3. Bilateral tubal ligation
      4. Barrier method used with an additional form of contraception (e.g., sponge, spermicide or condom)
      5. Abstinence (If practicing abstinence must agree to use barrier method described above (4) if becomes sexually active).
      6. Vasectomized partner (Must agree to use barrier method described above (4) if becomes sexually active with non-vasectomized).
  2. Exclusion criteria

    1. Presence of incompletely healed wound in treatment area
    2. Pregnant, planning pregnancy or breastfeeding during the course of the study
    3. Energy-based device treatment in the treatment area in the last 6 months
    4. Treatments with a dermal filler or biostimulatory agent in the treatment area within the past 12 months
    5. Recent use of topical tretinoin, adapalene, tazarotene, hydroquinone, imiquimod, 5-fluorouracil, ingenol mebutate, concentrated hydrogen peroxide or diclofenac to the face within the previous 2 weeks.
    6. Individuals who have had a chemical peel or microdermabrasion of the face within 30 days prior to enrollment in the study
    7. Co-existing potentially confounding skin condition within treatment area (e.g. eczema, psoriasis, XP, rosacea) or the presence of suspected BCC or SCC in treatment area at investigator's discretion
    8. Has skin with open wounds, excessively sensitive skin, neurotic excoriations, dermatitis or inflammatory rosacea in the treatment area
    9. Individuals with known allergies or sensitivities to any of the ingredients of any topical products being used in this study (a list of the products with active and excipients will be provided below)
    10. Individuals with active psoriasis, eczema, sunburn, excessive scarring, tattoos, or other skin condition on the face that would interfere with the assessments of this study
    11. Subjects who participated on another study within the last 30 days
    12. Subjects currently on or planning to participate in any type of research study at another facility or a doctor's office during this study
    13. Subjects with a predisposition to keloid formation following surgery
    14. Subjects on systemic steroids (e.g. prednisone, dexamethasone), or topical steroids on the face which should be rigorously avoided prior to and throughout the course of treatment

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    Nonablative fractional laser alone

    Nonablative fractional laser alternating with microneedling with radiofrequency

    Arm Description

    Outcomes

    Primary Outcome Measures

    Change in atrophic acne scar
    The primary study endpoint will be clinical efficacy defined as change in atrophic acne scarring based on the ECCA grading scale and a 1-10 percentile scale.

    Secondary Outcome Measures

    Subject comfort level
    During each treatment visit patients will be asked to grade pain of treatment on a pain visual analog scale.
    Subjective change
    Subjects will rate their perceived global change in acne scarring based on the subjected assessed global improvement scale.
    Subject satisfaction
    Subjects will rate satisfaction on a 1-5 scale.
    Adverse events
    To be recorded by treating physician after treatment.

    Full Information

    First Posted
    October 22, 2021
    Last Updated
    November 2, 2021
    Sponsor
    Goldman, Butterwick, Fitzpatrick and Groff
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT05105334
    Brief Title
    Combined Therapy for Acne Scars
    Official Title
    Combined Treatment With Nonablative Fractional Laser and Radiofrequency Microneedling for the Treatment of Acne Scars: A Prospective, Randomized, Split-Face Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2021
    Overall Recruitment Status
    Unknown status
    Study Start Date
    November 8, 2021 (Anticipated)
    Primary Completion Date
    May 8, 2022 (Anticipated)
    Study Completion Date
    July 8, 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Goldman, Butterwick, Fitzpatrick and Groff

    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.
    Yes
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Compare the effectiveness of nonablative fractional resurfacing to radiofrequency micrnoeedling for facial acne scars in all skin types
    Detailed Description
    Quantify and compare the effectiveness of nonablative fractional laser (Fraxel re:store, Solta Medical, Bothell, WA) alone to nonablative fractional laser alternating with microneedling with radiofrequency (Intracel, Perigee Medical, Redwood City, CA) for the treatment of atrophic, facial acne scars in all skin types.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Atrophic Acne Scar
    Keywords
    Acne, Acne scar, Face, Microneedling, Intracel, Fraxel

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    Prospective, randomized, split-face, evaluator-blinded study
    Masking
    Outcomes Assessor
    Masking Description
    Clinical assessments and grading of severity of acne scarring will be performed by blinded-investigator assessment at each visit and at the post-treatment 3-month visit using live evaluations and photographs. At the 3-month follow up, three additional blinded dermatologists will clinically assess the severity of acne scarring.
    Allocation
    Randomized
    Enrollment
    20 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Nonablative fractional laser alone
    Arm Type
    Experimental
    Arm Title
    Nonablative fractional laser alternating with microneedling with radiofrequency
    Arm Type
    Experimental
    Intervention Type
    Device
    Intervention Name(s)
    Nonablative fractional laser (Fraxel re:store, Solta Medical, Bothell, WA) alone
    Intervention Description
    Nonablative fractional 1550 nm erbium:glass laser. Settings: 40-70 mJ, treatment level 5-7 (14-20% coverage), 8 passes with cold air cooling (Zimmer MedizinSystems, Irvine, CA) set on level 5. To be repeated for a total of 4 sessions at 4-week intervals.
    Intervention Type
    Device
    Intervention Name(s)
    Nonablative fractional laser (Fraxel re:store, Solta Medical, Bothell, WA) alternating with microneedling with radiofrequency (Intracel, Perigee Medical, Redwood City, CA)
    Intervention Description
    Nonablative fractional 1550 nm erbium:glass laser. Settings: 40-70 mJ, treatment level 5-7 (14-20% coverage), 8 passes with cold air cooling (Zimmer MedizinSystems, Irvine, CA) set on level 5. This will be alternated with radiofrequency microneedling treatment will include 3 passes each at a depth of 2 mm, 1.5 mm, and 0.8 mm, treatment level 5 (32 w, 50 ms)-7 (40 w, 60 ms), monopolar setting with cold air cooling (Zimmer MedizinSystems, Irvine, CA) set on level 5. To be repeated for a total of 4 sessions (2 of each modality) at 4-week intervals.
    Primary Outcome Measure Information:
    Title
    Change in atrophic acne scar
    Description
    The primary study endpoint will be clinical efficacy defined as change in atrophic acne scarring based on the ECCA grading scale and a 1-10 percentile scale.
    Time Frame
    3 months after final treatment
    Secondary Outcome Measure Information:
    Title
    Subject comfort level
    Description
    During each treatment visit patients will be asked to grade pain of treatment on a pain visual analog scale.
    Time Frame
    To be done right after treatments
    Title
    Subjective change
    Description
    Subjects will rate their perceived global change in acne scarring based on the subjected assessed global improvement scale.
    Time Frame
    3 months after final treatment
    Title
    Subject satisfaction
    Description
    Subjects will rate satisfaction on a 1-5 scale.
    Time Frame
    3 months after final treatment
    Title
    Adverse events
    Description
    To be recorded by treating physician after treatment.
    Time Frame
    3 months after final treatment

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion criteria Male or female in general good health ages 18 and older Fitzpatrick skin type I-VI Subject has completed an appropriately administered informed consent process which includes signing the IRB approved consent form Negative urine pregnancy test at baseline (if applicable) Willingness to have facial exams and digital photos performed of the face Moderate to severe atrophic acne scarring on the face per ECCA (échelle d'évaluation clinique des cicatrices d'acné) acne grading scale No change in estrogen releasing contraceptive method in 3 months, and no plans to change this contraceptive method during the course of the study No change in topical skin care Female patients will be either of non-childbearing potential defined as: Having no uterus No menses for at least 12 months. Or; Women of childbearing potential (WOCBP) must agree to use an effective method of birth control during the course of the study, such as: Oral contraceptive pill, injection, implant, patch, vaginal ring, intrauterine device Intrauterine coil Bilateral tubal ligation Barrier method used with an additional form of contraception (e.g., sponge, spermicide or condom) Abstinence (If practicing abstinence must agree to use barrier method described above (4) if becomes sexually active). Vasectomized partner (Must agree to use barrier method described above (4) if becomes sexually active with non-vasectomized). Exclusion criteria Presence of incompletely healed wound in treatment area Pregnant, planning pregnancy or breastfeeding during the course of the study Energy-based device treatment in the treatment area in the last 6 months Treatments with a dermal filler or biostimulatory agent in the treatment area within the past 12 months Recent use of topical tretinoin, adapalene, tazarotene, hydroquinone, imiquimod, 5-fluorouracil, ingenol mebutate, concentrated hydrogen peroxide or diclofenac to the face within the previous 2 weeks. Individuals who have had a chemical peel or microdermabrasion of the face within 30 days prior to enrollment in the study Co-existing potentially confounding skin condition within treatment area (e.g. eczema, psoriasis, XP, rosacea) or the presence of suspected BCC or SCC in treatment area at investigator's discretion Has skin with open wounds, excessively sensitive skin, neurotic excoriations, dermatitis or inflammatory rosacea in the treatment area Individuals with known allergies or sensitivities to any of the ingredients of any topical products being used in this study (a list of the products with active and excipients will be provided below) Individuals with active psoriasis, eczema, sunburn, excessive scarring, tattoos, or other skin condition on the face that would interfere with the assessments of this study Subjects who participated on another study within the last 30 days Subjects currently on or planning to participate in any type of research study at another facility or a doctor's office during this study Subjects with a predisposition to keloid formation following surgery Subjects on systemic steroids (e.g. prednisone, dexamethasone), or topical steroids on the face which should be rigorously avoided prior to and throughout the course of treatment
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Sherif Mikhail, MD
    Phone
    8586571004
    Email
    research@clderm.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Andrea Pacheco
    Phone
    8586571004
    Email
    research@clderm.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Nina Semsarzadeh, MD
    Organizational Affiliation
    Cosmetic Laser Dermatology
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    Citations:
    PubMed Identifier
    28300850
    Citation
    Tan J, Kang S, Leyden J. Prevalence and Risk Factors of Acne Scarring Among Patients Consulting Dermatologists in the USA. J Drugs Dermatol. 2017 Feb 1;16(2):97-102.
    Results Reference
    background
    PubMed Identifier
    30856634
    Citation
    Boen M, Jacob C. A Review and Update of Treatment Options Using the Acne Scar Classification System. Dermatol Surg. 2019 Mar;45(3):411-422. doi: 10.1097/DSS.0000000000001765.
    Results Reference
    background
    PubMed Identifier
    15216537
    Citation
    Manstein D, Herron GS, Sink RK, Tanner H, Anderson RR. Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury. Lasers Surg Med. 2004;34(5):426-38. doi: 10.1002/lsm.20048.
    Results Reference
    background
    PubMed Identifier
    17338686
    Citation
    Alster TS, Tanzi EL, Lazarus M. The use of fractional laser photothermolysis for the treatment of atrophic scars. Dermatol Surg. 2007 Mar;33(3):295-9. doi: 10.1111/j.1524-4725.2007.33059.x.
    Results Reference
    background
    PubMed Identifier
    19397671
    Citation
    Hu S, Chen MC, Lee MC, Yang LC, Keoprasom N. Fractional resurfacing for the treatment of atrophic facial acne scars in asian skin. Dermatol Surg. 2009 May;35(5):826-32. doi: 10.1111/j.1524-4725.2009.01139.x. Epub 2009 Apr 6.
    Results Reference
    background
    PubMed Identifier
    20556471
    Citation
    Hedelund L, Moreau KE, Beyer DM, Nymann P, Haedersdal M. Fractional nonablative 1,540-nm laser resurfacing of atrophic acne scars. A randomized controlled trial with blinded response evaluation. Lasers Med Sci. 2010 Sep;25(5):749-54. doi: 10.1007/s10103-010-0801-1. Epub 2010 Jun 17.
    Results Reference
    background
    PubMed Identifier
    23046026
    Citation
    Bencini PL, Tourlaki A, Galimberti M, Longo C, Pellacani G, De Giorgi V, Guerriero G. Nonablative fractional photothermolysis for acne scars: clinical and in vivo microscopic documentation of treatment efficacy. Dermatol Ther. 2012 Sep-Oct;25(5):463-7. doi: 10.1111/j.1529-8019.2012.01478.x.
    Results Reference
    background
    PubMed Identifier
    25588037
    Citation
    Al-Dhalimi M, Jaber A. Treatment of atrophic facial acne scars with fractional Er:Yag laser. J Cosmet Laser Ther. 2015;17(4):184-8. doi: 10.3109/14764172.2015.1007067. Epub 2015 Feb 13.
    Results Reference
    background
    PubMed Identifier
    26945321
    Citation
    Alexis AF, Coley MK, Nijhawan RI, Luke JD, Shah SK, Argobi YA, Nodzenski M, Veledar E, Alam M. Nonablative Fractional Laser Resurfacing for Acne Scarring in Patients With Fitzpatrick Skin Phototypes IV-VI. Dermatol Surg. 2016 Mar;42(3):392-402. doi: 10.1097/DSS.0000000000000640.
    Results Reference
    background
    PubMed Identifier
    22548644
    Citation
    Gold MH, Biron JA. Treatment of acne scars by fractional bipolar radiofrequency energy. J Cosmet Laser Ther. 2012 Aug;14(4):172-8. doi: 10.3109/14764172.2012.687824. Epub 2012 May 30.
    Results Reference
    background
    PubMed Identifier
    22487513
    Citation
    Cho SI, Chung BY, Choi MG, Baek JH, Cho HJ, Park CW, Lee CH, Kim HO. Evaluation of the clinical efficacy of fractional radiofrequency microneedle treatment in acne scars and large facial pores. Dermatol Surg. 2012 Jul;38(7 Pt 1):1017-24. doi: 10.1111/j.1524-4725.2012.02402.x. Epub 2012 Apr 9.
    Results Reference
    background
    PubMed Identifier
    25136209
    Citation
    Chandrashekar BS, Sriram R, Mysore R, Bhaskar S, Shetty A. Evaluation of microneedling fractional radiofrequency device for treatment of acne scars. J Cutan Aesthet Surg. 2014 Apr;7(2):93-7. doi: 10.4103/0974-2077.138328.
    Results Reference
    background
    PubMed Identifier
    25158223
    Citation
    Vejjabhinanta V, Wanitphakdeedecha R, Limtanyakul P, Manuskiatti W. The efficacy in treatment of facial atrophic acne scars in Asians with a fractional radiofrequency microneedle system. J Eur Acad Dermatol Venereol. 2014 Sep;28(9):1219-25. doi: 10.1111/jdv.12267. Epub 2013 Sep 24.
    Results Reference
    background
    PubMed Identifier
    25855397
    Citation
    Kaminaka C, Uede M, Matsunaka H, Furukawa F, Yamamoto Y. Clinical studies of the treatment of facial atrophic acne scars and acne with a bipolar fractional radiofrequency system. J Dermatol. 2015 Jun;42(6):580-7. doi: 10.1111/1346-8138.12864. Epub 2015 Apr 9.
    Results Reference
    background
    PubMed Identifier
    30417509
    Citation
    Bulbul Baskan E, Akin Belli A. Evaluation of the efficacy of microneedle fractional radiofrequency in Turkish patients with atrophic facial acne scars. J Cosmet Dermatol. 2019 Oct;18(5):1317-1321. doi: 10.1111/jocd.12812. Epub 2018 Nov 11.
    Results Reference
    background
    PubMed Identifier
    11423843
    Citation
    Jacob CI, Dover JS, Kaminer MS. Acne scarring: a classification system and review of treatment options. J Am Acad Dermatol. 2001 Jul;45(1):109-17. doi: 10.1067/mjd.2001.113451.
    Results Reference
    background
    PubMed Identifier
    27128240
    Citation
    Zaleski-Larsen LA, Fabi SG, McGraw T, Taylor M. Acne Scar Treatment: A Multimodality Approach Tailored to Scar Type. Dermatol Surg. 2016 May;42 Suppl 2:S139-49. doi: 10.1097/DSS.0000000000000746.
    Results Reference
    background
    PubMed Identifier
    24267397
    Citation
    Rongsaard N, Rummaneethorn P. Comparison of a fractional bipolar radiofrequency device and a fractional erbium-doped glass 1,550-nm device for the treatment of atrophic acne scars: a randomized split-face clinical study. Dermatol Surg. 2014 Jan;40(1):14-21. doi: 10.1111/dsu.12372. Epub 2013 Nov 25.
    Results Reference
    background
    PubMed Identifier
    25810322
    Citation
    Chae WS, Seong JY, Jung HN, Kong SH, Kim MH, Suh HS, Choi YS. Comparative study on efficacy and safety of 1550 nm Er:Glass fractional laser and fractional radiofrequency microneedle device for facial atrophic acne scar. J Cosmet Dermatol. 2015 Jun;14(2):100-6. doi: 10.1111/jocd.12139. Epub 2015 Mar 23. Erratum In: J Cosmet Dermatol. 2016 Sep;15(3):303.
    Results Reference
    background
    PubMed Identifier
    28512669
    Citation
    Kwon HH, Park HY, Choi SC, Bae Y, Kang C, Jung JY, Park GH. Combined Fractional Treatment of Acne Scars Involving Non-ablative 1,550-nm Erbium-glass Laser and Micro-needling Radiofrequency: A 16-week Prospective, Randomized Split-face Study. Acta Derm Venereol. 2017 Aug 31;97(8):947-951. doi: 10.2340/00015555-2701.
    Results Reference
    background

    Learn more about this trial

    Combined Therapy for Acne Scars

    We'll reach out to this number within 24 hrs