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Lutronic PicoPlus Exploratory Clinical Trial

Primary Purpose

Tattoo; Pigmentation, Melasma, Benign Pigmented Lesion

Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
PicoPlus laser system
Sponsored by
LUTRONIC Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Tattoo; Pigmentation

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male or Female
  • Adults between age 18 and 60 years old
  • Group A: Fitzpatrick skin type I - VI for unwanted tattoos and Group B: Fitzpatrick Skin Types I - IV for benign pigmented lesions and other conditions
  • Unwanted tattoo that contains single or multi-color ink, and

    • Wiling to cover tattoos with a bandage or clothing; and/or have very limited sun exposure and use an approved sunscreen of SPF 50 or higher on the treated area starting 2 to 4 weeks before the treatment
  • Ability to read, understand, and sign the Informed Consent Form
  • Willing to have digital photographs taken of the treatment area and agree to use of photographs for presentation, educational or marketing purposes.
  • Understands and accepts the obligation not to undergo any other procedures in the areas to be treated
  • Willing and able to comply with all study participation requirements including returning for follow-up visits and abstaining from exclusionary procedures for the duration of the study

Exclusion Criteria:

  • If receiving treatment for unwanted tattoo: double tattoos (tattoo over tattoo), history of allergic reactions to pigments following tattooing, local anesthetics or topical antibiotics
  • If receiving treatment for benign pigmented lesions including melasma: history of use of a lightening medication (hydroquinone, tranexamic acid), isotretinoid (or retinoid), or light-sensitive medication in the last 6 months
  • Known cardiovascular disease or cardiac surgery that in the opinion of the investigator would interfere with study treatments
  • Previous interventions or treatment with another device in the target area within 6 months of enrollment or during the study
  • Pregnant or lactating or planning pregnancy before end of study
  • Presence of an active systemic, local skin disease, medication or condition that may affect wound healing or interfere with participation or treatment to the active area.
  • Active or recurrent cancer of current chemotherapy or radiation therapy
  • History of seizure disorders due to light
  • History of vitiligo, eczema, or psoriasis
  • History of connective tissue disease, such as systemic lupus erythematosus or scleroderma
  • History of pigmentary disorders, particularly tendency for hyper- or hypo-pigmentation
  • 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 keloid scarring, hypertrophic scarring or of abnormal wound healing.
  • History of immunosuppression/immune deficiency disorders or currently using immunosuppressive medications.
  • History of seizure disorders due to light.
  • Suffering from coagulation disorders or taking prescription anticoagulation medications
  • History of keloid scarring, hypertrophic scarring or of abnormal wound healing Any use of medication that is known to increase sensitivity to light according to Investigator's discretion
  • Excessive or recent significant tan in areas to be treated or unable/unlikely to refrain from tanning during the study
  • Current smoker or history of smoking within 3 months of study participation
  • Systemic use of corticosteroid or isotretinoin within 6 months of study participation
  • Anytime in life, having have used gold therapy (gold salts) for disorders such as rheumatologic disease or lupus
  • Any physical or mental condition including alcohol or drug abuse that in the opinion of the investigator could interfere with subject's suitability for inclusion in study

Sites / Locations

  • Zena Medical
  • Metro Dermatology
  • Laser and Skin Surgery Center of New York
  • Dermatology, Laser, and Vein Specialists of the Carolinas

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Group A: PicoPlus for unwanted tattoos.

Group B: PicoPlus for other dermatological conditions

Arm Description

Subjects receiving PicoPlus laser system treatment for unwanted tattoos.

Subjects receiving PicoPlus laser system treatment for unwanted benign pigmented lesions, melasma or other dermatological conditions such as skin rejuvenation.

Outcomes

Primary Outcome Measures

Investigator's Global Assessment of Improvement
Overall aesthetic improvement based on completion of the Physician's Global Assessment of Improvement Scale. Physician evaluators will review study photos post-final treatment, and rate the degree of tattoo clearing or reduction in benign pigmentation observed in the subject's treated area using the following definitions: 3 = Very significant or complete clearing (75-100%) 2 = Significant clearing (50-74%) 1 = Moderate clearing (25-49%) 0 = Mild or no clearing (0-24%)

Secondary Outcome Measures

Subject's Global Assessment of Improvement
Overall aesthetic improvement based on completion of the Subject's Global Assessment of Improvement Scale. Subjects will be asked review study photos post-final treatment, and rate the degree of tattoo clearing or reduction in benign pigmentation observed in the subject's treated area using the following definitions: 3 = Very significant or complete clearing (75-100%) 2 = Significant clearing (50-74%) 1 = Moderate clearing (25-49%) 0 = Mild or no clearing (0-24%)
Subject Satisfaction
Following the final study treatment, subjects will be asked to rate their level of satisfaction with the laser treatment outcome and the overall laser treatment procedure, using the Subject Satisfaction Assessment Scale and the following definitions: 2 = Extremely Satisfied 1 = Satisfied 0 = Neutral (-1) = Unsatisfied (-2) = Extremely Unsatisfied

Full Information

First Posted
January 8, 2018
Last Updated
May 30, 2019
Sponsor
LUTRONIC Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT03415685
Brief Title
Lutronic PicoPlus Exploratory Clinical Trial
Official Title
Evaluation of the Lutronic PicoPlus for the Treatment of Dematological Conditions Such as Unwanted Tattoos and Benign Pigmented Lesions
Study Type
Interventional

2. Study Status

Record Verification Date
May 2019
Overall Recruitment Status
Active, not recruiting
Study Start Date
October 12, 2017 (Actual)
Primary Completion Date
November 1, 2019 (Anticipated)
Study Completion Date
December 31, 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
LUTRONIC Corporation

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 study will evaluate the use of the Lutronic PicoPlus for treatment of dermatological conditions such as unwanted tattoos and benign pigmented lesions.
Detailed Description
This pilot clinical trial will evaluate the capability of the Lutronic PicoPlus technology to remove unwanted tattoos and benign pigmented lesions. This trial is designed as a multi-center exploratory, open-label clinical trial comparing each subject's condition before and after treatment. Subjects meeting all entrance criteria will be assigned to Group A for treatment of unwanted tattoos and Group B for treatment of unwanted benign pigmented lesions, melasma, or other skin conditions such as skin rejuvenation. Subjects in each treatment group will receive a series of treatments, e.g., 2-5, and will be asked to complete 1 and 3 month follow-up visit(s) following each treatment to assess treatment efficacy and safety. At investigators' discretion, additional follow-up visits, e.g., at 6 months following treatment, may take place to observe the time course of reactions after treatment and/or assess efficacy. Outcome measures include clinician grading and subject satisfaction post-treatment. Pre-treatment study photos will be obtained at baseline; post-treatment study photos will be obtained at each post-treatment follow-up visit.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tattoo; Pigmentation, Melasma, Benign Pigmented Lesion

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Subjects will be assigned to one of two treatments group depending on the dermatologic condition to be treated.
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
80 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Group A: PicoPlus for unwanted tattoos.
Arm Type
Active Comparator
Arm Description
Subjects receiving PicoPlus laser system treatment for unwanted tattoos.
Arm Title
Group B: PicoPlus for other dermatological conditions
Arm Type
Active Comparator
Arm Description
Subjects receiving PicoPlus laser system treatment for unwanted benign pigmented lesions, melasma or other dermatological conditions such as skin rejuvenation.
Intervention Type
Device
Intervention Name(s)
PicoPlus laser system
Intervention Description
Laser treatment using specific pulse durations and wavelengths for selective pigment photothermolysis.
Primary Outcome Measure Information:
Title
Investigator's Global Assessment of Improvement
Description
Overall aesthetic improvement based on completion of the Physician's Global Assessment of Improvement Scale. Physician evaluators will review study photos post-final treatment, and rate the degree of tattoo clearing or reduction in benign pigmentation observed in the subject's treated area using the following definitions: 3 = Very significant or complete clearing (75-100%) 2 = Significant clearing (50-74%) 1 = Moderate clearing (25-49%) 0 = Mild or no clearing (0-24%)
Time Frame
1 and 3 months (and 6 months for Group A) following study treatment
Secondary Outcome Measure Information:
Title
Subject's Global Assessment of Improvement
Description
Overall aesthetic improvement based on completion of the Subject's Global Assessment of Improvement Scale. Subjects will be asked review study photos post-final treatment, and rate the degree of tattoo clearing or reduction in benign pigmentation observed in the subject's treated area using the following definitions: 3 = Very significant or complete clearing (75-100%) 2 = Significant clearing (50-74%) 1 = Moderate clearing (25-49%) 0 = Mild or no clearing (0-24%)
Time Frame
1 and 3 months (and 6 months for Group A) following study treatment
Title
Subject Satisfaction
Description
Following the final study treatment, subjects will be asked to rate their level of satisfaction with the laser treatment outcome and the overall laser treatment procedure, using the Subject Satisfaction Assessment Scale and the following definitions: 2 = Extremely Satisfied 1 = Satisfied 0 = Neutral (-1) = Unsatisfied (-2) = Extremely Unsatisfied
Time Frame
1 and 3 months (and 6 months for Group A) following study treatment
Other Pre-specified Outcome Measures:
Title
Blinded Reviewer's Global Assessment of Improvement
Description
Three blinded experienced, non-treating clinicians will independently evaluate pre- and post-treatment photos of each subject, presented randomly. Each reviewer will be asked to determine the temporal order (before and after) of each photo pair, and then rate the degree of tattoo clearing or reduction in benign pigmentation in the post-treatment photo using the following scale: 3 = Very significant or complete clearing (75-100%) 2 = Significant clearing (50-74%) 1 = Moderate clearing (25-49%) 0 = Mild or no clearing (0-24%)
Time Frame
Through the 3-month (6-month for Group A) post-treatment follow-up visit
Title
Melasma Area Severity Index (MASI)
Description
Three blinded experienced, non-treating clinicians will independently evaluate pre- and post-treatment photos of each subject, presented randomly, using the MASI. Each of four regions (forehead, right malar region, left malar region and chin) will be assessed based on three variables: percentage of the total area involved (A), darkness (D), and homogeneity (H).
Time Frame
Through the 3-month (6-month for Group A) post-treatment follow-up visit

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or Female Adults between age 18 and 60 years old Group A: Fitzpatrick skin type I - VI for unwanted tattoos and Group B: Fitzpatrick Skin Types I - IV for benign pigmented lesions and other conditions Unwanted tattoo that contains single or multi-color ink, and Wiling to cover tattoos with a bandage or clothing; and/or have very limited sun exposure and use an approved sunscreen of SPF 50 or higher on the treated area starting 2 to 4 weeks before the treatment Ability to read, understand, and sign the Informed Consent Form Willing to have digital photographs taken of the treatment area and agree to use of photographs for presentation, educational or marketing purposes. Understands and accepts the obligation not to undergo any other procedures in the areas to be treated Willing and able to comply with all study participation requirements including returning for follow-up visits and abstaining from exclusionary procedures for the duration of the study Exclusion Criteria: If receiving treatment for unwanted tattoo: double tattoos (tattoo over tattoo), history of allergic reactions to pigments following tattooing, local anesthetics or topical antibiotics If receiving treatment for benign pigmented lesions including melasma: history of use of a lightening medication (hydroquinone, tranexamic acid), isotretinoid (or retinoid), or light-sensitive medication in the last 6 months Known cardiovascular disease or cardiac surgery that in the opinion of the investigator would interfere with study treatments Previous interventions or treatment with another device in the target area within 6 months of enrollment or during the study Pregnant or lactating or planning pregnancy before end of study Presence of an active systemic, local skin disease, medication or condition that may affect wound healing or interfere with participation or treatment to the active area. Active or recurrent cancer of current chemotherapy or radiation therapy History of seizure disorders due to light History of vitiligo, eczema, or psoriasis History of connective tissue disease, such as systemic lupus erythematosus or scleroderma History of pigmentary disorders, particularly tendency for hyper- or hypo-pigmentation 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 keloid scarring, hypertrophic scarring or of abnormal wound healing. History of immunosuppression/immune deficiency disorders or currently using immunosuppressive medications. History of seizure disorders due to light. Suffering from coagulation disorders or taking prescription anticoagulation medications History of keloid scarring, hypertrophic scarring or of abnormal wound healing Any use of medication that is known to increase sensitivity to light according to Investigator's discretion Excessive or recent significant tan in areas to be treated or unable/unlikely to refrain from tanning during the study Current smoker or history of smoking within 3 months of study participation Systemic use of corticosteroid or isotretinoin within 6 months of study participation Anytime in life, having have used gold therapy (gold salts) for disorders such as rheumatologic disease or lupus Any physical or mental condition including alcohol or drug abuse that in the opinion of the investigator could interfere with subject's suitability for inclusion in study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kari Larson, MBA
Organizational Affiliation
Sponsor GmbH
Official's Role
Study Director
Facility Information:
Facility Name
Zena Medical
City
Newport Beach
State/Province
California
ZIP/Postal Code
92660
Country
United States
Facility Name
Metro Dermatology
City
Elmhurst
State/Province
New York
ZIP/Postal Code
11373
Country
United States
Facility Name
Laser and Skin Surgery Center of New York
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Dermatology, Laser, and Vein Specialists of the Carolinas
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28207
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Lutronic PicoPlus Exploratory Clinical Trial

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