Clinical Trial of 4% Niacinamide Versus 0.05% Desonide for the Treatment of Axillar Hyperpigmentation

NCT ID: NCT01542138

Last Updated: 2012-11-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2012-11-30

Brief Summary

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Axillary hyperpigmentation is a frequent consultation in dark skin populations although its exact prevalency is unknown. Currently, there are not studies about physiopathology and treatment for this entity. The objective is to evaluate the depigmenting effect of topical 4% niacinamide versus 0.05% desonide in axillary hyperpigmentation.

At least 30 axillas with hyperpigmentation in individuals of phototype III-V, aged 18-50 years are going to be randomly assigned to receive niacinamide, desonide or placebo daily. No hygienic habits will not be modified. Volunteers will be evaluated at baseline and for 9 weeks, by means of histological, histochemical and immunohistochemistry analysis, as well as Transepidermal Water Loss (TEWL), colorimetry, clinically and by photography control.

Detailed Description

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Axillary hyperpigmentation is frequent in dark skin population, is possible a type of postinflammatory hyperpigmentation present in phototypes IV to VI. Previous reports have described increased intensity of Masson-Fontana, anti-tyrosinase and/or anti-TRP1 staining, indicative of melanocyte stimulation and increased melanin production, but the exact mechanism is unknown. The hair plucking, the rubbing of clothes on skin and physical stimulation from washing and drying the underarm are factors implicated. The objective of our study is evaluate the depigmenting effect of topical niacinamide versus desonide in axillary hyperpigmentation through the histochemistry and immunohistochemistry staining.

The study population will include at least 30 axillas with hyperpigmentation in a population with phototype III-V and aged 18-50 years old. Informed consent will be obtained from the patients, under approval by the local ethical committee (Institutional Review Board). The patients are going to be randomly assigned to receive 4% niacinamide, 0.05% desonide or placebo daily once at night. None hygienic habit is going to be modified. Volunteers will be evaluated at baseline and 9 weeks later, with histochemical and immunohistochemical analysis (biopsies), colorimetric value axis L\*, a\*, b\* (Chromameter CR-300, Minolta, Osaka, Japan), Transepidermal Water Loss (TEWL) by means of an evaporimeter (Dermalab, Cortex Technology, Denmark), clinical assessment and photography control.

Statistical analysis was performed using t student, the level of significance was set at 5%. And clinical evaluation will be analysed by means of chi square test.

Conditions

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Hyperpigmentation

Keywords

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Inflammatory hyperpigmentation, axillar pigmentation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Niacinamide

4% niacinamide cream that will be randomly applied on axillar hyperpigmentation once-a-day for 9 weeks.

Group Type ACTIVE_COMPARATOR

Niacinamide

Intervention Type DRUG

Once-a-day applying on axillar hyperpigmentation for 9 weeks

Desonide

Once-a-day application of 0.05% desonide cream on axillar hyperpigmentation

Group Type ACTIVE_COMPARATOR

Desonide

Intervention Type DRUG

Once-a-day applying on axillar hyperpigmentation for 9 weeks

Placebo

Humectant placebo cream

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Humectant placebo cream

Interventions

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Desonide

Once-a-day applying on axillar hyperpigmentation for 9 weeks

Intervention Type DRUG

Niacinamide

Once-a-day applying on axillar hyperpigmentation for 9 weeks

Intervention Type DRUG

Placebo

Humectant placebo cream

Intervention Type DRUG

Other Intervention Names

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0.05% Desowen cream, Galderma, France. Nicotinamide, nicomide vanicream, cetaphil

Eligibility Criteria

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Inclusion Criteria

* Women over 18 years old
* Healthy
* Clinical diagnosis of axillar hyperpigmentation

Exclusion Criteria

* Pregnancy or lactation
* Obesity
* Endocrinological diseases
* Mental diseases
* Treatment for axillar hyperpigmentation in the last 2 months
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Hospital Central "Dr. Ignacio Morones Prieto"

OTHER

Sponsor Role collaborator

Universidad Autonoma de San Luis Potosí

OTHER

Sponsor Role lead

Responsible Party

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Juan Pablo Castanedo Cazares

Dermatology research director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bertha Torres-Alvarez, MD

Role: STUDY_CHAIR

Dermatology Department. Hospital Central "Dr. Ignacio Morones Prieto", San Luis Potosi, México

Gabryela N Larraga-Piñones, MD

Role: PRINCIPAL_INVESTIGATOR

Dermatology Department. Hospital Central "Dr. Ignacio Morones Prieto". San Luis Potosi, México

Juan P Castanedo-Cázares, MD

Role: STUDY_DIRECTOR

Dermatology Department. Hospital Central "Dr. Ignacio Morones Prieto". San Luis Potosi, México

Locations

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Dermatology Department. Hospital Central "Dr. Ignacio Morones Prieto"

San Luis Potosí City, San Luis Potosí, Mexico

Site Status

Countries

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Mexico

References

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Navarrete-Solis J, Castanedo-Cazares JP, Torres-Alvarez B, Oros-Ovalle C, Fuentes-Ahumada C, Gonzalez FJ, Martinez-Ramirez JD, Moncada B. A Double-Blind, Randomized Clinical Trial of Niacinamide 4% versus Hydroquinone 4% in the Treatment of Melasma. Dermatol Res Pract. 2011;2011:379173. doi: 10.1155/2011/379173. Epub 2011 Jul 21.

Reference Type BACKGROUND
PMID: 21822427 (View on PubMed)

Torres-Alvarez B, Mesa-Garza IG, Castanedo-Cazares JP, Fuentes-Ahumada C, Oros-Ovalle C, Navarrete-Solis J, Moncada B. Histochemical and immunohistochemical study in melasma: evidence of damage in the basal membrane. Am J Dermatopathol. 2011 May;33(3):291-5. doi: 10.1097/DAD.0b013e3181ef2d45.

Reference Type BACKGROUND
PMID: 21317614 (View on PubMed)

Other Identifiers

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NIADESAH

Identifier Type: -

Identifier Source: org_study_id