Efficacy of Intralesional Triamcinolone and 8% Topical Pirfenidone for Treatment of Keloid Scars

NCT ID: NCT02823236

Last Updated: 2017-07-14

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

102 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-24

Study Completion Date

2020-05-01

Brief Summary

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The aim of the study is to assess the efficacy and safety of the combination of intralesional triamcinolone (at doses of 4mg / cm2 at intervals of 4 weeks) and topical pirfenidone 8% (every 8 hours continuously) compared with their isolated application, in the treatment of keloid scars in adults. The duration of this three-arm clinical trial will be 12 months, a 6-month period for treatment and a follow-up of 6 months to assess recurrences. The estimated number of persons to be recruited and randomized for the study is 102.

Detailed Description

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Individuals with keloid scars will be randomized to 3 arms of treatment in order to assess the efficacy of combining intralesional triamcinolone and topical pirfenidone compared with the isolated application of these drugs. The interventions will last 6 months but the individuals will be assessed monthly to determine recurrences for 6 more months. The scar size will be measure at weeks 12, 24 and 52.

Conditions

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Keloid

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Intralesional Triamcinolone

A dosage of 4mg/cm2 of intralesional triamcinolone will be injected in the keloid scar every 4 weeks during 6 months.

Group Type ACTIVE_COMPARATOR

Intralesional Triamcinolone

Intervention Type DRUG

Triamcinolone will be injected in the keloid scar 4 mg/cm2 every 4 weeks for 6 months.

Topical Pirfenidone

Dosage commensurate with scar surface to be treated. After washing and drying the affected area, a thin layer of 8% pirfenidone will be applied on the scar, three times a day, for 6 months.

Group Type EXPERIMENTAL

Topical Pirfenidone

Intervention Type DRUG

Pirfenidone 8% gel will be applied three times per day during 6 months in the surface of the keloid scar.

Triamcinolone + Pirfenidone

A dosage of 4mg/cm2 of intralesional triamcinolone will be injected in the keloid scar every 4 weeks during 6 months. Simultaneously, a thin layer of 8% pirfenidone will be applied on the scar, three times a day, for 6 months.

Group Type EXPERIMENTAL

Triamcinolone + Pirfenidone

Intervention Type DRUG

Triamcinolone will be injected in the keloid scar 4 mg/cm2 every 4 weeks for 6 months. And pirfenidone 8% gel will be applied three times per day during 6 months in the surface of the keloid scar.

Interventions

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Topical Pirfenidone

Pirfenidone 8% gel will be applied three times per day during 6 months in the surface of the keloid scar.

Intervention Type DRUG

Triamcinolone + Pirfenidone

Triamcinolone will be injected in the keloid scar 4 mg/cm2 every 4 weeks for 6 months. And pirfenidone 8% gel will be applied three times per day during 6 months in the surface of the keloid scar.

Intervention Type DRUG

Intralesional Triamcinolone

Triamcinolone will be injected in the keloid scar 4 mg/cm2 every 4 weeks for 6 months.

Intervention Type DRUG

Other Intervention Names

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KitosCell Kenalog + KitosCell Kenalog

Eligibility Criteria

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Inclusion Criteria

* Keloids size equal or major than 1 cm
* Keloids less than 5 years old
* Keloids in trunk

Exclusion Criteria

* Keloid with a surgical indication
* Hypertrophic scars
* Scars after burn wounds
* Pregnancy
* Lactation
* Use of systemic chemotherapeutics or chronic use of systemic corticosteroids or immunosuppressive medication
* Known hypersensitivity for triamcinolone or pirfenidone
* Severe comorbidity not controlled
* Inflammatory acne
* Diabetes Mellitus
* Hypertension
* Renal, hepatic or respiratory failure
* Topical treatment 4 weeks before recruitment
* Previous treatment with intralesional steroids
Minimum Eligible Age

18 Years

Maximum Eligible Age

59 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Grupo Medifarma, S. A. de C. V.

INDUSTRY

Sponsor Role collaborator

Centro Dermatológico Dr. Ladislao de la Pascua

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Martha Alejandra Morales-Sánchez, MD, MSc

Role: PRINCIPAL_INVESTIGATOR

Centro Dermatológico Dr. Ladislao de la Pascua

Locations

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Centro Dermatológico "Dr. Ladislao de la Pascua"

Mexico City, , Mexico

Site Status RECRUITING

Countries

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Mexico

Central Contacts

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Martha Alejandra Morales-Sánchez, MD, MSc

Role: CONTACT

55387033 ext. 312

Facility Contacts

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Martha Alejandra Morales-Sánchez, MD, MSc.

Role: primary

55387033 ext. 312

Other Identifiers

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90/15

Identifier Type: -

Identifier Source: org_study_id

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