Topical 5% Tranexamic Acid as a Treatment for Postinflammatory Hyperpigmentation Due to Acne Vulgaris

NCT ID: NCT03361345

Last Updated: 2023-05-16

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

WITHDRAWN

Clinical Phase

PHASE2/PHASE3

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-01

Study Completion Date

2022-01-09

Brief Summary

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The goal of this study is to determine if topical tranexamic acid is capable of decreasing the pigment of the dark spots left from acne bumps. The first line medication used for this often is not tolerated well by patients, and topical tranexamic acid has minimal reported side effects thus far.

Detailed Description

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Conditions

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Postinflammatory Hyperpigmentation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Split-face study in which topical tranexamic acid will be applied to one side of the face and the other side of the face will be the placebo/vehicle as a control.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Right Side of Face

Patients will apply topical tranexamic acid to the dark spots on the one side of their face.

Group Type EXPERIMENTAL

Tranexamic Acid

Intervention Type DRUG

Topical tranexamic acid in cream form applied to dark spots on right side of face.

Left Side of Face

Patients will apply the vehicle cream without any medication to the dark spots on one side of their face.

Group Type SHAM_COMPARATOR

Vehicle

Intervention Type DRUG

The Vehicle is going to be a cream without any active medication that will be applied as a control substance for the topical tranexamic acid cream, and will be applied to the contralateral side of the face.

Interventions

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Tranexamic Acid

Topical tranexamic acid in cream form applied to dark spots on right side of face.

Intervention Type DRUG

Vehicle

The Vehicle is going to be a cream without any active medication that will be applied as a control substance for the topical tranexamic acid cream, and will be applied to the contralateral side of the face.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18 to 65
* Patients with bilateral involvement of facial postinflammatory hyperpigmentation due to acne vulgaris.

Exclusion Criteria

* Pregnant patients or patients planning to become pregnant during the time of the study.
* Patients with a history of use of hydroquinone, kojic acid, tretinoin, adapalene, tazarotene or azaleic acid in the previous 3 months.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Wayne State University

OTHER

Sponsor Role lead

Responsible Party

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Steven D Daveluy

Program Director of Wayne State University Department of Dermatology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Steven Daveluy

Role: PRINCIPAL_INVESTIGATOR

WSUPG Dermatology

Locations

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WSUPG Dermatology

Dearborn, Michigan, United States

Site Status

Countries

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United States

References

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Davis EC, Callender VD. Postinflammatory hyperpigmentation: a review of the epidemiology, clinical features, and treatment options in skin of color. J Clin Aesthet Dermatol. 2010 Jul;3(7):20-31.

Reference Type BACKGROUND
PMID: 20725554 (View on PubMed)

Darji K, Varade R, West D, Armbrecht ES, Guo MA. Psychosocial Impact of Postinflammatory Hyperpigmentation in Patients with Acne Vulgaris. J Clin Aesthet Dermatol. 2017 May;10(5):18-23. Epub 2017 May 1.

Reference Type BACKGROUND
PMID: 28670354 (View on PubMed)

Atefi N, Dalvand B, Ghassemi M, Mehran G, Heydarian A. Therapeutic Effects of Topical Tranexamic Acid in Comparison with Hydroquinone in Treatment of Women with Melasma. Dermatol Ther (Heidelb). 2017 Sep;7(3):417-424. doi: 10.1007/s13555-017-0195-0. Epub 2017 Jul 26.

Reference Type BACKGROUND
PMID: 28748406 (View on PubMed)

Kim SJ, Park JY, Shibata T, Fujiwara R, Kang HY. Efficacy and possible mechanisms of topical tranexamic acid in melasma. Clin Exp Dermatol. 2016 Jul;41(5):480-5. doi: 10.1111/ced.12835. Epub 2016 May 2.

Reference Type BACKGROUND
PMID: 27135282 (View on PubMed)

Na JI, Choi SY, Yang SH, Choi HR, Kang HY, Park KC. Effect of tranexamic acid on melasma: a clinical trial with histological evaluation. J Eur Acad Dermatol Venereol. 2013 Aug;27(8):1035-9. doi: 10.1111/j.1468-3083.2012.04464.x. Epub 2012 Feb 13.

Reference Type BACKGROUND
PMID: 22329442 (View on PubMed)

Ebrahimi B, Naeini FF. Topical tranexamic acid as a promising treatment for melasma. J Res Med Sci. 2014 Aug;19(8):753-7.

Reference Type BACKGROUND
PMID: 25422661 (View on PubMed)

Savory SA, Agim NG, Mao R, Peter S, Wang C, Maldonado G, Bearden Dietert J, Lieu TJ, Wang C, Pretzlaff K, Das S, Vandergriff T, Lopez IE, Litzner BR, Hynan LS, Arellano-Mendoza MI, Bergstresser PR, Pandya AG. Reliability assessment and validation of the postacne hyperpigmentation index (PAHPI), a new instrument to measure postinflammatory hyperpigmentation from acne vulgaris. J Am Acad Dermatol. 2014 Jan;70(1):108-14. doi: 10.1016/j.jaad.2013.09.017. Epub 2013 Oct 28.

Reference Type BACKGROUND
PMID: 24176524 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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1709000866

Identifier Type: -

Identifier Source: org_study_id

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