Oral Tranexamic Acid and Topical Hydroquinone in the Treatment of Melasma

NCT ID: NCT03751163

Last Updated: 2018-11-26

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

PHASE3

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-16

Study Completion Date

2017-04-02

Brief Summary

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This study assess the effectiveness of oral tranexamic acid in combination with hydroquinone cream in the treatment of melasma.

Detailed Description

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Hydroquinone (HQ) is considered the gold standard depigmenting agent for melasma, nevertheless, many patients are recalcitrant to this treatment.

Recent studies have shown that tranexamic acid, a plasmin inhibitor, can prevent UV-induced pigmentation.

Conditions

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Melasma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Study

Tranexamic acid 250 mg po bid 12 weeks 4% Hydroquinone cream qhs 12 weeks sunscreen spf 30 qam 24 weeks

Group Type ACTIVE_COMPARATOR

Tranexamic Acid Oral Product

Intervention Type DRUG

Encapsulated tranexamic acid 250 mg

Hydroquinone 4% Cream

Intervention Type DRUG

Hydroquinone 4% Cream

Sunscreen

Intervention Type OTHER

Sunscreen SPF 30

Control

Placebo po bid 12 weeks 4% Hydroquinone cream qhs 12 weeks sunscreen spf 30 qam 24 weeks

Group Type PLACEBO_COMPARATOR

Hydroquinone 4% Cream

Intervention Type DRUG

Hydroquinone 4% Cream

Sunscreen

Intervention Type OTHER

Sunscreen SPF 30

Placebo

Intervention Type DEVICE

Encapsulated placebo

Interventions

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Tranexamic Acid Oral Product

Encapsulated tranexamic acid 250 mg

Intervention Type DRUG

Hydroquinone 4% Cream

Hydroquinone 4% Cream

Intervention Type DRUG

Sunscreen

Sunscreen SPF 30

Intervention Type OTHER

Placebo

Encapsulated placebo

Intervention Type DEVICE

Other Intervention Names

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TA HQ Sun Protection

Eligibility Criteria

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Inclusion Criteria

* moderate melasma (subject with mMASI score of 5 to 7.9),
* severe melasma (subject with mMASI score ≥ 8),
* willing to follow up for 6 months.

Exclusion Criteria

* pregnant women,
* nursing women,
* women on exogenous hormones
* current treatment with blood thinners,
* had a history of thrombosis,
* had an abnormal kidney function,
* use of topical hydroquinone within 3 months of study enrollment,
* use of topical steroids, vitamin A analogs, chemical peels within 1 month of study
Minimum Eligible Age

21 Years

Maximum Eligible Age

64 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Fakultas Kedokteran Universitas Indonesia

OTHER

Sponsor Role lead

Responsible Party

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Nahla Shihab

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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008

Identifier Type: -

Identifier Source: org_study_id

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