Trial Outcomes & Findings for Light Emitting Diode-Red Light (LED-RL) Phototherapy for Skin Scarring Prevention (NCT NCT03795116)

NCT ID: NCT03795116

Last Updated: 2022-06-01

Results Overview

The ElastiMeter, a non-invasive indentation instrument, will be used to evaluate skin elasticity (i.e., skin stiffness) of the LED-RL-treated scar versus the untreated scar. Skin elasticity is measured in Newtons/meters (N/m).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

30 participants

Primary outcome timeframe

1 month, 3 months, 6 months

Results posted on

2022-06-01

Participant Flow

30 participants were included in the study. This was a split-face study in which each patient received LED-RL phototherapy (i.e. low, medium, or high dose) on one preauricular incision site and mock phototherapy on the other preauricular incision site.

Unit of analysis: Incision Sites

Participant milestones

Participant milestones
Measure
LED-RL Phototherapy Group 1
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 1: Received Low dose LED-RL (160 J/cm2) for 30 minutes
Mock Irradiation Group 1
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 1: Received mock phototherapy for 30 minutes.
LED-RL Phototherapy Group 2
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 2: Received medium dose LED-RL (320 J/cm2) for 60 minutes
Mock Irradiation Group 2
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 2: Received mock phototherapy for 60 minutes.
LED-RL Phototherapy Group 3
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 3: Received high dose LED-RL (480 J/cm2) for 90 minutes
Mock Irradiation Group 3
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 3: Received mock phototherapy for 90 minutes.
Overall Study
STARTED
10 10
10 10
10 10
10 10
10 10
10 10
Overall Study
COMPLETED
6 6
6 6
9 9
9 9
9 9
9 9
Overall Study
NOT COMPLETED
4 4
4 4
1 1
1 1
1 1
1 1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Light Emitting Diode-Red Light (LED-RL) Phototherapy for Skin Scarring Prevention

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants Group 1
n=10 Participants
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Group 1 participants received Low dose LED-RL (160 J/cm2) for 30 minutes on one incision site and mock phototherapy for 30 minutes on the other incision site.
All Participants Group 2
n=10 Participants
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Group 2 participants received medium dose LED-RL (320 J/cm2) for 60 minutes on one incision site and mock phototherapy for 60 minutes on the other incision site.
All Participants Group 3
n=10 Participants
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Group 3 participants received high dose LED-RL (480 J/cm2) for 90 minutes on one incision site and mock phototherapy for 90 minutes on the other incision site.
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
53.7 years
STANDARD_DEVIATION 8.2 • n=5 Participants
52.4 years
STANDARD_DEVIATION 7.2 • n=7 Participants
56.3 years
STANDARD_DEVIATION 7.4 • n=5 Participants
54.1 years
STANDARD_DEVIATION 7.5 • n=4 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
10 Participants
n=7 Participants
10 Participants
n=5 Participants
30 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race/Ethnicity, Customized
White non-hispanic
5 participants
n=5 Participants
6 participants
n=7 Participants
8 participants
n=5 Participants
19 participants
n=4 Participants
Race/Ethnicity, Customized
White hispanic
2 participants
n=5 Participants
3 participants
n=7 Participants
1 participants
n=5 Participants
6 participants
n=4 Participants
Race/Ethnicity, Customized
Black or African American
2 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
4 participants
n=4 Participants
Race/Ethnicity, Customized
Two or more races
1 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants

PRIMARY outcome

Timeframe: 1 month, 3 months, 6 months

Population: Collected data were not considered valid due to an equipment malfunction.

The ElastiMeter, a non-invasive indentation instrument, will be used to evaluate skin elasticity (i.e., skin stiffness) of the LED-RL-treated scar versus the untreated scar. Skin elasticity is measured in Newtons/meters (N/m).

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Baseline assessment was completed on post-operative day 5, before LED-RL or mock phototherapy treatment. Follow-up visits were scheduled on approximately post-operative day 30 (1 month), post-operative 90 (3 months), and post-operative day 180 (6 months).

Population: In this split-face study, 10 subjects were randomly assigned to each LED-RL group (low, medium, or high dose). While 30 subjects participated in the study, there were 60 total preauricular incision sites (in each participant, one site treated with LED-RL and the other with mock phototherapy). Due to subjects missing assessment visits (i.e. personal reasons, withdrawals, etc), there may be less than 10 subjects per group analyzed at each time point.

The SkinFibroMeter, a non-invasive indentation instrument, will be used to evaluate the induration of the skin and subcutaneous tissue (i.e., hardness) of the LED-RL-treated scar versus the untreated scar. Skin induration is measured in Newtons (N).

Outcome measures

Outcome measures
Measure
Mock Irradiation Group 3
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 3: Received mock phototherapy for 90 minutes.
LED-RL Phototherapy
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy: The LED-RL treatment device has a 4.7 cm x 6.1 cm rectangular array of LEDs and emits visible red light (633 nm) at a power density of 360.2 W/m2 at room temperature and a distance of 10 mm from the target surface.
Mock Irradiation
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation: The mock therapy device is designed to sound, look, and feel identical to the LED-RL treatment device (i.e., has the same physical components and thermal output), except it does not emit visible red light.
LED-RL Phototherapy Group 2
n=10 Incision Sites
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 2: Received medium dose LED-RL (320 J/cm2) for 60 minutes
Mock Irradiation Group 2
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 2: Received mock phototherapy for 60 minutes.
LED-RL Phototherapy Group 3
n=10 Incision Sites
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 3: Received high dose LED-RL (480 J/cm2) for 90 minutes
Change in Scar Pliability Between the Treated and Control Incision Sites as Measured by Skin Induration at Three Follow-up Time Points Compared to Baseline
Baseline
.07 Newton
Interval 0.02 to 0.08
.08 Newton
Interval 0.04 to 0.14
.05 Newton
Interval 0.02 to 0.08
.09 Newton
Interval 0.03 to 0.13
.06 Newton
Interval 0.04 to 0.08
.06 Newton
Interval 0.04 to 0.07
Change in Scar Pliability Between the Treated and Control Incision Sites as Measured by Skin Induration at Three Follow-up Time Points Compared to Baseline
1 month
.04 Newton
Interval 0.02 to 0.04
.05 Newton
Interval 0.04 to 0.08
.04 Newton
Interval 0.03 to 0.08
.06 Newton
Interval 0.04 to 0.08
.05 Newton
Interval 0.03 to 0.12
.05 Newton
Interval 0.03 to 0.08
Change in Scar Pliability Between the Treated and Control Incision Sites as Measured by Skin Induration at Three Follow-up Time Points Compared to Baseline
3 months
.06 Newton
Interval 0.04 to 0.08
.03 Newton
Interval 0.03 to 0.06
.04 Newton
Interval 0.02 to 0.05
.04 Newton
Interval 0.03 to 0.07
.04 Newton
Interval 0.04 to 0.07
.05 Newton
Interval 0.04 to 0.06
Change in Scar Pliability Between the Treated and Control Incision Sites as Measured by Skin Induration at Three Follow-up Time Points Compared to Baseline
6 months
.02 Newton
Interval 0.02 to 0.03
.03 Newton
Interval 0.02 to 0.03
.03 Newton
Interval 0.02 to 0.03
.02 Newton
Interval 0.02 to 0.03
.03 Newton
Interval 0.03 to 0.03
.03 Newton
Interval 0.02 to 0.03

SECONDARY outcome

Timeframe: Baseline assessment was completed on post-operative day 5, before LED-RL or mock phototherapy treatment. Follow-up visits were scheduled on approximately post-operative day 30 (1 month), post-operative 90 (3 months), and post-operative day 180 (6 months).

Population: In this split-face study, 10 subjects were randomly assigned to each LED-RL group (low, medium, or high dose). While 30 subjects participated in the study, there were 60 total preauricular incision sites (in each participant, one site treated with LED-RL and the other with mock phototherapy). Due to subjects missing assessment visits (i.e. personal reasons, withdrawals, etc), there may be less than 10 subjects per group analyzed at each time point.

The scale consists of six items rated from 1 to 10, where 1 is "normal skin" and 10 is the "worst imaginable scar". The observer (i.e., investigator) evaluates scar vascularity, pigmentation, thickness, relief, pliability, and surface area. The scores of each of the six items are summed for a total score (range 6 to 60).

Outcome measures

Outcome measures
Measure
Mock Irradiation Group 3
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 3: Received mock phototherapy for 90 minutes.
LED-RL Phototherapy
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy: The LED-RL treatment device has a 4.7 cm x 6.1 cm rectangular array of LEDs and emits visible red light (633 nm) at a power density of 360.2 W/m2 at room temperature and a distance of 10 mm from the target surface.
Mock Irradiation
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation: The mock therapy device is designed to sound, look, and feel identical to the LED-RL treatment device (i.e., has the same physical components and thermal output), except it does not emit visible red light.
LED-RL Phototherapy Group 2
n=10 Incision Sites
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 2: Received medium dose LED-RL (320 J/cm2) for 60 minutes
Mock Irradiation Group 2
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 2: Received mock phototherapy for 60 minutes.
LED-RL Phototherapy Group 3
n=10 Incision Sites
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 3: Received high dose LED-RL (480 J/cm2) for 90 minutes
Observer Scar Assessment Scale
Baseline
16.5 score on a scale
Interval 15.0 to 20.0
16.5 score on a scale
Interval 14.0 to 20.0
16.5 score on a scale
Interval 15.0 to 21.0
19.0 score on a scale
Interval 16.0 to 21.0
14.0 score on a scale
Interval 13.0 to 17.0
18.0 score on a scale
Interval 16.0 to 19.0
Observer Scar Assessment Scale
1 month
13.0 score on a scale
Interval 12.0 to 15.0
17.0 score on a scale
Interval 15.0 to 18.0
17.0 score on a scale
Interval 14.0 to 19.0
13.0 score on a scale
Interval 11.0 to 16.0
17.5 score on a scale
Interval 11.0 to 19.0
19.0 score on a scale
Interval 17.0 to 21.0
Observer Scar Assessment Scale
3 months
13.0 score on a scale
Interval 12.0 to 14.0
12.5 score on a scale
Interval 11.5 to 17.0
15.0 score on a scale
Interval 14.0 to 16.0
12.0 score on a scale
Interval 11.0 to 18.0
14.0 score on a scale
Interval 9.0 to 18.0
15.0 score on a scale
Interval 12.0 to 19.0
Observer Scar Assessment Scale
6 months
12.0 score on a scale
Interval 8.0 to 19.0
9.0 score on a scale
Interval 8.0 to 18.0
12.5 score on a scale
Interval 11.0 to 14.0
8.0 score on a scale
Interval 8.0 to 20.0
14.0 score on a scale
Interval 12.0 to 16.0
13.0 score on a scale
Interval 10.0 to 15.0

SECONDARY outcome

Timeframe: Baseline assessment was completed on post-operative day 5, before LED-RL or mock phototherapy treatment. Follow-up visits were scheduled on approximately post-operative day 30 (1 month), post-operative 90 (3 months), and post-operative day 180 (6 months).

Population: Data were not collected for this outcome measure.

The scar images will be rated by two independent, blinded dermatologists using a VAS. The VAS is presented as a 10 cm horizontal line, where the extreme ends of 0 indicates "normal skin" and 10 corresponds to the "worst possible scar," for each of the following scar attributes: pigmentation, vascularity, observer comfort, contour, and overall severity.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline assessment was completed on post-operative day 5, before LED-RL or mock phototherapy treatment. Follow-up visits were scheduled on approximately post-operative day 30 (1 month), post-operative 90 (3 months), and post-operative day 180 (6 months).

Population: In this split-face study, 10 subjects were randomly assigned to each LED-RL group (low, medium, or high dose). While 30 subjects participated in the study, there were 60 total preauricular incision sites (in each participant, one site treated with LED-RL and the other with mock phototherapy). Due to subjects missing assessment visits (i.e. personal reasons, withdrawals, etc), there may be less than 10 subjects per group analyzed at each time point.

A non-invasive, handheld diffuse reflectance probe will be used to measure collagen concentration in the dermis at each incision site. The scale ranges from 10 to 99 and the collagen measurement corresponds to the half of the optical scattering coefficient of the dermis.

Outcome measures

Outcome measures
Measure
Mock Irradiation Group 3
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 3: Received mock phototherapy for 90 minutes.
LED-RL Phototherapy
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy: The LED-RL treatment device has a 4.7 cm x 6.1 cm rectangular array of LEDs and emits visible red light (633 nm) at a power density of 360.2 W/m2 at room temperature and a distance of 10 mm from the target surface.
Mock Irradiation
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation: The mock therapy device is designed to sound, look, and feel identical to the LED-RL treatment device (i.e., has the same physical components and thermal output), except it does not emit visible red light.
LED-RL Phototherapy Group 2
n=10 Incision Sites
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 2: Received medium dose LED-RL (320 J/cm2) for 60 minutes
Mock Irradiation Group 2
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 2: Received mock phototherapy for 60 minutes.
LED-RL Phototherapy Group 3
n=10 Incision Sites
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 3: Received high dose LED-RL (480 J/cm2) for 90 minutes
Dermal Collagen Concentration
Baseline
52.5 arbitrary units
Interval 46.0 to 62.0
48.7 arbitrary units
Interval 41.0 to 59.5
52.0 arbitrary units
Interval 37.0 to 62.6
51.0 arbitrary units
Interval 34.0 to 59.0
50.5 arbitrary units
Interval 42.0 to 62.0
47.7 arbitrary units
Interval 39.3 to 62.0
Dermal Collagen Concentration
1 month
57.0 arbitrary units
Interval 48.3 to 60.3
60.3 arbitrary units
Interval 50.0 to 62.0
47.0 arbitrary units
Interval 29.3 to 56.3
50.7 arbitrary units
Interval 44.7 to 58.0
55.2 arbitrary units
Interval 43.7 to 60.0
52.7 arbitrary units
Interval 42.3 to 60.7
Dermal Collagen Concentration
3 months
58.7 arbitrary units
Interval 55.6 to 62.0
57.5 arbitrary units
Interval 47.8 to 60.3
57.4 arbitrary units
Interval 55.5 to 61.5
58.3 arbitrary units
Interval 55.0 to 60.7
57.3 arbitrary units
Interval 54.7 to 58.0
58.7 arbitrary units
Interval 48.0 to 59.6
Dermal Collagen Concentration
6 months
59.3 arbitrary units
Interval 56.7 to 61.3
57.0 arbitrary units
Interval 55.3 to 58.7
56.5 arbitrary units
Interval 53.0 to 60.3
60.0 arbitrary units
Interval 56.0 to 61.7
61.0 arbitrary units
Interval 54.7 to 61.3
56.7 arbitrary units
Interval 50.3 to 57.0

SECONDARY outcome

Timeframe: Baseline assessment was completed on post-operative day 5, before LED-RL or mock phototherapy treatment. Follow-up visits were scheduled on approximately post-operative day 30 (1 month), post-operative 90 (3 months), and post-operative day 180 (6 months).

Population: In this split-face study, 10 subjects were randomly assigned to each LED-RL group (low, medium, or high dose). While 30 subjects participated in the study, there were 60 total preauricular incision sites (in each participant, one site treated with LED-RL and the other with mock phototherapy). Due to subjects missing assessment visits (i.e. personal reasons, withdrawals, etc), there may be less than 10 subjects per group analyzed at each time point.

A non-invasive, handheld diffuse reflectance probe will be used to measure water concentration in the dermis at each incision site. Infrared light is emitted at different wavelengths to retrieve the scattering and the absorption coefficients of the dermis. The more water, the less reflectance. Concentration ranges from 40% to 85%.

Outcome measures

Outcome measures
Measure
Mock Irradiation Group 3
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 3: Received mock phototherapy for 90 minutes.
LED-RL Phototherapy
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy: The LED-RL treatment device has a 4.7 cm x 6.1 cm rectangular array of LEDs and emits visible red light (633 nm) at a power density of 360.2 W/m2 at room temperature and a distance of 10 mm from the target surface.
Mock Irradiation
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation: The mock therapy device is designed to sound, look, and feel identical to the LED-RL treatment device (i.e., has the same physical components and thermal output), except it does not emit visible red light.
LED-RL Phototherapy Group 2
n=10 Incision Sites
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 2: Received medium dose LED-RL (320 J/cm2) for 60 minutes
Mock Irradiation Group 2
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 2: Received mock phototherapy for 60 minutes.
LED-RL Phototherapy Group 3
n=10 Incision Sites
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 3: Received high dose LED-RL (480 J/cm2) for 90 minutes
Dermal Water Concentration
Baseline
66.2 percentage
Interval 63.0 to 68.0
63.0 percentage
Interval 60.0 to 64.3
65.3 percentage
Interval 62.3 to 66.0
60.7 percentage
Interval 58.7 to 62.0
62.7 percentage
Interval 60.0 to 66.0
63.2 percentage
Interval 62.0 to 67.7
Dermal Water Concentration
1 month
64.0 percentage
Interval 60.0 to 65.0
64.0 percentage
Interval 62.0 to 65.0
62.3 percentage
Interval 61.3 to 63.3
60.2 percentage
Interval 58.3 to 61.7
62.3 percentage
Interval 58.3 to 63.3
60.6 percentage
Interval 58.7 to 62.7
Dermal Water Concentration
3 months
62.0 percentage
Interval 57.0 to 67.6
63.0 percentage
Interval 59.7 to 67.8
61.4 percentage
Interval 59.0 to 67.3
63.0 percentage
Interval 59.7 to 66.3
60.7 percentage
Interval 59.3 to 62.3
61.7 percentage
Interval 60.6 to 63.3
Dermal Water Concentration
6 months
64.0 percentage
Interval 61.3 to 64.7
62.5 percentage
Interval 59.0 to 64.3
61.2 percentage
Interval 59.7 to 64.0
63.7 percentage
Interval 62.3 to 68.3
63.0 percentage
Interval 62.7 to 64.7
62.0 percentage
Interval 61.3 to 62.3

SECONDARY outcome

Timeframe: Baseline assessment was completed on post-operative day 5, before LED-RL or mock phototherapy treatment. Follow-up visits were scheduled on approximately post-operative day 30 (1 month), post-operative 90 (3 months), and post-operative day 180 (6 months).

Population: Data were not collected for this outcome measure.

A 3D digital imaging system will be used to construct 3D images of the scars for colorimetric analyses, including quantitative measurements of pigmentation at each incision site.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline assessment was completed on post-operative day 5, before LED-RL or mock phototherapy treatment. Follow-up visits were scheduled on approximately post-operative day 30 (1 month), post-operative 90 (3 months), and post-operative day 180 (6 months).

Population: Data were not collected for this outcome measure.

A 3D digital imaging system will be used to construct 3D images of the scars for colorimetric analyses, including quantitative measurements of vascularity at each incision site.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline assessment was completed on post-operative day 5, before LED-RL or mock phototherapy treatment. Follow-up visits were scheduled on approximately post-operative day 30 (1 month), post-operative 90 (3 months), and post-operative day 180 (6 months).

Population: Data were not collected for this outcome measure.

A 3D digital imaging system will be used to construct 3D images of the scars for skin profilometry analyses, including quantitative measurements of tissue volume at each incision site.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Skin specimens will be obtained via optional 2 mm punch biopsy on post-operative day 0 (prior to surgery) and post-operative day 30 (first follow-up visit after completion of LED-RL treatment).

Population: Biopsy was optional. This outcome measure was not performed for any subjects.

The histological changes that occur in vivo in response to LED-RL phototherapy will be evaluated by examination of pre- and post-treated skin tissue. Skin specimens will be obtained via optional 2 mm punch biopsy and stained for collagen fibers.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From first LED-RL and mock phototherapy treatment session on post-operative day 5 until final follow-up visit on post-operative day 180 (6 month follow-up).

Population: This was a split-face study including 30 participants. Each participant received LED-RL phototherapy (i.e. low, medium, or high dose) on one preauricular incision site and mock phototherapy on the other preauricular incision site.

Subjects will be provided with a daily diary to record any adverse events experienced during the three-week intervention period. Treatment sessions will be monitored closely for the occurrence of any safety issues or adverse events, as reported by the subject or observed by the clinical research team. At each follow up visit, patients will be asked about adverse effects.

Outcome measures

Outcome measures
Measure
Mock Irradiation Group 3
n=10 Participants
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 3: Received mock phototherapy for 90 minutes.
LED-RL Phototherapy
n=10 Participants
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy: The LED-RL treatment device has a 4.7 cm x 6.1 cm rectangular array of LEDs and emits visible red light (633 nm) at a power density of 360.2 W/m2 at room temperature and a distance of 10 mm from the target surface.
Mock Irradiation
n=10 Participants
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation: The mock therapy device is designed to sound, look, and feel identical to the LED-RL treatment device (i.e., has the same physical components and thermal output), except it does not emit visible red light.
LED-RL Phototherapy Group 2
n=10 Participants
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 2: Received medium dose LED-RL (320 J/cm2) for 60 minutes
Mock Irradiation Group 2
n=10 Participants
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 2: Received mock phototherapy for 60 minutes.
LED-RL Phototherapy Group 3
n=10 Participants
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 3: Received high dose LED-RL (480 J/cm2) for 90 minutes
Number of Participants Experiencing Adverse Events in Each Treatment Group
localized bulla
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants Experiencing Adverse Events in Each Treatment Group
localized facial swelling
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants Experiencing Adverse Events in Each Treatment Group
no adverse events
10 Participants
10 Participants
10 Participants
9 Participants
10 Participants
8 Participants

SECONDARY outcome

Timeframe: Baseline assessment was completed on post-operative day 5, before LED-RL or mock phototherapy treatment. Follow-up visits were scheduled on approximately post-operative day 30 (1 month), post-operative 90 (3 months), and post-operative day 180 (6 months).

Population: In this split-face study, 10 subjects were randomly assigned to each LED-RL group (low, medium, or high dose). While 30 subjects participated in the study, there were 60 total preauricular incision sites (in each participant, one site treated with LED-RL and the other with mock phototherapy). Due to subjects missing assessment visits (i.e. personal reasons, withdrawals, etc), there may be less than 10 subjects per group analyzed at each time point.

The scale consists of six items rated from 1 to 10, where 1 is "normal skin" and 10 is the "worst imaginable scar". The patient assesses pain, itching, color, stiffness, thickness, and irregularity. The scores of each of the six items are summed for a total score (range 6 to 60).

Outcome measures

Outcome measures
Measure
Mock Irradiation Group 3
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 3: Received mock phototherapy for 90 minutes.
LED-RL Phototherapy
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy: The LED-RL treatment device has a 4.7 cm x 6.1 cm rectangular array of LEDs and emits visible red light (633 nm) at a power density of 360.2 W/m2 at room temperature and a distance of 10 mm from the target surface.
Mock Irradiation
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation: The mock therapy device is designed to sound, look, and feel identical to the LED-RL treatment device (i.e., has the same physical components and thermal output), except it does not emit visible red light.
LED-RL Phototherapy Group 2
n=10 Incision Sites
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 2: Received medium dose LED-RL (320 J/cm2) for 60 minutes
Mock Irradiation Group 2
n=10 Incision Sites
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 2: Received mock phototherapy for 60 minutes.
LED-RL Phototherapy Group 3
n=10 Incision Sites
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 3: Received high dose LED-RL (480 J/cm2) for 90 minutes
Patient Scar Assessment Scale
6 months
17.0 score on a scale
Interval 11.0 to 26.0
12.0 score on a scale
Interval 7.0 to 17.0
10.5 score on a scale
Interval 10.0 to 12.0
23.0 score on a scale
Interval 12.0 to 28.0
18.0 score on a scale
Interval 16.0 to 24.0
13.0 score on a scale
Interval 10.0 to 25.0
Patient Scar Assessment Scale
Baseline
28.5 score on a scale
Interval 24.0 to 48.0
36.0 score on a scale
Interval 27.0 to 42.0
37.0 score on a scale
Interval 24.0 to 41.0
32.0 score on a scale
Interval 23.0 to 34.0
30.5 score on a scale
Interval 27.0 to 32.0
26.5 score on a scale
Interval 21.0 to 33.0
Patient Scar Assessment Scale
1 month
26.0 score on a scale
Interval 13.0 to 37.0
25.0 score on a scale
Interval 21.0 to 34.0
25.0 score on a scale
Interval 19.0 to 34.0
24.0 score on a scale
Interval 19.0 to 29.0
23.5 score on a scale
Interval 18.0 to 30.0
17.0 score on a scale
Interval 13.0 to 37.0
Patient Scar Assessment Scale
3 months
20.0 score on a scale
Interval 12.0 to 26.0
12.5 score on a scale
Interval 12.0 to 18.0
15.0 score on a scale
Interval 12.0 to 25.5
18.0 score on a scale
Interval 17.0 to 26.0
21.0 score on a scale
Interval 18.0 to 26.0
17.5 score on a scale
Interval 14.0 to 32.0

Adverse Events

LED-RL Phototherapy Group 2

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

LED-RL Phototherapy Group 1

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Mock Irradiation Group 1

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Mock Irradiation Group 2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

LED-RL Phototherapy Group 3

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Mock Irradiation Group 3

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
LED-RL Phototherapy Group 2
n=10 participants at risk
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 2: Received medium dose LED-RL (320 J/cm2) for 60 minutes.
LED-RL Phototherapy Group 1
n=10 participants at risk
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 1: Received Low dose LED-RL (160 J/cm2) for 30 minutes.
Mock Irradiation Group 1
n=10 participants at risk
30 subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 1: Received mock phototherapy for 30 minutes.
Mock Irradiation Group 2
n=10 participants at risk
30 subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 2: Received mock phototherapy for 60 minutes.
LED-RL Phototherapy Group 3
n=10 participants at risk
30 subjects were randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. LED-RL phototherapy group 3: Received high dose LED-RL (480 J/cm2) for 90 minutes.
Mock Irradiation Group 3
n=10 participants at risk
Thirty subjects will be randomly allocated to three treatment groups to receive LED-RL phototherapy or temperature-matched mock irradiation (control) to either periauricular incision site at fluences of 160 J/cm2, 320 J/cm2, or 480 J/cm2. Starting one week after surgery (postoperative days 4-8), treatments will be administered three times weekly for three consecutive weeks. Mock irradiation group 3: Received mock phototherapy for 90 minutes.
Skin and subcutaneous tissue disorders
Localized Bulla
10.0%
1/10 • Number of events 1 • LED-RL and mock phototherapy treatment sessions were monitored for the occurrence of safety concerns and AEs, as reported by the patient or observed by the research team. Patients recorded AEs during the three-week LED-RL and mock phototherapy treatment period in a home diary. At each visit, participants were asked about AEs.
0.00%
0/10 • LED-RL and mock phototherapy treatment sessions were monitored for the occurrence of safety concerns and AEs, as reported by the patient or observed by the research team. Patients recorded AEs during the three-week LED-RL and mock phototherapy treatment period in a home diary. At each visit, participants were asked about AEs.
0.00%
0/10 • LED-RL and mock phototherapy treatment sessions were monitored for the occurrence of safety concerns and AEs, as reported by the patient or observed by the research team. Patients recorded AEs during the three-week LED-RL and mock phototherapy treatment period in a home diary. At each visit, participants were asked about AEs.
0.00%
0/10 • LED-RL and mock phototherapy treatment sessions were monitored for the occurrence of safety concerns and AEs, as reported by the patient or observed by the research team. Patients recorded AEs during the three-week LED-RL and mock phototherapy treatment period in a home diary. At each visit, participants were asked about AEs.
10.0%
1/10 • Number of events 1 • LED-RL and mock phototherapy treatment sessions were monitored for the occurrence of safety concerns and AEs, as reported by the patient or observed by the research team. Patients recorded AEs during the three-week LED-RL and mock phototherapy treatment period in a home diary. At each visit, participants were asked about AEs.
0.00%
0/10 • LED-RL and mock phototherapy treatment sessions were monitored for the occurrence of safety concerns and AEs, as reported by the patient or observed by the research team. Patients recorded AEs during the three-week LED-RL and mock phototherapy treatment period in a home diary. At each visit, participants were asked about AEs.
Skin and subcutaneous tissue disorders
Localized Facial Swelling
0.00%
0/10 • LED-RL and mock phototherapy treatment sessions were monitored for the occurrence of safety concerns and AEs, as reported by the patient or observed by the research team. Patients recorded AEs during the three-week LED-RL and mock phototherapy treatment period in a home diary. At each visit, participants were asked about AEs.
0.00%
0/10 • LED-RL and mock phototherapy treatment sessions were monitored for the occurrence of safety concerns and AEs, as reported by the patient or observed by the research team. Patients recorded AEs during the three-week LED-RL and mock phototherapy treatment period in a home diary. At each visit, participants were asked about AEs.
0.00%
0/10 • LED-RL and mock phototherapy treatment sessions were monitored for the occurrence of safety concerns and AEs, as reported by the patient or observed by the research team. Patients recorded AEs during the three-week LED-RL and mock phototherapy treatment period in a home diary. At each visit, participants were asked about AEs.
0.00%
0/10 • LED-RL and mock phototherapy treatment sessions were monitored for the occurrence of safety concerns and AEs, as reported by the patient or observed by the research team. Patients recorded AEs during the three-week LED-RL and mock phototherapy treatment period in a home diary. At each visit, participants were asked about AEs.
10.0%
1/10 • Number of events 1 • LED-RL and mock phototherapy treatment sessions were monitored for the occurrence of safety concerns and AEs, as reported by the patient or observed by the research team. Patients recorded AEs during the three-week LED-RL and mock phototherapy treatment period in a home diary. At each visit, participants were asked about AEs.
0.00%
0/10 • LED-RL and mock phototherapy treatment sessions were monitored for the occurrence of safety concerns and AEs, as reported by the patient or observed by the research team. Patients recorded AEs during the three-week LED-RL and mock phototherapy treatment period in a home diary. At each visit, participants were asked about AEs.

Additional Information

Jared Jagdeo MD, MS

SUNY Downstate Health Sciences University

Phone: 347-466-9263

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place