Microneedling for Acquired Hypomelanosis

NCT ID: NCT04419350

Last Updated: 2020-06-09

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

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-15

Study Completion Date

2020-05-01

Brief Summary

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Acquired hypomelanosis is a type of cutaneous melanocytopenic hypomelanosis, denoting the lightening of the skin due to a reduction in the number of epidermal and/or follicular melanocytes secondary to physical agents,post-inflammatory, and iatrogenic (steroids).

Derma roller is the basic device of microneedling , performs superficial, controlled puncturing of the skin by rolling with miniature fine needles and used as a collagen induction therapy and a transdermal delivery system for therapeutic drugs and vaccines.

This minute trauma to the skin that activates regenerative mechanisms and wound healing by releasing growth factors. The release of cytokines and deposition of hemosiderin from dermal bleeding induce the activation of melanocyte and stimulate skin pigmentation plus transdermal traveling of melanocyte

Detailed Description

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The aim of this study to evaluate the efficacy and safety of microneedling as a treatment model for patients with acquired hypomelanosis.

Patients with an acquired hypomelanosis from outpatient clinic, department of dermatology, Cairo university,n=20. including:

â–ªPatients, both genders and older than 18 years with localized acquired hypomelanosis

Excluding:

* Congenital and hereditary hypomelanosis.
* Vitiligo
* Pregnancy and lactation.
* Patients with a history of any autoimmune disease.
* Patients with a history of keloid formation.
* Patient on systemic steroids, retinoids, immunosuppressant or anticoagulant therapy.

Methodology in details:

* An informed written consent will be obtained from the patient or his legal guardian if he is younger than 21years old.
* For every patient detailed history will focus on the onset, course, duration of hypomelanosis, the type of insult, previous treatments, systemic illness and drug history. The examination will describe the anatomical site, size, degree of skin lightening, skin texture and presence or absence of hair in the affected area.
* The area to be treated will be specified and split into two halves then randomized into one of both arms: treatment or no treatment.
* One session of microneedling will be performed on the treatment arm by using dermaroller 1.5 mm long. The microneedling will be done from the edge of the normal skin towards the center of the hypopigmented lesion in all the directions (horizontal, vertical. diagonal).
* Patients will be then monitored for three months for signs of repigmentation.
* Patient's improvement will be objectively assessed monthly for repigmentation using patient's and physician's scales.

Possible Risk:

Pain, transient bleeding, erythema, mild edema and infection at the site of microneedling. Failure of treatment is also a possibility.

Primary outcomes:

Efficacy of microneedling for acquired hypomelanosis after 3 months.

Secondary outcome:

Safety as defined by the occurrence of adverse events during, shortly after the procedure (2weeks), and after 3 months.

Sample size(number of patients included):20 patients

Source of funding: self funding

Conditions

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Acquired Hypomelanosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

* The area to be treated will be specified and split into two halves then randomized using sealed envelope into one of both arms: treatment or no treatment.
* One session of microneedling using derma roller 1.5 mm will be done.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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treatment

microneedling.

Group Type EXPERIMENTAL

Microneedling

Intervention Type PROCEDURE

One session of microneedling will be performed by using dermaroller 1.5 mm. The microneedling done from the edge of the normal skin towards the center of the hypopigmented lesion in all the directions (horizontal, vertical. diagonal).

No treatment

No treatment will be done to these hypopigmented lesions

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Microneedling

One session of microneedling will be performed by using dermaroller 1.5 mm. The microneedling done from the edge of the normal skin towards the center of the hypopigmented lesion in all the directions (horizontal, vertical. diagonal).

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Localized acquired hypomelanosis secondary to any insult, post-inflammatory or iatrogenic of no more than 2 years duration, affecting any anatomical site except genitalia, of any size larger than 3 cm in diameter.
* Patients older than 18 years old, consenting to go through the microneedling procedure.
* Both genders.

Exclusion Criteria

* Congenital and hereditary hypomelanosis.
* Vitiligo
* Pregnancy and lactation.
* Patients with history of any autoimmune disease.
* Patients with history of keloids formation.
* Patient on systemic steroids, retinoids, immunosuppressant or anticoagulant therapy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Julbahar Ibrahim

Dermatology resident,Principal investigator-Cairo university.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Khaled H El-Hoshy, MD

Role: PRINCIPAL_INVESTIGATOR

Professor of Dermatology,Cairo University

Vanessa G Hafez, MD

Role: PRINCIPAL_INVESTIGATOR

Associate Professor of Dermatology, Cairo University

Julbahar M Ibrahim, M.B.,B.CH

Role: PRINCIPAL_INVESTIGATOR

Dermatology Resident

Locations

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Cairo University

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Elhoshy K, Ibrahim J, Hafez V. Microneedling in Localized Acquired Hypomelanosis: A Randomized Controlled Trial. Dermatol Surg. 2025 Mar 1;51(3):257-262. doi: 10.1097/DSS.0000000000004447. Epub 2024 Nov 25.

Reference Type DERIVED
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Other Identifiers

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MN for acquired hypomelanosis

Identifier Type: -

Identifier Source: org_study_id

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