Trial Outcomes & Findings for Safety and Efficacy of High-Intensity Macrofocused Ultrasound for Solar Lentigo in Chinese Population (NCT NCT06288607)

NCT ID: NCT06288607

Last Updated: 2025-06-05

Results Overview

Before treatment, one point on each side of every patient was selected for measurement. Follow-up measurements were taken at the same locations after treatment, and comparisons were made between the pre- and post-treatment values on the same side. This outcome measure involves the assessment of lesional areas in dermoscopy images, with the Lab\* conversion of pigmentation intensity performed using ImageJ software. L\* represents the lightness (brightness) of the lesion, where higher L\* values indicate lighter lesions (improvement), ranging from 0 to 100. a\* and b\* represent the chromatic components (red-green and yellow-blue), both ranging from -128 to +127. Lower values in these components indicate lighter pigmentation, while higher values suggest darker lesions.

Recruitment status

COMPLETED

Target enrollment

21 participants

Primary outcome timeframe

week0, week2, week4, week6 and week8

Results posted on

2025-06-05

Participant Flow

Participant milestones

Participant milestones
Measure
All Study Participants
All participants were to receive high intensity macro-focused ultrasound (MFUS One, Hunan Peninsula Medical Technology Co., Ltd., China). No grouping was performed, both sides of the face received treatment with identical parameters. Before treatment, a 2-3mm thick medical condensation gel is evenly applied on the face. Patients are to be treated with two macro-focused handpieces with focal depths at 3.0 mm (D3.0) and 4.5 mm (D4.5) on both side. Following the treatment, local cooling with an ice pack was performed for 10 min to reduce redness and swelling. Patients were followed up at 2, 4, 6, and 8 weeks. Clinical images and non-invasive skin assessments were collected at baseline and during each visit. Outcomes were compared with data before and after treatment.
Overall Study
STARTED
21
Overall Study
COMPLETED
21
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety and Efficacy of High-Intensity Macrofocused Ultrasound for Solar Lentigo in Chinese Population

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=21 Participants
All participants were to receive high intensity macro-focused ultrasound (MFUS One, Hunan Peninsula Medical Technology Co., Ltd., China). No grouping was performed, both sides of the face received treatment with identical parameters. Before treatment, a 2-3mm thick medical condensation gel is evenly applied on the face. Patients are to be treated with two macro-focused handpieces with focal depths at 3.0 mm (D3.0) and 4.5 mm (D4.5) on both side. Following the treatment, local cooling with an ice pack was performed for 10 min to reduce redness and swelling. Patients were followed up at 2, 4, 6, and 8 weeks. Clinical images and non-invasive skin assessments were collected at baseline and during each visit. Outcomes were compared with data before and after treatment.
Age, Continuous
47.8 years
STANDARD_DEVIATION 8.9 • n=5 Participants
Sex: Female, Male
Female
20 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
21 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
China
21 participants
n=5 Participants
Fitzpatrick skin type
Type I
0 Participants
n=5 Participants
Fitzpatrick skin type
Type II
0 Participants
n=5 Participants
Fitzpatrick skin type
Type Ⅲ
15 Participants
n=5 Participants
Fitzpatrick skin type
Type Ⅳ
6 Participants
n=5 Participants
Fitzpatrick skin type
Type V
0 Participants
n=5 Participants
Fitzpatrick skin type
Type VI
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: week0, week2, week4, week6 and week8

Before treatment, one point on each side of every patient was selected for measurement. Follow-up measurements were taken at the same locations after treatment, and comparisons were made between the pre- and post-treatment values on the same side. This outcome measure involves the assessment of lesional areas in dermoscopy images, with the Lab\* conversion of pigmentation intensity performed using ImageJ software. L\* represents the lightness (brightness) of the lesion, where higher L\* values indicate lighter lesions (improvement), ranging from 0 to 100. a\* and b\* represent the chromatic components (red-green and yellow-blue), both ranging from -128 to +127. Lower values in these components indicate lighter pigmentation, while higher values suggest darker lesions.

Outcome measures

Outcome measures
Measure
All Study Participants
n=21 Participants
All participants were to receive high intensity macro-focused ultrasound (MFUS One, Hunan Peninsula Medical Technology Co., Ltd., China). Both sides of the face received treatment with identical parameters. Before treatment, a 2-3mm thick medical condensation gel is evenly applied on the face. Patients are to be treated with two macro-focused handpieces with focal depths at 3.0 mm (D3.0) and 4.5 mm (D4.5) on both side. Following the treatment, local cooling with an ice pack was performed for 10 min to reduce redness and swelling. Patients were followed up at 2, 4, 6, and 8 weeks. Clinical images and non-invasive skin assessments were collected at baseline and during each visit. Each area was treated first at 3.0mm then at 4.5mm depth. Since the individual effects of each depth could not be determined during follow-up, the results reflect the combined effects of both depths.
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
a* of right side at baseline
13.099 unitless
Standard Deviation 6.385
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
a* of right side at week2
11.818 unitless
Standard Deviation 6.368
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
a* of left side at week2
11.476 unitless
Standard Deviation 5.690
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
a* of left side at week4
9.948 unitless
Standard Deviation 3.420
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
a* of left side at week6
9.787 unitless
Standard Deviation 3.633
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
a* of left side at week8
9.295 unitless
Standard Deviation 2.826
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
a* of right side at week4
10.065 unitless
Standard Deviation 4.108
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
a* of right side at week6
9.732 unitless
Standard Deviation 2.830
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
a* of right side at week8
9.233 unitless
Standard Deviation 2.969
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
b* of left side at baseline
18.324 unitless
Standard Deviation 8.494
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
b* of left side at week2
12.285 unitless
Standard Deviation 6.681
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
b* of left side at week4
12.464 unitless
Standard Deviation 7.880
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
b* of left side at week6
10.642 unitless
Standard Deviation 4.954
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
b* of left side at week8
11.482 unitless
Standard Deviation 6.779
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
b* of right side at baseline
17.592 unitless
Standard Deviation 7.356
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
b* of right side at week2
14.036 unitless
Standard Deviation 5.686
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
b* of right side at week4
12.348 unitless
Standard Deviation 7.172
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
b* of right side at week6
11.687 unitless
Standard Deviation 4.498
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
b* of right side at week8
12.737 unitless
Standard Deviation 4.198
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
L* of left side at baseline
68.850 unitless
Standard Deviation 5.952
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
L* of left side at week2
72.103 unitless
Standard Deviation 8.324
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
L* of left side at week4
73.147 unitless
Standard Deviation 6.483
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
L* of left side at week6
72.633 unitless
Standard Deviation 5.007
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
L* of left side at week8
73.646 unitless
Standard Deviation 3.532
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
L* of right side at baseline
68.671 unitless
Standard Deviation 8.038
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
L* of right side at week2
71.433 unitless
Standard Deviation 8.643
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
L* of right side at week4
72.756 unitless
Standard Deviation 7.085
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
L* of right side at week6
72.902 unitless
Standard Deviation 4.843
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
L* of right side at week8
72.600 unitless
Standard Deviation 5.285
Lab* Values of Lesional Area Using Dermoscopy and ImageJ
a* of left side at baseline
13.597 unitless
Standard Deviation 5.582

PRIMARY outcome

Timeframe: week2, week4, week6 and week8

Two physicians independently assessed the overall unilateral condition of each patient at various follow-up time points after treatment, comparing the numerical values obtained after treatment for the same side. Both scores were averaged as the final data. The Physician Global Aesthetic Improvement Scale (PGAIS) is a 5-point scale used to rate the global aesthetic improvement in appearance compared to pretreatment, as judged by the investigator. The scale ranges from -1 (worsening) to 3 (very much improved). The higher score indicates the better improving effect.

Outcome measures

Outcome measures
Measure
All Study Participants
n=21 Participants
All participants were to receive high intensity macro-focused ultrasound (MFUS One, Hunan Peninsula Medical Technology Co., Ltd., China). Both sides of the face received treatment with identical parameters. Before treatment, a 2-3mm thick medical condensation gel is evenly applied on the face. Patients are to be treated with two macro-focused handpieces with focal depths at 3.0 mm (D3.0) and 4.5 mm (D4.5) on both side. Following the treatment, local cooling with an ice pack was performed for 10 min to reduce redness and swelling. Patients were followed up at 2, 4, 6, and 8 weeks. Clinical images and non-invasive skin assessments were collected at baseline and during each visit. Each area was treated first at 3.0mm then at 4.5mm depth. Since the individual effects of each depth could not be determined during follow-up, the results reflect the combined effects of both depths.
Physician Global Aesthetic Improvement Scale Score
scores of left side at week2
0.800 score on a scale
Standard Deviation 0.510
Physician Global Aesthetic Improvement Scale Score
scores of left side at week4
1.368 score on a scale
Standard Deviation 0.470
Physician Global Aesthetic Improvement Scale Score
scores of left side at week6
1.850 score on a scale
Standard Deviation 0.477
Physician Global Aesthetic Improvement Scale Score
scores of left side at week8
1.889 score on a scale
Standard Deviation 0.624
Physician Global Aesthetic Improvement Scale Score
scores of right side at week2
0.900 score on a scale
Standard Deviation 0.436
Physician Global Aesthetic Improvement Scale Score
scores of right side at week4
1.263 score on a scale
Standard Deviation 0.620
Physician Global Aesthetic Improvement Scale Score
scores of right side at week6
1.850 score on a scale
Standard Deviation 0.572
Physician Global Aesthetic Improvement Scale Score
scores of right side at week8
1.944 score on a scale
Standard Deviation 0.589

PRIMARY outcome

Timeframe: week2, week4, week6 and week8

At each follow-up time point after treatment, patients self-evaluated their unilateral overall condition and compared the numerical values of the same side before and after treatment. This process was repeated at every follow-up time point. The Subjective Global Aesthetic Improvement Scale (SGAIS) is a 5-point scale used to rate the global aesthetic improvement in appearance compared to pretreatment, as judged by the patients. The scale ranges from -1 (worsening) to 3 (very much improved). The higher score indicates the better improving effect.

Outcome measures

Outcome measures
Measure
All Study Participants
n=21 Participants
All participants were to receive high intensity macro-focused ultrasound (MFUS One, Hunan Peninsula Medical Technology Co., Ltd., China). Both sides of the face received treatment with identical parameters. Before treatment, a 2-3mm thick medical condensation gel is evenly applied on the face. Patients are to be treated with two macro-focused handpieces with focal depths at 3.0 mm (D3.0) and 4.5 mm (D4.5) on both side. Following the treatment, local cooling with an ice pack was performed for 10 min to reduce redness and swelling. Patients were followed up at 2, 4, 6, and 8 weeks. Clinical images and non-invasive skin assessments were collected at baseline and during each visit. Each area was treated first at 3.0mm then at 4.5mm depth. Since the individual effects of each depth could not be determined during follow-up, the results reflect the combined effects of both depths.
Subjective Global Aesthetic Improvement Scale Score
scores of left side at week2
1.211 score on a scale
Standard Deviation 0.979
Subjective Global Aesthetic Improvement Scale Score
scores of left side at week4
1.619 score on a scale
Standard Deviation 0.669
Subjective Global Aesthetic Improvement Scale Score
scores of left side at week6
2.050 score on a scale
Standard Deviation 0.589
Subjective Global Aesthetic Improvement Scale Score
scores of left side at week8
1.833 score on a scale
Standard Deviation 0.725
Subjective Global Aesthetic Improvement Scale Score
scores of right side at week2
1.158 score on a scale
Standard Deviation 0.962
Subjective Global Aesthetic Improvement Scale Score
scores of right side at week4
1.667 score on a scale
Standard Deviation 0.796
Subjective Global Aesthetic Improvement Scale Score
scores of right side at week6
2.000 score on a scale
Standard Deviation 0.632
Subjective Global Aesthetic Improvement Scale Score
scores of right side at week8
1.833 score on a scale
Standard Deviation 0.725

PRIMARY outcome

Timeframe: week0, week2, week4, week6 and week8

Before treatment, one point on each side of every patient was selected for measurement. Follow-up measurements were taken at the same locations after treatment, and comparisons were made between the pre- and post-treatment values on the same side. Transepidermal Water Loss (TEWL) TEWL can be used to assess a patient's skin barrier function, with lower values indicating stronger barrier function. This outcome measure involves the assessment of Transepidermal Water Loss (TEWL), which quantifies the amount of water evaporating through the skin. TEWL is a key indicator of skin barrier function and hydration levels. In this study, TEWL was measured using Tewameter Hex (Courage Khazaka Electronic GmbH) that records the rate of water loss through the skin in g/m²/h (grams per square meter per hour). Lower TEWL values (less water loss) suggest an improved skin barrier, which is typically the result of effective treatment and increased skin hydration.

Outcome measures

Outcome measures
Measure
All Study Participants
n=21 Participants
All participants were to receive high intensity macro-focused ultrasound (MFUS One, Hunan Peninsula Medical Technology Co., Ltd., China). Both sides of the face received treatment with identical parameters. Before treatment, a 2-3mm thick medical condensation gel is evenly applied on the face. Patients are to be treated with two macro-focused handpieces with focal depths at 3.0 mm (D3.0) and 4.5 mm (D4.5) on both side. Following the treatment, local cooling with an ice pack was performed for 10 min to reduce redness and swelling. Patients were followed up at 2, 4, 6, and 8 weeks. Clinical images and non-invasive skin assessments were collected at baseline and during each visit. Each area was treated first at 3.0mm then at 4.5mm depth. Since the individual effects of each depth could not be determined during follow-up, the results reflect the combined effects of both depths.
Transepidermal Water Loss (TEWL) Measurement of Lesional Area
values of left side at baseline
15.720 g/m²/h
Standard Deviation 4.715
Transepidermal Water Loss (TEWL) Measurement of Lesional Area
values of left side at week2
15.097 g/m²/h
Standard Deviation 4.600
Transepidermal Water Loss (TEWL) Measurement of Lesional Area
values of left side at week4
15.516 g/m²/h
Standard Deviation 4.820
Transepidermal Water Loss (TEWL) Measurement of Lesional Area
values of left side at week6
14.042 g/m²/h
Standard Deviation 5.067
Transepidermal Water Loss (TEWL) Measurement of Lesional Area
values of left side at week8
12.688 g/m²/h
Standard Deviation 3.927
Transepidermal Water Loss (TEWL) Measurement of Lesional Area
values of right side at baseline
14.834 g/m²/h
Standard Deviation 3.691
Transepidermal Water Loss (TEWL) Measurement of Lesional Area
values of right side at week2
15.933 g/m²/h
Standard Deviation 3.934
Transepidermal Water Loss (TEWL) Measurement of Lesional Area
values of right side at week4
16.136 g/m²/h
Standard Deviation 4.113
Transepidermal Water Loss (TEWL) Measurement of Lesional Area
values of right side at week6
14.891 g/m²/h
Standard Deviation 3.848
Transepidermal Water Loss (TEWL) Measurement of Lesional Area
values of right side at week8
13.478 g/m²/h
Standard Deviation 3.624

PRIMARY outcome

Timeframe: week0, week2, week4, week6 and week8

Before treatment, one point on each side of every patient was selected for measurement. Follow-up measurements were taken at the same locations after treatment, and comparisons were made between the pre- and post-treatment values on the same side. Skin elasticity was assessed using Cutometer Dual MPA580 (Courage Khazaka Electronic GmbH, Köln, Germany), which measures the skin's resistance to deformation and recovery after deformation. The R-value represents the ratio of skin's ability to resist deformation (stiffness) and its ability to return to its original shape (elasticity). Higher R-values (greater elasticity) suggest that the skin is more resilient and can return to its original shape after deformation, indicating healthy skin with good elasticity and tone.

Outcome measures

Outcome measures
Measure
All Study Participants
n=21 Participants
All participants were to receive high intensity macro-focused ultrasound (MFUS One, Hunan Peninsula Medical Technology Co., Ltd., China). Both sides of the face received treatment with identical parameters. Before treatment, a 2-3mm thick medical condensation gel is evenly applied on the face. Patients are to be treated with two macro-focused handpieces with focal depths at 3.0 mm (D3.0) and 4.5 mm (D4.5) on both side. Following the treatment, local cooling with an ice pack was performed for 10 min to reduce redness and swelling. Patients were followed up at 2, 4, 6, and 8 weeks. Clinical images and non-invasive skin assessments were collected at baseline and during each visit. Each area was treated first at 3.0mm then at 4.5mm depth. Since the individual effects of each depth could not be determined during follow-up, the results reflect the combined effects of both depths.
Skin Elasticity Measurement of Lesional Area
values of left side at baseline
0.710 dimensionless unit
Standard Deviation 0.126
Skin Elasticity Measurement of Lesional Area
values of left side at week2
0.744 dimensionless unit
Standard Deviation 0.127
Skin Elasticity Measurement of Lesional Area
values of left side at week4
0.810 dimensionless unit
Standard Deviation 0.106
Skin Elasticity Measurement of Lesional Area
values of left side at week6
0.792 dimensionless unit
Standard Deviation 0.101
Skin Elasticity Measurement of Lesional Area
values of left side at week8
0.825 dimensionless unit
Standard Deviation 0.073
Skin Elasticity Measurement of Lesional Area
values of right side at baseline
0.736 dimensionless unit
Standard Deviation 0.142
Skin Elasticity Measurement of Lesional Area
values of right side at week2
0.752 dimensionless unit
Standard Deviation 0.126
Skin Elasticity Measurement of Lesional Area
values of right side at week4
0.783 dimensionless unit
Standard Deviation 0.125
Skin Elasticity Measurement of Lesional Area
values of right side at week6
0.821 dimensionless unit
Standard Deviation 0.104
Skin Elasticity Measurement of Lesional Area
values of right side at week8
0.807 dimensionless unit
Standard Deviation 0.066

Adverse Events

Patients

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Patients
n=21 participants at risk
Patients with solar lentigo All participants were to receive high intensity macro-focused ultrasound (MFUS One, Hunan Peninsula Medical Technology Co., Ltd., China). No grouping was performed, both sides of the face received treatment with identical parameters. Before treatment, a 2-3mm thick medical condensation gel is evenly applied on the face. Patients are to be treated with two macro-focused handpieces with focal depths at 3.0 mm (D3.0) and 4.5 mm (D4.5) on both side. Following the treatment, local cooling with an ice pack was performed for 10 min to reduce redness and swelling. Patients were followed up at 2, 4, 6, and 8 weeks. Clinical images and non-invasive skin assessments were collected at baseline and during each visit. Outcomes were compared with data before and after treatment.
Skin and subcutaneous tissue disorders
Pain sensation post treatment
9.5%
2/21 • 2 weeks, 4 weeks, 6 weeks and 8 weeks
Patients were treated with two macro-focused handpieces with focal depths at 3.0 mm (D3.0) and 4.5 mm (D4.5) on both side. Given that each patient was subjected to treatment with both 3.0mm and 4.5mm handpieces, it was not possible to distinguish adverse events related to different depths during follow-up. Therefore, these events were synthesized into an overall assessment of adverse events.
Skin and subcutaneous tissue disorders
edema
9.5%
2/21 • 2 weeks, 4 weeks, 6 weeks and 8 weeks
Patients were treated with two macro-focused handpieces with focal depths at 3.0 mm (D3.0) and 4.5 mm (D4.5) on both side. Given that each patient was subjected to treatment with both 3.0mm and 4.5mm handpieces, it was not possible to distinguish adverse events related to different depths during follow-up. Therefore, these events were synthesized into an overall assessment of adverse events.

Additional Information

Dr. Yang Xu

The First Affiliated Hospital with Nanjing Medical University

Phone: +8613851856794

Results disclosure agreements

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