Acne ScarsNCT05579171
Lasers to Aid in Treatment of Acne Scars
A study testing Picosecond 755nm Alexandrite Laser in people with Acne Scars, run by Goldman, Butterwick, Fitzpatrick and Groff.
Trial summary
To assess efficacy and safety of paired picosecond 755nm Alexandrite laser with focused lens array (PSAL; Picosure®, Cynosure, Westford, MA) and radiofrequency microneedling (RFM; Potenza™, Cynosure, Westford, MA) for treatment of facial, atrophic acne scars. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Acne Scars
- What is being tested?
- Picosecond 755nm Alexandrite Laser
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- No sites listed yet
- Study dates
- 1 Nov 2022to 30 Oct 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Adult males and females aged 18 or older
- Subjects in good general health based on investigator's judgment and medical history
- Moderate to severe atrophic acne scarring on the face per ECCA (échelle d'évaluation clinique des cicatrices d'acné) acne grading scale
- Understands and accepts obligation not to receive any other procedures on the treatment area through the length of the study
- Understands and accepts the obligation and is logistically able to be present for all visits
- Is willing to comply with all requirements of the study and sign the informed consent documents
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- Must be willing to maintain usual sun exposure for the duration of the study
- Subject agrees to avoid tanning or use of sunless tanner during the entire course of the study
- Negative urine pregnancy test result at the time of study entry (if applicable)
- For female subjects of childbearing potential, must be willing to use an acceptable form of birth control during the entire course of the study. All systemic birth control measures must be in consistent use for at least 30 days prior to study enrollment.
- A female is considered of childbearing potential unless she is postmenopausal, without a uterus and/or both ovaries, or has had a bilateral tubal ligation.
- Acceptable methods of birth control are: oral contraceptives, contraceptive patches/rings/implants, Implanon®, Depo-Provera®, double-barrier methods (e.g., condoms and spermicide), abstinence, and/or vasectomy of partner with a documented second acceptable method of birth control, should the subject become sexually active.
Who cannot join
- Female subjects who are pregnant, planning a pregnancy, or breast feeding during the study
- The subject is hypersensitive to light in the near infrared wavelength region
- The subject is taking medication which is known to increase sensitivity to sunlight
- The subject has a seizure disorders triggered by light
- The subject is receiving or have received gold therapy
- The subject has a pacemaker
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- The subject has a metal implant that interferes with the transmission of energy to the electrical field
- The subject has any embedded electronic devices that give or receive a signal such as Implantable Cardiac Defibrillators (ICD) or Cardiac Resynchronization Therapy (CRT) devices: treatment may interfere with the functionality of the device and/or damage the electronic implant
- Gold allergy
- The subject has nerve insensitivity to heat in the treatment area or in the neutral pad placement area or a neuropathic disorder
- The subject has severe laxity or sagging that causes redundant folds of tissue or hanging skin in the area to be treated
- Dermal fillers, neuromodulator, biostimulatory injectables, fat grafting, radiofrequency device treatments, microfocused ultrasound device treatments, laser and light-based device treatments, microneedling to the face during the 6-month period before study treatment m) Subjects with tattoos in the treatment areas n) Subjects with a significant history or current evidence of a medical, psychological, or other disorder that, in the investigator's opinion, would preclude enrollment into the study
- Subjects with a history of or presence of any skin condition/disease (including but not limited to any visible rash, atopic dermatitis, psoriasis, actinic keratoses, keratinocyte carcinoma, melanoma, etc.) in the treatment area that might interfere with the diagnosis or evaluation of study parameters
- History of keloid or hypertrophic scarring
- Subjects with an active bacterial, viral, or fungal infection of the treatment areas
- The subject has a significant systemic illness, such as lupus, or an illness localized in area being treated
- History of lidocaine sensitivity deemed by the investigator to preclude the subject from enrolling into the study
- Subjects planning any cosmetic procedure to the treatment areas during the study period, other than the treatment that will be performed by the investigator
- Presence of incompletely healed wound(s) in the treatment area
- Current participation or participation within 30 days prior to the start of this study in a drug or other investigational research study
Trial locations and contacts
No sites are listed yet.
About this study
Official title: A Single Center, Evaluator-Blinded, Split-Face, Randomized Clinical Trial of Combination Treatment With Fractional Picosecond 755nm Alexandrite Laser and Radiofrequency Microneedling for Atrophic Acne Scars
To assess efficacy and safety of paired picosecond 755nm Alexandrite laser with focused lens array (PSAL; Picosure®, Cynosure, Westford, MA) and radiofrequency microneedling (RFM; Potenza™, Cynosure, Westford, MA) for treatment of facial, atrophic acne scars.
Read the detailed description
The primary objective of this clinical trial is to assess efficacy and safety of combination treatment with fractional picosecond 755nm Alexandrite laser with focused lens array (Picosure®, Cynosure, Westford, MA) and radiofrequency microneedling (Potenza™, Cynosure, Westford, MA) for treatment of facial, atrophic acne scarring.
Enrolled subjects will be randomized to receive picosecond 755 nm Alexandrite laser treatment to either the left or right facial half. The subjects will then undergo full face radiofrequency microneedling (RFM).
Subjects satisfying all inclusion and no exclusion criteria will be enrolled in this trial. Prior to receiving any study treatment, mandatory digital photographs will be obtained of each subject's treatment area. In order to participate in the study, subjects must provide written informed consent to have their photographs used for research, publication, and/or commercial purposes.
- Conditions
- Acne Scars
- Being tested
- Picosecond 755nm Alexandrite Laser
- Keywords
- Acne, Scars, Acne Scars, Lasers, Cosmetic
- Medical subject headings
- Acne Vulgaris, Cicatrix
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Picosecond 755nm Alexandrite LaserDevice
Also called Alex Laser
Fractionated picosecond technology has been shown to lead to statistically significant improvement in atrophic, facial acne scars after 4-6 treatment sessions with minimal pain or downtime
Picosecond 755nm Alexandrite LaserDevice
Also called Alex Laser
Fractionated picosecond technology has been shown to lead to statistically significant improvement in atrophic, facial acne scars after 4-6 treatment sessions with minimal pain or downtime
| Study group | Role | What they receive |
|---|---|---|
| Left Side Treatment with picosecond 755nm Alexandrite laser | Experimental | Subjects will have their left side of face treated with picosecond 755nm Alexandrite laser then will undergo full face radiofrequency microneedling. Receives: Device: Picosecond 755nm Alexandrite Laser |
| Right Side Treatment with Picosecond 755NM Alexandrite laser | Experimental | Subjects will have their right side of face treated with picosecond 755nm Alexandrite laser then will undergo full face radiofrequency microneedling. Receives: Device: Picosecond 755nm Alexandrite Laser |
What is being measured
The primary outcome is the main question the study is designed to answer.
Volumetric analysis of change in treatment zone for acne scars using 3D imaging
3D photography will be taken
Standardized 3D Vectra Photography with standard lighting and camera positioning to ensure comparable before and after treatment photographs of the face. Photographs will be taken, capturing three (3) views of the hip area: anterior, right oblique (45°), and left oblique (45°). 3D photography is taken at every time frame to compare the appearance of acne scars to the previous photo.
Measured: Baseline, Day 7, Day 35, Day 63, Day 91, Day 121, Day 181, Day 271
ECCA acne grading scale by blinded investigator to assess change
Blinded Investigator ECCA (échelle d'évaluation clinique des cicatrices d'acné) acne grading scale
V-Shaped atrophic scars, diameter of less than 2mm, and punctiform 0= no scar
- a few scars
- limited number of scars
- many scars
U-shaped atropic scars, diameter of 2-4 mm, with sheer edges 0= no scar
- a few scars
- limited number of scars
- many scars
M-shaped atrophic scars, diameter of more than 4mm, superficial and with irregular surface 0= no scar
- a few scars
- limited number of scars
- many scars
Superficial elastolysis 0= absent
- mild
- moderate
- intense
Hypertrophic inflammatory scars, scars of less than 2 years of age 0= no scar
- a few scars
- limited number of scars
- many scars
Keloid scars, hypertrophic scars, of more than 2 years of age 0= no scar
- a few scars
- limited number of scars
- many scars
Measured: Day 7, Day 35, Day 63, Day 91, Day 121, Day 181, Day 271
Physician Global Aesthetic Improvement Scale (PGAIS) by blinded investigator
Blinded Investigator Global Aesthetic Improvement Scale Assessment (PGAIS)
Rating Description
- Very Much Improved: Optimal cosmetic result in this subject.
- Much Improved: Marked improvement in appearance from the initial condition, but not completely optimal for this subject.
- Improved: Obvious improvement in appearance from initial condition, but a re-treatment is indicated.
- No Change: The appearance is essentially the same as the original condition.
- Worse: The appearance is worse than the original condition.
Scores (write a number under each treated area or check "Not Treated") Left Facial Half Right Facial Half
Not Treated Not Treated
Measured: Day 35, Day 63, Day 91, Day 121, Day 181, Day 271
Blinded Identification of correct treatment area by blinded investigator
The baseline (Day 0) and 6 month (Day 259) photographs will be randomly put side-by-side and labeled either (A) or (B). The blinded investigator will then fill out the following:
- Do you see an improvement in photoaging between the two sets of photos? (Yes / No)
- If yes to question #1:
- Which is the post-treatment photograph? (A / B)
- Which is the treatment side? (Right / Left)
Measured: Day 271
Secondary outcomes (3)
Subject Global Aesthetic Improvement Scale (SGAIS)
Subject Global Aesthetic Improvement Scale Assessment (SGAIS)
How would you rate the change in appearance of your treated areas? Non-treated areas will be checked as "Not Treated" for you.
Rating Description
- Very Much Improved: Optimal cosmetic result
- Much Improved: Marked improvement in appearance form the initial condition, but not completely optimal
- Improved: Obvious improvement in appearance from initial condition
- No Change: The appearance is essentially the same as the original condition
- Worse: The appearance is worse than the original condition Scores (write a number to rate each treated area) Left Facial Half Right Facial Half
Not Treated Not Treated
Measured: Day 35, Day 63, Day 91, Day 121, Day 181, Day 271
Evaluation of side effects by investigators
Treating Investigator Evaluation of Side Effects Rating Description 0 NONE: Normal
- TRACE: Barely visible and localized
- MILD: Somewhat visible and diffuse
- MODERATE: Visible and diffuse
- SEVERE: Extremely visible and dense SCORES (write number under each treated area or check "Not Treated")
Erythema Left Facial Half Right Facial Half
Not Treated Not Treated
Edema Left Facial Half Left Facial Half
Not Treated Not Treated
Bruising/Petechiae Left Facial Half Left Facial Half
Not Treated Not Treated
Ulcers Left Facial Half Left Facial Half
Not Treated Not Treated
Hyperpigmentation/Hypopigmentation Left Facial Half Left Facial Half
Not Treated Not Treated
Measured: Day 7, Day 35, Day 63, Day 91, Day 121, Day 181, Day 271
Ultrasound imaging measurements of dermal edema
Treating investigator measurement of Sub-Dermal Edema by ultrasonography
Treating Investigator Measurement of Sub-Dermal Edema by Ultrasonography Depth of dermis (mm) Ultrasound images will be obtained at the point of intersection when a horizontal line is drawn from the ala to the tragus and a vertical line is drawn from the lateral canthus to the lateral oral commissure.
Left Facial Half Right Facial Half
Measured: Day 7, Day 35, Day 63, Day 91
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Oct 2022
- Study start1 Nov 2022 (estimated)
- Primary completion30 Oct 2023 (estimated)
- Study completion30 Oct 2023 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Acne ScarsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Enrolled subjects will be randomized to receive picosecond 755 nm Alexandrite laser treatment to either the left or right facial half. The subjects will then undergo full face radiofrequency microneedling (RFM).
- Masking
- Double blind
- Who is masked
- Care provider, Investigator
- Enrolment
- 20 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Goldman, Butterwick, Fitzpatrick and Groff
- Sponsor type
- University, hospital or other
- Collaborators
- Cynosure, LLC
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05579171
- Sponsor's protocol ID
- Potenza-Picosure-Acne Scars
- Status last verified
- Oct 2022
- First submitted
- 10 Oct 2022
- Last updated
- 13 Oct 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 13 Oct 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single Center, Evaluator-Blinded, Split-Face, Randomized Clinical Trial of Combination Treatment With Fractional Picosecond 755nm Alexandrite Laser and Radiofrequency Microneedling for Atrophic Acne Scars
- ClinicalTrials.gov ID
- NCT05579171
- Acronym / sponsor ID
- Potenza-Picosure-Acne Scars
- Conditions
- Acne Scars
- Keywords
- Acne, Scars, Acne Scars, Lasers, Cosmetic
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 20 participants (estimated)
- Lead sponsor
- Goldman, Butterwick, Fitzpatrick and GroffUniversity, hospital or other
- Collaborators
- Cynosure, LLC
- Study start
- 1 Nov 2022 (estimated)
- Primary completion
- 30 Oct 2023 (estimated)
- Study completion
- 30 Oct 2023 (estimated)
- First posted
- 13 Oct 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To assess efficacy and safety of paired picosecond 755nm Alexandrite laser with focused lens array (PSAL; Picosure®, Cynosure, Westford, MA) and radiofrequency microneedling (RFM; Potenza™, Cynosure, Westford, MA) for treatment of facial, atrophic acne scars.
Detailed description
The primary objective of this clinical trial is to assess efficacy and safety of combination treatment with fractional picosecond 755nm Alexandrite laser with focused lens array (Picosure®, Cynosure, Westford, MA) and radiofrequency microneedling (Potenza™, Cynosure, Westford, MA) for treatment of facial, atrophic acne scarring.
Enrolled subjects will be randomized to receive picosecond 755 nm Alexandrite laser treatment to either the left or right facial half. The subjects will then undergo full face radiofrequency microneedling (RFM).
Subjects satisfying all inclusion and no exclusion criteria will be enrolled in this trial. Prior to receiving any study treatment, mandatory digital photographs will be obtained of each subject's treatment area. In order to participate in the study, subjects must provide written informed consent to have their photographs used for research, publication, and/or commercial purposes.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (care provider, investigator)
- Number of arms
- 2
- Model description
- Enrolled subjects will be randomized to receive picosecond 755 nm Alexandrite laser treatment to either the left or right facial half. The subjects will then undergo full face radiofrequency microneedling (RFM).
| Arm | Type | Receives |
|---|---|---|
| Left Side Treatment with picosecond 755nm Alexandrite laser | Experimental | Device: Picosecond 755nm Alexandrite LaserSubjects will have their left side of face treated with picosecond 755nm Alexandrite laser then will undergo full face radiofrequency microneedling. |
| Right Side Treatment with Picosecond 755NM Alexandrite laser | Experimental | Device: Picosecond 755nm Alexandrite LaserSubjects will have their right side of face treated with picosecond 755nm Alexandrite laser then will undergo full face radiofrequency microneedling. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Adult males and females aged 18 or older
- Subjects in good general health based on investigator's judgment and medical history
- Moderate to severe atrophic acne scarring on the face per ECCA (échelle d'évaluation clinique des cicatrices d'acné) acne grading scale
- Understands and accepts obligation not to receive any other procedures on the treatment area through the length of the study
- Understands and accepts the obligation and is logistically able to be present for all visits
Key exclusion criteria (20 listed)
- Female subjects who are pregnant, planning a pregnancy, or breast feeding during the study
- The subject is hypersensitive to light in the near infrared wavelength region
- The subject is taking medication which is known to increase sensitivity to sunlight
- The subject has a seizure disorders triggered by light
- The subject is receiving or have received gold therapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Picosecond 755nm Alexandrite LaserAlso: Alex LaserFractionated picosecond technology has been shown to lead to statistically significant improvement in atrophic, facial acne scars after 4-6 treatment sessions with minimal pain or downtime | Device | Left Side Treatment with picosecond 755nm Alexandrite laser |
| Picosecond 755nm Alexandrite LaserAlso: Alex LaserFractionated picosecond technology has been shown to lead to statistically significant improvement in atrophic, facial acne scars after 4-6 treatment sessions with minimal pain or downtime | Device | Right Side Treatment with Picosecond 755NM Alexandrite laser |
Primary outcome
Volumetric analysis of change in treatment zone for acne scars using 3D imaging
Time frame: Baseline, Day 7, Day 35, Day 63, Day 91, Day 121, Day 181, Day 271
3D photography will be taken Standardized 3D Vectra Photography with standard lighting and camera positioning to ensure comparable before and after treatment photographs of the face. Photographs will be taken, capturing three (3) views of the hip area: anterior, right oblique (45°), and left oblique (45°). 3D photography is taken at every time frame to compare the appearance of acne scars to the previous photo.
ECCA acne grading scale by blinded investigator to assess change
Time frame: Day 7, Day 35, Day 63, Day 91, Day 121, Day 181, Day 271
Blinded Investigator ECCA (échelle d'évaluation clinique des cicatrices d'acné) acne grading scale V-Shaped atrophic scars, diameter of less than 2mm, and punctiform 0= no scar 1. a few scars 2. limited number of scars 3. many scars U-shaped atropic scars, diameter of 2-4 mm, with sheer edges 0= no scar 1. a few scars 2. limited number of scars 3. many scars M-shaped atrophic scars, diameter of more than 4mm, superficial and with irregular surface 0= no scar 1. a few scars 2. limited number of scars 3. many scars Superficial elastolysis 0= absent 1. mild 2. moderate 3. intense Hypertrophic inflammatory scars, scars of less than 2 years of age 0= no scar 1. a few scars 2. limited number of scars 3. many scars Keloid scars, hypertrophic scars, of more than 2 years of age 0= no scar 1. a few scars 2. limited number of scars 3. many scars
Physician Global Aesthetic Improvement Scale (PGAIS) by blinded investigator
Time frame: Day 35, Day 63, Day 91, Day 121, Day 181, Day 271
Blinded Investigator Global Aesthetic Improvement Scale Assessment (PGAIS) Rating Description 1. Very Much Improved: Optimal cosmetic result in this subject. 2. Much Improved: Marked improvement in appearance from the initial condition, but not completely optimal for this subject. 3. Improved: Obvious improvement in appearance from initial condition, but a re-treatment is indicated. 4. No Change: The appearance is essentially the same as the original condition. 5. Worse: The appearance is worse than the original condition. Scores (write a number under each treated area or check "Not Treated") Left Facial Half Right Facial Half Not Treated Not Treated
Blinded Identification of correct treatment area by blinded investigator
Time frame: Day 271
The baseline (Day 0) and 6 month (Day 259) photographs will be randomly put side-by-side and labeled either (A) or (B). The blinded investigator will then fill out the following: 1. Do you see an improvement in photoaging between the two sets of photos? (Yes / No) 2. If yes to question #1: 1. Which is the post-treatment photograph? (A / B) 2. Which is the treatment side? (Right / Left)
3 secondary outcomes
Subject Global Aesthetic Improvement Scale (SGAIS)
Time frame: Day 35, Day 63, Day 91, Day 121, Day 181, Day 271
Evaluation of side effects by investigators
Time frame: Day 7, Day 35, Day 63, Day 91, Day 121, Day 181, Day 271
Ultrasound imaging measurements of dermal edema
Time frame: Day 7, Day 35, Day 63, Day 91
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Oct 2022.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Questions about this trial
What is this clinical trial studying?
A study testing Picosecond 755nm Alexandrite Laser in people with Acne Scars, run by Goldman, Butterwick, Fitzpatrick and Groff.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 12 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 13 Oct 2022. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Andrea Pacheco (8586571004, apacheco@clderm.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Volumetric analysis of change in treatment zone for acne scars using 3D imaging (time frame: Baseline, Day 7, Day 35, Day 63, Day 91, Day 121, Day 181, Day 271). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Oct 2022.