RosaceaPhase 2KIRNCT06033352
Potassium-titanyl Phosphate (KTP) Laser vs KTP Laser and Ivermectin Cream for Facial Rosacea
A Phase 2 study testing KTP laser and Ivermectin 1% cream in people with Rosacea, run by Insel Gruppe AG, University Hospital Bern at 1 site in Switzerland.
Trial summary
Rosacea is a frequent chronic inflammatory disease affecting mainly the face but also eyes and scalp. Rosacea is classified into 3 types: erythemato-teleangiectatica, papulopustulosa and phymatosa. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Rosacea
- What is being tested?
- KTP laser and Ivermectin 1% cream
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 22 participants
- Where
- 1 siteSwitzerland
- Study dates
- 12 Sep 2023to 1 Nov 2024
- Phase
- Phase 2
- 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
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Fitzpatrick skin type I-IV
- Presence of facial erythematous rosacea or mild papulopustular rosacea with permanent erythema
- Informed consent signed
Who cannot join
- History of adverse events related to KTP laser therapy
- Pregnant or breastfeeding women
- Intention to become pregnant during the course of the study
- History of intolerance or allergic reaction to ivermectin 1% cream or one of the ingredients
- Ongoing treatment for skin cancer
- Ongoing treatment with strong inhibitors of P-glycoprotein (P-gp) and CYP3A4 (e.g., itraconazole, voriconazole, posaconazole, clarithromycin, cobicistat)
- Ongoing treatment with substances with a narrow therapeutic range whose excretion depends substantially on P-gp (e.g. digoxin, ciclosporin)
- Inability to understand the study content
Trial locations and contacts
1 site in 1 country.
Switzerland1 site
Department of dermatology, University Hospital Inselspital, Bern
Bern, 3010
About this study
Official title: Comparison of the Efficacy of Potassium-titanyl Phosphate (KTP) Laser vs KTP Laser Combined With Ivermectin 1% Cream for Facial Rosacea: a Randomized Split-face Trial
Rosacea is a frequent chronic inflammatory disease affecting mainly the face but also eyes and scalp. Rosacea is classified into 3 types: erythemato-teleangiectatica, papulopustulosa and phymatosa. Treatments depend on the type and include topical and systemic antibiotics, azelaic acid, topical ivermectin, topical brimonidine, systemic isotretinoin as well as intense pulsed light (IPL) and laser therapies.
For treatment of telangiectasia and redness, laser and IPL therapies are the first choice. Vascular lasers, such as pulsed dye lasers (PDL) and potassium-titanyl phosphate (KTP) lasers as well as IPL, have demonstrated good efficacy in reduction of erythema and telangiectasias in patients with rosacea. However, these treatments are expensive and mostly not covered by the health insurance. Therefore, for patients it is important to receive the maximal effect and improvement after each single laser session.
Read more
Ivermectin is a semi-synthetic derivative of avermectin and has an anti-inflammatory effect as well as an antiparasitic effect on demodex mite. The latter is playing an important pathogenetic role in rosacea.
This randomized controlled study aims to compare the effect of KTP laser in combination with ivermectin 1% cream vs KTP laser alone in patients with facial rosacea.
- Conditions
- Rosacea
- Being tested
- KTP laser, Ivermectin 1% cream
- Keywords
- Rosacea, Laser, Ivermectin
- Medical subject headings
- Rosacea
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
KTP laserDevice
Treatment with KTP 532 nm laser. Laser fluence depends on erythema intensity and ranges from 7.0 J/cm2 to 11 J/cm2 with a 4-11 mm spot size and 8-12 ms pulse duration.
Ivermectin 1% creamDrug
Application of ivermectin 1% cream 1x/day. Interruption for 4 days in case of irritation/redness.
| Study group | Role | What they receive |
|---|---|---|
| Laser and cream | Experimental | Not described Receives: Device: KTP laser; Drug: Ivermectin 1% cream |
| Laser alone | Active comparator | Not described Receives: Device: KTP laser |
What is being measured
The primary outcome is the main question the study is designed to answer.
Efficacy of laser and cream vs laser alone in reducing erythema as assessed by NEI
Any relative decrease of erythema on the side treated with KTP laser and ivermectin 1% cream vs laser alone as assessed by Normalized Erythema Index (NEI), ranging from 0 to 80, with higher values indicating a worst erythema.
Measured: 16 weeks
Secondary outcomes (9)
Efficacy of laser and cream vs laser alone in reducing erythema as assessed by SRI
Any relative decrease of erythema on the side treated with KTP laser and ivermectin 1% cream vs laser alone as assessed by Skin Redness Index (SRI), ranging from 1 to 4, with higher score indicating a worst erythema.
Measured: 16 weeks
Efficacy of laser and cream vs laser alone in reducing erythema as assessed by CEA
Any decrease of erythema on the side treated with KTP laser and ivermectin 1% cream vs laser alone as assessed by Clinical Erythema Assessment (CEA), ranging from 0 to 4, with higher score indicating a worst erythema.
Measured: 4, 8, 12, 16 weeks
Efficacy of laser and cream vs laser alone in the clinical improvement of skin lesions as assessed by PGA
Any change of skin lesions on the side treated with KTP laser and ivermectin 1% cream vs laser alone as assessed by 6-point Physician Global Assessment (PGA), ranging from 0 to 5, with higher score indicating a better outcome.
Measured: 4, 8, 12, 16 weeks
Patient's satisfaction related to laser and cream vs laser alone in the improvement of skin lesions as assessed by VAS
Any difference of patient's satisfaction for the improvement of skin lesions on the side treated with KTP laser and ivermectin 1% cream vs laser alone as assessed by a 9-point anchored visual analogue scale (VAS), ranging from -4 to +4, with negative scores indicating a worsening of condition, with 0 indicating no difference and with positive scores indicating an improvement.
Measured: 4, 8, 12, 16 weeks
Efficacy of laser and cream vs laser alone in reducing telangiectasia severity as assessed by TGS
Any change of telangiectasia severity on the side treated with KTP laser and ivermectin 1% cream vs laser alone as assessed by telangiectasia grading scale (TGS), ranging from 0 to 3, with higher score indicating a worst telangiectasia severity.
Measured: 4, 8, 12, 16 weeks
Efficacy of laser and cream vs laser alone in reducing papules and papulopustules
Any change in the number of papules and papulopustules on the side treated with KTP laser and ivermectin 1% cream vs laser alone.
Measured: 4, 8, 12, 16 weeks
Efficacy of laser and cream vs laser alone in reducing face swelling as assessed by the patient
Any change in the number of days of face swelling on the side treated with KTP laser and ivermectin 1% cream vs laser alone, as assessed by the patient
Measured: 4, 8, 12, 16 weeks
Efficacy of laser and cream vs laser alone in reducing face redness as assessed by the patient
Any change in the number of days of face redness on the side treated with KTP laser and ivermectin 1% cream vs laser alone, as assessed by the patient.
Measured: 4, 8, 12, 16 weeks
Efficacy of laser and cream vs laser alone in reducing face purpura as assessed by the patient
Any change in the number of days of face purpura on the side treated with KTP laser and ivermectin 1% cream vs laser alone, as assessed by the patient.
Measured: 4, 8, 12, 16 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Sep 2023
- Study start12 Sep 2023
- Primary completion1 Nov 2024
- Study completion1 Nov 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for RosaceaStudies of the same condition, open and under way.
- More trials run by Insel Gruppe AG, University Hospital BernThe sponsor's other registered studies.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- 1:1 within-patient (split-face) random allocation
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 22 participants (actual)
Sponsor and investigators
- Lead sponsor
- Insel Gruppe AG, University Hospital Bern
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Kristine Heidemeyer, MD, Principal investigator, Insel Gruppe AG, University Hospital Bern
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06033352
- Sponsor's protocol ID
- 2023-D0015
- Acronym
- KIR
- Status last verified
- Dec 2024
- First submitted
- 4 Sep 2023
- Last updated
- 6 Dec 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Heidemeyer K, Cazzaniga S, Junge A, Lehmann M, Seyed Jafari SM, Yawalkar N, Feldmeyer L, Bossart S. Treatment of redness in rosacea with potassium-titanyl-phosphate (KTP) 532 nm laser with and without topical 1% ivermectin cream: a randomized split-face trial. J Dermatolog Treat. 2026 Dec;37(1):2635882. doi: 10.1080/09546634.2026.2635882. Epub 2026 Mar 4.
PubMed 41778357
Study at a glance
From the registry record, last updated by the sponsor on 6 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of the Efficacy of Potassium-titanyl Phosphate (KTP) Laser vs KTP Laser Combined With Ivermectin 1% Cream for Facial Rosacea: a Randomized Split-face Trial
- ClinicalTrials.gov ID
- NCT06033352
- Acronym / sponsor ID
- KIR / 2023-D0015
- Conditions
- Rosacea
- Keywords
- Rosacea, Laser, Ivermectin
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 22 participants (actual)
- Lead sponsor
- Insel Gruppe AG, University Hospital BernUniversity, hospital or other
- Study start
- 12 Sep 2023 (actual)
- Primary completion
- 1 Nov 2024 (actual)
- Study completion
- 1 Nov 2024 (actual)
- First posted
- 13 Sep 2023 (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.
Rosacea is a frequent chronic inflammatory disease affecting mainly the face but also eyes and scalp. Rosacea is classified into 3 types: erythemato-teleangiectatica, papulopustulosa and phymatosa. Treatments depend on the type and include topical and systemic antibiotics, azelaic acid, topical ivermectin, topical brimonidine, systemic isotretinoin as well as intense pulsed light (IPL) and laser therapies.
For treatment of telangiectasia and redness, laser and IPL therapies are the first choice. Vascular lasers, such as pulsed dye lasers (PDL) and potassium-titanyl phosphate (KTP) lasers as well as IPL, have demonstrated good efficacy in reduction of erythema and telangiectasias in patients with rosacea. However, these treatments are expensive and mostly not covered by the health insurance. Therefore, for patients it is important to receive the maximal effect and improvement after each single laser session.
Ivermectin is a semi-synthetic derivative of avermectin and has an anti-inflammatory effect as well as an antiparasitic effect on demodex mite. The latter is playing an important pathogenetic role in rosacea.
This randomized controlled study aims to compare the effect of KTP laser in combination with ivermectin 1% cream vs KTP laser alone in patients with facial rosacea.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- 1:1 within-patient (split-face) random allocation
| Arm | Type | Receives |
|---|---|---|
| Laser and cream | Experimental | Device: KTP laser, Drug: Ivermectin 1% cream |
| Laser alone | Active comparator | Device: KTP laser |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Fitzpatrick skin type I-IV
- Presence of facial erythematous rosacea or mild papulopustular rosacea with permanent erythema
- Informed consent signed
Key exclusion criteria (8 listed)
- History of adverse events related to KTP laser therapy
- Pregnant or breastfeeding women
- Intention to become pregnant during the course of the study
- History of intolerance or allergic reaction to ivermectin 1% cream or one of the ingredients
- Ongoing treatment for skin cancer
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 |
|---|---|---|
| KTP laserTreatment with KTP 532 nm laser. Laser fluence depends on erythema intensity and ranges from 7.0 J/cm2 to 11 J/cm2 with a 4-11 mm spot size and 8-12 ms pulse duration. | Device | Laser alone, Laser and cream |
| Ivermectin 1% creamApplication of ivermectin 1% cream 1x/day. Interruption for 4 days in case of irritation/redness. | Drug | Laser and cream |
Primary outcome
Efficacy of laser and cream vs laser alone in reducing erythema as assessed by NEI
Time frame: 16 weeks
Any relative decrease of erythema on the side treated with KTP laser and ivermectin 1% cream vs laser alone as assessed by Normalized Erythema Index (NEI), ranging from 0 to 80, with higher values indicating a worst erythema.
9 secondary outcomes
Efficacy of laser and cream vs laser alone in reducing erythema as assessed by SRI
Time frame: 16 weeks
Efficacy of laser and cream vs laser alone in reducing erythema as assessed by CEA
Time frame: 4, 8, 12, 16 weeks
Efficacy of laser and cream vs laser alone in the clinical improvement of skin lesions as assessed by PGA
Time frame: 4, 8, 12, 16 weeks
Patient's satisfaction related to laser and cream vs laser alone in the improvement of skin lesions as assessed by VAS
Time frame: 4, 8, 12, 16 weeks
Efficacy of laser and cream vs laser alone in reducing telangiectasia severity as assessed by TGS
Time frame: 4, 8, 12, 16 weeks
Efficacy of laser and cream vs laser alone in reducing papules and papulopustules
Time frame: 4, 8, 12, 16 weeks
Efficacy of laser and cream vs laser alone in reducing face swelling as assessed by the patient
Time frame: 4, 8, 12, 16 weeks
Efficacy of laser and cream vs laser alone in reducing face redness as assessed by the patient
Time frame: 4, 8, 12, 16 weeks
Efficacy of laser and cream vs laser alone in reducing face purpura as assessed by the patient
Time frame: 4, 8, 12, 16 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Dec 2024.
- Derived from this study: PubMed 41778357Heidemeyer K, Cazzaniga S, Junge A, Lehmann M, Seyed Jafari SM, Yawalkar N, Feldmeyer L, Bossart S. Treatment of redness in rosacea with potassium-titanyl-phosphate (KTP) 532 nm laser with and without topical 1% ivermectin cream: a randomized split-face trial. J Dermatolog Treat. 2026 Dec;37(1):2635882. doi: 10.1080/09546634.2026.2635882. Epub 2026 Mar 4.
- Individual participant dataSharing planned: No
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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.
Kristine Heidemeyer, MD principal investigator
Insel Gruppe AG, University Hospital Bern
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing KTP laser and Ivermectin 1% cream in people with Rosacea, run by Insel Gruppe AG, University Hospital Bern at 1 site in Switzerland.
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 3 inclusion and 8 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: finished, as of the sponsor's last update on 6 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.
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.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Efficacy of laser and cream vs laser alone in reducing erythema as assessed by NEI (time frame: 16 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06033352, which also lists 1 linked publication.
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 6 Dec 2024.