MedPath

Efficacy and Tolerability of the Tested Formula After 3 Months in Treatment of Facial Hyperpigmentation of 3 Origins

Not Applicable
Completed
Conditions
Hyperpigmentation
Interventions
Other: tested product
Registration Number
NCT06253455
Lead Sponsor
Cosmetique Active International
Brief Summary

The objective of this study is to evaluate the efficacy, cosmetic acceptability and improvement of the stigmatization of the tested product (2039125 03) used bis in die (BID) for 3 months in adult patients suffering from mild to moderate melasma, or mild to moderate acne induced post-inflammatory hyperpigmentation, or solar lentigo.

Detailed Description

Hyperpigmentation is a common skin condition in which the color of the skin becomes darker. These changes result from an excess of melanin production, distribution, or transport which can be caused by various internal or external factors such as genetic predisposition, hormonal changes, inflammation, acne, ultraviolet (UV) exposure.

Typical hyperpigmentation disorders include post-inflammatory hyperpigmentation, melasma and solar lentigos.

This open, single-centre, three arm study is carried out with a new cosmetic formulation developed with the aim of acting on facial hyperpigmentation and used under normal conditions of use with before/after comparisons.

This clinical trial is conducted in accordance with the protocol, the HELSINKI declaration (1964) and subsequent amendments, and/or the International Council on Harmonization (ICH) Good Clinical Practices (GCP) / and in compliance with applicable regulatory requirements.

Statistical analysis:

* Efficacy analysis: In each group, the quantitative parameters will be analyzed using a mixed-effect model. This model includes Time and baseline as fixed effects. Patient will be added as random effect. The comparisons between post-baseline time-point and baseline will be performed whatever the interaction results using a Dunnett adjustment. Degrees of freedom for the comparisons will be approximated by the Kenward-Roger method.

* Safety analysis: No statistical analysis will be performed on safety. The data will be presented descriptively.

Categorical data will be summarized using the number and percentage of patients in each category. Continuous data will be summarized using the arithmetic mean, Standard Deviation (SD), Q1, Q3, minimum, median and maximum values.

Regarding the sample size determination, there was no formal calculation. A number of 24 patients in each group was considered sufficient to meet the study objective.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
67
Inclusion Criteria
  • all phototypes
  • only one of the following pigmentary conditions on the face: epidermal or mixed, mild to moderate melasma; mild to moderate acne-induced PIHP; solar lentigo with a pigmentation
  • female patient of childbearing potential must use one of the reliable methods of contraception and agree not to change it during the study
  • patient agreeing not to be exposed to ultraviolet radiation (UV), natural (sun) or artificial (tanning salon), during the study
Exclusion Criteria
  • female patient who gave birth less than 3 months prior to Day 0, who is pregnant, breast-feeding or who plans to become pregnant during the study
  • male patient with beard or facial hair, which would interfere with clinical evaluation or clinical procedure baseline
  • patient with any inflammatory dermatosis of the face such as seborrheic dermatitis, rosacea etc.
  • severe melasma, dermal melasma
  • patient with facial pigmentary disorders other than those described in inclusion criteria
  • patient who has used topical depigmenting agents such as hydroquinone and derivatives, glycolic acid, kojic acid, retinoids and derivatives, azelaic acid, niacinamide within 1 month prior to Day 0/Baseline visit
  • patient who has used systemic treatments such as tranexamic acid and oral melatonin within 1 month prior to Day 0/Baseline visit
  • patient who has used drugs inducing pigmentation such as tetracyclines, fluoroquinolones, antiepileptics within 1 month prior to Day 0/Baseline visit

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
mild to moderate melasmatested productadult patients suffering from mild to moderate melasma (Investigator's Global Assessment (IGA) 1 or 2)
solar lentigotested productadult patients suffering from solar lentigo with a pigmentation score \> 5
mild to moderate acne induced PIHPtested productadult patients suffering from mild to moderate acne-induced PIHP (IGA 1 or 2) without active acne (i.e., less than 10 inflammatory lesions)
Primary Outcome Measures
NameTimeMethod
IGA score for patients with melasma or post-acne post-inflammatory hyperpigmentation (PIHP)from baseline to Day84

the hyperpigmentation is measured on a scale from 0 (cleared, almost cleared) to 3 (Severe (Markedly darker than the surrounding normal skin))

modified Melasma Area Severity Index (mMASI) for patients with melasmafrom baseline to Day 84

The mMASI is calculated using 3 components: four regions of the face (forehead, right malar, left malar and chin); area of involvement for each region (using a scale from 0 to 6); darkness compared to the surrounding normal skin for each area (evaluated using a scale from 0 to 4)

Post-Acne Hyper Pigmentation Index (PAHPI)from baseline to Day 84

The PAHPI total score is the sum of all 3 weighted scores: medial lesion size (from 2 \[\< 3mm\] to 8 \[\> 10 mm\]), median lesion intensity (from 3 \[Slightly darker than surrounding skin\] to 9 \[Significantly darker than surrounding skin\]), and number of lesions (from 1 \[1-15\] to 5 \[\> 60\]). Total score ranges from 6 to 22.

solar lentigo pigmentation scalefrom baseline to Day84

the solar lentigo pigmentation scale evaluates the pigmentation using the following scale: form 0 (no pigmentation) to 10 (brown+).

Secondary Outcome Measures
NameTimeMethod
colorimetry measurementsfrom baseline to Day84

Skin color is measured using the L\*a\*b\* color space (L\*represents lightness; a\* its position between green and red; b\* its position between blue and yellow)

Trial Locations

Locations (1)

COSderma

đŸ‡¨đŸ‡³

Wuhan, Hubei, China

© Copyright 2025. All Rights Reserved by MedPath