Evaluation of the UltraClear Laser Workstation for the Treatment of Facial and Neck Rejuvenation and Skin Resurfacing Augmented With Mesenchymal Stem Cell Extract
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Goldman, Butterwick, Fitzpatrick and Groff
- Enrollment
- 15
- Primary Endpoint
- Visia Skin Analysis to assess change
Overview
Brief Summary
To assess the efficacy, safety, and patient satisfaction associated with the treatment of the face and neck with the 2,910nm mid-infrared UltraClear Laser System using both superficial epidermal ablation and deep ablative and coagulative capabilities in the dermis for rejuvenation of photodamaged skin. Additionally, this study will assess the additive value of a post-treatment skincare regimen consisting of a serum and cream containing red deer umbilical cord lining mesenchymal stem cell conditioned media for faster healing and more robust rejuvenation.
Detailed Description
Subjects will be treated with the UltraClear 2,910nm mid-infrared laser using both superficial epidermal ablation and deep ablative and coagulative capabilities in the dermis for rejuvenation of photodamaged skin of the face and neck. Subjects will be randomized to have one of two post-laser skincare regimens which will be applied to the face and neck following laser treatment.
All subjects will receive three (3) laser treatments to the face and neck using the UltraClear 2,910nm mid-infrared laser, performed 5 weeks ± 7 days apart.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Investigator)
Masking Description
The blinded investigator will complete the - Fitzpatrick-Goldman Classification of Wrinkling and Degree of Elastosis Scale of face and neck, the Scientific Assessment Scale of Skin Quality (SASSQ) to grade the subject's skin quality of face and neck, the Classification of Facial Wrinkles Assessment and the Blinded Investigator Neck Skin Crepiness/Laxity Grading Scale.
Eligibility Criteria
- Ages
- 18 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Adult males and females aged 18 to 75 years
- •Fitzpatrick skin types I-V
- •Subjects in good general health based on investigator's judgment and medical history
- •Must be willing to give and sign an informed consent form and photographic release form
- •Willingness to have examinations of face and neck and digital photographs performed of the face and neck
- •Physician evaluator classifying the subject as moderate to severe (Class II-III, Score 4-9) on the Fitzpatrick-Goldman Classification of Wrinkling and Degree of Elastosis Scale for the face and neck.
- •The subject must be planning to undergo fractional ablative laser resurfacing to the face and neck and be willing to comply with study protocol and complete the entire course of the study.
- •Subjects using any treatment skincare products (per investigator discretion) must discontinue use of these products before the start of participating in this clinical study and for the duration of the study.
- •Male subjects with facial hair must be willing to shave the morning of the procedure.
- •Must be willing to maintain usual sun exposure
Exclusion Criteria
- •Energy-based device (i.e., radiofrequency device treatments, microfocused ultrasound device or other ultrasound-based device treatments, laser and light-based device treatments, microneedling) treatment in the treatment area in the last 6 months
- •Chemical peel or microdermabrasion of the face within 30 days prior to enrollment in the study
- •Surgery (i.e., face lift, eyebrow lift, neck lift or lower rhytidectomy, liposuction to the neck and/or submentum, etc.) during the 12-month period before study treatment
- •Any investigational treatment for improvement of skin quality and/or photodamage of facial skin during the 12-month period before the study treatment
- •Recent use of topical tretinoin, adapalene, tazarotene, hydroquinone, imiquimod, 5-fluorouracil, ingenol mebutate, concentrated hydrogen peroxide, diclofenac, or photodynamic therapy (PDT) to the face within the previous 4 weeks
- •Subjects must not currently be taking isotretinoin (Accutane).
- •Creams/cosmeceuticals and/or home therapies to prevent or treat photodamage, uneven skin pigmentation, excessive erythema (redness), fine lines/wrinkles, skin laxity and/or pore size during the 4-week period before study treatment
- •Subjects with scarring in the treatment areas
- •Subjects with tattoos or permanent implants in the treatment areas
- •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
Outcomes
Primary Outcomes
Visia Skin Analysis to assess change
Time Frame: Baseline, Day 160, Day 250
Visia Skin Analysis (insert percentage 1 - 100%) Description: Percentage: Brown Spots Pores Spots Porphyrin Red Areas Texture UV Spots Wrinkles
Classification of Facial Wrinkles Assessment to assess change (blinded investigator)
Time Frame: Baseline, Day 160, Day 250
Classification of Facial Wrinkles Assessment: Preauricular Lines: 0-None 1-Very Mild 2-Mild 3-Moderate 4-Severe 5-Extreme Cheek Folds: 0-None 1-Very Mild 2-Mild 3-Moderate 4-Severe 5-Extreme Upper Lip Lines: 0-None 1-Very Mild 2-Mild 3-Moderate 4-Severe 5-Extreme
Fitzpatrick-Goldman Classification of Wrinkling and Degree of Elastosis Scale to assess change (blinded investigator)
Time Frame: Baseline, Day 60, Day 250
Fitzpatrick-Goldman Classification of Wrinkling and Degree of Elastosis Scale - FACE TO BE COMPLETED BY BLINDED INVESTIGATOR Class: Wrinkling Score Degree of Elastosis I Fine Wrinkles 1 -3 Mild II Fine to Moderate 4 -6 Moderate III Fine to Deep 7 -9 Severe
Percent Improvement Evaluation to assess change
Time Frame: Day 160, Day 250
Percent Improvement Evaluation: Degree of improvement from clinical evaluation, compare to baseline, using a 1-10 scale. 1 (0-10%) 2 (10-20%) 3 (20-30%) 4(30-40%) 5 (40-50%) 6 (50-60%) 7 (60-70%) 8 (70-80%) 9 (80-90%) 10 (90-100%)
Scientific Assessment Scale of Skin Quality to assess change (SASSQ) (blinded investigator)
Time Frame: Baseline, Day 160, Day 250
SCIENTIFIC ASSESSMENT SCALE OF SKIN QUALITY (SASSQ) Elasticity: 0-None 1-Mild 2-Moderate 3-Severe 4-Very Severe Wrinkles: 0-None 1-Mild 2-Moderate 3-Severe 4-Very Severe Skin Surface Roughness: 0-None 1-Mild 2-Moderate 3-Severe 4-Very Severe Pigmentation: 0-None 1-Mild 2-Moderate 3-Severe 4-Very Severe Erythema: 0-None 1-Mild 2-Moderate 3-Severe 4-Very Severe Pore Size: 0-None 1-Mild 2-Moderate 3-Severe 4-Very Severe
Neck Skin Crepiness/Laxity Grading Scale to assess change (blinded investigator)
Time Frame: Baseline, Day 160, Day 250
Neck Skin Crepiness/Laxity Grading Scale: Score Classification Description 0 None No Loose Skin 1. Mild Mildly Loose Skin 2. Moderate Moderately Loose Skin 3. Severe Very Loose Skin 4. Extreme Prominent redundancy of loose skin
Physician Global Aesthetic Improvement Scale to assess change (PGAIS) (blinded investigator)
Time Frame: Day 160, Day 250
Physician 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 circle "Not Treated") FACE NECK not treated not treated
Secondary Outcomes
- Subject Satisfaction Questionnaire to assess change(Day 160, Day 250)
- Evaluation of side effects and adverse events by Investigator to assess change(Baseline, Day 35, Day 70, Day 160, Day 250)
- Comfort Level Visual Analog Scale post laser procedure to assess change (completed by subject)(Baseline, Day 35, Day 70)
- Subject Global Aesthetic Improvement Scale to assess change (SGAIS)(Day 160, Day 250)