Lutronic PicoPlus Exploratory Clinical Trial

November 29, 2023 updated by: LUTRONIC Corporation

Evaluation of the Lutronic PicoPlus for the Treatment of Dematological Conditions Such as Unwanted Tattoos and Benign Pigmented Lesions

This study will evaluate the use of the Lutronic PicoPlus for treatment of dermatological conditions such as unwanted tattoos and benign pigmented lesions.

Study Overview

Status

Terminated

Conditions

Intervention / Treatment

Detailed Description

This pilot clinical trial will evaluate the capability of the Lutronic PicoPlus technology to remove unwanted tattoos and benign pigmented lesions. This trial is designed as a multi-center exploratory, open-label clinical trial comparing each subject's condition before and after treatment. Subjects meeting all entrance criteria will be assigned to Group A for treatment of unwanted tattoos and Group B for treatment of unwanted benign pigmented lesions, melasma, or other skin conditions such as skin rejuvenation. Subjects in each treatment group will receive a series of treatments, e.g., 2-5, and will be asked to complete 1 and 3 month follow-up visit(s) following each treatment to assess treatment efficacy and safety. At investigators' discretion, additional follow-up visits, e.g., at 6 months following treatment, may take place to observe the time course of reactions after treatment and/or assess efficacy. Outcome measures include clinician grading and subject satisfaction post-treatment. Pre-treatment study photos will be obtained at baseline; post-treatment study photos will be obtained at each post-treatment follow-up visit.

Study Type

Interventional

Enrollment (Actual)

39

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • California
      • Newport Beach, California, United States, 92660
        • Zena Medical
    • New York
      • Elmhurst, New York, United States, 11373
        • Metro Dermatology
      • New York, New York, United States, 10016
        • Laser and Skin Surgery Center of New York
    • North Carolina
      • Charlotte, North Carolina, United States, 28207
        • Dermatology, Laser, and Vein Specialists of the Carolinas

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 60 years (Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Male or Female
  • Adults between age 18 and 60 years old
  • Group A: Fitzpatrick skin type I - VI for unwanted tattoos and Group B: Fitzpatrick Skin Types I - IV for benign pigmented lesions and other conditions
  • Unwanted tattoo that contains single or multi-color ink, and

    • Wiling to cover tattoos with a bandage or clothing; and/or have very limited sun exposure and use an approved sunscreen of SPF 50 or higher on the treated area starting 2 to 4 weeks before the treatment
  • Ability to read, understand, and sign the Informed Consent Form
  • Willing to have digital photographs taken of the treatment area and agree to use of photographs for presentation, educational or marketing purposes.
  • Understands and accepts the obligation not to undergo any other procedures in the areas to be treated
  • Willing and able to comply with all study participation requirements including returning for follow-up visits and abstaining from exclusionary procedures for the duration of the study

Exclusion Criteria:

  • If receiving treatment for unwanted tattoo: double tattoos (tattoo over tattoo), history of allergic reactions to pigments following tattooing, local anesthetics or topical antibiotics
  • If receiving treatment for benign pigmented lesions including melasma: history of use of a lightening medication (hydroquinone, tranexamic acid), isotretinoid (or retinoid), or light-sensitive medication in the last 6 months
  • Known cardiovascular disease or cardiac surgery that in the opinion of the investigator would interfere with study treatments
  • Previous interventions or treatment with another device in the target area within 6 months of enrollment or during the study
  • Pregnant or lactating or planning pregnancy before end of study
  • Presence of an active systemic, local skin disease, medication or condition that may affect wound healing or interfere with participation or treatment to the active area.
  • Active or recurrent cancer of current chemotherapy or radiation therapy
  • History of seizure disorders due to light
  • History of vitiligo, eczema, or psoriasis
  • History of connective tissue disease, such as systemic lupus erythematosus or scleroderma
  • History of pigmentary disorders, particularly tendency for hyper- or hypo-pigmentation
  • History of disease stimulated by heat, such as recurrent herpes simplex and/or herpes zoster (shingles) in the treatment area, unless treatment is conducted following a prophylactic regimen
  • History of keloid scarring, hypertrophic scarring or of abnormal wound healing.
  • History of immunosuppression/immune deficiency disorders or currently using immunosuppressive medications.
  • History of seizure disorders due to light.
  • Suffering from coagulation disorders or taking prescription anticoagulation medications
  • History of keloid scarring, hypertrophic scarring or of abnormal wound healing Any use of medication that is known to increase sensitivity to light according to Investigator's discretion
  • Excessive or recent significant tan in areas to be treated or unable/unlikely to refrain from tanning during the study
  • Current smoker or history of smoking within 3 months of study participation
  • Systemic use of corticosteroid or isotretinoin within 6 months of study participation
  • Anytime in life, having have used gold therapy (gold salts) for disorders such as rheumatologic disease or lupus
  • Any physical or mental condition including alcohol or drug abuse that in the opinion of the investigator could interfere with subject's suitability for inclusion in study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Group A: PicoPlus for unwanted tattoos.
Subjects receiving PicoPlus laser system treatment for unwanted tattoos.
Laser treatment using specific pulse durations and wavelengths for selective pigment photothermolysis.
Active Comparator: Group B: PicoPlus for other dermatological conditions
Subjects receiving PicoPlus laser system treatment for unwanted benign pigmented lesions, melasma or other dermatological conditions such as skin rejuvenation.
Laser treatment using specific pulse durations and wavelengths for selective pigment photothermolysis.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Investigator's Global Assessment of Improvement
Time Frame: Up to 6 Months following final study treatment

Overall aesthetic improvement based on completion of the Physician's Global Assessment of Improvement Scale. Physician evaluators will review study photos post-final treatment, and rate the degree of tattoo clearing or reduction in benign pigmentation observed in the subject's treated area using the following definitions:

3 = Very significant or complete clearing (75-100%)

2 = Significant clearing (50-74%)

1 = Moderate clearing (25-49%)

0 = Mild or no clearing (0-24%)

Up to 6 Months following final study treatment

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Subject's Global Assessment of Improvement
Time Frame: 1 month, 3 Months, 6 Months (Group A Only) post final treatment

Overall aesthetic improvement based on completion of the Subject's Global Assessment of Improvement Scale. Subjects will be asked review study photos post-final treatment, and rate the degree of tattoo clearing or reduction in benign pigmentation observed in the subject's treated area using the following definitions:

3 = Very significant or complete clearing (75-100%)

2 = Significant clearing (50-74%)

1 = Moderate clearing (25-49%)

0 = Mild or no clearing (0-24%)

1 month, 3 Months, 6 Months (Group A Only) post final treatment
Subject Satisfaction
Time Frame: 1 month, 3 Months, 6 Months (Group A Only) post final treatment

Following the final study treatment, subjects will be asked to rate their level of satisfaction with the laser treatment outcome and the overall laser treatment procedure, using the Subject Satisfaction Assessment Scale and the following definitions:

2 = Extremely Satisfied

1 = Satisfied

0 = Neutral

(-1) = Unsatisfied

(-2) = Extremely Unsatisfied

1 month, 3 Months, 6 Months (Group A Only) post final treatment

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Blinded Reviewer's Global Assessment of Improvement
Time Frame: 3-month (Group B), 6 months (Group A) Post Final treatment

Three blinded experienced, non-treating clinicians will independently evaluate pre- and post-treatment photos of each subject, presented randomly. Each reviewer will be asked to determine the temporal order (before and after) of each photo pair, and then rate the degree of tattoo clearing or reduction in benign pigmentation in the post-treatment photo using the following scale:

3 = Very significant or complete clearing (75-100%)

2 = Significant clearing (50-74%)

1 = Moderate clearing (25-49%)

0 = Mild or no clearing (0-24%)

3-month (Group B), 6 months (Group A) Post Final treatment
Melasma Area Severity Index (MASI)
Time Frame: 3 Months (Group B), 6 Months (Group A) post final treatment
Three blinded experienced, non-treating clinicians will independently evaluate pre- and post-treatment photos of each subject, presented randomly, using the MASI. Each of four regions (forehead, right malar region, left malar region and chin) will be assessed based on three variables: percentage of the total area involved (A), darkness (D), and homogeneity (H).
3 Months (Group B), 6 Months (Group A) post final treatment

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Kari Larson, MBA, Sponsor GmbH

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 12, 2017

Primary Completion (Actual)

September 6, 2018

Study Completion (Actual)

October 3, 2018

Study Registration Dates

First Submitted

January 8, 2018

First Submitted That Met QC Criteria

January 29, 2018

First Posted (Actual)

January 30, 2018

Study Record Updates

Last Update Posted (Estimated)

December 20, 2023

Last Update Submitted That Met QC Criteria

November 29, 2023

Last Verified

November 1, 2023

More Information

Terms related to this study

Other Study ID Numbers

  • L16004

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

Yes

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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