Efficacy of Natural Vitamin E Tocotrienol on the Treatment of Surgical Scars

November 10, 2021 updated by: Chandan K Sen
The overall goal of this study is to determine the efficacy of tocotrienol (TCT), a natural form of vitamin E, in preventing or reducing scar formation in human skin wounds as well as the basal levels of TCT in normal human skin and adipose tissue.

Study Overview

Detailed Description

Scar formation is the physiological and inevitable end point of mammalian wound healing and there is substantial evidence that inflammation is an essential prerequisite for scarring. Although scar tissue restores the normal skin barrier, the new tissue is inferior in structural, aesthetic, and functional respects. The mammalian wound healing response may have originated during the time of high susceptibility to infection. Therefore, we may have developed speed optimized wound healing where a multiple redundant compensating rapid inflammatory response allows the wound to heal quickly without infection. The scar is then the price mammals have to pay for evolutionary survival after being wounded.

Tocotrienol may be an effective tool to prevent or reduce normal, hypertrophic, or keloid scarring by mediating the inflammatory response. Tocotrienol is a safe and convenient treatment that could be used by mouth or topically. There has never been a study on the effectiveness of tocotrienol in preventing or reducing scar formation.

Study Type

Interventional

Enrollment (Anticipated)

168

Phase

  • Early Phase 1

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

    • Ohio
      • Columbus, Ohio, United States, 43221
        • The Ohio State University
      • Columbus, Ohio, United States, 43214
        • OSU Plastic Surgery - Knightsbridge

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 and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • 18 years of age or older.
  • Non- smoker
  • No current medications that alter liver metabolism (e.g., Phenobarbital, HmG co-A inhibitors, etc.)
  • Non- pregnant or non-breastfeeding
  • No current use of dietary supplements containing vitamin-E
  • Not actively abusing drugs or alcohol

Exclusion Criteria:

  • Under 18 years of age
  • Prisoners
  • Current smoker
  • Pregnant or breastfeeding
  • HIV diagnosis
  • Viral hepatitis diagnosis
  • Immunosuppressive therapy
  • Actively abusing drugs or alcohol
  • Current use of dietary supplements containing vitamin-E

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: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Placebo Comparator: Group I Single Site Randomization
Patients with 1 surgical scar will be given both oral placebo and topical cream placebo
Oral Placebo
Topical Placebo Cream
Active Comparator: Group II Single Site Randomization
Single surgical site will be given oral placebo and topical TCT
Oral Placebo
Natural Vitamin E Tocotrienol(TCT)Topical Cream
Other Names:
  • Topical TCT
Active Comparator: Group III Single Site Randomization
Patients with 1 surgical scar will be given Natural Vitamin E Tocotrienol supplement (TCT) and topical placebo cream
Topical Placebo Cream
Oral Vitamin E Tocotrienol Supplement (TCT)
Other Names:
  • Oral TCT
Active Comparator: Group IV Single Site Randomization
Patients with 1 surgical scar will be given both Natural Vitamin E Tocotrienol supplement (TCT) and Natural Vitamin E Tocotrienol Cream (TCT).
Natural Vitamin E Tocotrienol(TCT)Topical Cream
Other Names:
  • Topical TCT
Oral Vitamin E Tocotrienol Supplement (TCT)
Other Names:
  • Oral TCT
Placebo Comparator: Group I: Bilateral Site Randomization
Patients with bilateral surgical scars will be given both oral placebo and topical cream placebo on one surgical site.
Oral Placebo
Topical Placebo Cream
Active Comparator: Group II: Bilateral Site Randomization
Patients with bilateral surgical scars will be given oral placebo and Natural Vitamin E Tocotrienol Cream (TCT) to one of the surgical sites.
Oral Placebo
Natural Vitamin E Tocotrienol(TCT)Topical Cream
Other Names:
  • Topical TCT
Active Comparator: Group III: Bilateral Site Randomization
Patients with bilateral surgical scars will be given Natural Vitamin E Tocotrienol supplement (TCT) and topical placebo cream on one surgical site.
Topical Placebo Cream
Oral Vitamin E Tocotrienol Supplement (TCT)
Other Names:
  • Oral TCT
Active Comparator: Group IV: Bilateral Site Randomization
Patients with bilateral surgical scars will be given Natural Vitamin E Tocotrienol supplement (TCT) and Natural Vitamin E Tocotrienol Cream (TCT) on one surgical site.
Natural Vitamin E Tocotrienol(TCT)Topical Cream
Other Names:
  • Topical TCT
Oral Vitamin E Tocotrienol Supplement (TCT)
Other Names:
  • Oral TCT
No Intervention: Normal Skin and Adipost Tissue Group
Normal human skin and adipose tissue will be collected

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
1.To determine the efficacy of TCT in improving the appearance of post-surgical scars following oral supplementation 2.To determine the efficacy of TCT in improving the appearance of post-surgical scars following topical application
Time Frame: 4 weeks prior to surgery and 12 weeks post surgery.
4 weeks prior to surgery and 12 weeks post surgery.

Collaborators and Investigators

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

Sponsor

Investigators

  • Principal Investigator: Chandan K Sen, PhD, Ohio State University

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

July 1, 2008

Primary Completion (Actual)

July 1, 2018

Study Completion (Actual)

July 1, 2018

Study Registration Dates

First Submitted

June 17, 2008

First Submitted That Met QC Criteria

June 18, 2008

First Posted (Estimate)

June 19, 2008

Study Record Updates

Last Update Posted (Actual)

November 18, 2021

Last Update Submitted That Met QC Criteria

November 10, 2021

Last Verified

November 1, 2021

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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