- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06452667
Platelet Rich Fibrin Versus Platelet Rich Plasma for Microneedling Treatment of Facial Photoaging
Platelet Rich Fibrin Versus Platelet Rich Plasma for Microneedling Treatment of Facial Photoaging-a Double Blind Randomized Controlled Study
The present study was conducted for analyzing the efficacy and safety of platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) in photoaging therapy.
Specific arms:
- The investigators will compare the photoaging improvement of PRF and PRP treated face before and after treatment by two blinded investigators.
- The investigators will evaluate the improvement of each parameter of photoaging by Visia system, dermoscope, and optical coherence tomography.
- The investigators will evaluate the safety of the treatment of PRF and PRP.
Each case will receive 3 sessions of injection therapies with one month interval (T0, T1, and T2). Each case will receive PRP therapy on one side of the face and PRF on the other side of face. The investigators will determine the treatment method for both sides of each case randomly by coin flapping before the study. The investigators will evaluate each case before each session of therapy (T0, T1, T2) as well as 1 (T3) and 3 months (T4) after final session of treatment.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Yau-Li Huang, MD
- Phone Number: 3712 +886-3-3196200
- Email: henryhuang0219@gmail.com
Study Locations
-
-
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Taipei, Taiwan
- Chang Gung Memorial Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Men or female patients older than 20 years old with facial photoaging (Glogau Scale type II)
- The photoaging severity of bilateral face is symmetric.
Exclusion Criteria:
- Patients with thrombocytopenia, coagulopathy, hematopoietic malignancy.
- Patients with severe inflammation over treated area, malignancy, keloid, or poor wound healing history.
- Patients had received laser, radiofrequency, ultherapy over treated area within 6 months.
- Patients had received botulism or filler injection over treated area within 12 months.
- Patients had received plastic surgery over treated area within 12 months.
- Patients had severe psychiatric disorders with poor control.
- Patients with other diseases which are not suitable for receiving platelet rich plasma (PRP) or platelet rich fibrin (PRF) therapy.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: platelet-rich fibin
Each case will receive 3 sessions of therapies with one month interval.
We will apply 1-2ml PRF to the photoaging areas in one side of the cheek of patients by using microneedling.
|
Each case will receive 3 sessions of microneedling therapies with one month interval.
Each case will receive platelet-rich fibin therapy on one side of the face.
The other side of the face was treated with platelet-rich palsma.
|
|
Active Comparator: platelet-rich palsma
Each case will receive 3 sessions of therapies with one month interval.
We will apply 1-2ml PRP to the photoaging areas in one side of the cheek of patients by using microneedling.
|
Each case will receive 3 sessions of microneedling therapies with one month interval.
Each case will receive platelet-rich palsma therapy on one side of the face.
The other side of the face was treated with platelet-rich fibin.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Global Aesthetic Improvement Scale
Time Frame: 3 months after the last session of treatment
|
We will compare the photoaging improvement of PRF and PRP treated face before treatment and 3 months after last treatment by two blinded investigators using Global Aesthetic Improvement Scale (GAIS).
GAIS, which is a 5-point scale wherein 5 = very much improved, 4 = much improved, 3 = improved, 2 = no change, and 1= worse.
|
3 months after the last session of treatment
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Fitzpatrick wrinkle scale
Time Frame: 3 months after the last session of treatment
|
To assess the severity of wrinkles of photoaging areas (minimum: 1, mild; maximum: 9, severe)
|
3 months after the last session of treatment
|
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Wrinkle Severity Rating scale
Time Frame: 3 months after the last session of treatment
|
To assess the severity of wrinkles of photoaging areas (minimum: 1, absent; maximum: 5, extreme)
|
3 months after the last session of treatment
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The scores of rhytids in VISIA system
Time Frame: 3 months after the last session of treatment
|
Apply the scores of different aging domains in VISIA system for evaluating the therapeutic response.
(minimum: 1, worse; maximum: 100, severe)
|
3 months after the last session of treatment
|
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The scores of Textures in VISIA system
Time Frame: 3 months after the last session of treatment
|
Apply the scores of different aging domains in VISIA system for evaluating the therapeutic response.
(minimum: 1, worse; maximum: 100, severe)
|
3 months after the last session of treatment
|
|
The scores of Pores size in VISIA system
Time Frame: 3 months after the last session of treatment
|
Apply the scores of different aging domains in VISIA system for evaluating the therapeutic response.
(minimum: 1, worse; maximum: 100, severe)
|
3 months after the last session of treatment
|
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The scores of Brown spots in VISIA system
Time Frame: 3 months after the last session of treatment
|
Apply the scores of different aging domains in VISIA system for evaluating the therapeutic response.
(minimum: 1, worse; maximum: 100, severe)
|
3 months after the last session of treatment
|
|
The scores of Spots in VISIA system
Time Frame: 3 months after the last session of treatment
|
Apply the scores of different aging domains in VISIA system for evaluating the therapeutic response.
(minimum: 1, worse; maximum: 100, severe)
|
3 months after the last session of treatment
|
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The scores of UV spots in VISIA system
Time Frame: 3 months after the last session of treatment
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Apply the scores of different aging domains in VISIA system for evaluating the therapeutic response.
(minimum: 1, worse; maximum: 100, severe)
|
3 months after the last session of treatment
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The scores of red areas in VISIA system
Time Frame: 3 months after the last session of treatment
|
Apply the scores of different aging domains in VISIA system for evaluating the therapeutic response.
(minimum: 1, worse; maximum: 100, severe)
|
3 months after the last session of treatment
|
|
Dermoscopy Photoaging Scale
Time Frame: 3 months after the last session of treatment
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Photoaging evaluation instrument using a dermoscopy (minimum: 0, worse; maximum: 11, severe)
|
3 months after the last session of treatment
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Lee ZH, Sinno S, Poudrier G, Motosko CC, Chiodo M, Saia W, Gothard D, Thomson JE, Hazen A. Platelet rich plasma for photodamaged skin: A pilot study. J Cosmet Dermatol. 2019 Feb;18(1):77-83. doi: 10.1111/jocd.12676. Epub 2018 May 31.
- Mahmoodabadi RA, Golafshan HA, Pezeshkian F, Shahriarirad R, Namazi MR. Evaluation of the Effect of Platelet-Rich Fibrin Matrix in the Correction of Periorbital Wrinkles: An Experimental Clinical Trial. Dermatol Pract Concept. 2023 Jan 1;13(1):e2023050. doi: 10.5826/dpc.1301a50.
- Hassan H, Quinlan DJ, Ghanem A. Injectable platelet-rich fibrin for facial rejuvenation: A prospective, single-center study. J Cosmet Dermatol. 2020 Dec;19(12):3213-3221. doi: 10.1111/jocd.13692. Epub 2020 Sep 23.
- Isik B, Gurel MS, Erdemir AT, Kesmezacar O. Development of skin aging scale by using dermoscopy. Skin Res Technol. 2013 May;19(2):69-74. doi: 10.1111/srt.12033. Epub 2013 Jan 20.
- Evans AG, Ivanic MG, Botros MA, Pope RW, Halle BR, Glassman GE, Genova R, Al Kassis S. Rejuvenating the periorbital area using platelet-rich plasma: a systematic review and meta-analysis. Arch Dermatol Res. 2021 Nov;313(9):711-727. doi: 10.1007/s00403-020-02173-z. Epub 2021 Jan 12.
- Salminen A, Kaarniranta K, Kauppinen A. Photoaging: UV radiation-induced inflammation and immunosuppression accelerate the aging process in the skin. Inflamm Res. 2022 Aug;71(7-8):817-831. doi: 10.1007/s00011-022-01598-8. Epub 2022 Jun 24.
- Diab NAF, Ibrahim AM, Abdallah AM. Fluid Platelet-Rich Fibrin (PRF) Versus Platelet-Rich Plasma (PRP) in the Treatment of Atrophic Acne Scars: A Comparative Study. Arch Dermatol Res. 2023 Jul;315(5):1249-1255. doi: 10.1007/s00403-022-02511-3. Epub 2022 Dec 15.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CPRPG5P0011
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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