- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07376148
Fractional CO2 Laser-assisted Delivery of Hyaluronic Acid, Ascorbic Acid and Sodium DNA For Enhancing Facial Skin Quality in Individuals Over the Age of 30 (FCLADHAAASDFSQ)
Study Overview
Status
Detailed Description
The study involves the application of ascorbic acid, hyaluronic acid, and sodium DNA in preparation for their use following the administration of a fractional CO2 laser treatment. Participants will attend a total of four sessions. During the initial session, participants will complete and sign a consent form, baseline photographs will be captured for documentation purposes, and an initial assessment will be conducted using the SASSQ. At the second session, the fractional CO2 laser will be applied, followed by the application of the topical medication to the facial area. During the third and fourth sessions, scheduled one week and four weeks post-treatment, respectively, the facial dermal effects will be objectively evaluated using the SASSQ scale, and any adverse effects will be assessed and documented through photographs.
To facilitate the analysis and comparison of variables, an analysis of variance will be conducted utilizing the ANOVA test for repeated measures. The IBM SPSS Statistics software, version 29.0, will be employed for this purpose. A p-value of less than 0.05 will be regarded as statistically significant.
Study Type
Enrollment (Estimated)
Phase
- Phase 4
Contacts and Locations
Study Contact
- Name: Daniel B Mejia Llanes MD, Medical Doctor
- Phone Number: +503 6420 5801
- Email: db.mejia@outlook.com
Study Locations
-
-
Mexico City
-
Mexico City, Mexico City, Mexico, 06800
- Recruiting
- Instituto de Oftalmologia F.A.P. Conde de Valenciana, I.A.P.
-
Contact:
- Daniel B Mejia Llanes MD, Medical Doctor
- Phone Number: +503 6420 5801
- Email: db.mejia@outlook.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male and female subjects, over 30 years of age, with moderate skin changes associated with elasticity, wrinkles, roughness, pigmentation, erythema, and pore size; with at least 12 points on the SASSQ scale. Fitzpatrick skin type I-III. Participants who agree to take part in the protocol
Exclusion Criteria:
- Fitzpatrick skin type IV-VI. Local infections or inflammatory disorders.. Neoplasms suspected of being malignant. Allergy to hyaluronic acid, ascorbic acid, and sodium DNA. Hypersensitivity to fractional CO2 laser. Pregnancy or breastfeeding. Local or systemic adverse reaction
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Application of ascorbic acid, hyaluronic acid, and sodium DNA in preparation for their use following
Participants will attend a total of four sessions.
During the initial session, participants will complete and sign a consent form, baseline photographs will be captured for documentation purposes, and an initial assessment will be conducted using the SASSQ.
At the second session, the fractional CO2 laser will be applied, followed by the application of the topical medication to the facial area.
During the third and fourth sessions, scheduled one week and four weeks post-treatment, respectively, the facial dermal effects will be objectively evaluated using the SASSQ scale, and any adverse effects will be assessed and documented through photographs.
|
The study involves the application of ascorbic acid, hyaluronic acid, and sodium DNA in preparation for their use following the administration of a fractional CO2 laser treatment
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Skin quality
Time Frame: From enrollment to the end of treatment at 4 weeks
|
Quantitative enhancement that can be assessed using a validated scale (SASSQ)
|
From enrollment to the end of treatment at 4 weeks
|
Collaborators and Investigators
Publications and helpful links
General Publications
- Haedersdal M, Sakamoto FH, Farinelli WA, Doukas AG, Tam J, Anderson RR. Fractional CO(2) laser-assisted drug delivery. Lasers Surg Med. 2010 Feb;42(2):113-22. doi: 10.1002/lsm.20860.
- Browne RH. On the use of a pilot sample for sample size determination. Stat Med. 1995 Sep 15;14(17):1933-40. doi: 10.1002/sim.4780141709.
- Kieser M, Wassmer G. On the use of the upper confidence limit for the variance from a pilot sample for sample size determination. Biom J. 1996;38(8):941-9. doi: 10.1002/bimj.4710380806
- Eiben-Nielson C, Kerscher M. Development and validation of a global photonumeric scale for evaluating skin quality of aged female facial skin. J Cosmet Dermatol. 2021 Dec;20(12):4032-4039. doi: 10.1111/jocd.14058. Epub 2021 Mar 24.
- Fitzpatrick RE. Maximizing benefits and minimizing risk with CO2 laser resurfacing. Dermatol Clin. 2002 Jan;20(1):77-86. doi: 10.1016/s0733-8635(03)00047-0.
- Iaconisi GN, Lunetti P, Gallo N, Cappello AR, Fiermonte G, Dolce V, Capobianco L. Hyaluronic Acid: A Powerful Biomolecule with Wide-Ranging Applications-A Comprehensive Review. Int J Mol Sci. 2023 Jun 18;24(12):10296. doi: 10.3390/ijms241210296.
- Palomar-Llatas F, Castellano-Rioja E, Arantón-Areosa L, Fornes-Pujalte B, Palomar-Albert D, Díez-Fornes P, et al. Abordaje de las lesiones cutáneas más frecuentes en el envejecimiento. Enfermería Dermatológica [Internet]. 2020;14(39). doi: 10.5281/zenodo.3779297
- Holck DE, Ng JD. Facial skin rejuvenation. Curr Opin Ophthalmol. 2003 Oct;14(5):246-52. doi: 10.1097/00055735-200310000-00004.
- Cafardi JA, Elmets CA. T4 endonuclease V: review and application to dermatology. Expert Opin Biol Ther. 2008 Jun;8(6):829-38. doi: 10.1517/14712598.8.6.829.
- Yarosh DB, Rosenthal A, Moy R. Six critical questions for DNA repair enzymes in skincare products: a review in dialog. Clin Cosmet Investig Dermatol. 2019 Aug 29;12:617-624. doi: 10.2147/CCID.S220741. eCollection 2019.
- Ge S, Chung HJ, Weiss RA. Histologic Effects of Fractional Lasers and Energy-Based Devices on Intradermally Injected Hyaluronic Acid Filler for Improving Skin Smoothness. Lasers Surg Med. 2025 Jan;57(1):96-100. doi: 10.1002/lsm.23863. Epub 2024 Nov 29.
- Zhang J, Xu F, Lin H, Ma Y, Hu Y, Meng Q, Lin P, Zhang Y. Efficacy of fractional CO2 laser therapy combined with hyaluronic acid dressing for treating facial atrophic acne scars: a systematic review and meta-analysis of randomized controlled trials. Lasers Med Sci. 2023 Sep 19;38(1):214. doi: 10.1007/s10103-023-03879-y.
- Weinstein-Oppenheimer CR, Brown DI, Coloma R, Morales P, Reyna-Jeldes M, Díaz MJ, Sánchez E, Acevedo CA. Design of a hybrid biomaterial for tissue engineering: Biopolymer-scaffold integrated with an autologous hydrogel carrying mesenchymal stem-cells. Mater Sci Eng C Mater Biol Appl. 2017 Oct 1;79:821-830. doi: 10.1016/j.msec.2017.05.116
- Murphy SV, Skardal A, Song L, Sutton K, Haug R, Mack DL, Jackson J, Soker S, Atala A. Solubilized Amnion Membrane Hyaluronic Acid Hydrogel Accelerates Full-Thickness Wound Healing. Stem Cells Transl Med. 2017 Nov;6(11):2020-2032. doi: 10.1002/sctm.17-0053. Epub 2017 Sep 23.
- Fanian F, Deutsch JJ, Bousquet MT, Boisnic S, Andre P, Catoni I, Beilin G, Lemmel C, Taieb M, Gomel-Toledano M, Issa H, Garcia P. A hyaluronic acid-based micro-filler improves superficial wrinkles and skin quality: a randomized prospective controlled multicenter study. J Dermatolog Treat. 2023 Dec;34(1):2216323. doi: 10.1080/09546634.2023.2216323. Epub 2023 Aug 14.
- Abatangelo G, Vindigni V, Avruscio G, Pandis L, Brun P. Hyaluronic Acid: Redefining Its Role. Cells. 2020 Jul 21;9(7):1743. doi: 10.3390/cells9071743.
- Boo YC. Ascorbic Acid (Vitamin C) as a Cosmeceutical to Increase Dermal Collagen for Skin Antiaging Purposes: Emerging Combination Therapies. Antioxidants (Basel). 2022 Aug 26;11(9):1663. doi: 10.3390/antiox11091663.
- Bhowmick S, Rother S, Zimmermann H, Lee PS, Moeller S, Schnabelrauch M, Koul V, Jordan R, Hintze V, Scharnweber D. Biomimetic electrospun scaffolds from main extracellular matrix components for skin tissue engineering application - The role of chondroitin sulfate and sulfated hyaluronan. Mater Sci Eng C Mater Biol Appl. 2017 Oct 1;79:15-22. doi: 10.1016/j.msec.2017.05.005. Epub 2017 May 4.
- Njus D, Kelley PM, Tu YJ, Schlegel HB. Ascorbic acid: The chemistry underlying its antioxidant properties. Free Radic Biol Med. 2020 Nov 1;159:37-43. doi: 10.1016/j.freeradbiomed.2020.07.013. Epub 2020 Jul 30.
- Waibel JS, Mi QS, Ozog D, Qu L, Zhou L, Rudnick A, Al-Niaimi F, Woodward J, Campos V, Mordon S. Laser-assisted delivery of vitamin C, vitamin E, and ferulic acid formula serum decreases fractional laser postoperative recovery by increased beta fibroblast growth factor expression. Lasers Surg Med. 2016 Mar;48(3):238-44. doi: 10.1002/lsm.22448. Epub 2015 Nov 27.
- Hsiao CY, Huang CH, Hu S, Ko YS, Sung HC, Chen CC, Huang SY. Fractional carbon dioxide laser treatment to enhance skin permeation of ascorbic acid 2-glucoside with minimal skin disruption. Dermatol Surg. 2012 Aug;38(8):1284-93. doi: 10.1111/j.1524-4725.2012.02454.x. Epub 2012 Jun 5.
- Farris PK. Topical vitamin C: a useful agent for treating photoaging and other dermatologic conditions. Dermatol Surg. 2005 Jul;31(7 Pt 2):814-7; discussion 818. doi: 10.1111/j.1524-4725.2005.31725.
- Ibrahim O, Wenande E, Hogan S, Arndt KA, Haedersdal M, Dover JS. Challenges to laser-assisted drug delivery: Applying theory to clinical practice. Lasers Surg Med. 2018 Jan;50(1):20-27. doi: 10.1002/lsm.22769. Epub 2017 Nov 20.
- Muskat A, Kost Y, Balazic E, Cohen JL, Kobets K. Laser-Assisted Drug Delivery in the Treatment of Scars, Rhytids, and Melasma: A Comprehensive Review of the Literature. Aesthet Surg J. 2023 Feb 21;43(3):NP181-NP198. doi: 10.1093/asj/sjac286.
- Waibel JS, Rudnick A. Laser-assisted delivery to treat facial scars. Facial Plast Surg Clin North Am. 2017;25(1):105-17. doi: 10.1016/j.fsc.2016.08.010
- Seo HM, Choi JY, Min J, Kim WS. Carbon dioxide laser combined with botulinum toxin A for patients with periorbital syringomas. J Cosmet Laser Ther. 2016 Jun;18(3):149-53. doi: 10.3109/14764172.2015.1052517. Epub 2016 Mar 31.
- Mohamed HA, Mohammed GF, Gomaa AH, Eyada MM. Carbon dioxide laser plus topical 5-fluorouracil: a new combination therapeutic modality for acral vitiligo. J Cosmet Laser Ther. 2015;17(4):216-23. doi: 10.3109/14764172.2014.1003241. Epub 2015 Jan 30.
- Franz TJ. Kinetics of cutaneous drug penetration. Int J Dermatol. 1983 Nov;22(9):499-505. doi: 10.1111/j.1365-4362.1983.tb02187.x. No abstract available.
- Scott JA, Banga AK. Cosmetic devices based on active transdermal technologies. Ther Deliv. 2015;6(9):1089-99. doi: 10.4155/tde.15.64. Epub 2015 Sep 21.
- Alegre-Sánchez A, Jiménez-Gómez N, Boixeda P. Vehiculización de fármacos asistida por láser. Actas Dermo-sifiliográficas. 2018;109:858-867. doi: 10.1016/j.ad.2018.07.008
- Sklar LR, Burnett CT, Waibel JS, Moy RL, Ozog DM. Laser assisted drug delivery: a review of an evolving technology. Lasers Surg Med. 2014 Apr;46(4):249-62. doi: 10.1002/lsm.22227. Epub 2014 Mar 24.
- Zaleski-Larsen LA, Fabi SG. Laser-Assisted Drug Delivery. Dermatol Surg. 2016 Aug;42(8):919-31. doi: 10.1097/DSS.0000000000000556.
- de Szalay S, Wertz PW. Protective Barriers Provided by the Epidermis. Int J Mol Sci. 2023 Feb 5;24(4):3145. doi: 10.3390/ijms24043145.
Study record dates
Study Major Dates
Study Start (Actual)
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
- CEI-2025/05/04
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Sharing Time Frame
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Photo-aged Skin
-
Second Affiliated Hospital of Xi'an Jiaotong UniversityCompletedLaser | Photo-aged SkinChina
-
Galderma R&DCompletedCrepey Skin | Photo-aged Skin | Aging SkinUnited States
-
Second Affiliated Hospital of Xi'an Jiaotong UniversityActive, not recruiting
-
Skin Laser & Surgery SpecialistsLEO PharmaCompletedClinical and Histologic Evaluation of Picato 0.15% Gel in the Cosmetic Improvement of Photoaged SkinActinic Keratosis | Photo-aged Skin
-
Galderma R&DRecruitingSkin Laxity | Volume Deficiency in the Mid-Face | Photo-aged SkinUnited States
-
AB Biotics, SADr. Goya Análisis, SL.Not yet recruitingSkin | Face Skin Photoaging | Fine Lines | Face Aging/Photo Aging of Moderate Grade | Skin Ageing
-
Seoul National University HospitalCompletedAgeing | Photo-agingKorea, Republic of
-
University of MichiganBausch Health Americas, Inc.Completed
-
Candela CorporationCompleted
-
Dr. August Wolff GmbH & Co. KG ArzneimittelproDERM Institut für Angewandte Dermatologische Forschung GmbH; Microscopy...Completed
Clinical Trials on topical hyaluronic acid, ascorbic acid, and sodium DNA following ablative fractional laser treatment
-
Xijing HospitalRecruiting
-
Shanghai Dermatology HospitalRecruiting
-
EmoledCompletedPressure Ulcer | Pressure Ulcers Stage II | Pressure Ulcers Stage III | Pressure SoreItaly
-
Atlas UniversityEnrolling by invitationWound Heal | Tooth Extraction Status NosTurkey
-
Panineeya Mahavidyalaya Institute of Dental Sciences...CompletedGingival OvergrowthIndia
-
Safa Basiouny AlawyCompletedGingivitis | Orthodontic Appliance ComplicationEgypt
-
Manar Ziad Foura-MatarCompletedImplant Stability and OsseointegrationPalestinian Territory, occupied
-
King's College Hospital NHS TrustSheffield Teaching Hospitals NHS Foundation Trust; Moorfields Eye Hospital... and other collaboratorsCompletedRetinal Detachment With BreakUnited Kingdom
-
AllerganCompletedDry Eye Syndromes | Keratoconjunctivitis SiccaFrance, United Kingdom
-
University of MiamiNot yet recruitingEye Diseases | Dry Eye | Eyes Dry ChronicUnited States