Efficacy and tolerability of a topical skin-lightening cosmetic product combination on facial dyspigmentation compared with 4% hydroquinone

ISRCTN ISRCTN33310512
DOI https://doi.org/10.1186/ISRCTN33310512
Secondary identifying numbers 17E3927
Submission date
10/12/2018
Registration date
30/01/2019
Last edited
19/02/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Skin and Connective Tissue Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Melasma is a common pigmentation disorder characterized by the presence of large irregular brown macules areas in the sun-exposed skin areas, particularly the face and the neck. Hydroquinone is a drug component that has long been the gold standard for the treatment of melasma but its use is compromised due to long-term risks of skin damage. A new skin-lightening combination of cosmetic products (CCP) targeting various steps of the skin pigmentation pathway has been developed. This study aims to evaluate the effectiveness and tolerability of the new CCP compared to hydroquinone 4% in the treatment of facial dyspigmentation.

Who can participate?
Women or men aged between 18 and 60 with a skin phototype IV-V and facial dyspigmentation due to melasma

What does the study involve?
Subjects are randomly allocated to apply on the face, neck and neckline either the combination of cosmetic products (CCP) or 4% hydroquinone cream daily for 12 weeks. The skin is evaluated at the start of the study, week 6 and week 12.

What are the possible benefits and risks of participating?
The study is carried out with cosmetic products whose safety has been assured by the Sponsor. Its aim is to further confirm, under normal and reasonably foreseeable use conditions, the capacity of products to maintain the human body in a good condition and reduce the pigmentation of spots.

Where is the study run from?
Insight Research, a clinical trial organization in Mauritius

When is the study starting and how long is it expected to run for?
January 2018 to May 2018

Who is funding the study?
Isispharma, the company that manufactured the skin-lightening cosmetic product combination

Who is the main contact?
Amélie Clement

Contact information

Ms Amelie Clement
Scientific

ISISPHARMA
29 rue Maurice Flandin
Immeuble le Forum 1er Etage
Lyon
69003
France

Study information

Study designSingle-centre double-blinded parallel-group randomized controlled study
Primary study designInterventional
Secondary study designRandomised parallel trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleEfficacy and tolerability of a topical skin-lightening CPP on subjects presenting facial dyspigmentation compared with 4% hydroquinone
Study acronymCCP: combination of cosmetic products
Study hypothesisThe synergetic action of this new topical product combination containing natural extracts and targeting different signaling pathways in melanogenesis could offer an effective and safer alternative to hydroquinone in the management of facial dyspigmentation.
Ethics approval(s)The Clinical Trials Act 2011 governing clinical trials in Mauritius is not applicable in the case of this study and therefore does not require the authorization of the Competent Authority. However, the study received the approbation of a private and independent ethics committee on 30/01/2018
ConditionMild to moderate facial dyspigmentation due to melasma, but otherwise healthy skin
InterventionSubjects are randomly assigned to one of the two treatment groups.

In the intervention group (CCP group), subjects receive the combination of cosmetic products (CCP): Neotone® serum once daily in the evening and Neotone® Radiance SPF 50+ once daily in the morning.

In the control group (HQ group), subjects receive 4% hydroquinone cream once daily in the evening and an SPF 50+ cream once daily in the morning.

In addition, all the subjects are advised to use a sunscreen without any skin-lightening components, twice daily. All the subjects are instructed to apply the products from baseline for a period of 12 weeks and as recommended by the manufacturer on the face, neck and neckline, avoiding eye area.

Evaluation of the two treatments modalities are performed at baseline, week 6 and week 12 for the following parameters: clinical examination, M-MASI score, colorimetric assessment, facial imaging, tolerability assessment, self-assessment questionnaire.
Intervention typeOther
Primary outcome measure1. Clinical scoring of the dyspigmentation with the Modified-MASI score (M-MASI; Dr Amit PANDYA) is performed at baseline, week 6 and week 12
2. Cutaneous color assessed using the Spectrocolorimeter® at baseline, week 6 and week 12
3. Expected visual effect is assessed with photographs taken at baseline, week 6 and week 12
4. Cutaneous acceptability assessed by clinical examination under dermatological control at baseline, week 6 and week 12
5. Cosmetic acceptability and future use is assessed by analysis of the subjects’ answers to a subjective evaluation questionnaire at week 6 and week 12
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date09/01/2018
Overall study end date31/05/2018

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants44 subjects (22 in each cluster)
Total final enrolment43
Participant inclusion criteria1. Women or men
2. Aged between 18 and 60 years
3. Skin phototype IV-V
4. Presenting facial dyspigmentation due to melasma as determined by Wood’s light examination
Participant exclusion criteria1. Pregnant or nursing women or women planning to get pregnant during the study
2. Subjects with a cutaneous pathology on the study zone (eczema)
3. Subjects having undergone surgery under general anaesthesia within the previous month
4. Individuals who have been excessively exposed to sunlight or UV-rays within the previous month
5. Subjects having used topical or systemic treatment during the previous weeks liable to interfere with the assessment of the cutaneous acceptability of the study product
Recruitment start date22/01/2018
Recruitment end date19/02/2018

Locations

Countries of recruitment

  • Mauritius

Study participating centre

Insight Research
3rd Floor, Orbis Court 132
St Jean Road
Quatre Bornes
-
Mauritius

Sponsor information

ISISPHARMA
Industry

29 rue Maurice Flandin
Immeuble le Forum 1er Etage
Lyon
69003
France

Website http://www.isispharma.com

Funders

Funder type

Industry

ISISPHARMA

No information available

Results and Publications

Intention to publish date01/01/2020
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planThe study is planned to be published in a peer-reviewed journal.
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Anne Sirvent (ASI@dermscan.com).

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/04/2020 19/02/2020 Yes No

Editorial Notes

19/02/2020: Publication reference and total final enrolment number added.
18/09/2019: The intention to publish date was changed from 08/01/2019 to 01/01/2020.