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CTRI Number  CTRI/2024/12/077763 [Registered on: 06/12/2024] Trial Registered Prospectively
Last Modified On: 03/12/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Other 
Public Title of Study   To evaluate the efficacy of shouldering in atrophic box car acne scars using ablative lasers 
Scientific Title of Study   A split face study to evaluate the efficacy of shouldering in atrophic box car acne scars using ablative lasers 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
CACS-DS-026, Version 1, Dated:08 Oct 2024  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Madura C 
Designation  Medical Director and Chief Hair transplant Dermatosurgeon 
Affiliation  CUTIS Academy of Cutaneous Sciences 
Address  Department of Dermatosurgery Rooma No: 10
5/1,4th Main, MRCR Layout, Vijayanagar, Bangalore
Bangalore
KARNATAKA
560040
India 
Phone  9632741998  
Fax    
Email  maduradr@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Madura C 
Designation  Medical Director and Chief Hair transplant Dermatosurgeon 
Affiliation  CUTIS Academy of Cutaneous Sciences 
Address  Department of Dermatosurgery Rooma No: 10
5/1,4th Main, MRCR Layout, Vijayanagar, Bangalore

KARNATAKA
560040
India 
Phone  9632741998  
Fax    
Email  maduradr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Madura C 
Designation  Medical Director and Chief Hair transplant Dermatosurgeon 
Affiliation  CUTIS Academy of Cutaneous Sciences 
Address  Department of Dermatosurgery Rooma No: 10
5/1,4th Main, MRCR Layout, Vijayanagar, Bangalore

KARNATAKA
560040
India 
Phone  9632741998  
Fax    
Email  maduradr@gmail.com  
 
Source of Monetary or Material Support  
CUTIS Academy of Cutaneous Sciences 5/1,4th Main, MRCR Layout, Vijayanagar, Bangalore 560040 
 
Primary Sponsor  
Name  NA 
Address  NA 
Type of Sponsor  Other [NA] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Madura C  CUTIS Academy of Cutaneous Sciences  Department of Dermatosurgery Room No:10 5/1,4th Main, MRCR Layout, Vijayanagar, Bangalore 560040
Bangalore
KARNATAKA 
9632741998

maduradr@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
CUTIS Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L909||Atrophic disorder of skin, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Ablative Co2 laser   Probe at 0.5-0.8 watt; 20Hz will be done for box car scars on the right side of the face. Topical moisturizing cream and desonide 0.05% lotion will be applied for 5 days for the treated area. Total of 4 sessions every 6 weeks 
Comparator Agent  Fractional ablative laser   Combined Co2 and Er:Glass mode; Co2 at 8-12 watt; HP mode; Er:Glass 2-3 Watt; 5ms; 700-850 spacing) for the scar area and only fractional laser ablation will be done on the left side of the face. Topical moisturizing cream and desonide 0.05% lotion will be applied for 5 days for the treated area. Total of 4 sessions every 6 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Those who did not receive any other surgical treatment for acne scars in last 3 months
2.Patients with acne scars with Goodman Baron qualitative grade 2 or above. 
 
ExclusionCriteria 
Details  1.Active infections
2.Keloidal tendency
3.Active acne
4.HIV(Human Immunodeficiency Virus), HbsAg(Hepatitis B surface Antigen), HCV (Hepatitis C) seropositivity
5.Facial scars due to causes apart from acne.
6.History of internal malignancies, diabetes mellitus, hypertension.
7.Pregnancy and lactation
8.History of surgical procedures for treatment of acne scars within last 3 months
9.Not willing to give informed consent.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the clinical efficacy of shouldering of box car scars using fractional CO2 laser  After 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
Topical moisturizing cream and desonide 0.05% lotion will be applied for 5 days for the treated area. Total of 4 sessions of fractional ablative laser at intervals of 6 weeks will be done on both sides; shouldering will be done only at first session and repeated at next session only if necessary. At every session; clinical photographs and ANTERA 3D analysis will be done. Goodman & Baron qualitative and quantitative scar scores will be recorded at each visit.  After 6 months 
 
Target Sample Size   Total Sample Size="10"
Sample Size from India="10" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   19/12/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Post acne scars is one of the most common complaints of patients attending Dermatology OPD.  Multiple treatment options like chemical peels, microdermabrasion, skin microneedling, lasers, etc. have been used till date for treatment of post acne scars. Response of acne scar treatments depends upon scar type, scar duration, scar grade and the treatment modality used. Despite of the availability of multiple treatment modalities for acne scars satisfactory results are variable.

Surgical shouldering of boxcar scars involves conversion of deeper boxcar scars to more superficial scars; thus improving the outcome; but no literature is available if shouldering is contributing to the improvement for these scars. This study aims to evaluate the efficacy of this procedure in management of acne scars.

 
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