FULL DETAILS (Read-only)  -> Click Here to Create PDF for Current Dataset of Trial
CTRI Number  CTRI/2026/03/105764 [Registered on: 10/03/2026] Trial Registered Prospectively
Last Modified On: 09/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparing the Efficacy of Fractional Co2 Laser with Topical Tranexamic acid 5 Percent gel versus with Topical Isobioniacinamide Cysteamine Complex cream in Treatment of Melasma 
Scientific Title of Study   A STUDY OF EFFICACY AND SAFETY OF FRACTIONAL CO2 LASER WITH TOPICAL TRANEXAMIC ACID 5 PERCENT GEL VERSUS FRACTIONAL CO2 LASER WITH TOPICAL ISOBIONIACINAMIDE CYSTEAMINE COMPLEX CREAM IN THE TREATMENT OF MELASMA- A RANDOMIZED CONTROLLED TRIAL 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Callista Juneja 
Designation  Junior Resident 
Affiliation  Sri Devaraj Urs Medical College 
Address  Room no 26, Department of Dermatology, Sri Devaraj Urs Medical College

Kolar
KARNATAKA
563101
India 
Phone  09987754235  
Fax    
Email  callistajuneja@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajashekar TS 
Designation  Professor 
Affiliation  Sri Devaraj Urs Medical College, Tamaka, Kolar 
Address  Room no. 26, Department of Dermatology, Sri Devaraj Urs Medical College, Tamaka, Kolar

Kolar
KARNATAKA
563101
India 
Phone  9448316136  
Fax    
Email  rajashekardermat@sduaher.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr Rajashekar TS 
Designation  Professor 
Affiliation  Sri Devaraj Urs Medical College, Tamaka, Kolar 
Address  Room no. 26, Department of Dermatology, Sri Devaraj Urs Medical College, Tamaka, Kolar

Kolar
KARNATAKA
563101
India 
Phone  9448316136  
Fax    
Email  rajashekardermat@sduaher.ac.in  
 
Source of Monetary or Material Support  
R L Jalappa Hospital, Sri Devaraj Urs Medical College, Tamaka, Kolar 
 
Primary Sponsor  
Name  Dr Callista Juneja 
Address  Department of Dermatology, Sri Devaraj Urs Medical College, Kolar, Karnataka 563101 
Type of Sponsor  Other [self] 
 
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 Callista Juneja  RL Jalappa Hospital  Room no 26, Department of Dermatology,RL Jalappa Hospital, Sri Devaraj Urs Medical College,Kolar,Karnataka
Kolar
KARNATAKA 
09987754235

callistajuneja@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri Devaraj Urs Medical College, Institutional Ethics Committe  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L811||Chloasma,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Fractional Co2 Laser with Topical Isobioniacinamide Cysteamine Complex Cream  patient will be advised to review every 4 weeks and similar sessions will be carried out up to 12 weeks accounting for a total of 4 sessions with a final follow-up at week 16 
Intervention  Fractional Co2 Laser with Topical Tranexaic Acid 5% Gel  patient will be advised to review every 4 weeks and similar sessions will be carried out up to 12 weeks accounting for a total of 4 sessions with a final follow-up at week 16 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  50.00 Year(s)
Gender  Female 
Details  Female patient aged 20 to 50 years old with melasma 
 
ExclusionCriteria 
Details  •Consumption of antioxidants in last 3 months
•Use of isotretinoin in past 6 months
•Active inflammatory acne lesions
•Drugs causing photosensitivity and hyperpigmentation as epileptic drugs
Antimalaria and tetracycline
•Pregnancy
•Patients who have undergone treatment recently with other modalities in past 3 months.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1.Measurement of efficacy of modalities on the basis of quartile grading score
2.Modified Melasma Area and Severity Index Score
3.Patient satisfaction using Likert Satisfaction Scale 
at baseline
every 4 weeks
at end of 16 weeks
 
 
Secondary Outcome  
Outcome  TimePoints 
side effects of topical Tranexamic 5% gel and topical Isobioniacinamide cysteamine complex in treatment of melasma   at baseline
every 4 weeks
at end of 16 weeks
 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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 2/ Phase 3 
Date of First Enrollment (India)   20/03/2026 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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   This study is to determine the efficacy of Fractional Co2 Laser with topical Tranexamic 5% Gel versus Fractional Co2 Laser with Topical Isobioniacinamide Cysteamine Complex Cream in treatment of Melasma. As of now, no study has been done to compare these groups. 
Thus making this study a first of its kind.
 
Close