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CTRI Number  CTRI/2018/07/014864 [Registered on: 13/07/2018] Trial Registered Retrospectively
Last Modified On: 11/07/2018
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Laser (Q-switched Nd:YAG laser)]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison between high dose and low dose laser therapy (Nd:YAG laser) for facial pigmentation (melasma) 
Scientific Title of Study   Comparison of Melasma Area and Severity Index (MASI) scores between low fluence and high fluence Q-switched Nd:YAG laser for refractory melasma: A randomized controlled trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Jude Ernest Dileep 
Designation  Junior Resident 
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) 
Address  Department of Dermatology, Venereology and Leprology, JIPMER, Dhanvantri Nagar, Gorimedu, Pondicherry

Pondicherry
PONDICHERRY
605006
India 
Phone  9159930448  
Fax    
Email  judegenext@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rashmi Kumari 
Designation  Associate Professor 
Affiliation  JIPMER 
Address  Department of Dermatology and STD JIPMER. Pondicherry

Pondicherry
PONDICHERRY
605006
India 
Phone  9489692199  
Fax    
Email  rashmi.sreerag@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rashmi Kumari 
Designation  Associate Professor 
Affiliation  JIPMER 
Address  Department of Dermatology and STD JIPMER. Pondicherry

Pondicherry
PONDICHERRY
605006
India 
Phone  9489692199  
Fax    
Email  rashmi.sreerag@gmail.com  
 
Source of Monetary or Material Support  
Department of Dermatology and STD, Main OPD Block, JIPMER Pondicherry- 605006 
 
Primary Sponsor  
Name  Department of Dermatology JIPMER 
Address  Department of Dermatology and STD , Main OPD Block JIPMER, Puducherry – 605006 
Type of Sponsor  Research institution and hospital 
 
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 Jude Ernest Dileep  JIPMER  OPD Number 85 Department of Dermatology Main OPD Block JIPMER, Pondicherry
Pondicherry
PONDICHERRY 
9159930448

judegenext@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee (Human Studies)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  All patients of refractory melasma who have not shown complete clearance after 6 weeks of topical triple combination therapy and topical sunscreens attending the dermatology OPD,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  High fluence Q-switched Nd:YAG laser therapy  Laser therapy will be provided at a fluence of 5-6 Joules per sq cm for 3 sessions at 4 weekly intervals 
Comparator Agent  Low fluence Q-switched Nd:YAG laser therapy  Laser therapy will be provided at a fluence of 2-2.5 Joules per sq cm for a maximum of 12 sessions at weekly intervals. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  All patients of refractory melasma who have not shown complete clearance after 6 weeks of topical triple combination therapy and topical sunscreens attending the dermatology OPD. 
 
ExclusionCriteria 
Details  1. Other causes of facial melanosis (such as lichen planus pigmentosus, erythema dyschronicum perstans, pigmented contact dermatitis, post-inflammatory hyperpigmentation)
2. Pregnant and lactating mothers
3. Patients currently using oral contraceptives
4. History of endocrinopathies 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Post-treatment Melasma Area and Severity Index (MASI) scores   3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Side effects  3 months 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "36"
Final Enrollment numbers achieved (India)="36" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/10/2017 
Date of Study Completion (India) 30/06/2018 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   In this trial, we aim to compare between laser treatment regimens involving low fluence and high fluence Q-switched Nd:YAG laser for melasma refractory to topical medications. This study aims to identify the ideal treatment regimen in dark skinned individuals of our population so as to maximize clinical efficacy and minimise side effects 
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