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CTRI Number  CTRI/2024/04/065382 [Registered on: 08/04/2024] Trial Registered Prospectively
Last Modified On: 05/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Efficacy of oral tranexamic acid and topical triple combination cream in treatment of melasma 
Scientific Title of Study   A comparative study to evaluate the efficacy and safety of oral tranexamic acid with triple combination cream versus triple combination cream monotherapy in the treatment of Melasma 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  MOHAN H N 
Designation  Medical postgraduate, Dermatology 
Affiliation  Bangalore medical college and research institute 
Address  Department of Dermatology, B block, Victoria hospital, Bangalore

Bangalore
KARNATAKA
560002
India 
Phone  9845653469  
Fax    
Email  mohannaraharirao@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  ASHA G S 
Designation  Professor 
Affiliation  Bangalore medical college and research institute 
Address  Department of Dermatology, B block, Victoria hospital, Bangalore

Bangalore
KARNATAKA
560002
India 
Phone  9448002120  
Fax    
Email  asha.ramesh62@gmail.com  
 
Details of Contact Person
Public Query
 
Name  MOHAN H N 
Designation  Medical postgraduate, Dermatology 
Affiliation  Bangalore medical college and research institute 
Address  Department of Dermatology, B block, Victoria hospital, Bangalore

Bangalore
KARNATAKA
560002
India 
Phone  9845653469  
Fax    
Email  mohannaraharirao@gmail.com  
 
Source of Monetary or Material Support  
Bangalore medical college and research institute Fort, KR road, Kalasipalya, Bengaluru, Karnataka, India Pin code- 560002 
 
Primary Sponsor  
Name  MOHAN H N 
Address  Department of Dermatology, B block, Victoria hospital, Bangalore- 560002 
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 MOHAN H N  Victoria hospital  Department of dermatology B block Fort,K.R.Road Bangalore-560002
Bangalore
KARNATAKA 
9845653469

mohannaraharirao@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
BANGALORE MEDICAL COLLEGE AND RESEARCH INSTITUTE ETHICAL COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L814||Other melanin hyperpigmentation,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Oral Tranexamic acid and topical triple combination cream  250mg oral tablet twice daily for 8 weeks in addition to topical triple combination cream once daily for 8 weeks 
Intervention  Triple combination cream  Once daily topical application of cream for eight weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  1. Patients willing to give informed consent
2. Patients of either gender aged more than 18 years
3. Patients willing for follow up
4. Patients with clinically diagnosed melasma
 
 
ExclusionCriteria 
Details  1. Patient not willing to give informed consent
2. Patient already on melasma treatment with topical therapy within 2 weeks.
3. Pregnant and lactating females.
4. History of coexisting endocrinopathies.
5. History of thrombosis, thromboembolic episodes and altered blood coagulation profile. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Change in melasma area and severity index  Change in melasma area and severity index at 4 weeks and 8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Safety and tolerability parameters of study medications  At 4 weeks and 8 weeks 
 
Target Sample Size   Total Sample Size="52"
Sample Size from India="52" 
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)   18/04/2024 
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 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   Oral tranexamic acid is proved as a promising treatment option for melasma because of its demonstrated efficacy and limited side effect profile as a monotherapy and in combination with other modalities. Very few trials have been done regarding efficacy of oral tranexamic acid in Indian setting. so this study aims at comparing efficacy of combining oral tranexamic acid with triple combination cream versus triple combination cream alone in management of melasma.  
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