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CTRI Number  CTRI/2022/07/044450 [Registered on: 28/07/2022] Trial Registered Prospectively
Last Modified On: 22/07/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   compare the results of tablet and injection tranexamic acid for pigmentation over face  
Scientific Title of Study   A compare the efficacy of oral tranexamic acid versus intralesional tranexamic acid in management 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  Eeshaan ranjan 
Designation  Assistant professor 
Affiliation  Military hospital Jammu 
Address  Dept. of Dermatology Military hospital Jammu

Jammu
JAMMU & KASHMIR
180003
India 
Phone    
Fax    
Email  eeshaan.ranjan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Eeshaan ranjan 
Designation  Assistant professor 
Affiliation  Military hospital Jammu 
Address  Dept of dermatology Military hospital Jammu

Jammu
JAMMU & KASHMIR
180003
India 
Phone    
Fax    
Email  eeshaan.ranjan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Eeshaan ranjan 
Designation  Assistant professor 
Affiliation  Military hospital Jammu 
Address  Dept of dermatology Military hospital Jammu

Jammu
JAMMU & KASHMIR
180003
India 
Phone    
Fax    
Email  eeshaan.ranjan@gmail.com  
 
Source of Monetary or Material Support  
Military hospital, Satwari cantt Jammu. 180003 
 
Primary Sponsor  
Name  Military hospital 
Address  Military hospital, Satwari cantt Jammu. 180003 
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 eeshaan ranjan  military hospital jammu  military hospital jammu
Jammu
JAMMU & KASHMIR 
9720639323

eeshaan.ranjan@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC, MILITARY HOSPITAL, JAMMU  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  oral tranexamic acid   tranexamic acid 250 mg twice a day for 12 weeks  
Intervention  Tranexamic acid injection  intradermal tranexamic acid injection, . 3 injections at an interval of 4 weeks.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients aged 18-60 years with clinical diagnosis of melasma.

 
 
ExclusionCriteria 
Details  1. History of bleeding disorders
2. Patient taking oral anticoagulants, hormonal drugs like estrogen, progesterone, oral contraceptive pills and other female hormonal analogues.
3. Past or family history of thrombotic disease like DVT.
5. Patients with known allergy to tranexamic acid.
6. Pregnant and lactation mothers.
8. Patients with any other facial dermatoses.
9. History of any treatment for melasma in the past 6 months.
 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment    
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
reduction in mMASI score  At presentation and follow-up at 4, 8 , 12 and 24 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
patient satisfaction score  at presentation and 6 months after treatment 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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   N/A 
Date of First Enrollment (India)   01/08/2022 
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="10"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

Melasma is a common pigmentary disorder. Tranexamic acid is a newer treatment modality and it can be used by various routes such as oral, topical and intradermal. Though oral route is effective, it is associated with various side effects and contraindications. Intradermal tranexamic acid is a new treatment modality owing to its fewer side effects. Thus, we plan to conduct a randomized, controlled trial in order to evaluate the safety and efficacy of intradermal injection of tranexamic acid and compare the results with oral tranexamic acid.

Injection tranexamic acid is available as 500 mg/5 ml ampoule. It is diluted with normal saline to obtain a concentration of 25 mg/ml. In first arm, Intradermal injection of tranexamic acid will be injected 0.1 ml/cminto the melasma lesions. 3 injections will be given intradermally at an interval of 4 weeks. In second arm, oral tranexamic acid 250 mg twice a day will be given for 12 weeks.



Clinical, dermoscopic and photographic assessment will be done at 4, 8, 12 and 24 weeks completion of treatment. The severity of melasma will be assessed by Modified MASI scoring at presentation and at completion of treatment.


 
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