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CTRI Number  CTRI/2024/02/062512 [Registered on: 12/02/2024] Trial Registered Prospectively
Last Modified On: 17/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Single Arm Study 
Public Title of Study   To determine effectiveness of combined treatment using needle underneath the skin and laser for acne scars on face 
Scientific Title of Study   Efficacy of Combination of Subcision With Fractional Carbon Dioxide Laser On Patients With Atrophic Acne Scars On Face A Pre Post Interventional Study 
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 Shreshthangsha Sayan Biswas 
Designation  Academic Junior Resident 
Affiliation  All India Institute of Medical Sciences Patna 
Address  Post Graduate Student Department of Dermatology Venereology and Leprosy All India Institute of Medical Sciences Patna

Patna
BIHAR
801507
India 
Phone  8017076171  
Fax    
Email  ssb12th@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Swetalina Pradhan 
Designation  Associate Professor and Head of Department 
Affiliation  All India Institute of Medical Sciences Patna 
Address  Department of Dermatology Venereology and Leprosy All India Institute of Medical Sciences Patna

Patna
BIHAR
801507
India 
Phone  7978843633  
Fax    
Email  dr.swetalinapradhan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shreshthangsha Sayan Biswas 
Designation  Academic Junior Resident 
Affiliation  All India Institute of Medical Sciences Patna 
Address  Post Graduate Student Department of Dermatology Venereology and Leprosy All India Institute of Medical Sciences Patna

Patna
BIHAR
801507
India 
Phone  8017076171  
Fax    
Email  ssb12th@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Medical Sciences Patna Bihar 801507 
 
Primary Sponsor  
Name  Dr Shreshthangsha Sayan Biswas 
Address  Post Graduate Student Department of Dermatology Venereology and Leprosy All India Institute of Medical Sciences Patna 
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 Shreshthangsha Sayan Biswas  All India Institute of Medical Sciences Patna  Department of Dermatology Venereology and Leprosy All India Institute of Medical Sciences Patna
Patna
BIHAR 
8017076171

ssb12th@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The Institutional Ethics Committee AIIMS Patna  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Not applicable  Not applicable 
Intervention  Subcision And Fractional Carbon Dioxide Laser  Patients of atrophic acne scars on face will undergo combination of subcision and fractional carbon dioxide laser treatment. Before starting the study baseline Goodman and Baron quantitative score Goodman and Baron qualitative grading Dermatology Life Quality Index score and Visual Analog Scale Score will be recorded. In the first session patient will undergo a single session of subcision of the atrophic acne scars on face using 18 gauge needle under local anesthesia followed by fractional carbon dioxide laser on the same day using energy 15 mJ deep mode scan size of 10x10mm density 5% 1.0 second of time off and exposure type will be repeat exposure. The laser settings will be kept the same for all sessions of laser treatment. Patient will then follow up every month for 3 more months only for undergoing fractional carbon dioxide laser treatment. In each follow up session, only Goodman and Baron quantitative score and Visual Analogue Scale score and details of any adverse effects will be noted. The final follow up session will be 1 month after the last session of laser treatment, when the patient will not undergo any procedure. Final details of Goodman and Baron quantitative score Goodman and Baron qualitative grading Dermatology Life Quality Index score and Visual Analog Scale Score will be recorded. Finally all these scores will be compared pre and post treatment to evaluate the efficacy of the treatment. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Age 18 to 40 years.
No active acne lesions on face for example papules pustules nodules comedones cysts.
Patients having atrophic acne scars of grades 3 and 4 on face as per Goodman and Baron qualitative scale.
Patients consenting to be part of the study. 
 
ExclusionCriteria 
Details  Patients on anticoagulation therapy.
Patients having any other photoaggravated disease.
Patients who have taken oral Isotretinoin in the past 6 months.
Patient taking topical treatment on face within the past 1 month.
Patients having a tendency to develop keloid scars.
Patients who have undergone filler or laser procedures on face in the past 1 year.
Patients having herpes labialis.
Pregnant and lactating women.
Patients with unrealistic expectations. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To assess the efficacy of combination of subcision with fractional carbon dioxide laser on patients suffering from atrophic acne scars using Goodman and Baron quantitative score  Patients will be followed up every month for total of 4 months 
 
Secondary Outcome  
Outcome  TimePoints 
To determine patient satisfaction based on the Visual Analogue Scale scoring system in each follow up visit.
To compare the grade of atrophic acne scar as per Goodman and Baron qualitative scale before and after the completion of study.
To compare Dermatology Life Quality Index scores before and after the completion of study. 
Patients will be followed up every month for total of 4 months 
 
Target Sample Size   Total Sample Size="58"
Sample Size from India="58" 
Final Enrollment numbers achieved (Total)= "71"
Final Enrollment numbers achieved (India)="71" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   16/02/2024 
Date of Study Completion (India) 17/06/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 17/06/2025 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  

Patients of atrophic acne scars on face will undergo combination of subcision and fractional carbon dioxide laser treatment. Before starting the study baseline Goodman and Baron quantitative score Goodman and Baron qualitative grading Dermatology Life Quality Index score and Visual Analog Scale Score will be recorded. In the first session patient will undergo a single session of subcision and fractional carbon dioxide laser. Patient will then follow up every month for 3 more months only for undergoing fractional carbon dioxide laser. The final follow up session will be 1 month after the last session of laser treatment, where the patient will not undergo any procedure. Only details of Goodman and Baron quantitative score Goodman and Baron qualitative grading Dermatology Life Quality Index score and Visual Analog Scale Score will be recorded. In each follow up session in between only Goodman and Baron quantitative score and Visual Analogue Scale score and details of any adverse effects will be noted. Finally all these scores will be compared pre and post treatment to evaluate the efficacy of the treatment. With these procedures the atrophic acne scars of patients will improve along with better cosmetic appearance and improved quality of life overall.

 
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