Photoaging Clinical Trial
Official title:
Assessment of Efficacy in Daily Use of a Novel Skin Care Product (CG Skin Ltd.) for the Treatment of Photoaged Skin
Photoaged or chronically sun-exposed skin is characterised by a number of clinical features including fine and coarse wrinkles. The pathogenesis of wrinkle formation has yet to be determined fully but recent work suggests that ultraviolet radiation-induced reduction in dermal fibrillin (in the form of fibrillin-rich microfibrils) is important. Using an extended in vivo patch test assay, it has been identified that skin care products - currently marketed by CG Skin Ltd - increase the deposition of these microfibrils in photoaged dermis and hence have the potential to repair photoaged skin. The Investigators now propose to examine the efficacy of the product in randomized, placebo-controlled clinical trial.
Subjects who satisfy the inclusion/exclusion criteria and who have given their written,
witnessed, informed consent will be admitted to the studies. Subjects will be clinically
assessed (fine wrinkling, coarse wrinkling, mottled hyperpigmentation, sallowness) and
clinical photographs taken prior to instruction on the use of the allocated cream by the
study Investigator (product or placebo). Product will be applied daily to the entire face
and dorsum of hands, including the wrists and extensor forearm, for six months. Successive
follow-up visits (3 visits over a 6-month period) will be made to assess efficacy and
safety. Subjects will be randomly allocated to self-treatment with either product or placebo
cream using a computer generated code (Research Randomizer; www.randomizer.org).
The primary outcome measure will be treatment efficacy; this will be assessed by the study
Investigators as changes in the clinical parameters of photoaging (fine wrinkles, coarse
wrinkles, mottled hyperpigmentation, sallowness).
The Investigators will assess two secondary outcome measures: (1) Histological improvement
in skin structure. Skin biopsies from the treated extensor forearm will be taken at study
initiation and at the end of the six month study period. These biopsies will be evaluated
for: (a) epidermal thickness; (b) fibrillin expression and; (c) pro-collagen I expression.
(2) Tolerance and irritancy. Tolerance and irritation assessments will be made by recording
the occurrence and severity of signs of erythema and scaling. Safety will be evaluated by
recording all adverse events experienced by subjects. Any subject exhibiting adverse events
of sufficient severity will be withdrawn from the trial. Completion or withdrawal of
subjects from the trial will be noted on the end of study form. All subjects will be
monitored for the occurrence of serious adverse events up to, and including, 28 days after
their involvement with this study.
The trial will be conducted according to the recommendations of ICH GCP and those of the
Declaration of Helsinki, only after approval of the study has been obtained from the
relevant Research Ethics Committee.
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