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comparison of the therapeutic efficacy and safety of combined oral tranexamic acid and topical hydroquinone 4% vs. topical hydroquinone 4% alone in melasma

comparison of the therapeutic efficacy and safety of combined oral tranexamic acid and topical hydroquinone 4% vs. topical hydroquinone 4% alone in melasma

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12626000420347
Enrollment
2
Registered
2026-04-07
Start date
2026-01-15
Completion date
2026-04-15
Last updated
2026-04-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

A comparative study will be conducted at dermatology out-patient department, PNS Shifa Hospital Karachi after fulfilling the inclusion and exclusion criteria. 60 patients with melasma will be divided 2 groups. Group A with Oral Transamine 250 mg twice daily and topical 4% hydroquinone) is having better or equal efficacy to Group B (topical 4% hydroquinone only).They will receive treatment for 12 weeks and data from patient will be conducted through a proforma on first visit and followups.

Interventions

Patients will be divided in two groups. Group A will receive a combination therapy of oral tranexamic acid 250 mg twice daily plus 0.25 mg topical hydroquinone 4% for 12 weeks . Data collection will involve baseline assessment and follow-up visits at weeks 4 , 8, and 12. Data recorded will include participant. demographics, Melasma Area Severity index (MASI) scores, photographs and adverse events. Patients adherence to intervention will be monitored with patient diary of the oral medicine take

Patients will be divided in two groups. Group A will receive a combination therapy of oral tranexamic acid 250 mg twice daily plus 0.25 mg topical hydroquinone 4% for 12 weeks . Data collection will involve baseline assessment and follow-up visits at weeks 4 , 8, and 12. Data recorded will include participant. demographics, Melasma Area Severity index (MASI) scores, photographs and adverse events. Patients adherence to intervention will be monitored with patient diary of the oral medicine taken twice daily and cream applied at night daily . Treatment response will be assessed by change in MASI score and therapeutic response. Side effects of the treatment will be assessed at followup including local and systemic.

Sponsors

pakistan naval ship shifa hospital, karachi
Lead SponsorHospital

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to 50 Years
Healthy volunteers
No

Inclusion criteria

Both genders 18 years and older with clinically diagnosed melasma (epidermal or mixed) lasting >3 months. Fitzpatrick skin types II-IV written informed consent

Exclusion criteria

pregnancy or lactation known hypersensitivity to study medications use of systemic or topical anti melasma treatments with prior 2-3 months presence of active dermatological conditions on treatment sites contraindications to tranexamic acid concurrent clinical trial participation or poor compliance potential

Outcome results

None listed

Source: ANZCTR · Data processed: Apr 17, 2026