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Comparison of Two Different Concentrations of TCA for the Treatment of Deep Acne Scars

Comparison of the effectiveness and Adverse Effects of 60% versus 90% Trichloroacetic Acid CROSS in the Treatment of Ice Pick Acne Scars in Patients with Acne Vulgaris

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20251217068368N1
Enrollment
18
Registered
2026-02-03
Start date
2026-01-21
Completion date
Unknown
Last updated
2026-06-01

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

Conditions

Ice pick scars caused by acne vulgaris on the face.

Interventions

Intervention 1: ?**Intervention Group 1:**One side of each participant’s face was treated using the CROSS (Chemical Reconstruction of Skin Scars) technique. In this method, 60% trichloroacetic acid (T

Sponsors

Esfahan University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 60 Years

Inclusion criteria

Inclusion criteria: Age 18 years or older Presence of bilateral ice pick atrophic acne scars on the face Diagnosis of acne vulgaris Fitzpatrick skin types II to V Willingness to participate and provide written informed consent.

Exclusion criteria

Exclusion criteria: Pregnancy or breastfeeding Active acne lesions on the face Active facial skin infection such as herpes simplex. Current or recent use of isotretinoin History of keloid or hypertrophic scar formation Known hypersensitivity to trichloroacetic acid or hydroquinone.

Design outcomes

Primary

MeasureTime frame
Depth of ice pick scars from acne vulgaris. Timepoint: Baseline (before intervention) and 4, 8, and 12 weeks after application of 60% and 90% TCA CROSS on each side of the face. Method of measurement: Depth of ice pick acne scars will be assessed using the Investigator Global Assessment scale and standardized clinical photographs.;Number of ice pick scars from acne vulgaris. Timepoint: Baseline (before intervention) and 4, 8, and 12 weeks after application of 60% and 90% TCA CROSS on each side of the face. Method of measurement: Number of ice pick acne scars will be assessed using the Investigator Global Assessment scale and standardized clinical photographs.

Secondary

MeasureTime frame
Patient-reported pain and discomfort at the treatment sites. Timepoint: Baseline (before intervention) and 4, 8, and 12 weeks after application of 60% and 90% TCA CROSS on each side of the face. Method of measurement: Pain and discomfort will be measured using a Visual Analogue Scale with a 0 to 10 scoring system, where 0 indicates no pain and 10 indicates the worst imaginable pain.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactZahra Kashfi Kheirabadi

Esfahan University of Medical Sciences

kashefizahra@gmail.com+98 31 1792 2110

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Jun 11, 2026