Melasma
Conditions
Keywords
Azelaic Acid, Iontophoresis
Brief summary
The purpose of this prospective, randomized, controlled, single-blinded investigation is to study the efficacy, tolerability and safety of azelaic acid iontophoresis (AAI) versus topical treatment with azelaic acid cream in female patients with melasma.
Detailed description
Patients will be randomized and allocated in concealed manner to one of the two treatment arms: AAI or topical azelaic acid cream. Azelaic acid iontophoresis treatment schedule: Patients randomized to the AAI group will receive iontophoresis with 15% azelaic acid twice weekly over a period of 12 weeks. Azelaic acid topical treatment schedule: Patients randomized to the topical treatment group will receive topical treatment with 20% azelaic acid cream twice daily over a period of 12 weeks. Besides emollients no additional specific treatments will be allowed during the study. The use of broad spectrum (UVA+UVB) sunscreen is recommended over the entire study period (9 month). Follow-up period: After completion of the active study period (3 month in both treatment groups), maintenance and efficacy of both treatment schedules will be followed up quarterly over 6 month
Interventions
iontophoresis with 15% azelaic acid gel twice weekly
topical treatment with 20% azelaic acid cream twice daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Woman * MASI - Score over 6 * Age: over 18 years * Skin Type: III, IV, V
Exclusion criteria
* Skin Type: I, II, VI * Pregnant or lactating women * Local therapy of intent-to-treat area within the last 6 month * Patient with a pacemaker or metal implant * Epileptic * Mental incompetence to understand the protocol * Known allergic reactions to one of used substances * Serious encroachment on physical condition
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in colorimetric measurement of skin colour and MASI-Score after 12 weeks of treatment | 3 month |
Secondary
| Measure | Time frame |
|---|---|
| Physician Global Assessment, Patient Global Assessment, Overall Response Assessment | 3 month |
Countries
Austria