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Effect of Procedural Variables on Outcome of Surgical Treatment of Vitiligo

Effect of Procedural-Related Variables on Melanocyte-Keratinocyte Suspension Transplantation in Non-Segmental Stable Vitiligo: A Clinical and Immunohistochemical Study

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02510651
Enrollment
40
Registered
2015-07-29
Start date
2010-01-31
Completion date
2014-06-30
Last updated
2015-07-29

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

Conditions

Vitiligo

Keywords

: non-segmental vitiligo, melanocyte-keratinocyte suspension, cryoblebbing, CO2 laser

Brief summary

ORSHFS grafts yielded lower cell counts than NCECS but the M-K ratio and resultant repigmentation did not show significant difference with better healing of the donor site. Compared to cryoblebs, CO2 gave more homogenous pigmentation. The acral sites showed better results using combination of donor NCECS and recipient cryoblebs.

Detailed description

Background: Melanocyte-keratinocyte suspension (M-K susp) is gaining popularity for vitiligo treatment. Few studies have addressed procedure-related variables. Objective: To assess the effect of different M-K susp procedure-related variables on the clinical outcome in stable vitiligo. Methods: This retrospective study included 40 cases with stable non-segmental vitiligo treated by M-K susp followed by narrow band- ultraviolet B phototherapy twice weekly. Donor site was either a skin graft in non-cultured epidermal cell suspension (NCECS) (34 cases) or hair follicle unit in Outer Root Sheath Hair Follicle Suspension (ORSHFS) (6 cases). Recipient site was prepared by either cryoblebbing (24 cases) or carbon dioxide (CO2)laser resurfacing (16 cases). Cell counts and viability were recorded in the cell suspensions, and tissue melanocytes and keratinocytes were examined by Melan A and Cytokeratin respectively. Assessment of repigmentation was done 18 months after the procedure.

Interventions

PROCEDUREMelanocyte-keratinocyte suspension

Treatment of non-segmental vitiligo by CO2 laser followed by melanocyte-keratinocyte suspension.

Sponsors

Cairo University
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Stable non-segmental vitiligo

Exclusion criteria

* Active vitiligo

Design outcomes

Primary

MeasureTime frame
The number of patients with satisfactory response after the surgical procedure for vitiligo.one year

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026