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A Prospective, Split-Face, Randomized Study Comparing Conventional Picosecond Laser to Fractional Pigment Toning for Treatment of Dermal Pigmented Lesions in Asians

A Prospective, Split-Face, Randomized Study Comparing Conventional Picosecond Laser to Fractional Pigment Toning for Treatment of Dermal Pigmented Lesions in Asians

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
TCTR
Registry ID
TCTR20260401002
Enrollment
25
Registered
2026-04-01
Start date
2026-04-13
Completion date
Unknown
Last updated
2026-08-03

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

Conditions

Hori nevus, Dermal Pigmented Lesions 1064 Picosecond Laser, Hori nevus, Dermal Pigmented Lesions

Interventions

One side of the face will be randomly assigned to treatment with a fractional 1064 nm picosecond laser using an 8 mm fractional handpiece, delivered at a fluence of 1.1 J/cm2 with 10 overlapping passe
Experimental Device,Active Comparator Device
Fractional Picosecond 1064 nm laser,Conventional Picosecond 1064 nm laser

Sponsors

Faculty of Medicine Siriraj Hospital, Mahidol University, Thailand
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 50 Years

Inclusion criteria

Inclusion criteria: 1. Participants aged 18 to 50 years, either male or female. 2. Thai individuals of Asian ethnicity. 3. Fitzpatrick skin types III to V. 4. Diagnosed with Hori nevus by a dermatologist. 5. Willing to undergo treatment with a 1064 nm picosecond laser using both full beam and fractional modes on each side of the face according to the study protocol.

Exclusion criteria

Exclusion criteria: 1. Participants who are pregnant or breastfeeding; menstrual history will be obtained prior to enrollment, and a pregnancy test will be performed if the history is unclear. 2. Participants with a history of connective tissue disorders 3. Participants with active dermatitis, wounds, hypertrophic scars, skin cancer, or skin infection in the treatment area. 4. Participants who have received facial treatments with laser, radiofrequency, thread lifting, botulinum toxin injection, dermal fillers, collagen biostimulators, or platelet-rich plasma within 6 months prior to enrollment. 5. Participants who have used vitamin A or its derivatives within 3 months prior to enrollment. 6. Participants who have received tranexamic acid (oral, topical, or intradermal) within 3 months prior to enrollment. 7. Participants who have undergone chemical peeling within 3 months prior to enrollment. 8. Participants who have used depigmenting agents (e.g., hydroquinone, melasma treatments, or other agents affecting pigmentation as determined by the investigator) within 3 months prior to enrollment. 9. Participants with a history of skin-tightening treatments. 10. Participants who have taken isotretinoin within 6 months prior to enrollment. 11. Participants with a history of malignancy, those currently undergoing cancer treatment, those with immunodeficiency disorders, or any condition deemed by the investigator to pose a safety risk (e.g., epilepsy). 12. Participants with a history of allergy to local anesthetics. 13. Participants with a history of hypertrophic scarring or active dermatologic conditions in the treatment area. 14. Participants with a history of psychiatric disorders. 15. Participants who do not consent to photography for treatment evaluation.

Design outcomes

Primary

MeasureTime frame
Melanin index Baseline, 3 months after 1st treatment, 3 months after 2nd treatment, 1, 3 and 6 months after 3rd treatment Mexamter,Erythema index Baseline, 3 months after 1st treatment, 3 months after 2nd treatment, 1, 3 and 6 months after 3rd treatment Mexamter,Physician improvement scale 3 months after 1st treatment, 3 months after 2nd treatment, 1, 3 and 6 months after 3rd treatment Physician assessment compared to baseline

Secondary

MeasureTime frame
Pigmentation average Baseline, 3 months after 1st treatment, 3 months after 2nd treatment, 1, 3 and 6 months after 3rd treatment Antera 3D,Redness average Baseline, 3 months after 1st treatment, 3 months after 2nd treatment, 1, 3 and 6 months after 3rd treatment Antera 3D,Brown area Baseline, 3 months after 1st treatment, 3 months after 2nd treatment, 1, 3 and 6 months after 3rd treatment VISIA,Red area Baseline, 3 months after 1st treatment, 3 months after 2nd treatment, 1, 3 and 6 months after 3rd treatment VISIA,Safety 3 months after 1st treatment, 3 months after 2nd treatment, 1, 3 and 6 months after 3rd treatment Adverse events

Countries

Thailand

Contacts

Public ContactWoraphong Manuskiatti

Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University

woraphong.man@mahidol.ac.th024194333

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026