An Observational Study to Assess Objective Skin Pigmentation Variation.

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorLeiden University Medical Center

About this trial

Accurate assessment of skin pigmentation is essential in dermatology for properly diagnosing and managing a wide range of skin conditions. Traditionally, skin colour has been evaluated through visual inspection or by using classifications like the Fitzpatrick skin type. However, these methods can be subjective, culturally biased, and often are centered around lighter skin tones, which may lead to misdiagnosis or inappropriate treatment for individuals with darker skin.

With advances in technology, non-invasive imaging tools such as colorimetry and multispectral imaging now offer more precise and objective ways to measure skin pigmentation. These methods can help provide consistent and unbiased information about skin tone, benefiting both clinical care and research. Despite these technological advances, there is currently no agreed-upon standard for how to measure skin pigmentation objectively in everyday clinical practice or research settings.

This study aims to explore better, more accurate ways to measure skin pigmentation using modern, non-invasive imaging technologies. Traditional methods for assessing skin colour, like visual inspection or classifying by ethnicity, are often unreliable and biased. In this study, researchers will use tools such as colorimetry and multispectral imaging to measure skin pigmentation more objectively.

The study includes two groups of participants: healthy adults and adults with skin conditions. Researchers will measure a value called the melanin index, which reflects the amount of pigment in the skin, and compare it across different areas of the body and among people with different skin tones and conditions.

The goal is to understand how skin pigmentation varies and to see if these new technologies can help doctors more accurately diagnose and manage skin diseases for people of all skin types.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age ≥ 18 years

Ability to understand oral and written Dutch or English

Disqualifiers

Extensive tattoos covering >50% of the total body area

Recent extensive sun exposure (e.g. sun tanning booth or stay in a tropical country) in the last 3 weeks

Use of self-tanner products in the last 3 weeks

Extensive tattoos covering >50% of the total body area

Trial population

For study cohort #1 (healthy volunteers): adult subjects will be recruited at multiple locations to ensure a diverse study population reflecting the full spectrum of skin colour types. Firstly, volunteers will be recruited using flyers at the campus of Leiden University. Along with that, partners of patients visiting the outpatient dermatology clinic of the LUMC. Lastly, subjects will be asked to partake in the study at public spaces (e.g. museums, festivals) that have given consent for this. Thus, subjects will be recruited in person by researchers at the aforementioned sites, through physical advertisements and digital advertisements. For study cohort #2 (patients with any skin disease): adult subjects with be recruited at the outpatient dermatology clinic of the LUMC and the affiliated hospitals of the CONNECTED (Clinical Network for Trials in Dermatology) in the Randstad region (e.g., The Hague, Zoetermeer, and Amsterdam).

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

600 Participants
are grouped into 2 trial groups
Group A: Healthy volunteers
Group B: Patients

Trial outcomes

Primary outcomes

1

Melanin index

Melanin index as measured by skin colorimetry and multispectral imaging.

Time frame
At baseline study visit (single time point)

Secondary outcomes

1

Fitzpatrick skin type

Self-questionnaire and assessed by dermatologist

Time frame
At baseline study visit (single time point)
2

Age

Time frame
At baseline study visit (single time point)
3

Ethnicity

Self-reported

Time frame
At baseline study visit (single time point)
4

Line-Field Confocal Optical Coherence Tomography (LC-OCT)

LC-OCT is a non-invasive optical imaging technique based on a combination of the optical principles of optical coherence tomography and reflectance confocal microscopy with line-field illumination, which can generate cell-resolved images of the skin, in vivo, in vertical section, horizontal section and in three dimensions.

Time frame
At baseline study visit (single time point)

Other outcomes

Sponsors and contacts

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