Fractional CO2 Laser vs Dermabrasion With 5-Fluorouracil for Acquired Leukoderma

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorAl-Azhar University

About this trial

This randomized controlled prospective single-blinded comparative clinical study aims to compare the efficacy and safety of fractional carbon dioxide (CO2) laser therapy versus mechanical dermabrasion, both combined with topical 5-fluorouracil, in the treatment of acquired non-vitiligo leukoderma. The study will evaluate repigmentation, clinical improvement, patient satisfaction, and treatment-related adverse effects.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients receiving topical treatment will be required to undergo a two-week washout period.

No sex predilection.

Cooperative patients.

Patients with non-vitiligo leukoderma, including post-burn leukoderma, post-inflammatory hypopigmentation, and stable hypopigmented scar.

Disqualifiers

Vitiligo leukoderma.

History of bleeding disorder or current anticoagulant therapy.

Pregnancy or lactation.

Keloid scarring or hypertrophic scars.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Fractional CO2 Laser

    Device

    Fractional carbon dioxide (CO2) laser therapy followed by topical 5-fluorouracil application. Laser parameters will be adjusted according to lesion size and site.

  • Dermabrasion

    Procedure/Surgery

    Mechanical dermabrasion using manual or motor-driven dermabrasion followed immediately by topical 5-fluorouracil application.

  • 5-Fluorouracil

    Drug

    Topical 5-fluorouracil applied immediately after fractional CO2 laser or dermabrasion according to the assigned study arm.

Treatment groups

16 Participants
are divided into 2 treatment groups
Group A: Fractional CO2 Laser + 5-FluorouracilExperimental treatment 2 interventions
Group B: Dermabrasion + 5-FluorouracilActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

Degree of Repigmentation

Repigmentation will be assessed by two blinded dermatologists using the Mean Improvement Score by Physician (MISP), based on a 5-grade scale: grade 1, \<25% improvement; grade 2, 25-49%; grade 3, 50-74%; grade 4, \>75-99%; and grade 5, 100% complete repigmentation.

Time frame
At baseline and 6 months after treatment

Secondary outcomes

Other outcomes

Sponsors and contacts

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