About this trial
This randomized, double-blind controlled study aims to compare the effect on appearance of post- surgical scars between daily application of siSPARC microneedle patch versus siSPARC + siLR4A microneedle patches. These are patches comprising short microneedles embedded with hydrolysed RNA (siRNAs).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Adult
Age 21-75
2 weeks (+/- 7 days) after surgical operation with incision into the dermis
Post-stitch removal when stitches were applied
Disqualifiers
Pregnant or lactating participant
Participants with wound infection
Participants assessed to be uncooperative or unable to self-administer the interventions
Participants with known contact allergy to ingredients in the patch formulation (comprising hyaluronic acid, siRNA and glue) and/or isopropyl alcohol
Trial design
Parallel
Treatments tested in this trial
siSPARC + siLR4A microneedle patches
DrugsiSPARC + siLR4A microneedle patch
siSPARC microneedle patch
DrugsiSPARC microneedle patch
Treatment groups
Trial outcomes
Primary outcomes
Assessment of post-surgical scar elevation
To compare the efficacy in reducing post-surgical scar elevation between daily application of siSPARC microneedle patch versus siSPARC + siLR4A microneedle patch. This will be measured using high resolution 3D imaging: scar elevation will be measured using the Space Spider 3D scanner, with a resolution of 0.1 mm and a blue LED light source. The lower the elevation, the better the outcome.
Secondary outcomes
Assessment of Vancouver Scar Scale (VSS) score
To evaluate the differences in VSS scores between daily application of siSPARC microneedle patch or siSPARC + siLR4A microneedle patch. The total VSS score is based on 4 points: (1) vascularity (on a scale of 0 being normal to 3 being purple); (2) pigmentation (on a scale of 0 being normal, to 2 being hyperpigmentation); (3) pliability (on a scale of 0 being normal to 5 being contractures); and (4) height (on a scale of normal being flat to 3 being \>5mm). Higher scores indicate a worse outcome.
Assessment of Scar Cosmesis Assessment and Rating (SCAR) Scale
Assessment of SCAR Scale performed on photographs. The SCAR Scale is based on 8 points: (1) scar spread (on a scale of 0 being none to near-invisible to 4 being severe); (2) erythema (on a scale of 0 being none to 3 being deep red or purple); (3) dyspigmentation (being either 0 absent or 1 present); (4) track or suture marks (being either 0 absent or 1 present); (5) hypertrophy or atrophy (on a scale of 0 being none to 3 being severe); (6) impression (being either 0 desirable or 1 undesirable); (7) patient reported itch in last 24 hours (being either 0 absent or 1 present); and (8) patient reported pain (being either 0 absent or 1 present). Higher scores indicate a worse outcome.
Patient-reported levels of pain and itch using a 11-point numerical rating scale
Patient-reported levels of pain and itch using a 11-point numerical rating scale from 0 to 10 (0 being no pain, and 10 being the worst pain). Higher scores indicate a worse outcome.
Side effects
Patient reported side effects (if any), such as contact dermatitis (if any).
Sponsors and contacts
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