About this trial
The study aims to evaluate and compare the efficacy and safety of a new formulation of topical metformin (nanoparticles) versus topical ketotifen (nanoparticles), both alone and combined with micro-needling, for the treatment of melasma. It is a double-blinded, randomized, split-face controlled clinical study involving 102 female patients diagnosed with bilateral melasma.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female adults of 18 years and above with bilateral melasma .
Clinical diagnosis of melasma.
Mental capacity to give informed consent.
Disqualifiers
Pregnant or nursing women.
Current use of hormonal birth control medication or any hormonal therapy.
Current or previous treatment by depigmenting agents within 3 months
History of laser or MN to the face within 3 months of study enrollment.
Trial design
Parallel
Treatments tested in this trial
Micro-Needling Combined with ketofin and metformin
DeviceAfter micro-needling, topical ketotifen is applied to one half of the face and topical metformin to the other half. Between sessions, patients continue daily application of both treatments.
ketofin and metformin Alone
DrugThis arm includes 51 patients receiving daily applications of topical ketotifen on one half of their face and topical metformin on the other half without undergoing micro-needling sessions.
Treatment groups
Trial outcomes
Primary outcomes
Reduction in Melasma Severity Index (MASI) Score
Measurement of changes in MASI score from baseline to the end of treatment (1 month). MASI is a validated tool used to assess the severity and area of melasma pigmentation, with lower scores indicating improvement.The Melasma Area and Severity Index (MASI) quantifies melasma severity using a 0-48 scale, where 0 = no melasma and 48 = maximum severity
Locations
Sponsors and contacts
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