About this trial
This randomized controlled trial aims to compare the efficacy of needling versus microneedling, both followed by narrowband UVB therapy, in achieving repigmentation in patients with localized stable non-segmental vitiligo.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Both male and female
Age 15-60 years
Patients having vitiligo for more than 1 year
Disqualifiers
Patients with tendency of keloid formation or hypertrophic scarring
Patients with any bleeding disorder, coagulation defect or using anti platelets
Any local infection at the treatment site
Patients who had received systemic therapy in last 6 months
Trial design
Parallel
Treatments tested in this trial
Needling + NBUVB
Procedure/SurgeryParticipants in this arm will undergo needling using a sterile 30G (4mm) needle to manually puncture and implant melanocytes from perilesional pigmented skin into depigmented lesions. The procedure will be performed once every four weeks for a total of six sessions.
Microneedling + NBUVB
Procedure/SurgeryParticipants in this arm will undergo microneedling using a Dermapen device with 1.5 mm needles to create controlled micro-injuries in depigmented skin to enhance melanocyte migration and repigmentation. This procedure will be performed once every four weeks for six sessions.
Treatment groups
Trial outcomes
Primary outcomes
Treatment efficacy
Efficacy will be assessed at 12 weeks using the Physician's Global Assessment Scale. Improvement is defined as ≥25% repigmentation of vitiliginous patches, measured via digital planimetry and standardized clinical photography. The higher the score, the more effective is the treatment modality. 0-25% re pigmentation= Mildimprovement 25-50% re pigmentation= Moderate improvement 51-75% re pigmentation= Good 76-100% re pigmentation= Excellent to complete
Secondary outcomes
Adverse effects
erythema, post-inflammatory hyperpigmentation, infection, scarring
Sponsors and contacts
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