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NCT04559022

Pilot Study Investigating the Efficacy of Fat Grafting as a Treatment for Male and Female Facial Acne Scarring

Completed NA Results posted Last updated 26 October 2024
What this trial tests

NA trial testing Fat Grafting in Acne Scars - Mixed Atrophic and Hypertrophic in 10 participants. Completed in 14 December 2022.

Timeline
30 October 2020
Primary endpoint
10 June 2022
14 December 2022

Quick facts

Lead sponsorUniversity of Texas Southwestern Medical Center
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment10
Start date30 October 2020
Primary completion10 June 2022
Estimated completion14 December 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Texas Southwestern Medical Center

Who can join

Adults 18 to 50, any sex, with Acne Scars - Mixed Atrophic and Hypertrophic or Acne. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Subject Acne Severity Scale Primary · Baseline

The Goodman and Baron Qualitative Acne Scale will be used to assess acne scars. Grade 1- Macular Disease: Erythematous, hyper- or hypopigmented flat marks Grade 2- Mild Disease: Mild rolling, small soft papular Grade 3- Moderate Disease: More significant rolling, shallow "box car", mild to moderate hypertrophic or papular scars Garde 4- Severe disease: Punched out atrophic, "ice pick", bridges and tunnels, gross atrophy, dystrophic, scars significant hypertrophy or keloid

Grade 1: Macular
GroupValue95% CI
Fat Grafting for Acne Scar Treatment0
Grade 2: Mild
GroupValue95% CI
Fat Grafting for Acne Scar Treatment1
Grade 3: Moderate
GroupValue95% CI
Fat Grafting for Acne Scar Treatment2
Grade 4: Severe
GroupValue95% CI
Fat Grafting for Acne Scar Treatment7
Facial Photograph Assessments- Global Aesthetic Improvement Scale Primary · Month 3 and Month 6

Subjects and Clinicians will evaluate efficacy of treatment at follow up visits. The photographs from follow up visits will be compared to their baseline photographs. Acne scars on patients will be assessed using the Global Aesthetic Improvement Scale by subject and clinician. CGAIS Rating 1. Very much improved: Optimal cosmetic result. 2. Much improved: Marked improvement in appearance from the initial condition, but not completely optimal. 3. Improved: Obvious improvement in appearance from initial condition. 4. No Change: The appearance is essentially the same as the original condition.

Month 3
GroupValue95% CI
In Person Subject Assessment2.7± .36
Clinician Assessment3± .37
Month 6
GroupValue95% CI
In Person Subject Assessment2.8± .26
Clinician Assessment3.2± .25
Topographical Analysis of Texture Primary · Baseline and 6 Months

MiraVex will be used to assess changes in texture (roughness) of the subjects facial acne scars.

Maximum Depth of Depressions (mm)
GroupValue95% CI
Baseline0.1495± 0.019
Month 60.0536± 0.017
Roughness (Ra)
GroupValue95% CI
Baseline17.55± 1.5
Month 616.58± 1.6
Histological Analysis Primary · Baseline, 3 Months and 6 Months

Relative changes in protein abundance in biopsies taken at post treatment compare to control or entreated group will be quantified using an image processing software based on fluorescence signal intensity. The change from baseline was calculated at each time frame.

Baseline
GroupValue95% CI
Papillary Dermis- Type I Collagen1.00± 0.09
Papillary Dermis- Type III Collagen1.00± .25
Reticular Dermis- Type I Collagen1.0± .18
Reticular Dermis- Type III Collagen1.0± .26
Month 3
GroupValue95% CI
Papillary Dermis- Type I Collagen1.07± 0.13
Papillary Dermis- Type III Collagen0.87± 0.24
Reticular Dermis- Type I Collagen0.76± 0.10
Reticular Dermis- Type III Collagen0.74± 0.08
Month 6
GroupValue95% CI
Papillary Dermis- Type I Collagen0.85± 0.05
Papillary Dermis- Type III Collagen0.76± 0.15
Reticular Dermis- Type I Collagen0.85± 0.06
Reticular Dermis- Type III Collagen0.62± 0.13
Gene Expression Primary · Baseline, 3 Months and 6 Months

Biopsies of the treated are will be taken prior to treatment and post treatment for gene expression analysis. This analysis will identify gene expression related to collagen formation and increased cell turnover.

Baseline
GroupValue95% CI
Type 1 Collagen1.13± 0.20
Type III Collagen1.21± 0.34
Elastin1.31± 0.49
Lysl Oxidase1.46± 0.58
Matrix Metalloproteinase-21.17± 0.24
Tissue Growth Factor B11.19± 0.32
Tissue Growth Factor B31.37± 0.55
Month 3
GroupValue95% CI
Type 1 Collagen1.48± 0.83
Type III Collagen1.68± 1.00
Elastin0.45± 0.19
Lysl Oxidase0.69± 0.32
Matrix Metalloproteinase-20.66± 0.28
Tissue Growth Factor B10.65± 0.07
Tissue Growth Factor B30.40± 0.01
Month 6
GroupValue95% CI
Type 1 Collagen0.58± 0.13
Type III Collagen0.58± 0.12
Elastin0.59± 0.27
Lysl Oxidase0.53± 0.12
Matrix Metalloproteinase-20.43± 0.12
Tissue Growth Factor B10.61± 0.12
Tissue Growth Factor B30.56± 0.14
Noninvasive Skin Assessments- TEWL Secondary · Month 3 and Month 6

Transepidermal Water Loss (TEWL) was measured at baseline and 6 months after treatment.

GroupValue95% CI
3-Month Follow Up8.74± 3.41
6-Month Follow Up35.37± 11.18
Noninvasive Skin Assessments- High-resolution Ultrasonography Secondary · Month 3 and Month 6

Ultrasonography was used to measure epidermal/dermal thickness/density 3 and 6 months after treatment. Percent change from baseline results are reflected.

Epidermal Thickness
GroupValue95% CI
3-Month Follow Up-4.28± 12.37
6-Month Follow Up-0.63± 10.98
Epidermal Density
GroupValue95% CI
3-Month Follow Up21.34± 22.05
6-Month Follow Up-2.9± 11.96
Dermal Thickness
GroupValue95% CI
3-Month Follow Up-26.4± 212.46
6-Month Follow Up-19.4± 330.59
Dermal Density
GroupValue95% CI
3-Month Follow Up53.5± 11.248
6-Month Follow Up-12.9± 5.41
Noninvasive Skin Assessments- Skin Deformation Secondary · Month 3 and Month 6

biomechanical analysis of skin deformation was used to measure skin laxity, skin elasticity, viscoelastic deformation, ultimate deformation, stiffness and energy absorption at 3 and 6 months after treatment. Percent change from baseline results are reflected.

Skin Laxity
GroupValue95% CI
3-Month Follow Up-5.88± 0.33
6-Month Follow Up-5.16± 0.36
Skin Elasticity
GroupValue95% CI
3-Month Follow Up7.36± 0.18
6-Month Follow Up-5.62± 0.34
Viscoelastic Deformation
GroupValue95% CI
3-Month Follow Up3.57± 0.03
6-Month Follow Up2.38± 0.34
Ultimate Deformation
GroupValue95% CI
3-Month Follow Up-6.90± 0.25
6-Month Follow Up-11.61± 0.35
Stiffness
GroupValue95% CI
3-Month Follow Up-1.53± 46.22
6-Month Follow Up4.05± 49.68
Energy Absorption
GroupValue95% CI
3-Month Follow Up-2.35± 11.30
6-Month Follow Up-6.07± 0.820
Topographical Analysis of Depressions Primary · Baseline and 6 Months

MiraVex will be used to assess changes in depressions of the subjects facial acne scars.

GroupValue95% CI
Baseline11.45± 2.36
Month 610.64± 2.4

Adverse events — posted to ClinicalTrials.gov

Time frame: 18 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Fat Grafting for Acne Scar Treatment
Serious: 0/10 (0%)
Deaths: 0/10
Other adverse events (1 terms — click to expand)

ReactionSystemFat Grafting for Acne Scar…
CovidGeneral disorders

Data from ClinicalTrials.gov NCT04559022 adverse events section.

Sponsor's own description

This single-center, clinical trial consists of a one autologous fat grafting treatment followed by 3-month and 6-month post-treatment visits in order to assess the efficacy of fat grafting when used by men and women with facial acne scars.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Clinical Measurement of Transepidermal Water Loss.
    Kundu D, Jayaraman A, Sen CK. · · 2026 · cited 4× · PMID 40476522 · DOI 10.1089/wound.2024.0148

Verify or expand the search:

Other trials of Fat Grafting

Trials testing the same drug.

Other recruiting trials for Acne Scars - Mixed Atrophic and Hypertrophic

Currently open trials in the same condition.

Other University of Texas Southwestern Medical Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing