New triple cream takes on melasma in Head-to-Head trial

NCT ID NCT07508098

First seen Jun 27, 2026 ยท Last updated Jun 27, 2026

Summary

This completed Phase 4 trial tested whether a triple-combination cream (containing N-acetylcysteine, hydroquinone, and triamcinolone acetate) works better than standard 4% hydroquinone cream for facial melasma. Fifty middle-aged men and women applied one of the creams twice daily for 8 weeks. The main goal was to see how many achieved at least a 60% reduction in their melasma severity score.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
Triple combination cream (4.7% N-acetylcysteine, 2% hydroquinone, 0.1% triamcinolone acetate) and 4% hydroquinone cream
What this could lead to
If the triple cream works better, it could offer a more effective topical option for managing melasma with fewer side effects.
What could go wrong
This is a small, single-site study with only 50 participants, so results may not apply to everyone. Melasma often requires ongoing treatment, and any improvement may not be permanent.

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Conditions

The condition(s) this trial relates to.

Melanosis

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Dermatology Department of Tertiary Care Hospital

    Rawalpindi, Punjab Province, 46000, Pakistan

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