Can a two-acid cream fade stubborn melasma?
NCT ID NCT07727954
First seen Jul 27, 2026 · Last updated Jul 28, 2026 · Updated 1 time
Summary
This trial tests whether a cream containing azelaic acid and tranexamic acid can reduce the dark patches of melasma better than a placebo. Adults with facial melasma will apply the cream daily for four weeks. Researchers will measure changes in pigmentation, quality of life, and any side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a topical cream containing 12% azelaic acid and 5% tranexamic acid
- What this could lead to
- If effective, this cream could offer a new, non-invasive option for reducing melasma pigmentation and improving quality of life.
- What could go wrong
- This is a small, short-term trial (40 people, 4 weeks). Results may not apply to all skin types, and the cream may cause skin irritation or not outperform placebo.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
40 people
The number who actually took part.
- Started
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Jun 2026
- Finished
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Jul 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 18 to 60 years. * Clinical diagnosis of facial melasma. * Fitzpatrick skin phototypes II to V. * Willing and able to comply with all study procedures and scheduled visits. * Willing to use sunscreen throughout the study. * Provided written informed consent. Exclusion Criteria: * Pregnancy or breastfeeding. * Known hypersensitivity to azelaic acid, tranexamic acid, or any component of the study formulation. * Use of topical or systemic treatment for melasma within the previous 3 months. * Presence of facial skin diseases or active skin infections that could interfere with study assessments. * Participation in another clinical trial during the study period. * Any medical condition that, in the investigator's judgment, could interfere with study participation or evaluation of the outcomes.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
The Skin Place
Tijuana, Estado de Baja California, 22010, Mexico
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