Melasma treatment showdown: needle or pill?
NCT ID NCT07280234
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This completed study in Pakistan compared two ways of giving tranexamic acid for melasma: tiny skin injections versus pills. 218 adults with melasma took part. Researchers measured changes in the Melasma Area and Severity Index after 8 weeks to see which method worked better.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tranexamic acid
- What this could lead to
- If it works, this could point toward a more effective or convenient way to treat melasma, a common skin condition causing dark patches.
- What could go wrong
- This is a small, early-phase study (218 people) with no blinding or long-term follow-up. Results may not apply to all skin types or guarantee lasting improvement.
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
-
Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
-
218 people
The number who actually took part.
- Started
-
Nov 2024
- Finished
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May 2025
- Lead sponsor
-
A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 55 years
- Sex
-
Anyone
- Healthy volunteers
-
Accepted
You do not need to have the condition being studied to take part.
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: 1. Patients aged 18 to 55 years, with clinically confirmed melasma of at least 6 months duration. 2. Fitzpatrick skin types III-V and no active dermatological conditions in the treatment area. Exclusion Criteria: 1. pregnancy or lactation 2. History of thromboembolic disorders 3. Use of hormonal therapies or photosensitizing medications 4. Recent melasma treatments within the past 3 months 5. Known hypersensitivity to tranexamic acid.
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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
-
MTI-HMC Peshawar, Peshawar Khyber Pakhtunkhwa
Peshawar, Khyber Pakhtunkhwa, 25000, Pakistan
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Other studies related to the condition(s) this trial covers.
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