Could a common clot drug fade stubborn skin darkening?
NCT ID NCT04233749
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This small phase 2 trial is testing whether tranexamic acid, a drug used to reduce bleeding, can lighten dark patches on the skin caused by lichen planus pigmentosus and erythema dyschromicum perstans. Five adults will take the drug twice daily for six months. Researchers will measure changes in pigmentation using special light devices.
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 tablets
- What this could lead to
- If it works, this could offer a new treatment option for stubborn skin darkening conditions that currently have no effective therapy.
- What could go wrong
- This is a very small early-phase trial with only 5 participants, so results may not apply widely. Tranexamic acid also carries a risk of blood clots.
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
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 5 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2020
- Expected to finish
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Dec 2025
An estimate. End dates often move.
- 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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Subject age 18 and older * Subject with a diagnosis of LPP, EDP, or AD * Subject able to understand requirements of the study and risks involved * Subject able to sign a consent form * Subject to have discontinued all topical or oral medications, with the exception of sunscreen, used to treat pigmentary abnormalities one month prior to treatment Exclusion Criteria: * Personal history of clotting disorder or thromboembolic disease (deep vein thrombosis (DVT), stroke, etc) * Active malignancy, excluding non-melanoma skin cancer * Moderate to severe renal impairment * History of migraine with aura * Current anticoagulant therapy * Current use of hormonal contraception or hormone replacement therapy in the last 30 days * A woman who is lactating, pregnant, or planning to become pregnant
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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New Center One
RECRUITINGDetroit, Michigan, 48202, United States
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