NCT07618572

Brief Summary

The goal of this clinical trial is to evaluate whether the use of dermocosmetics containing Bioceramides and Niacinamide can improve post-inflammatory hyperpigmentation and promote positive impacts on self-esteem and quality of life in Brazilian Black women with facial hyperpigmentation (Fitzpatrick skin types IV to VI). The main questions it aims to answer are:

  • Does the treatment improve hyperpigmentation severity as measured by HASI and IGA scores?
  • Does the treatment improve participants' self-esteem and quality of life as assessed by MELASQoL and DLQI questionnaires? Participants will:
  • Use a standardized skincare routine including cleanser (0.2% Bioceramides), moisturizer (2% Niacinamide + 1% Bioceramides), serum (5% Niacinamide + 3% Bioceramides), and SPF 30 sunscreen for 12 weeks.
  • Attend study visits at baseline, week 6, and week 12.
  • Undergo standardized facial photography and clinical assessments by specialists at baseline, week 6, and week 12.
  • Complete questionnaires related to self-esteem and quality of life at baseline, week 6, and week 12.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
3mo left

Started Mar 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress60%
Mar 2026Oct 2026

Study Start

First participant enrolled

March 19, 2026

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

May 25, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

June 1, 2026

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 31, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2026

Last Updated

June 4, 2026

Status Verified

May 1, 2026

Enrollment Period

8 months

First QC Date

May 25, 2026

Last Update Submit

June 2, 2026

Conditions

Keywords

Post-inflammatory HyperpigmentationBioceramidesNiacinamideBlack WomenFacial Hyperpigmentation

Outcome Measures

Primary Outcomes (3)

  • Change in Hyperpigmentation Severity Assessed by Hyperpigmentation Area Severity Scale (HASI)

    The Hyperpigmentation Area Severity Scale (HASI), adapted from the Melasma Area Severity Index (MASI), will be used to evaluate pigmentation severity. The face will be divided into four regions (forehead, right malar, left malar, and chin). Hyperpigmentation severity will be assessed based on three components: pigmentation intensity and homogeneity (both scored from 0 to 4), and the affected area (scored from 0 to 6). A weighted sum will be calculated for each region using the following formula: HASI = 0.3 × (area score) × (intensity + homogeneity) for the forehead and malar regions, and 0.1 × (area score) × (intensity + homogeneity) for the chin. The total HASI score will be obtained by summing all regions, ranging from 0 to 48, with higher scores indicating greater hyperpigmentation severity.

    Baseline, Week 6, and Week 12

  • Visual Assessment of Post-Inflammatory Hyperpigmentation Using Standardized Facial Photography

    Standardized facial photographs will be obtained at each study visit and will be evaluated by a dermatologist to assess post-inflammatory hyperpigmentation. Images will be captured under visible light using a standardized protocol (Rossi et al., 2011), including three facial views (frontal, left 45°, and right 45°). The face will be divided into seven regions for visual analysis and quantification of pigmented areas using ImageJ software (version 1.45p, NIH). All photographs will be acquired using consistent camera settings, lighting conditions, and participant positioning throughout the study to ensure comparability.

    Baseline, Week 6, and Week 12

  • Change in Hyperpigmentation Severity Assessed by Investigator's Global Assessment (IGA)

    The Investigator's Global Assessment (IGA) is a visual assessment that will be used to provide an overall evaluation of post-inflammatory hyperpigmentation severity. Assessments will be performed by a dermatologist using a 6-point scale ranging from 0 to 5, according to morphological characteristics of pigmentation: 0 = no hyperpigmentation; 1 = almost clear; 2 = mild but noticeable hyperpigmentation; 3 = moderate hyperpigmentation (medium brown); 4 = severe hyperpigmentation (dark brown); and 5 = very severe hyperpigmentation (very dark brown to nearly black). Higher scores will indicate greater severity of pigmentation.

    Baseline, Week 6, and Week 12

Secondary Outcomes (2)

  • Change in Quality of Life Assessed by Melasma Quality of Life Scale (MelasQoL)

    Baseline, Week 6, and Week 12

  • Change in Quality of Life Assessed by Dermatology Life Quality Index (DLQI)

    Baseline, Week 6, and Week 12

Study Arms (1)

Intervention

EXPERIMENTAL

Participants will receive a standardized facial skincare regimen to be used daily for 12 weeks, including a cleanser (0.2% Bioceramides), moisturizer (2% Niacinamide + 1% Bioceramides), serum (5% Niacinamide + 3% Bioceramides), and SPF 30 sunscreen (non-investigational). Products will be used daily, with cleanser twice daily, moisturizer in the morning, serum at night, and sunscreen twice daily. Participants will undergo evaluations at baseline, week 6, and week 12, including standardized photography and assessment using Hyperpigmentation Area Severity Scale (HASI) and Investigator's Global Assessment (IGA). Quality of life will be assessed with Melasma Quality of Life Scale (MelasQoL) and Dermatology Life Quality Index (DLQI). Participants will complete daily diaries to record product use and any reactions during the study, and will assess perceived product efficacy at the final visit.

Drug: Niacinamide and Bioceramide-Based Skincare Regimen

Interventions

A standardized facial skincare regimen containing a cleanser (0.2% Bioceramides), moisturizer (2% Niacinamide + 1% Bioceramides), serum (5% Niacinamide + 3% Bioceramides), and SPF 30 sunscreen. The products are intended for daily use, with cleanser applied twice daily, moisturizer applied in the morning, serum applied at night, and sunscreen applied twice daily.

Intervention

Eligibility Criteria

Age18 Years - 55 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Female participants aged 18 to 55 years
  • Clinical diagnosis of facial post-inflammatory hyperpigmentation (PIH)
  • Self-identified as Black (including "preta" or "parda")
  • Fitzpatrick skin types IV to VI
  • Employees, students, or affiliated personnel of Hospital Israelita Albert Einstein (including contractors and fellows), recruited from institution units
  • Willing and able to comply with all study procedures and attend all scheduled visits
  • Able and willing to provide written informed consent and authorization for image use

You may not qualify if:

  • Pregnant or breastfeeding women, or those planning pregnancy during the study period
  • Type 1 diabetes mellitus or related complications (e.g., nephropathy, dermatological conditions associated with diabetes, history of hypoglycemia, diabetic ketoacidosis, or hyperosmolar coma)
  • Known or suspected intolerance to similar cosmetic products
  • History of atopy or allergic reactions to cosmetic products
  • Personal or family history of skin cancer
  • Active skin conditions or lesions affecting the face
  • Facial marks or scars that may interfere with assessments
  • Skin irritation due to recent sun exposure
  • Excessive sun or UV exposure, including artificial tanning, within the past month
  • Use of facial cosmetic products within 7 days before screening
  • Use of topical or systemic treatments within 1 month before screening
  • Use of depigmentation treatments within 3 months before screening
  • Use of dermocosmetic treatments for PIH within 3 months before screening
  • Facial dermatological or aesthetic procedures within 2 weeks before screening
  • Use of corticosteroids, anticoagulants, or immunosuppressive drugs
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital Israelita Albert Einstein

São Paulo, São Paulo, 05652-900, Brazil

RECRUITING

MeSH Terms

Conditions

Hyperpigmentation

Interventions

Niacinamide

Condition Hierarchy (Ancestors)

Pigmentation DisordersSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Nicotinic AcidsAcids, HeterocyclicHeterocyclic CompoundsPyridinesHeterocyclic Compounds, 1-Ring

Study Officials

  • Bruna Cestari de Azevedo, PhD

    Hospital Israelita Albert Einstein

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Jessica Andrade-Silva, PhD

CONTACT

Camila Hernandes Pinheiro, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 25, 2026

First Posted

June 1, 2026

Study Start

March 19, 2026

Primary Completion (Estimated)

October 31, 2026

Study Completion (Estimated)

October 31, 2026

Last Updated

June 4, 2026

Record last verified: 2026-05

Locations