Protocol summary

Study aim
The main purpose of the study is specifically to investigate the effect of non-cross-linked hyaluronic acid containing exosomes derived from fibroblast cells foreskin in rejuvenating the skin around the eyes in humans. Evaluating the effectiveness of exosomes derived from foreskin fibroblasts to improve the thickness of the skin around the eyes Determining the optimal dose of exosomes derived from foreskin fibroblasts on increasing the proliferation of human fibroblast cells and the production and secretion of collagen and increasing angiogenesis for collagen synthesis. Safety evaluation of exosomes derived from foreskin fibroblasts for use in humans
Design
This phase 1 and 2 clinical trial study is conducted in the form of simple randomization and double-blind, on 21 patients in 3 groups.
Settings and conduct
Intradermal injection (5 to 15 mm), 5 entry points, Skin and Stem Cell Research Center, Tehran University of Medical Sciences
Participants/Inclusion and exclusion criteria
Inclusion criteria : The age of these people to enter the study is between 35 and 45 years old. The skin around the eyes (crow's feet area) of patients has lost its original properties and started to wrinkle. Non-entry criteria: Allergy to injections and syringes People who participate in this study should not have used rejuvenation methods such as Botox 4 to 6 months before the start of the study and injections. Hypersensitivity to non-crosslinked hyaluronic acid
Intervention groups
Dividing patients into 3 groups: Group a: receiving a dose of 50 μg of exosomes Group b: receiving a dose of 100 μg of exosomes Group c: receiving a dose of 200 μg of exosomes
Main outcome variables
Treatment complications, recovery rate, recovery time , patient satisfaction, skin collagen level, epidermis and dermis thickness, skin brightness

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20221130056672N5
Registration date: 2024-01-29, 1402/11/09
Registration timing: prospective

Last update: 2024-01-29, 1402/11/09
Update count: 0
Registration date
2024-01-29, 1402/11/09
Registrant information
Name
EHSAN Taghiabadi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 2665 7541
Email address
etaghiabadi@sina.tums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-03-25, 1403/01/06
Expected recruitment end date
2024-05-04, 1403/02/15
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Efficacy and safety of non-cross-linked hyaluronic acid containing exosomes derived from fibroblast cells foreskin in rejuvenating the skin around the eyes in humans (clinical trial phase 1 & 2)
Public title
Efficacy and safety of non-cross-linked hyaluronic acid containing exosomes derived from fibroblast cells foreskin in rejuvenating the skin around the eyes in humans
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
The age of these people to enter the study is between 35 and 45 years old. The skin around the eyes (crow's feet area) of patients has lost its original properties and started to wrinkle.
Exclusion criteria:
Allergy to injections and syringes People who participate in this study should not have used rejuvenation methods such as Botox 4 to 6 months before the start of the study and injections. Hypersensitivity to non-crosslinked hyaluronic acid
Age
From 35 years old to 45 years old
Gender
Both
Phase
1-2
Groups that have been masked
  • Participant
  • Care provider
  • Investigator
Sample size
Target sample size: 21
Randomization (investigator's opinion)
Randomized
Randomization description
Using a simple randomization method, patients who visit the skin clinic of Dr. Nilfroshzadeh are divided into 3 groups, so that one envelope is randomly selected for each patient from the number of 21 sealed envelopes. Each envelope contains the letters a, b, or c. Group a patients are treated with a concentration of 50 micrograms, group b with a concentration of 100 micrograms, and group C patients with a concentration of 200 micrograms.
Blinding (investigator's opinion)
Double blinded
Blinding description
In this study, the participant researcher, physician and evaluating physician will be unaware of the type of treatment until the end of the study.
Placebo
Not used
Assignment
Other
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
research ethics committees of research institute for Oncology, Hematology and cell therapy - Tehran
Street address
13th Floor, Central Headquarters of the Ministry of Health, Treatment and Medical Education, Simai Iran Street, Quds Town (West), Tehran
City
Tehran
Province
Tehran
Postal code
1411713135
Approval date
2023-12-13, 1402/09/22
Ethics committee reference number
IR.TUMS.HORCSCT.REC.1402.054

Health conditions studied

1

Description of health condition studied
skin rejuvenation
ICD-10 code
ICD-10 code description

Primary outcomes

1

Description
Rejuvenation of crow's feet skin around the eyes
Timepoint
Changes in the mentioned area are measured 4 weeks, 8 weeks, and 12 weeks after the injection, and 8 weeks after the last injection (20 weeks from the day of injection), final examinations are performed.
Method of measurement
1- Visio face: a full-face photography method for facial skin analysis, optimal product recommendation and treatment documentation. Using this method, before and after the skin and the surface and depth of wrinkles are measured. 2- Colorimeter: The colorimeter contains a photocell that is able to detect the amount of light passing through the investigated solution. As a result, the color is checked before and after the end of the test so that a diagnosis can be made in case of lightening of the skin. 4- Sonography: This test is also used to measure thickness and density.

Secondary outcomes

1

Description
Safety
Timepoint
Checks for safety are done one week after each injection and before the time of re-injection.
Method of measurement
Patient history and lack of swelling in the injection area

Intervention groups

1

Description
Group a: treated with non-cross-linked hyaluronic acid combination (0.5 cc) along with exosomes derived from fibroblast foreskin at a dose of 50 micrograms
Category
Treatment - Other

2

Description
Group b: Treated with a combination of non-cross-linked hyaluronic acid (0.5 cc) along with exosomes derived from fibroblast foreskin with a dose of 100 micrograms.
Category
Treatment - Other

3

Description
Group c: treated with non-cross-linked hyaluronic acid combination (0.5 cc) along with exosomes derived from fibroblast foreskin with a dose of 200 micrograms
Category
Treatment - Other

4

Description
Control group: Treated with 0.5cc of non-cross-linked hyaluronic acid
Category
Treatment - Other

Recruitment centers

1

Recruitment center
Name of recruitment center
Skin and Stem Cell Research Center, Tehran University of Medical Sciences
Full name of responsible person
Mohammad Ali Nilfrooshzadeh
Street address
No.4 Maryam Dead End South Kamraniyeh, Andarzgo Blv, Tehran Province, Tehran
City
Tehran
Province
Tehran
Postal code
1937957511
Phone
+98 21 2665 7541
Email
etaghiabadi@sina.tums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Research Vice President of Tehran University of Medical Sciences
Full name of responsible person
Mohammad Ali Nilfroushzadeh
Street address
Research and Technology Deputy, 6th floor , Quds St, Tehran University of Medical Sciences
City
Tehran
Province
Tehran
Postal code
1937957511
Phone
+98 21 2665 7438
Email
etaghiabadi@sina.tums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Research Vice President of Tehran University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Ehsan Taghiabadi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Applied cell sciences
Street address
No.4, 4th floor, Maryam dead end. South Kamraniyeh
City
Tehran
Province
Tehran
Postal code
1937957511
Phone
+98 21 2665 7438
Email
etaghiabadi@sina.tums.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Ehsan Taghiabadi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Medical Biotechnology
Street address
No.4, 4th floor, Maryam dead end, South Kamraniyeh
City
Tehran
Province
Tehran
Postal code
1937957511
Phone
+98 21 2665 7438
Email
ethaghiabadi@sina.tums.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Tehran University of Medical Sciences
Full name of responsible person
Ehsan Taghiabadi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Medical Biotechnology
Street address
No. 4 , 4th floor, Maryam dead end, South Kamraniyeh
City
Tehran
Province
Tehran
Postal code
1937957511
Phone
+98 21 2665 7438
Email
etaghiabadi@sina.tums.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
All data can be shared after de-identifying individuals.
When the data will become available and for how long
Six months after the publication and printing of the article
To whom data/document is available
Academic researchers and experts
Under which criteria data/document could be used
In order to analyze the results of the study outcomes
From where data/document is obtainable
etaghiabadi@sina.tums.ac.ir
What processes are involved for a request to access data/document
It can be submitted after review by the Research Council of the Skin and Stem Cell Research Center of Tehran University of Medical Sciences, which usually takes 2 to 3 months.
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