TY - JOUR
T1 - Effect of a Tranexamic Acid, Kojic Acid, and Niacinamide Containing Serum on Facial Dyschromia
T2 - A Clinical Evaluation
AU - Desai, Seemal
AU - Ayres, Eloisa
AU - Bak, Hana
AU - Manco, Megan
AU - Lynch, Stephen
AU - Raab, Susana
AU - Du, Ana
AU - Green, Des Tenee
AU - Skobowiat, Cezary
AU - Wangari-Talbot, Janet
AU - Zheng, Qian
N1 - Publisher Copyright:
© 2019 Journal of Drugs in Dermatology. All rights reserved.
PY - 2019/5
Y1 - 2019/5
N2 - Background: Stubborn dyschromia such as melasma and post-inflammatory hyperpigmentation (PIH) are leading causes for cosmetic consultation. Topical treatment is challenging, using a range of modalities, to stop, hinder, and/or prevent steps in the pigment production process. Tranexamic acid (TXA), a potent plasmin inhibitor, is proposed to control pigmentation by inhibiting the release of inflammatory mediators involved in triggering melanogenesis. TXA has been recently introduced as a topical therapy aimed at reducing pigmentation in melasma. Methods: In a 12-week clinical study, a novel, topical facial serum containing 3% TXA, 1% kojic acid, and 5% niacinamide was evaluated for its effectiveness in treating melasma, PIH, and hyperpigmentation in Brazilian female subjects with Fitzpatrick skin types I-IV. Efficacy evaluations were performed at pre-treatment baseline, weeks 2, 4, 8, and 12, and included expert clinical grading, bioinstrumental measurements, and self-assessment questionnaires. Cutaneous tolerability was also evaluated by assessing subjective and objective irritation of the treatment area. Results: was observed A significant beginning improvement at week 2 in and the continued appearance through Do of PIH, week Not hyperpigmentation, 12.Copy Melanin index, melasma, as measured skin texture, by Mexameter and skin tone ®, demonstrated homogeneity asignificant Conclusions: decrease The findings by week suggest 12 as compared that the test to both product Penalties pre-treatment is an effective baseline Apply and well-tolerated and control. treatment option for addressing hyperpigmentary conditions, including melasma. Additional in vitro data suggests that TXA may act by mediating the inhibition of PGE2-stimulated human epidermal melanocytes.
AB - Background: Stubborn dyschromia such as melasma and post-inflammatory hyperpigmentation (PIH) are leading causes for cosmetic consultation. Topical treatment is challenging, using a range of modalities, to stop, hinder, and/or prevent steps in the pigment production process. Tranexamic acid (TXA), a potent plasmin inhibitor, is proposed to control pigmentation by inhibiting the release of inflammatory mediators involved in triggering melanogenesis. TXA has been recently introduced as a topical therapy aimed at reducing pigmentation in melasma. Methods: In a 12-week clinical study, a novel, topical facial serum containing 3% TXA, 1% kojic acid, and 5% niacinamide was evaluated for its effectiveness in treating melasma, PIH, and hyperpigmentation in Brazilian female subjects with Fitzpatrick skin types I-IV. Efficacy evaluations were performed at pre-treatment baseline, weeks 2, 4, 8, and 12, and included expert clinical grading, bioinstrumental measurements, and self-assessment questionnaires. Cutaneous tolerability was also evaluated by assessing subjective and objective irritation of the treatment area. Results: was observed A significant beginning improvement at week 2 in and the continued appearance through Do of PIH, week Not hyperpigmentation, 12.Copy Melanin index, melasma, as measured skin texture, by Mexameter and skin tone ®, demonstrated homogeneity asignificant Conclusions: decrease The findings by week suggest 12 as compared that the test to both product Penalties pre-treatment is an effective baseline Apply and well-tolerated and control. treatment option for addressing hyperpigmentary conditions, including melasma. Additional in vitro data suggests that TXA may act by mediating the inhibition of PGE2-stimulated human epidermal melanocytes.
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M3 - Article
C2 - 31141852
AN - SCOPUS:85067289608
SN - 1545-9616
VL - 18
SP - 454
EP - 459
JO - Journal of Drugs in Dermatology
JF - Journal of Drugs in Dermatology
IS - 5
ER -