The goal of this clinical trial is to further substantiate the effectiveness and safety of Omnilux Clear as a stand-alone treatment of mild to moderate acne in healthy teenagers and adults 14 years of age or older over the course of 7 weeks. Participants will be screened to determine eligibility, assessed, instructed on how to use the Omnilux Clear and then treated with Omnilux Clear under the direction of the study staff during the first office visit. The first treatment will also act as a photosensitivity "patch" test to evaluate the participant for any unknown hereditary photosensitivity conditions or allergies to surface contacting materials. The particpants will then treat their face with the Omnilux Clear device at home 4 times per week for the first 6 weeks of the trial. The treatments are 10 minutes in duration. Participants will return to the study site at week 3 and week 7 for assessments, photographs and questionnaires.
Acne is the top skin concern for individuals in the United States. It affects subjects both physically and psychologically. While the etiology of acne is multifactorial, it does develop when the sebaceous glands in a person's skin produce excess oil. This oil combines with cells that line the gland walls and clogs the skin's pores. Normal skin bacteria (Cutibacterium acnes) colonize these pores leading to the inflammation or reddening of the skin that we associate with acne. Increasing numbers of individuals are seeking non-invasive procedures for improving medical and aesthetic dermatologic conditions. Phototherapy refers to the use of nonthermal, noninvasive light to achieve a therapeutic outcome and can apply to a variety of light-emitting devices. Interest in recent advances in the use of light emitting diodes (LED's) have led to their clinical application for a variety of medical and cosmetic uses. Depending on the target chromophore, different wavelengths of light are used. Two wavelengths of light that have demonstrated therapeutic benefit for the treatment of acne are blue (415 nm), red (633 nm) Recent publications have reignited an interest in the numerous studies performed or sponsored by a leader in the field of LED phototherapy (Omnilux™; GlobalMed Technologies, Napa, CA) which clearly demonstrate the significant value of phototherapy for a range of clinical applications. The option to offer non-invasive devices to all age individuals for the improvement of acne, is desirable. As oral medications have become less popular, home units that actually improve acne, with no pain and no downtime are indispensible. The benefits of light emitting diode (LED) therapy has become widely recognized in modern medicine. Benefits come from the specific wavelengths to target inflammation, bacteria, and healing tissue. Omnilux Clear® is a medical-grade, home LED treatment for acne-prone skin, using the most clinically effective LED's available, optimized for superior results. The blue light (415nm) targets and kills P. acnes bacteria living on the skin's surface. Red light (633nm) penetrates the dermis, triggering the body's own natural healing response, including the production of new collagen, the downregulation of excess oils, and the reduction of inflammation and redness. This FDA approved device not only reduces active acne and blemishes, redness and inflammation, but can help clear breakouts faster, reduce and soften the appearance of acne scarring all in a natural, painless way with no downtime. The purpose of this open label, single-arm clinical research study is to further substantiate the efficacy and safety of Omnilux Clear® medical grade, home LED face mask treatment as a stand-alone treatment in the mitigation of mild to moderate acne in thirty (30) healthy male and female subjects, 14 years of age or older over the course of seven (7) weeks.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Omnilux Clear is a medical-grade, home light emitting diode (LED) treatment for acne-prone skin, using the most clinically effective LED's available, optimized for superior results. The blue light (415nm) targets and kills P. acnes bacteria living on the skin's surface. Red light (633nm) penetrates the dermis, triggering the body's own natural healing response, including the production of new collagen, the downregulation of excess oils, and the reduction of inflammation and redness.
Ablon Skin Institute and Research Center
Manhattan Beach, California, United States
Change in Inflammatory lesion counts
Papule - A small, solid elevation less than 5 mm in diameter. Most of the lesion is above the surface of the skin. Pustule - A small circumscribed elevation less than 5 mm in diameter that contains yellow-white exudate. Nodule - An inflammatory lesion greater than or equal to 5 mm in diameter. Cyst - An inflammatory lesion that contains yellow-white exudate that is greater than or equal to 5mm in diameter.
Time frame: Baseline to Day 49 or End of Study (EOS) visit
Change in non-inflammatory lesion counts
Open Comedone - (Black head) A lesion in which the follicle opening is widely dilated with the contents protruding out onto the surface of the skin, with compacted melanin cells giving the plug a black appearance. Closed Comedone - (White head) A lesion in which the follicle opening is closed, but the sebaceous gland is enlarged by the pressure of the sebum buildup, which in turn cause the skin around the follicle to thin and become elevated with a white appearance.
Time frame: Baseline to Day 49 or End of Study (EOS) visit
Percentage/Proportion of subjects who achieve at least a one-grade reduction in the IGA Score
The Investigator will use the Investigator Global Assessment (IGA) Scale to assess the severity of a subjects' acne. The IGA Scale is a static evaluation should be performed prior to the lesion count. The IGA will be performed at Day 0, Day 21 and Day 49 or EOS. Subjects are eligible for enrollment if they have a global severity grade of a 2 (mild) or a 3 (moderate) on the IGA scale at Day 0. The following scores will be used to describe the severity grade: 0 Clear Normal, clear skin with no evidence of acne vulgaris 1. Almost Clear Rare non-inflammatory lesions present, with rare non-inflamed papules (papules must be resolving and may be hyperpigmented, though not pink red) 2. Mild Some non-inflammatory lesions are present, with few inflammatory lesions (papules/pustules only; no nodulo-cystic lesions) 3. Moderate Multiple Non-inflammatory lesions and inflammatory lesions are evident, there may or may not be one small cyst 4. Severe Inflammatory lesions are more apparent and a few cysts
Time frame: Baseline to Day 49 or End of Study (EOS) visit
Improvement in Investigator Acne Scarring Assessment Scores using the Quantitative Global Acne Scarring Grading System (QGAS)
Patients' acne scarring will be evaluated by the Investigator using the Quantitative Global Acne Scarring Grading System (QGAS) as shown (Goodman and Baron, 2006). The QGAS will be performed at Baseline/Day 0, Day 21 and Day 49 or EOS. Only the face of the patient will be evaluated using the QGAS. This is a static morphological scale that refers to a point in time. The score will be calculated and recorded in the source. Milder scarring (1 point each) Macular erythematous or pigmented Mildly atrophic dish-like. Moderate scarring (2 points each) Moderately atrophic dish-like Punched out with shallow bases small scars (\< 5 mm) Shallow but broad atrophic areas. Severe scarring (3 points each) Punched out with deep but normal bases, small scars (\< 5 mm) Punched out with deep abnormal bases, small scars (\< 5 mm) Linear or troughed dermal scarring Deep, broad atrophic areas Hyperplastic Papular scars (2 points each) Hyperplastic Keloid/hypertrophic scars (6 points each)
Time frame: Baseline to Day 49 or End of Study (EOS) visit
Improvement in Investigator Tolerability Assessment (erythema, edema, dryness, scaling, hypopigmentation and hyperpigmentation)
The scale is called Investigator Tolerability Assessment and the scale is 0 (None), 1 (Mild), (2) Moderate and 3 (Severe). The scale measures erythema, edema, dryness, scaling, hypopigmentation and hyperpigmentation. A decrease in scores (lower scores are a better outcome) or lack of significant increase at Day 21and Day 49 or EOS comparison to Baseline indicates tolerability/safety of the device.
Time frame: Baseline to Day 49 or End of Study (EOS) visit
Improvement in Acne QoL questionnaire scores
The Acne-specific Quality of Life questionnaire (Acne QoL) is a health-related quality of life instrument developed by MERCK \& CO., INC. for use in clinical trials to assess the impact of therapy on quality of life among subjects with facial acne. The Acne QoL questionnaire consists of 19 questions. The Acne QoL is self-administrated (i.e. the subject is able to complete the questionnaire without assistance or interpretation from study staff) and should take approximately 10 minutes or less to complete. The scale is called Acne-Specific Quality of Life Questionnaire and the scale goes from 0 (not at all) to 6 (extremely). A decrease in response values (lower scores means a better outcome) at Day 49 or EOS indicates an improvement compared to baseline response values.
Time frame: Baseline to Day 49 or End of Study (EOS) visit
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Improvement in Acne Self Assessment questionnaire scores
The Acne Self-Assessment Questionnaire will ask subjects a series of questions related to their facial acne and overall facial skin appearance. The scale is called the Acne Self-Assessment quesitonnaire and the scale goes from 0 (Very satisfied) to 5 (Very dissatisfied). A decrease in response values (lower scores means a better outcome) at Day 49 or EOS indicates an improvement compared to baseline response values.
Time frame: Baseline to Day 49 or End of Study (EOS) visit
Favorable Analysis of the Omnilux Clear® Device Subject Satisfaction questionnaire
The Omnilux Clear® Device Subject Satisfaction Questionnaire will ask subjects a series of questions related to their opinion of treatment satisfaction. The scale goes from 1 (Very Satisfied or Very Likely ) to 5 (Very Dissatisfied or Very Unlikely). Favorable analysis at Day 49 or EOS would be indicated by low response values.
Time frame: Day 49 or EOS Visit