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Efficacy of Natural Vitamin E Tocotrienol on the Treatment of Surgical Scars
This study is not yet open for participant recruitment.
Verified by Ohio State University, June 2008
Sponsored by: Ohio State University
Information provided by: Ohio State University
ClinicalTrials.gov Identifier: NCT00700791
  Purpose

The overall goal of this study is to determine the efficacy of tocotrienol (TCT), a natural form of vitamin E, in preventing or reducing scar formation in human skin wounds.


Condition Intervention Phase
Scar
Other: both oral placebo and topical cream placebo
Other: oral placebo and topical tocotrienol
Other: Oral vitamin E supplement and topical cream placebo
Other: Oral vitamin E supplement and topical vitamin E cream
Other: Oral placebo & topical cream placebo & vitamin-E cream
Other: Oral vitamin-E supplement & cream placebo & vitamin-E cream
Phase 0

MedlinePlus related topics: Dietary Supplements Scars
Drug Information available for: Vitamin E alpha-Tocopherol alpha-Tocopheryl acetate Tocopherols Tocotrienol
U.S. FDA Resources
Study Type: Interventional
Study Design: Randomized, Double Blind (Subject, Investigator), Parallel Assignment
Official Title: Efficacy of Natural Vitamin E Tocotrienol on the Treatment of Surgical Scars

Further study details as provided by Ohio State University:

Primary Outcome Measures:
  • 1.To determine the efficacy of TCT in improving the appearance of post-surgical scars following oral supplementation 2.To determine the efficacy of TCT in improving the appearance of post-surgical scars following topical application [ Time Frame: 4 weeks prior to surgery and 12 weeks post surgery. ] [ Designated as safety issue: No ]

Estimated Enrollment: 168
Study Start Date: July 2008
Estimated Study Completion Date: February 2009
Estimated Primary Completion Date: February 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1
One surgical site scar will be given (unilateral surgery):both oral placebo and topical cream placebo
Other: both oral placebo and topical cream placebo
placebo 2 capsules twice a day and the topical placebo cream will be applied once daily beginning the day after surgery.
2
Patients with one surgical site will be given:oral placebo and topical tocotrienol.
Other: oral placebo and topical tocotrienol
Oral placebo 2 capsules twice a day and topical tocotrienol apply topically once a day.
3
Patients with one surgical site will be given: oral tocotrienol and topical placebo.
Other: Oral vitamin E supplement and topical cream placebo
Oral tocotrienol capsules 100 mg 2 capsules twice a day and topical placebo apply topically once a day.
4
Patients with one surgical site will be given: oral tocotrienol and topical tocotrienol on the surgical site.
Other: Oral vitamin E supplement and topical vitamin E cream
Oral tocotrienol capsules 100 mg 2 twice a day and topical tocotrienol once aday.
5
Patient with bilateral surgical site will be given:Oral placebo with topical placebo on one surgical site and topical tocotrienol on the other site.
Other: Oral placebo & topical cream placebo & vitamin-E cream
Oral and topical placebo to one side and topical tocotrienol to the other side once a day.
6
Patient with bilateral surgical site will be given:Oral tocotrienol with topical placebo on one surgical site and topical tocotrienol on the other site.
Other: Oral vitamin-E supplement & cream placebo & vitamin-E cream
Oral tocotrienol 100 mg 2 twice a day and topical placebo to one side daily and topical tocotrienol to the other daily.

Detailed Description:

Scar formation is the physiological and inevitable end point of mammalian wound healing and there is substantial evidence that inflammation is an essential prerequisite for scarring [19]. Although scar tissue restores the normal skin barrier, the new tissue is inferior in structural, aesthetic, and functional respects. The mammalian wound healing response may have originated during the time of high susceptibility to infection. Therefore, we may have developed speed optimized wound healing where a multiple redundant compensating rapid inflammatory response allows the wound to heal quickly without infection. The scar is then the price mammalians have to pay for evolutionary survival after wounding [20].

Tocotrienol may be an effective tool to prevent or reduce normal, hypertrophic, or keloid scarring by mediating the inflammatory response. Tocotrienol is a safe and convenient treatment that could be used by mouth or topically. There has never been a study on the effectiveness of tocotrienol in preventing or reducing scar formation. Our observations from an ongoing IRB protocol(#2005C0034) led us to evaluate the potential of tocotrienol in such respect.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • To ensure higher enrollment we are not controlling for age of subjects as long as the subjects are 18 years of age or older.
  • Non- smoker
  • No current medications that alter liver metabolism, e.g Phenobarbital, HmG co-A inhibitors
  • Non- pregnant or non-breastfeeding
  • No current use of dietary supplements containing vitamin-E
  • Not actively abusing drugs or alcohol

Exclusion Criteria:

  • Under 18 years of age
  • Prisoners
  • Current smoker
  • Pregnant or breastfeeding
  • HIV diagnosis
  • Viral hepatitis diagnosis
  • Immunosuppression therapy
  • Actively abusing drugs or alcohol
  • Current use of dietary supplements containing vitamin-E
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00700791

Contacts
Contact: Urmila S. Gnyawali, RN 614-366-3515 urmila.gnyawali@osumc.edu

Locations
United States, Ohio
The Ohio State University
Columbus, Ohio, United States, 43221
Sponsors and Collaborators
Ohio State University
Investigators
Principal Investigator: Chandan K Sen, PhD Ohio State University
  More Information

Responsible Party: The Ohio State University Department of Surgery ( Dr Chandan Sen )
Study ID Numbers: 2008H0001
Study First Received: June 17, 2008
Last Updated: June 19, 2008
ClinicalTrials.gov Identifier: NCT00700791  
Health Authority: United States: Institutional Review Board

Keywords provided by Ohio State University:
Single and bilateral body contouring surgical sites.

Study placed in the following topic categories:
Tocopherols
Tocopherol acetate
Vitamin E
Skin Diseases
Tocotrienols
Alpha-Tocopherol
Cicatrix

Additional relevant MeSH terms:
Antioxidants
Molecular Mechanisms of Pharmacological Action
Growth Substances
Vitamins
Physiological Effects of Drugs
Micronutrients
Protective Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009