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Safety of a Novel Microneedle Device Applied to Facial Skin:  A Subject- and Rater-Blinded, Sham-Controlled, Randomized Trial

Fridolin J. Hoesly, MD; Judy Borovicka, MD; Jennifer Gordon, MD; Beatrice Nardone, MD, PhD; Jaimee S. Holbrook, MD; Natalie Pace, BS; Omer Ibrahim, MD; Diana Bolotin, MD, PhD; Melanie Warycha, MD; Mary Kwasny, ScD; Dennis West, PhD; Murad Alam, MD, MSCI
Arch Dermatol. 2012;148(6):711-717. doi:10.1001/archdermatol.2012.280.
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Objective  To assess the safety of a novel microneedle device on facial skin of healthy individuals of all Fitzpatrick skin types.

Design  Subject- and live rater–blinded, sham-controlled, randomized trial.

Setting  University-based ambulatory dermatology service providing both primary and referral care.

Participants  Healthy adults recruited from postings.

Intervention  Device or sham applied with finger pressure to the right or left sides, respectively, of the participants' lateral forehead, temple, and nasolabial fold. At the 24-hour visit, a larger area (3 × 3 matrix) at the central forehead was treated with the device, and the participants applied the device to their chins.

Main Outcome Measure  Live blinded rater determination of local skin reaction scores (SRSs).

Results  At the 5-minute skin assessment, the median SRS was 1 for all skin type and age groups. There was no median pain score higher than 1 for any age or skin type group. For the sham device, median SRSs were 0 at all time points for all age and skin type groups. Mean SRSs for the device and sham were significantly different only for the lateral forehead at 5 and 30 minutes (P = .04).

Conclusions  The microneedle device appears to be safe and well tolerated in both sexes and various skin types and ages. Facial skin application of the device elicits mild, self-limited, and rapidly resolving erythema marginally greater than that associated with the sham control.

Trial Registration  clinicaltrials.gov Identifier: NCT01257763

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Figures

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Figure 1. Global and magnified views of the microneedle application surface.

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Figure 2. Reusable application handle.

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Figure 3. Consolidated Standards of Reporting Trials flowchart. *Among excluded volunteers, other refers to those who missed the scheduled baseline visit and could not be subsequently reached and those whose skin type/age group was closed to accrual. †One participant had multiple medical comorbidities not disclosed during prescreening and the other chose to discontinue the study before randomization. ‡Each participant was randomized for study device intervention at the left or right lateral forehead, temple, and nasolabial fold, with sham device intervention on the side not receiving the study device for each location. §Both participants discontinued after the first study visit for personal reasons unrelated to the study device. ∥Data collected for the 2 participants discontinuing after the baseline visit were included in analysis; no data were collected for these participants for the study device application to the central forehead/chin (performed at the 24-hour visit per the protocol).

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Figure 4. Number of applications associated with each pain score. Pain scores of 6 to 10 not depicted since no score higher than 5 was reported.

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