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多中心评价一种局部透明质酸血清。

Multicenter evaluation of a topical hyaluronic acid serum.

机构信息

Modern Dermatology, PLLC, New Haven, Connecticut, USA.

Dermatology, Yale, New Haven, Connecticut, USA.

出版信息

J Cosmet Dermatol. 2022 Sep;21(9):3848-3858. doi: 10.1111/jocd.15241. Epub 2022 Aug 2.

Abstract

BACKGROUND

A new hyaluronic acid (HA) formulation was developed based on high molecular weight (MW) compounds used on the surface of the skin while using peptides to stimulate the high MW HA production by fibroblasts and keratinocytes from within the skin layers. Detailed science has been submitted to this journal in a previous publication. This multicenter study aims to validate the science by demonstrating the safety and efficacy of the product in the clinical realm.

OBJECTIVES

This study evaluated the efficacy and safety of a topical HA serum in facial skin.

METHODS

An open-label clinical study was undertaken over 4 months from November 2021 to March 2022. Participants applied the topical serum twice daily and were provided a gentle cleanser and an SPF 30+ to use in the morning. Follow-up visits were conducted at weeks 2, 4, and 8. At every visit, participants were measured for hydration post 15 minutes of cleansing the skin and post 15 minutes of product application for cumulative skin hydration sensor measurements. Additional procedures included participant assessments and satisfaction, investigator assessments, biopsies, and photography.

RESULTS

At each follow-up visit, there was an increase in hydration measurements compared to baseline, in both immediate scores and cumulative long-term scores. At weeks 4 and 8, there was a statistically significant increase in hydration compared to baseline and the prior visit. Participants' assessments progressively increased over 2-, 4-, and 8-week intervals with significantly favorable ratings in all measured parameters. Similarly, investigator assessment grades were statistically significant (p < 0.0001) for decreased fine lines/wrinkling, crepiness, texture, erythema, and dryness, and increased (p < 0.0001) for moisture/hydration. Histology revealed increased CD44 staining in 6 of the 7 participants biopsied, denoting increased HA stimulation. In all of the participant biopsies, H&E staining demonstrated improvement in solar elastosis. Photography revealed remarkable improvement in erythema, tone, and texture.

CONCLUSIONS

The study results demonstrated that the formulation produced significant improvements in immediate and long-term hydration effects on the skin as measured by the skin hydration sensor, 'wearifi' technology, comparison of before and after biopsies, and participant and investigator assessments. This high MW HA formulation produced excellent clinical improvement in skin health and hydration.

摘要

背景

一种新的透明质酸(HA)配方是基于高分子量(MW)化合物开发的,这些化合物用于皮肤表面,同时使用肽来刺激皮肤内层的成纤维细胞和角质细胞产生高 MW HA。详细的科学内容已在之前的出版物中提交给本杂志。这项多中心研究旨在通过证明产品在临床领域的安全性和有效性来验证这一科学。

目的

本研究评估了一种局部透明质酸血清对面部皮肤的功效和安全性。

方法

2021 年 11 月至 2022 年 3 月进行了为期 4 个月的开放性临床研究。参与者每天两次涂抹局部血清,并提供温和清洁剂和 SPF 30+,供早上使用。在第 2、4 和 8 周进行随访。每次就诊时,在清洁皮肤后 15 分钟和产品使用后 15 分钟,对皮肤水分传感器进行测量,以评估皮肤水分。其他程序包括参与者评估和满意度、研究者评估、活检和摄影。

结果

在每次随访时,与基线相比,即时评分和累积长期评分均显示出皮肤水分测量值增加。在第 4 和 8 周时,与基线和前一次就诊相比,皮肤水分有统计学显著增加。在 2 周、4 周和 8 周的间隔内,参与者的评估逐渐增加,所有测量参数的评分均显著改善。同样,研究者评估等级在统计学上也是显著的(p<0.0001),表现在细纹/皱纹、粗糙度、纹理、红斑和干燥减少,以及水分/保湿增加(p<0.0001)。组织学显示,在 7 名活检参与者中的 6 名中,CD44 染色增加,表明 HA 刺激增加。在所有参与者的活检中,H&E 染色显示出对太阳弹性蛋白的改善。摄影显示红斑、色调和纹理有显著改善。

结论

研究结果表明,该配方通过皮肤水分传感器、“wearifi”技术、活检前后比较以及参与者和研究者评估,对面部皮肤的即时和长期保湿效果产生了显著的改善。这种高分子量 HA 配方在改善皮肤健康和保湿方面取得了极好的临床效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/724b/9804499/1859072fe422/JOCD-21-3848-g008.jpg

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