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This prospective, open label, muti-center study evaluates the use of Nano-Pulse Stimulation (NPS) in the treatment of Sebaceous Hyperplasia (SH) lesions less than 2.5mm in size.
The study is designed with each subject serving as his or her own control. A total of up to 75 subjects with 2-5 qualifying SH lesions will be enrolled and treated with either a 1.5-mm x 1.5-mm or 2.5-mm x 2.5-mm tip. All treated lesions will receive at least one NPS treatment and evaluated at 30 days for lesion clearance. Initial lesions scored as Not Clear or Partially Clear may undergo a second NPS treatment. All subjects will have their lesions evaluated at 60 days post-primary or secondary treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NPS Treated SH Lesion | Experimental | Nano-Pulse Stimulation Device using pre-defined energy protocol |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nano-Pulse Stimulation Device | Device | NPS utilizes a timed series of low energy, high voltage nanosecond (billionth of a second) pulses which are applied directly to targeted tissue using small microneedles. NPS energy induces cell signaling and the activation of cellular pathways by creating transient nanopores in cellular membranes and organelles and initiate regulated cell death. |
| Measure | Description | Time Frame |
|---|---|---|
| Total Number of Cleared SH Lesions | SH lesion clearance was assessed live by investigators for each treated SH lesion (n=222) at 60-days post-last treatment using a 4-point scale (i.e., 0, 1, 2, 3) where each number corresponded to Clear, Mostly Clear, Partially Clear, or Not Clear, respectively. Lower scores mean better outcome, i.e., 0=Clear while a 3=Not Clear. | 60-days follow-up post-last treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Richard Nuccitelli, PhD | Pulse Biosciences, Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Laser & Skin Surgery Medical Group, Inc. | Sacramento | California | 95816 | United States | ||
| Premier Plastic Surgery |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31592824 | Result | Munavalli GS, Zelickson BD, Selim MM, Kilmer SL, Rohrer TE, Newman J, Jauregui L, Knape WA, Ebbers E, Uecker D, Nuccitelli R. Safety and Efficacy of Nanosecond Pulsed Electric Field Treatment of Sebaceous Gland Hyperplasia. Dermatol Surg. 2020 Jun;46(6):803-809. doi: 10.1097/DSS.0000000000002154. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Number of Study Participants | Total Number of Participants with Sebaceous Hyperplastic Lesions treated with Nano-Pulse Stimulation (NPS) using a pre-defined energy protocol. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
One Participant was not seen at follow-up after being treated or enrolled into the study.
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| ID | Title | Description |
|---|---|---|
| BG000 | All Participants | Nano-Pulse Stimulation Device using pre-defined energy protocol Nano-Pulse Stimulation Device: NPS utilizes a timed series of low energy, high voltage nanosecond (billionth of a second) pulses which are applied directly to targeted tissue using small microneedles. NPS energy induces cell signaling and the activation of cellular pathways by creating transient nanopores in cellular membranes and organelles and initiate regulated cell death. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Total Number of Cleared SH Lesions | SH lesion clearance was assessed live by investigators for each treated SH lesion (n=222) at 60-days post-last treatment using a 4-point scale (i.e., 0, 1, 2, 3) where each number corresponded to Clear, Mostly Clear, Partially Clear, or Not Clear, respectively. Lower scores mean better outcome, i.e., 0=Clear while a 3=Not Clear. | Total number of treated SH Lesions at 60-days. | Posted | Number | Percentage of cleared SH Lesions | 60-days follow-up post-last treatment | SH lesions | SH lesions |
|
Skin effects (hyperpigmentation) were observed per SH lesion at the 5-day, 30-day, 60-day and if applicable 90-day follow-up periods.
Skin effects per SH lesion were defined as presence of mild, moderate or severe post-inflammatory hyperpigmentation (PIH).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | NPS Treated Sebaceous Hyperplasia (SH) Lesion | Nano-Pulse Stimulation (NPS) treated SH Lesions using pre-defined treatment levels. All adverse events were recorded per lesion. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Post-Inflammatory Hyperpigmentation | Skin and subcutaneous tissue disorders | Systematic Assessment | Transient PIH per lesion (n=222) at 60-days post-NPS treatment was 45% with Mild (32%, n=70), Moderate (10%, n=23), Moderate to Severe (2%, n=5) and Severe (1%, n=3) |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| William A. Knape | Pulse Biosciences, Inc. | (510) 906-4649 | bill.knape@pulsebiosciences.com |
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | May 22, 2018 | Oct 20, 2023 | Prot_003.pdf |
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| ID | Term |
|---|---|
| D012868 | Skin Abnormalities |
| ID | Term |
|---|---|
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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|
| San Mateo |
| California |
| 94401 |
| United States |
| Skin Care Physicians | Chestnut Hill | Massachusetts | 02467 | United States |
| Zel Skin & Laser Specialists | Edina | Minnesota | 55424 | United States |
| Dermatology, Laser & Vein Specialists of the Carolinas, PLLC | Charlotte | North Carolina | 28207 | United States |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
|
| Units | Counts |
|---|---|
| Participants |
|
| SH lesions |
|
|
| 0 |
| 71 |
| 0 |
| 71 |
| 32 |
| 71 |
|
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