Combined Fractional CO₂ Laser and Topical Corticosteroid Versus Topical Corticosteroid Only in the Treatment of Palmoplantar Psoriasis
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Fractional CO2 laser assisted drug delivery, Topical Corticosteroid (TCS).
- Who it may be relevant to
- Registry conditions: Psoriasis. Basic parameters: 18 years — 60 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Comparative Study of the Efficacy and Safety of Combined Fractional CO₂ Laser and Topical Corticosteroid Versus Topical Corticosteroid Only in the Treatment of Palmoplantar Psoriasis: A Pilot Randomized Controlled Clinical Trial
Overview
To assess whether adding fractional laser to topical corticosteroid improves treatment outcomes in palmoplanter psoriasis compared to topical corticosteroid alone.
Detailed description
· To evaluate and compare the reduction in disease severity of palmoplantar psoriasis using the Palmoplantar Psoriasis Area and Severity Index (PPPASI) in both treatment groups
Interventions
- Device Fractional CO2 laser assisted drug delivery
Sessions of fractional CO2 every 4 weeks with application of topical steroids - Drug Topical Corticosteroid (TCS)
Daily application of topical corticosteroids on palmoplantar psoriasis
Primary outcome measures
- Improvement in Palmoplantar Psoriasis Severity Index (ppPASI) by topical corticosteroids only vs fractional CO₂ laser-assisted delivery of topical corticosteroids [Time frame: 3 month]
Secondary outcome measures (1)
- Physician Global Assessment (PGA) [Time frame: 3 months]
Eligibility criteria
Inclusion criteria
- Adults aged ≥18 years
- Stable psoriasis
- Confirmed cases of palmoplantar psoriasis (with or without psoriasis elsewhere) dermoscopically(Hand \_held dermoscopy) and histopathologically if required.
- Willingness to comply with treatment and follow-up
- Written informed consent obtained
Exclusion criteria
- Other palmoplantar dermatoses (eczema, tinea, keratoderma)
- Generlized Pustular psoriasis
- Erythrodermic psoriasis
- Use of:
- Systemic antipsoriatic therapy within 3 months
- Biologic therapy within 12 weeks
- Topical treatment on palms/soles within 2 weeks
- Pregnancy or lactation
- History of photosensitivity disorders
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Cairo University — Cairo
Identifiers
NCT: NCT07713212 · MS-124-2026