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NCT Number: NCT04764331

A Pilot Study of Revian Red All LED Cap as a Novel Treatment for Central Centrifugal Cicatricial Alopecia

Central centrifugal cicatricial alopecia (CCCA) is form of scarring hair loss that predominately affects middle-aged women of African descent.1 . Clinically, the natural progression of CCCA starts at the crown as roughly circular scarred patches, which evolve into scarred areas increasing in size circumferentially. Characteristically, the scar is often smooth and shiny, and the hair density in the affected area is frequently decreased. The hair remaining in the scarred areas is more brittle and shorter than the hair in unaffected areas. Since CCCA is a scarring disorder, it can cause permanent hair loss, dyesthesias, and psychological distress which can affect overall quality of life. Affected individuals may complain of pruritus, pain, or tenderness.2

The management of CCCA is challenging due to limited current treatments and a lack of randomized controlled trails. Management focuses on behavioral and styling modifications, in addition to symptomatic relief. Any potentially damaging hair care practices such as chemical relaxers, heat application to the scalp, and the use of hardening gels and sprays are discouraged.3 Many commonly used therapies are anti-inflammatory in nature, including intralesional steroids, topical steroids, oral antibiotics and increased frequency of hair washing with antidandruff shampoos.4 These treatments not only lead to improvement in pruritus and tenderness, but in some cases result in increased hair density.5 Since there is limited investigation done to determine the most effective treatment approach for CCCA subjects, it would be of great benefit to determine if there is any advantage in using one particular anti-inflammatory therapy over others and whether one is more efficacious in relieving symptoms or promoting hair regrowth in follicles that have not yet become scarred.

The Revian Red All LED cap is a dual-band LED light therapy wireless "smart" cap. It has been effective in androgenetic alopecia (used once daily, 10-minute treatment regimen) for both men and women. There are also reportedly minimal side effects, unlike with topical minoxidil which can cause pruritus and initial hair shedding in the first few weeks, or finasteride which can cause gynecomastia and loss of libido. In this study we hope to see if the anti-inflammatory capabilities of this cap can improve scalp symptoms, reduce hair loss, and promote maturation of vellus and intermediate hairs in non-scarred areas of the scalp in those affected by CCCA.

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Key information

Conditions

Central Centrifugal Cicatricial Alopecia

Age range

18 year–75 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Wake Forest School of Medicine - Dermatology Clinic

Winston-Salem, North Carolina, 27157, United States

Location status: Recruiting

Location contact

Amy McMichael, MD

PRINCIPAL_INVESTIGATOR

Brittany Feaster

CONTACT

[email protected]

336-407-5731

Irma M Richardon, MHA

CONTACT

[email protected]

336-716-2903

About this study

The purpose of this pilot study is to determine if the Revian Red All LED cap shows potential to be an effective treatment for CCCA by recruiting hair follicles back to anagen growth or by improving inflammation. The primary outcome is to determine if hair loss regression is halted. Secondary outcomes include hair regrowth and alleviation of signs and symptoms of the disease.

Methods and Measures

Design 5 subjects who are willing to participate in a novel treatment for Revian Red All LED cap will be enrolled in this study. The cap uses two wavelengths of light, 620 nm and 660 nm. A study caps will be provided for each subject. Subjects will use the cap once daily, 10-minute treatment regimen which is the current androgenetic alopecia recommendation. The subjects will use the cap for a total of 6 months.

Standardized photos and dermatoscope photos before starting treatment and every 2 months for x 6 total months will be taken to assess hairline stabilization and potential for regrowth.

Prior to study enrollment, all participants will receive a detailed explanation of the purpose of the study and will undergo written informed consent. Clinical history of hair loss and history of prior treatment will be obtained by administering a standardized questionnaire to all subjects. Subjects will also fill out a questionnaire regarding symptoms of their hair loss at each subsequent treatment visit and at follow-up. In order to be eligible, subjects must be diagnosed clinically and histologically with CCCA. Diagnosis will be made only by a board-certified dermatologist.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Women who are eighteen years of age or older with a biopsy-proven diagnosis of CCCA Stage II-III. They also must be on stable treatment without changes (on doxycycline, topical steroids, minoxidil and/or post 8 rounds of intralesional steroids) for at least 3 months.
  • Subjects will be recruited from outpatient dermatology clinics at the Wake Forest Baptist Health Department of Dermatology.

Exclusion criteria

  • Subjects with other forms of hair loss that is not CCCA
  • Prior treatment with light source for alopecia
  • Males are excluded from this study since the prevalence of CCCA in males is so significantly low that it is difficult to find cases in a clinical setting

Treatment and study plan

Revian Red All LED cap

Device

Cap that uses two wavelengths of light, 620 nm and 660 nm will be used once a day for 10 minutes.for treatment

Other names: Revian Red

Primary outcomes

  1. hairline stabilization

    Time frame: Change from baseline to month 2

    Pre treatment photographs will also be assessed to determine if further scalp hairline recession is present and to look for hair regrowth

  2. hairline stabilization

    Time frame: Change from month 2 to month 4

    Post-treatment photographs will also be assessed to determine if further scalp hairline recession is present and to look for hair regrowth

  3. hairline stabilization

    Time frame: Change from month 4 to month 6 (end of study)

    Post-treatment photographs will also be assessed to determine if further scalp hairline recession is present and to look for hair regrowth

  4. hairline regrowth

    Time frame: Change from baseline to month 2

    Pre treatment photographs will be assessed to determine if further scalp hairline recession is present and to look for hair regrowth

  5. hairline regrowth

    Time frame: Change from month 2 to month 4

    Post-treatment photographs will also be assessed to determine if further scalp hairline recession is present and to look for hair regrowth

  6. hairline regrowth

    Time frame: Change from month 4 to month 6 (end of study)

    Post-treatment photographs will also be assessed to determine if further scalp hairline recession is present and to look for hair regrowth

Secondary outcomes

  1. patient assessment of stabilization

    Time frame: baseline

    Questionnaire will be completed at baseline

  2. patient assessment of stabilization

    Time frame: month 6

    Questionnaire will be completed at end of study

Study contacts

Contact information is provided by the study sponsor or research team.

Irma M Richardson, MHA

CONTACT

[email protected]

336-716-2903

Sponsors and collaborators

Lead sponsor

Wake Forest University Health Sciences

Other

Registry information

Official study title

A Pilot Study of Revian Red All LED Cap as a Novel Treatment for Central Centrifugal Cicatricial Alopecia.

Important dates

Study start
2021
Primary completion
2026
Study completion
2026
First posted
Feb 21, 2021
Registry last updated
Mar 4, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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