Using Tranexamic Acid to Treat Skin Pigmentation Disorders

The Efficacy of Tranexamic Acid in the Treatment of Lichen Planus Pigmentosus and Erythema Dyschromicum Perstans

Phase 2 Interventional Henry Ford Health System · NCT04233749

This study is testing if tranexamic acid can help people with skin pigmentation disorders like lichen planus pigmentosus and erythema dyschromicum perstans feel better and improve their skin color.

Quick facts

PhasePhase 2
Study typeInterventional
Enrollment5 (estimated)
Ages18 Years and up
SexAll
SponsorHenry Ford Health System Academic / other
Locations1 site (Detroit, Michigan)
Trial IDNCT04233749 on ClinicalTrials.gov

What this trial studies

This clinical trial investigates the efficacy of tranexamic acid in treating lichen planus pigmentosus (LPP) and erythema dyschromicum perstans (EDP), two challenging pigmentary disorders. The study aims to determine if tranexamic acid, known for its ability to reduce pigmentation in melasma, can similarly benefit patients with LPP and EDP. Participants will receive tranexamic acid tablets after a washout period from other treatments. The trial will assess changes in pigmentation and overall skin condition in affected individuals.

Who should consider this trial

Good fit: Ideal candidates include adults aged 18 and older diagnosed with LPP, EDP, or ashy dermatosis.

Not a fit: Patients with a history of clotting disorders, active malignancies, or severe renal impairment may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could provide a new effective option for patients suffering from LPP and EDP, improving their skin appearance and quality of life.

How similar studies have performed: While tranexamic acid has shown promise in treating melasma, its application for LPP and EDP is novel and has not been extensively tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Subject age 18 and older
* Subject with a diagnosis of LPP, EDP, or AD
* Subject able to understand requirements of the study and risks involved
* Subject able to sign a consent form
* Subject to have discontinued all topical or oral medications, with the exception of sunscreen, used to treat pigmentary abnormalities one month prior to treatment

Exclusion Criteria:

* Personal history of clotting disorder or thromboembolic disease (deep vein thrombosis (DVT), stroke, etc)
* Active malignancy, excluding non-melanoma skin cancer
* Moderate to severe renal impairment
* History of migraine with aura
* Current anticoagulant therapy
* Current use of hormonal contraception or hormone replacement therapy in the last 30 days
* A woman who is lactating, pregnant, or planning to become pregnant

Where this trial is running

Detroit, Michigan

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Lichen Planus PigmentosusErythema Dyschromicum PerstansAshy Dermatosis of Ramirez
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.