RCT
Topical Stabilized Cysteamine as a New Treatment for Hyperpigmentation Disorders: Melasma, Post-Inflammatory Hyperpigmentation, and Lentigines.
Seemal Desai, Corey Hartman, Pearl Grimes, Sana Shah
RCTJournal of drugs in dermatology : JDD2021
Research Facts
Topical Stabilized Cysteamine as a New Treatment for Hyperpigmentation Disorders: Melasma, Post-Inflammatory Hyperpigmentation, and Lentigines.
Seemal Desai, Corey Hartman, Pearl Grimes, Sana Shah
RCT ยท Strong ยท 2021
Findings

Stabilized cysteamine outperformed or matched gold-standard treatments like triple-combination cream and tranexamic acid for melasma, with better tolerability. It also showed significant effectiveness against age spots (lentigines), which typically resist most topical treatments. The key breakthrough: cysteamine was finally made shelf-stable and non-stinky enough for actual skincare use.

Design
RCT
Evidence
Strong
Journal
Journal of drugs in dermatology : JDD
Methodology

Researchers reviewed multiple clinical trials and case studies on stabilized cysteamine conducted since 2015, including double-blind randomized controlled trials comparing it directly to established depigmenting treatments.

Funded By

Funding not disclosed in abstract