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Profound Dermal and SubQ Cartridges for the Treatment of Cellulite

Primary Purpose

Cellulite

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Profound
Sponsored by
Syneron Medical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cellulite

Eligibility Criteria

18 Years - 60 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Signed informed consent to participate in the study.
  2. Female subjects, ≥ 18 and ≤ 60 years of age at the time of enrollment
  3. Fitzpatrick Skin Type I to VI.
  4. Subjects seeking treatment of cellulite in the upper thighs and buttocks areas.
  5. Subject cellulite stage II or III as graded using Nurnberger-Muller scale classification (Appendix III).
  6. Not pregnant, lactating and must be either post-menopausal, surgically sterilized, or using a medically acceptable form of birth control at least 3 months prior to enrollment (i.e., oral contraceptives, contraceptive implant, barrier methods with spermicide or abstinence).
  7. Negative urine pregnancy test as tested prior to each treatment and at the last visit for women of child bearing potential (e.g. not menopause).
  8. General good health confirmed by medical history and skin examination of the treated area.
  9. Willing to receive the proposed Profound treatment.
  10. Willing to follow the treatment and follow-up schedule and post-treatment care instructions.
  11. Willing to have photographs and images taken of the treated areas to be used de-identified in evaluations, publications and presentations.

Exclusion Criteria:

  1. Subject cellulite stage 0 or I as graded using Nurnberger-Muller scale classification (Appendix III).
  2. Subject had surgery or any other procedure for cellulite in the last 6 months.
  3. Pregnant or planning to become pregnant, having given birth less than 3 months ago, and/or breast feeding.
  4. Known allergy to lidocaine or epinephrine or antibiotics.
  5. Active malignancy or history of malignancy in the past 5 years.
  6. Having any active electrical implant anywhere in the body, such as a pacemaker or an internal defibrillator.
  7. Suffering from significant concurrent illness, such as cardiac disorders, diabetes (type I or II), lupus, porphyria, or pertinent neurological disorders (i.e. any disease state that in the opinion of the Physician would interfere with the anesthesia, treatment, or healing process).
  8. Having a known anti-coagulative or thromboembolic condition or taking anticoagulation medications one week prior to and during the treatment course (to allow inclusion, temporary cessation of use as per the subject's physician discretion).
  9. History of immunosuppression/immune deficiency disorders (including HIV infection or AIDS) or currently using immunosuppressive medications.
  10. Suffering from hormonal imbalance, whether related to thyroid, pituitary, or androgen.
  11. History of significant lymphatic drainage problems.
  12. History of cancer which required lymph node biopsy or dissection.
  13. Suffering from significant skin conditions in treatment areas or inflammatory skin conditions, including, but not limited to, open lacerations or abrasions, hidradenitis, or dermatitis of the treatment area prior to treatment (duration of resolution as per the Investigator's discretion) or during the treatment course.
  14. History of keloid scarring, abnormal wound healing and / or prone to bruising.
  15. History of epidermal or dermal disorders (particularly if involving collagen or microvascularity), including collagen vascular disease or vasculitic disorders.
  16. Use of isotretinoin (Accutane) within 6 months of treatment or during the study.
  17. Subject on systemic corticosteroid therapy 6 months prior to and throughout the course of the study.
  18. Dysplastic nevi in the area to be treated.
  19. Participation in a study of another device or drug within 3 month prior to enrollment or during this study.
  20. Subject has palpable lymphadenopathy at any visit. Standard palpation techniques will be used.
  21. Subjects with history of severe edema.
  22. As per the Investigator's discretion, any physical or mental condition that might make it unsafe for subject to participate in this study.

Sites / Locations

  • Macrene Alexiades
  • Girish Munavalli

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Profound treatment to small areas

Arm Description

Single Profound treatment with the Dermal and/or SubQ cartridges to bra bulge, above the knees or upper arms

Outcomes

Primary Outcome Measures

Improvement in Global Aesthetic Appearance of Cellulite in Treated Areas, as Assessed by Study Investigator Evaluations
Evaluate the improvement in global aesthetic appearance of cellulite in treated areas following a single dermal and/or subcutaneous treatment with Profound, as assessed by study investigators at 1,3 and 6 months post treatment visit. Investigators used the following scale: 0=No Change; 1= 1-24% improvement; 2=25-49% improvement; 3=50-74% improvement; 4=75-100% improvement. The analysis calculates the improvement over 25% (grades 2-4)

Secondary Outcome Measures

Improvement in Skin Tightening/Laxity in Treated Areas, as Assessed by Study Investigator Evaluations
Evaluate the improvement in skin tightening in treated areas following a single dermal and/or subcutaneous treatment with Profound, as assessed by study investigators at 1 and 6 months post treatment visit. Investigators used the following scale: (0) No tightening/firmness; (1) Slightly visible tightening/firmness; (2) Visible tightening/firmness; (3) Very visible tightening/firmness. The analysis calculates the skin tightening improvement graded: (2) Visible tightening/firmness and (3) Very visible tightening/firmness
Investigator Satisfaction - by Questionnaire
Evaluate Investigator satisfaction at 1, 3, and 6 months post-treatment visit, using a satisfaction scale [(-2) Very dissatisfied, (-1) Dissatisfied, (0) No opinion, (1) Satisfied, (2) Very satisfied]. The analysis quantify investigator satisfaction (grades 1-2)
Subject Satisfaction and Improvement - by Questionnaire
Evaluate subject satisfaction at 1, 3, and 6 months post-treatment visit, using a satisfaction and improvement scale [(-2) Very dissatisfied, (-1) Dissatisfied, (0) No opinion, (1) Satisfied, (2) Very satisfied]. The analysis quantify subject satisfaction (grades 1-2)

Full Information

First Posted
February 22, 2017
Last Updated
June 18, 2019
Sponsor
Syneron Medical
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1. Study Identification

Unique Protocol Identification Number
NCT03078647
Brief Title
Profound Dermal and SubQ Cartridges for the Treatment of Cellulite
Official Title
Clinical Study to Evaluate the Safety and Efficacy Performance of the Profound System Using the Dermal and Sub-dermal (SubQ) Cartridges for the Treatment of Cellulite
Study Type
Interventional

2. Study Status

Record Verification Date
June 2019
Overall Recruitment Status
Completed
Study Start Date
September 13, 2017 (Actual)
Primary Completion Date
November 2, 2018 (Actual)
Study Completion Date
January 31, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Syneron Medical

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Clinical Study to Evaluate the Performance of the Profound System for the Treatment of Cellulite.
Detailed Description
Up to 60 healthy female volunteers, seeking cellulite treatment, 18 to 60 years of age from up to 3 investigational sites. Prospective, open-label, baseline-controlled, two arms, randomized, clinical study to evaluate the Profound device using the Dermal and SubQ Cartridges for minimally-invasive treatment of the upper thighs and buttocks cellulite appearance. The treatment areas of the study subjects will be divided into two arms: Arm 1 - the upper thigh/buttock on the left or right side of the body will undergo a single Profound treatment utilizing the Dermal and SubQ Cartridges Arm 2 - the contralateral upper thigh/buttock side of the body will undergo a single Profound treatment utilizing the SubQ Cartridge only. Methodology described in protocol to evaluate efficacy of treatments will be carried out at each visit.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cellulite

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
31 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Profound treatment to small areas
Arm Type
Experimental
Arm Description
Single Profound treatment with the Dermal and/or SubQ cartridges to bra bulge, above the knees or upper arms
Intervention Type
Device
Intervention Name(s)
Profound
Intervention Description
The main intent of the Profound Dermal and Subdermal cartridges for cellulite treatment is to utilize a minimally-invasive approach to directly deliver radiofrequency (RF) energy into tissue through pairs of micro-electrode needles and use temperature sensors within the needles to reliably create fractional thermal injuries within the skin.
Primary Outcome Measure Information:
Title
Improvement in Global Aesthetic Appearance of Cellulite in Treated Areas, as Assessed by Study Investigator Evaluations
Description
Evaluate the improvement in global aesthetic appearance of cellulite in treated areas following a single dermal and/or subcutaneous treatment with Profound, as assessed by study investigators at 1,3 and 6 months post treatment visit. Investigators used the following scale: 0=No Change; 1= 1-24% improvement; 2=25-49% improvement; 3=50-74% improvement; 4=75-100% improvement. The analysis calculates the improvement over 25% (grades 2-4)
Time Frame
1,3 and 6 months post-treatment
Secondary Outcome Measure Information:
Title
Improvement in Skin Tightening/Laxity in Treated Areas, as Assessed by Study Investigator Evaluations
Description
Evaluate the improvement in skin tightening in treated areas following a single dermal and/or subcutaneous treatment with Profound, as assessed by study investigators at 1 and 6 months post treatment visit. Investigators used the following scale: (0) No tightening/firmness; (1) Slightly visible tightening/firmness; (2) Visible tightening/firmness; (3) Very visible tightening/firmness. The analysis calculates the skin tightening improvement graded: (2) Visible tightening/firmness and (3) Very visible tightening/firmness
Time Frame
1, 3 and 6 months post treatment visit.
Title
Investigator Satisfaction - by Questionnaire
Description
Evaluate Investigator satisfaction at 1, 3, and 6 months post-treatment visit, using a satisfaction scale [(-2) Very dissatisfied, (-1) Dissatisfied, (0) No opinion, (1) Satisfied, (2) Very satisfied]. The analysis quantify investigator satisfaction (grades 1-2)
Time Frame
1, 3, and 6 months post-treatment visit
Title
Subject Satisfaction and Improvement - by Questionnaire
Description
Evaluate subject satisfaction at 1, 3, and 6 months post-treatment visit, using a satisfaction and improvement scale [(-2) Very dissatisfied, (-1) Dissatisfied, (0) No opinion, (1) Satisfied, (2) Very satisfied]. The analysis quantify subject satisfaction (grades 1-2)
Time Frame
1, 3, and 6 months post-treatment visit

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Signed informed consent to participate in the study. Female subjects, ≥ 18 and ≤ 60 years of age at the time of enrollment Fitzpatrick Skin Type I to VI. Subjects seeking treatment of cellulite in the upper thighs and buttocks areas. Subject cellulite stage II or III as graded using Nurnberger-Muller scale classification (Appendix III). Not pregnant, lactating and must be either post-menopausal, surgically sterilized, or using a medically acceptable form of birth control at least 3 months prior to enrollment (i.e., oral contraceptives, contraceptive implant, barrier methods with spermicide or abstinence). Negative urine pregnancy test as tested prior to each treatment and at the last visit for women of child bearing potential (e.g. not menopause). General good health confirmed by medical history and skin examination of the treated area. Willing to receive the proposed Profound treatment. Willing to follow the treatment and follow-up schedule and post-treatment care instructions. Willing to have photographs and images taken of the treated areas to be used de-identified in evaluations, publications and presentations. Exclusion Criteria: Subject cellulite stage 0 or I as graded using Nurnberger-Muller scale classification (Appendix III). Subject had surgery or any other procedure for cellulite in the last 6 months. Pregnant or planning to become pregnant, having given birth less than 3 months ago, and/or breast feeding. Known allergy to lidocaine or epinephrine or antibiotics. Active malignancy or history of malignancy in the past 5 years. Having any active electrical implant anywhere in the body, such as a pacemaker or an internal defibrillator. Suffering from significant concurrent illness, such as cardiac disorders, diabetes (type I or II), lupus, porphyria, or pertinent neurological disorders (i.e. any disease state that in the opinion of the Physician would interfere with the anesthesia, treatment, or healing process). Having a known anti-coagulative or thromboembolic condition or taking anticoagulation medications one week prior to and during the treatment course (to allow inclusion, temporary cessation of use as per the subject's physician discretion). History of immunosuppression/immune deficiency disorders (including HIV infection or AIDS) or currently using immunosuppressive medications. Suffering from hormonal imbalance, whether related to thyroid, pituitary, or androgen. History of significant lymphatic drainage problems. History of cancer which required lymph node biopsy or dissection. Suffering from significant skin conditions in treatment areas or inflammatory skin conditions, including, but not limited to, open lacerations or abrasions, hidradenitis, or dermatitis of the treatment area prior to treatment (duration of resolution as per the Investigator's discretion) or during the treatment course. History of keloid scarring, abnormal wound healing and / or prone to bruising. History of epidermal or dermal disorders (particularly if involving collagen or microvascularity), including collagen vascular disease or vasculitic disorders. Use of isotretinoin (Accutane) within 6 months of treatment or during the study. Subject on systemic corticosteroid therapy 6 months prior to and throughout the course of the study. Dysplastic nevi in the area to be treated. Participation in a study of another device or drug within 3 month prior to enrollment or during this study. Subject has palpable lymphadenopathy at any visit. Standard palpation techniques will be used. Subjects with history of severe edema. As per the Investigator's discretion, any physical or mental condition that might make it unsafe for subject to participate in this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Girish Munavalli, MD
Organizational Affiliation
Laser & Vein Specialists of the Carolinas
Official's Role
Principal Investigator
Facility Information:
Facility Name
Macrene Alexiades
City
New York
State/Province
New York
ZIP/Postal Code
10028
Country
United States
Facility Name
Girish Munavalli
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28270
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
18489274
Citation
Rawlings AV. Cellulite and its treatment. Int J Cosmet Sci. 2006 Jun;28(3):175-90. doi: 10.1111/j.1467-2494.2006.00318.x.
Results Reference
background
PubMed Identifier
11204512
Citation
Rossi AB, Vergnanini AL. Cellulite: a review. J Eur Acad Dermatol Venereol. 2000 Jul;14(4):251-62. doi: 10.1046/j.1468-3083.2000.00016.x.
Results Reference
background
PubMed Identifier
25915628
Citation
Alexiades M, Berube D. Randomized, blinded, 3-arm clinical trial assessing optimal temperature and duration for treatment with minimally invasive fractional radiofrequency. Dermatol Surg. 2015 May;41(5):623-32. doi: 10.1097/DSS.0000000000000347.
Results Reference
background
PubMed Identifier
30222637
Citation
Alexiades M, Munavalli G, Goldberg D, Berube D. Prospective Multicenter Clinical Trial of a Temperature-Controlled Subcutaneous Microneedle Fractional Bipolar Radiofrequency System for the Treatment of Cellulite. Dermatol Surg. 2018 Oct;44(10):1262-1271. doi: 10.1097/DSS.0000000000001593.
Results Reference
background
PubMed Identifier
33764552
Citation
Alexiades M, Munavalli GS. Single Treatment Protocol With Microneedle Fractional Radiofrequency for Treatment of Body Skin Laxity and Fat Deposits. Lasers Surg Med. 2021 Oct;53(8):1026-1031. doi: 10.1002/lsm.23397. Epub 2021 Mar 25.
Results Reference
derived

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Profound Dermal and SubQ Cartridges for the Treatment of Cellulite

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