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Injectable Poly-L-Lactic Acid for Volumization and Adipogenesis of the Hip Dell

Primary Purpose

Skin Laxity

Status
Not yet recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
injectable poly-L-lactic acid
Normal Saline
Sponsored by
Goldman, Butterwick, Fitzpatrick and Groff
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Skin Laxity focused on measuring Skin, Volume, Volume Loss, Hips, Cosmetic

Eligibility Criteria

30 Years - 60 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Adult females aged 30 to 60 years
  • Subjects in good general health based on investigator's judgment and medical history
  • Moderate to severe hip dell volume deficit as determined by the investigators
  • Must be willing to give and sign an informed consent form and photographic release form
  • Must have a stable body weight for at least six (6) months prior to study entry
  • Must be willing to maintain usual sun exposure, diet, and exercise routines for the duration of the study
  • Subject agrees to avoid tanning or use of sunless tanner during the entire course of the study
  • Negative urine pregnancy test result at the time of study entry (if applicable)
  • For female subjects of childbearing potential, must be willing to use an acceptable form of birth control during the entire course of the study. All systemic birth control measures must be in consistent use for at least 30 days prior to study enrollment.
  • A female is considered of childbearing potential unless she is postmenopausal, without a uterus and/or both ovaries, or has had a bilateral tubal ligation.
  • Acceptable methods of birth control are: oral contraceptives, contraceptive patches/rings/implants, Implanon®, Depo-Provera®, double-barrier methods (e.g., condoms and spermicide), abstinence, and/or vasectomy of partner with a documented second acceptable method of birth control, should the subject become sexually active.
  • Must be willing to comply with study treatments and complete the entire course of the study

Exclusion Criteria:

  • Liposuction to bilateral hips, flanks, thighs, buttocks during the 12-month period prior to study treatment or any time during the course of the study
  • Mesotherapy, dermal fillers, biostimulatory injectables, fat grafting, radiofrequency device treatments, microfocused ultrasound device treatments, laser and light-based device treatments, microneedling, cryolipolysis, high intensity focused electromagnetic energy device treatment, or surgery (i.e., lower body lift, buttocks augmentation, abdominoplasty, etc.) during the 12-month period before study treatment c) Any investigational treatment for a volume deficit of the bilateral hip dell areas during the 12-month period before the study treatment d) Massage therapy during the 3-month period before study treatment. e) Creams/cosmeceuticals and/or home therapies to promote plumping of the bilateral hip dell area during the four-week period before study treatment f) Subjects with scarring in the treatment areas g) History of thrombosis, post-thrombosis syndrome, or any vascular disorder of the bilateral lower extremities
  • Any history of bleeding or coagulation disorders i) Subjects with tattoos or permanent implants in the treatment areas j) Subjects with a significant history or current evidence of a medical, psychological, or other disorder that, in the investigator's opinion, would preclude enrollment into the study
  • Subjects with a history of or presence of any skin condition/disease (including but not limited to any visible rash, atopic dermatitis, psoriasis, actinic keratoses, keratinocyte carcinoma, melanoma, etc.) in the treatment area that might interfere with the diagnosis or evaluation of study parameters
  • History of keloid or hypertrophic scarring
  • Subjects with an active bacterial, viral, or fungal infection of the treatment areas
  • Subjects who spray tanned or used sunless tanners in the treatment areas four (4) weeks prior to study treatment
  • History of lidocaine sensitivity deemed by the investigator to preclude the subject from enrolling into the study
  • Subjects planning any cosmetic procedure to the treatment areas during the study period, other than the treatment that will be performed by the investigator
  • Presence of incompletely healed wound(s) in the treatment area
  • Subjects who are on an immunosuppressant or have an autoimmune condition
  • Female subjects who are pregnant, planning a pregnancy, or breast feeding during the study
  • Current participation or participation within 30 days prior to the start of this study in a drug or other investigational research study

Sites / Locations

  • West Dermatology Research Center/Cosmetic Laser Dermatology

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Sham Comparator

Arm Label

injectable poly-L-lactic acid

Normal Saline

Arm Description

One side of the subject's hips will be treated with injectable poly-L-lactic acid (PLLA, Sculptra® Aesthetic; Galderma Laboratories; Fort Worth, TX).

One side of the subject's hips will be treated with injectable normal saline

Outcomes

Primary Outcome Measures

Histological Analysis
Comparison of measure of adipose tissue in biopsies taken from device and sham treated areas prior to baseline and at followup visits
Histological Analysis
Comparison of measure of adipose tissue in biopsies taken from device and sham treated areas prior to baseline and at followup visits
Volumetric Analysis
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Volumetric Analysis
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Volumetric Analysis
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Volumetric Analysis
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Volumetric Analysis
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Volumetric Analysis
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Volumetric Analysis
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Volumetric Analysis
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Physician Global Aesthetic Improvement Scale
Blinded-Evaluator assessment of change in appearance of treated areas where 1 + Very Much Improved, 2 = Much Improved, 3 = Improved, 4 = No Change, and 5 = Worse
Physician Global Aesthetic Improvement Scale
Blinded-Evaluator assessment of change in appearance of treated areas where 1 + Very Much Improved, 2 = Much Improved, 3 = Improved, 4 = No Change, and 5 = Worse
Physician Global Aesthetic Improvement Scale
Blinded-Evaluator assessment of change in appearance of treated areas where 1 + Very Much Improved, 2 = Much Improved, 3 = Improved, 4 = No Change, and 5 = Worse
Physician Global Aesthetic Improvement Scale
Blinded-Evaluator assessment of change in appearance of treated areas where 1 + Very Much Improved, 2 = Much Improved, 3 = Improved, 4 = No Change, and 5 = Worse
Identification of correct Treatment Area (Right vs Left Hip)
Blinded-Evaluator performed assessment of which side received study treatment and which received sham

Secondary Outcome Measures

Collagen Analysis
Quantitative analysis of collagen amounts based on histology
Elastin Analysis
Quantitative analysis of elastin amounts based on histology
Skin Thickness
Ultrasound imaging measurements of skin thickness/thickness of dermis
Subject Global Aesthetic Improvement Score
Subject assessment of change in appearance of treated areas rated numerically from 1 to 5 with 1 being very much improved to 5 being worse
Subject Satisfaction Questionairre
Degree of subject satisfaction with treatment outcomes rated numerically from 0 to 4 with 0 being not satisfied to 4 being extremely satisfied
Evaluation of Side Effects
Assessment of treatment related adverse events by Investigator

Full Information

First Posted
February 4, 2022
Last Updated
February 25, 2022
Sponsor
Goldman, Butterwick, Fitzpatrick and Groff
Collaborators
Galderma R&D
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1. Study Identification

Unique Protocol Identification Number
NCT05269654
Brief Title
Injectable Poly-L-Lactic Acid for Volumization and Adipogenesis of the Hip Dell
Official Title
A Single Center, Double-Blinded, Split-Body, Randomized Clinical Trial of Injectable Poly-L-Lactic Acid for Volumization and Adipogenesis of the Hip Dell
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
March 4, 2022 (Anticipated)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
March 1, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Goldman, Butterwick, Fitzpatrick and Groff
Collaborators
Galderma R&D

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.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
To assess the safety, efficacy and subject satisfaction associated with volumization of the hip dell with injectable poly-L-lactic acid (PLLA), or Sculptra® Aesthetic (Galderma Laboratories, Fort Worth, TX).
Detailed Description
The primary objectives of this clinical trial is to assess efficacy of adipose tissue generation (adipogenesis) and volumization following treatment of the hip dell with injectable poly-L-lactic acid (PLLA, Sculptra® Aesthetic; Galderma Laboratories; Fort Worth, TX). Enrolled subjects will be randomized to two (2) treatment groups: "right hip dell treated" and "left hip dell treated". All subjects will receive three (3), single-sided injections of Sculptra® Aesthetic (Galderma Laboratories; Fort Worth, TX), performed one (1) month ± 7 days apart. Treatments will be provided to one side randomly assigned to either "right side" or "left side". The non-treatment side will receive bacteriostatic saline, injected in the same manner as Sculptra® Aesthetic. One (1) vial of Sculptra® Aesthetic, diluted to 8mL, will be used per treatment session. Subjects satisfying all inclusion and no exclusion criteria will be enrolled in this trial. Prior to receiving any study treatment, mandatory digital photography with overhead lighting and VECTRA® (Canfield Scientific, Inc.; Parsippany, NJ) 3D volumetric body photography will be obtained of each subject's treatment area. In order to participate in the study, subjects must provide written informed consent to have their photographs used for research, publication, and/or commercial purposes.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Skin Laxity
Keywords
Skin, Volume, Volume Loss, Hips, Cosmetic

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
This is a prospective, single-site, double-blinded, split-body, randomized controlled trial.
Masking
ParticipantOutcomes Assessor
Masking Description
Subject and Outcome Assessor will be unaware of which side of the subject is treated with the study device and which is treated with saline.
Allocation
Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
injectable poly-L-lactic acid
Arm Type
Experimental
Arm Description
One side of the subject's hips will be treated with injectable poly-L-lactic acid (PLLA, Sculptra® Aesthetic; Galderma Laboratories; Fort Worth, TX).
Arm Title
Normal Saline
Arm Type
Sham Comparator
Arm Description
One side of the subject's hips will be treated with injectable normal saline
Intervention Type
Device
Intervention Name(s)
injectable poly-L-lactic acid
Other Intervention Name(s)
PLLA, Sculptra, Sculptra Aesthetic, Galderma
Intervention Description
Injectable biostimulant for volume loss
Intervention Type
Other
Intervention Name(s)
Normal Saline
Intervention Description
Sham Comparator
Primary Outcome Measure Information:
Title
Histological Analysis
Description
Comparison of measure of adipose tissue in biopsies taken from device and sham treated areas prior to baseline and at followup visits
Time Frame
Baseline to three months post final treatment
Title
Histological Analysis
Description
Comparison of measure of adipose tissue in biopsies taken from device and sham treated areas prior to baseline and at followup visits
Time Frame
Baseline to six months post final treatment
Title
Volumetric Analysis
Description
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Time Frame
Pre-Treatment Visit 2/ Baseline
Title
Volumetric Analysis
Description
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Time Frame
Pre-Treatment Visit 3/ Day 14
Title
Volumetric Analysis
Description
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Time Frame
Pre-Treatment Visit 4/ Day 44
Title
Volumetric Analysis
Description
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Time Frame
Pre-Treatment Visit 5/ Day 74
Title
Volumetric Analysis
Description
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Time Frame
Visit 6/ Day 104
Title
Volumetric Analysis
Description
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Time Frame
Visit 7/ Day 164
Title
Volumetric Analysis
Description
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Time Frame
Visit 9/ Day 254
Title
Volumetric Analysis
Description
Analysis of tissue volume in treatment zones based on measurements obtained via 3D photography
Time Frame
Visit 11/ Day 344
Title
Physician Global Aesthetic Improvement Scale
Description
Blinded-Evaluator assessment of change in appearance of treated areas where 1 + Very Much Improved, 2 = Much Improved, 3 = Improved, 4 = No Change, and 5 = Worse
Time Frame
1 Month Follow-Up visit
Title
Physician Global Aesthetic Improvement Scale
Description
Blinded-Evaluator assessment of change in appearance of treated areas where 1 + Very Much Improved, 2 = Much Improved, 3 = Improved, 4 = No Change, and 5 = Worse
Time Frame
3 Month Follow-Up visit
Title
Physician Global Aesthetic Improvement Scale
Description
Blinded-Evaluator assessment of change in appearance of treated areas where 1 + Very Much Improved, 2 = Much Improved, 3 = Improved, 4 = No Change, and 5 = Worse
Time Frame
6 Month Follow-Up visit
Title
Physician Global Aesthetic Improvement Scale
Description
Blinded-Evaluator assessment of change in appearance of treated areas where 1 + Very Much Improved, 2 = Much Improved, 3 = Improved, 4 = No Change, and 5 = Worse
Time Frame
9 Month Follow-Up visit
Title
Identification of correct Treatment Area (Right vs Left Hip)
Description
Blinded-Evaluator performed assessment of which side received study treatment and which received sham
Time Frame
9 Month Follow-Up visit
Secondary Outcome Measure Information:
Title
Collagen Analysis
Description
Quantitative analysis of collagen amounts based on histology
Time Frame
Upon analysis of biopsies collected at Day 0 and 3 and 6 Month Follow-Up visits
Title
Elastin Analysis
Description
Quantitative analysis of elastin amounts based on histology
Time Frame
Upon analysis of biopsies collected at Day 0 and 3 and 6 Month Follow-Up visits
Title
Skin Thickness
Description
Ultrasound imaging measurements of skin thickness/thickness of dermis
Time Frame
Day 0 and 3, 6, and 9 Month Follow-Up visits
Title
Subject Global Aesthetic Improvement Score
Description
Subject assessment of change in appearance of treated areas rated numerically from 1 to 5 with 1 being very much improved to 5 being worse
Time Frame
1, 3, 6, and 9 Month Follow-Up visits
Title
Subject Satisfaction Questionairre
Description
Degree of subject satisfaction with treatment outcomes rated numerically from 0 to 4 with 0 being not satisfied to 4 being extremely satisfied
Time Frame
1, 3, 6, and 9 Month Follow-Up visits
Title
Evaluation of Side Effects
Description
Assessment of treatment related adverse events by Investigator
Time Frame
Day 44, Day 74, Day 104, Day 164, Day 178, Day 254, Day 268, Day 433

10. Eligibility

Sex
Female
Gender Based
Yes
Gender Eligibility Description
Subjects must self-report as female
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Adult females aged 30 to 60 years Subjects in good general health based on investigator's judgment and medical history Moderate to severe hip dell volume deficit as determined by the investigators Must be willing to give and sign an informed consent form and photographic release form Must have a stable body weight for at least six (6) months prior to study entry Must be willing to maintain usual sun exposure, diet, and exercise routines for the duration of the study Subject agrees to avoid tanning or use of sunless tanner during the entire course of the study Negative urine pregnancy test result at the time of study entry (if applicable) For female subjects of childbearing potential, must be willing to use an acceptable form of birth control during the entire course of the study. All systemic birth control measures must be in consistent use for at least 30 days prior to study enrollment. A female is considered of childbearing potential unless she is postmenopausal, without a uterus and/or both ovaries, or has had a bilateral tubal ligation. Acceptable methods of birth control are: oral contraceptives, contraceptive patches/rings/implants, Implanon®, Depo-Provera®, double-barrier methods (e.g., condoms and spermicide), abstinence, and/or vasectomy of partner with a documented second acceptable method of birth control, should the subject become sexually active. Must be willing to comply with study treatments and complete the entire course of the study Exclusion Criteria: Liposuction to bilateral hips, flanks, thighs, buttocks during the 12-month period prior to study treatment or any time during the course of the study Mesotherapy, dermal fillers, biostimulatory injectables, fat grafting, radiofrequency device treatments, microfocused ultrasound device treatments, laser and light-based device treatments, microneedling, cryolipolysis, high intensity focused electromagnetic energy device treatment, or surgery (i.e., lower body lift, buttocks augmentation, abdominoplasty, etc.) during the 12-month period before study treatment c) Any investigational treatment for a volume deficit of the bilateral hip dell areas during the 12-month period before the study treatment d) Massage therapy during the 3-month period before study treatment. e) Creams/cosmeceuticals and/or home therapies to promote plumping of the bilateral hip dell area during the four-week period before study treatment f) Subjects with scarring in the treatment areas g) History of thrombosis, post-thrombosis syndrome, or any vascular disorder of the bilateral lower extremities Any history of bleeding or coagulation disorders i) Subjects with tattoos or permanent implants in the treatment areas j) Subjects with a significant history or current evidence of a medical, psychological, or other disorder that, in the investigator's opinion, would preclude enrollment into the study Subjects with a history of or presence of any skin condition/disease (including but not limited to any visible rash, atopic dermatitis, psoriasis, actinic keratoses, keratinocyte carcinoma, melanoma, etc.) in the treatment area that might interfere with the diagnosis or evaluation of study parameters History of keloid or hypertrophic scarring Subjects with an active bacterial, viral, or fungal infection of the treatment areas Subjects who spray tanned or used sunless tanners in the treatment areas four (4) weeks prior to study treatment History of lidocaine sensitivity deemed by the investigator to preclude the subject from enrolling into the study Subjects planning any cosmetic procedure to the treatment areas during the study period, other than the treatment that will be performed by the investigator Presence of incompletely healed wound(s) in the treatment area Subjects who are on an immunosuppressant or have an autoimmune condition Female subjects who are pregnant, planning a pregnancy, or breast feeding during the study Current participation or participation within 30 days prior to the start of this study in a drug or other investigational research study
Facility Information:
Facility Name
West Dermatology Research Center/Cosmetic Laser Dermatology
City
San Diego
State/Province
California
ZIP/Postal Code
92121
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Injectable Poly-L-Lactic Acid for Volumization and Adipogenesis of the Hip Dell

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