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High Intensity Ultrasound for the Treatment of Upper Inner Arm Skin Laxity

Primary Purpose

Skin Laxity

Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Sofwave
Ultherapy
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

Eligibility Criteria

35 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

a) Male or female subjects > 35 years of age and < 70 years of age b) Subjects in good general health based on investigator's judgment and medical history c) Upper inner arm skin laxity that improves when the skin of the upper inner arm is stretched or lifted superiorly d) Moderate to severe upper inner arm skin crepiness/laxity based on the Upper Inner Arm Visual Crepiness/Laxity Grading Scale (Appendix B) e) Must be willing to give and sign an informed consent form and photographic release form f) Must have a stable body weight for at least six (6) months prior to study entry g) Must be willing to maintain usual sun exposure, diet, and exercise routines for the duration of the study h) Must agree to avoid tanning or use of sunless tanner during the entire course of the study i) Negative urine pregnancy test result at the time of study entry (if applicable) j) 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.

  1. 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.
  2. 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.

k) Must be willing to comply with study treatments and complete the entire course of the study

Exclusion Criteria:

  1. Liposuction to bilateral upper arms during the 12-month period prior to study treatment or any time during the course of the study
  2. Mesotherapy; dermal fillers, biostimulatory injectables; 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., brachyplasty) during the 12-month period before study treatment
  3. Any investigational treatment of skin crepiness/laxity of the upper arms during the 12-month period before the study treatment
  4. Creams/cosmeceuticals and/or home therapies to prevent or treat skin laxity during the four-week period before study treatment
  5. Subjects with scarring in the treatment areas
  6. History of thrombosis, post-thrombosis syndrome, or any vascular disorder of the bilateral upper extremities
  7. Any history of bleeding or coagulation disorders
  8. Subjects with tattoos or permanent implants in the treatment areas
  9. 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
  10. 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
  11. Subjects with an active bacterial, viral, or fungal infection of the treatment areas
  12. Subjects who spray tanned or used sunless tanners in the treatment areas four (4) weeks prior to study treatment
  13. History of lidocaine sensitivity deemed by the investigator to preclude the subject from enrolling into the study
  14. Subjects planning any cosmetic procedure to the treatment areas during the study period, other than the treatment that will be performed by the investigator
  15. Presence of incompletely healed wound(s) in the treatment area
  16. Subject who is on an immunosuppressant or has an autoimmune condition
  17. Female subjects who are pregnant, planning a pregnancy, or breast feeding during the study
  18. Current participation or participation within 30 days prior to the start of this study in a drug or other investigational research study

Sites / Locations

  • Cosmetic Laser DermatologyRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Other

Arm Label

Sofwave

Ultherapy

Arm Description

Outcomes

Primary Outcome Measures

Upper Inner Arm Visual Skin Crepiness and Laxity
Upper Inner Arm Visual Skin Crepiness/Laxity Grading Scale completed by blinded investigator
Upper Inner Arm Visual Skin Crepiness and Laxity
Upper Inner Arm Visual Skin Crepiness/Laxity Grading Scale completed by blinded investigator
Upper Arm Circumference
Blinded Investigator Measurement of Point of Maximal Upper Arm Skin Laxity and Circumference
Upper Arm Circumference
Blinded Investigator Measurement of Point of Maximal Upper Arm Skin Laxity and Circumference
Upper Arm Firmness
Blinded Investigator Measurement of Skin Firmness
Upper Arm Firmness
Blinded Investigator Measurement of Skin Firmness
Upper Arm Elasticity
Blinded Investigator Measurement of Skin Elasticity
Upper Arm Elasticity
Blinded Investigator Measurement of Skin Elasticity
Physician Global Aesthetic Improvement Scale (PGAIS)
Assessment of overall change in treatment area by blinded investigator
Physician Global Aesthetic Improvement Scale (PGAIS)
Assessment of overall change in treatment area by blinded investigator

Secondary Outcome Measures

Subject Global Aesthetic Improvement Scale (SGAIS)
Assessment of overall change in treatment area by subject
Subject Global Aesthetic Improvement Scale (SGAIS)
Assessment of overall change in treatment area by subject
Subject Satisfaction Questionnaire
Subject degree of satisfaction with results of treatment
Subject Satisfaction Questionnaire
Subject degree of satisfaction with results of treatment
Subject Pain Score
Subject Assessment of Pain During Treatment
Erythema
Treating Investigator Evaluation of Erythema
Erythema
Treating Investigator Evaluation of Erythema
Erythema
Treating Investigator Evaluation of Erythema
Edema
Treating Investigator Evaluation of Edema
Edema
Treating Investigator Evaluation of Edema
Edema
Treating Investigator Evaluation of Edema
Dyspigmentation
Treating Investigator Evaluation of Dyspigmentation
Dyspigmentation
Treating Investigator Evaluation of Dyspigmentation
Dyspigmentation
Treating Investigator Evaluation of Dyspigmentation
Ulceration
Treating Investigator Evaluation of Ulceration/Erosion
Ulceration
Treating Investigator Evaluation of Ulceration/Erosion
Ulceration
Treating Investigator Evaluation of Ulceration/Erosion

Full Information

First Posted
April 6, 2022
Last Updated
April 27, 2022
Sponsor
Goldman, Butterwick, Fitzpatrick and Groff
Collaborators
Sofwave Medical LTD
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1. Study Identification

Unique Protocol Identification Number
NCT05355714
Brief Title
High Intensity Ultrasound for the Treatment of Upper Inner Arm Skin Laxity
Official Title
A Single Center, Blinded, Split-Body, Randomized Clinical Trial of High Intensity Ultrasound for the Treatment of Upper Inner Arm Skin Laxity
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Recruiting
Study Start Date
April 14, 2022 (Actual)
Primary Completion Date
April 30, 2023 (Anticipated)
Study Completion Date
October 1, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Goldman, Butterwick, Fitzpatrick and Groff
Collaborators
Sofwave Medical LTD

4. Oversight

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

5. Study Description

Brief Summary
Upper inner arms of enrolled subjects will be randomized to two (2) treatment groups: Sofwave and Ultherapy, with subjects receiving treatment with one device on their right side and the other on their left.
Detailed Description
This is a prospective, single-center, blinded, split-body site, randomized, controlled clinical trial. The study will consist of 15 subjects who will be treated with Sofwave® on one upper medial arm and Ultherapy® to the contralateral upper medial arm for treatment of skin laxity. Upon enrollment and after a thorough review of the inclusion and exclusion criteria as well as obtaining written and informed consent, each subject will be randomized to have either their right upper inner arm or left upper inner arm treated with Sofwave®, and the contralateral arm will be treated with Ultherapy®. The treatment area is defined as the upper inner medial arm (Appendix A). This area, which abuts the axilla, was chosen as the treatment zone because it is primarily composed of skin on superficial fascia without excessive amounts of adipose tissue. Conversely, the posterior arm typically has extra adipose tissue which would confound the study's measurements At every visit, the subject's medical history and concomitant medications will be reviewed in detail and weight will be recorded. Additionally, at every treatment and follow-up visit, each subject will have standardized, high-resolution digital photographs taken (Appendix D). Prior to the treatment and at all follow-up visits, the blinded investigator will complete the Upper Inner Arm Visual Crepiness/Laxity Grading Scale, Point of Maximal Upper Arm Skin Laxity Diameter and Circumference Measurements, and skin firmness and elasticity measurements using a Cutometer® Dual MPA 580 (Courage+Khazaka electronic GmbH; Köln, Germany). Subjects may be treated on the same day that they are screened and provide informed consent. If applicable, a urine pregnancy test will be obtained prior to each treatment. Anesthesia will be provided per physician discretion; options include topical anesthetic (23% lidocaine/7% tetracaine) for 1-hour, oral valium, and/or nitrous oxide. Immediately before treatment, the upper arm treatment zones should be mapped and subsequently cleansed with Hibiclens® (chlorhexidine gluconate solution 4%; Mölnlycke Health Care AB; Gothenburg, Sweden). The arm randomized to receive Sofwave® will receive one treatment session during which the treatment area will receive 3-4 passes. The arm randomized to receive Ultherapy® will receive one treatment session during which the treatment area will receive 1 pass with the 4.0 MHz, 4.5-mm-depth transducer and a subsequent pass with the 7.0 MHz, 3.0-mm-depth transducer. Treatment start and end times will be recorded. After each treatment session and during all follow-up visits, the treating physician will evaluate the subjects for any procedure-related side effects and adverse events. The subjects will rate their pain. At each follow-up visit, a Physician Global Aesthetic Improvement Scale (PGAIS), Subject Global Aesthetic Improvement Scale (SGAIS), and subject satisfaction questionnaire will be completed.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Treatments will be split-body with subjects receiving treatment from one device on their right side and one on their left.
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
15 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Sofwave
Arm Type
Experimental
Arm Title
Ultherapy
Arm Type
Other
Intervention Type
Device
Intervention Name(s)
Sofwave
Intervention Description
High-Frequency Non-Focused Ultrasound Device
Intervention Type
Device
Intervention Name(s)
Ultherapy
Intervention Description
Microfocused Ultrasound with Visualization
Primary Outcome Measure Information:
Title
Upper Inner Arm Visual Skin Crepiness and Laxity
Description
Upper Inner Arm Visual Skin Crepiness/Laxity Grading Scale completed by blinded investigator
Time Frame
Screening to One Month Post-Treatment
Title
Upper Inner Arm Visual Skin Crepiness and Laxity
Description
Upper Inner Arm Visual Skin Crepiness/Laxity Grading Scale completed by blinded investigator
Time Frame
Screening to Three Months Post-Treatment
Title
Upper Arm Circumference
Description
Blinded Investigator Measurement of Point of Maximal Upper Arm Skin Laxity and Circumference
Time Frame
Screening to One Month Post-Treatment
Title
Upper Arm Circumference
Description
Blinded Investigator Measurement of Point of Maximal Upper Arm Skin Laxity and Circumference
Time Frame
Screening to Three Months Post-Treatment
Title
Upper Arm Firmness
Description
Blinded Investigator Measurement of Skin Firmness
Time Frame
Screening to One Month Post-Treatment
Title
Upper Arm Firmness
Description
Blinded Investigator Measurement of Skin Firmness
Time Frame
Screening to Three Months Post-Treatment
Title
Upper Arm Elasticity
Description
Blinded Investigator Measurement of Skin Elasticity
Time Frame
Screening to One Month Post-Treatment
Title
Upper Arm Elasticity
Description
Blinded Investigator Measurement of Skin Elasticity
Time Frame
Screening to Three Months Post-Treatment
Title
Physician Global Aesthetic Improvement Scale (PGAIS)
Description
Assessment of overall change in treatment area by blinded investigator
Time Frame
One Month Post-Treatment
Title
Physician Global Aesthetic Improvement Scale (PGAIS)
Description
Assessment of overall change in treatment area by blinded investigator
Time Frame
Three Months Post-Treatment
Secondary Outcome Measure Information:
Title
Subject Global Aesthetic Improvement Scale (SGAIS)
Description
Assessment of overall change in treatment area by subject
Time Frame
One Month Post-Treatment
Title
Subject Global Aesthetic Improvement Scale (SGAIS)
Description
Assessment of overall change in treatment area by subject
Time Frame
Three Months Post-Treatment
Title
Subject Satisfaction Questionnaire
Description
Subject degree of satisfaction with results of treatment
Time Frame
One Month Post-Treatment
Title
Subject Satisfaction Questionnaire
Description
Subject degree of satisfaction with results of treatment
Time Frame
Three Months Post-Treatment
Title
Subject Pain Score
Description
Subject Assessment of Pain During Treatment
Time Frame
Day of Treatment
Title
Erythema
Description
Treating Investigator Evaluation of Erythema
Time Frame
Day of Treatment
Title
Erythema
Description
Treating Investigator Evaluation of Erythema
Time Frame
One Month Post-Treatment
Title
Erythema
Description
Treating Investigator Evaluation of Erythema
Time Frame
Three Months Post-Treatment
Title
Edema
Description
Treating Investigator Evaluation of Edema
Time Frame
Day of Treatment
Title
Edema
Description
Treating Investigator Evaluation of Edema
Time Frame
One Month Post-Treatment
Title
Edema
Description
Treating Investigator Evaluation of Edema
Time Frame
Three Months Post-Treatment
Title
Dyspigmentation
Description
Treating Investigator Evaluation of Dyspigmentation
Time Frame
Day of Treatment
Title
Dyspigmentation
Description
Treating Investigator Evaluation of Dyspigmentation
Time Frame
One Month Post-Treatment
Title
Dyspigmentation
Description
Treating Investigator Evaluation of Dyspigmentation
Time Frame
Three Months Post-Treatment
Title
Ulceration
Description
Treating Investigator Evaluation of Ulceration/Erosion
Time Frame
Day of Treatment
Title
Ulceration
Description
Treating Investigator Evaluation of Ulceration/Erosion
Time Frame
One Month Post-Treatment
Title
Ulceration
Description
Treating Investigator Evaluation of Ulceration/Erosion
Time Frame
Three Months Post-Treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: a) Male or female subjects > 35 years of age and < 70 years of age b) Subjects in good general health based on investigator's judgment and medical history c) Upper inner arm skin laxity that improves when the skin of the upper inner arm is stretched or lifted superiorly d) Moderate to severe upper inner arm skin crepiness/laxity based on the Upper Inner Arm Visual Crepiness/Laxity Grading Scale (Appendix B) e) Must be willing to give and sign an informed consent form and photographic release form f) Must have a stable body weight for at least six (6) months prior to study entry g) Must be willing to maintain usual sun exposure, diet, and exercise routines for the duration of the study h) Must agree to avoid tanning or use of sunless tanner during the entire course of the study i) Negative urine pregnancy test result at the time of study entry (if applicable) j) 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. k) Must be willing to comply with study treatments and complete the entire course of the study Exclusion Criteria: Liposuction to bilateral upper arms during the 12-month period prior to study treatment or any time during the course of the study Mesotherapy; dermal fillers, biostimulatory injectables; 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., brachyplasty) during the 12-month period before study treatment Any investigational treatment of skin crepiness/laxity of the upper arms during the 12-month period before the study treatment Creams/cosmeceuticals and/or home therapies to prevent or treat skin laxity during the four-week period before study treatment Subjects with scarring in the treatment areas History of thrombosis, post-thrombosis syndrome, or any vascular disorder of the bilateral upper extremities Any history of bleeding or coagulation disorders Subjects with tattoos or permanent implants in the treatment areas 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 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 Subject who is on an immunosuppressant or has 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
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Andrea Pacheco
Phone
858 657 1004
Email
APacheco@CLDerm.com
First Name & Middle Initial & Last Name or Official Title & Degree
Sherif Mikhail, MD
Phone
858 657 1004
Email
SMikhail@Westderm.com
Facility Information:
Facility Name
Cosmetic Laser Dermatology
City
San Diego
State/Province
California
ZIP/Postal Code
92121
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sherif Mikhail, MD
Phone
858-657-1004
Email
SMikhail@CLDerm.com
First Name & Middle Initial & Last Name & Degree
Monica Boen, MD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

High Intensity Ultrasound for the Treatment of Upper Inner Arm Skin Laxity

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