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Evaluation of a HA Dermal Filler in the Treatment of Lip Deformity (FENTHA)

Primary Purpose

Lip, Cleft, Lip Scar

Status
Not yet recruiting
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
FASY L
Sponsored by
Symatese
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lip, Cleft focused on measuring Hyaluronic acid, Dermal fillers, lips

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Sex: male or female. Age: 18 years and older. Women of childbearing age must have a negative urine pregnancy test before each injection. Patient seeking an enhancement of the lip deformity with FASY L after having undergone cleft lip and palate surgical treatment. Patient, having given freely and expressly his/her informed consent. Patient who is able to comply with the study requirements, as defined in the present CIP, at the Investigator's appreciation. Patient being affiliated to a health social security system. Exclusion Criteria: Pregnant and breastfeeding women Subject who is deprived of their freedom by administrative or legal decision. Subject living in a social or sanitary establishment. Major subject who is under guardianship or who is not able to express his consent. Subject being in an exclusion period for a previous study or with a current or recent (<3 months) participation in another investigational study involving a drug or combined device with drug. Subject suffering from a severe or progressive disease or any other pathology that may interfere with the evaluation of the study results: diabetes, autoimmune pathology, cardiac pathologies, hepatic deficiency, epilepsy, porphyria. Subject who has a known history of severe multiple allergies, angioedema or anaphylactic shock. Subject with a known allergy or hypersensitivity to Hyaluronic Acid or local anesthesia (Lidocaine or anesthetics of the amide type or any of the excipients). Subject with an acute inflammatory process or active skin disease, or related conditions, such as infection, psoriasis, rosacea, acne, blotches or other pathology near or on the injection sites with the potential to interfere with the study results or increase the risk of Adverse Events at the Investigator appreciation. Subject with a past history of severe streptococcal disease or an active streptococcus infection. Subject predisposed to keloid or hypertrophic scarring. Subject with a disorder that may impact wound healing such as connective tissue or immunosuppressive disorder. Subject with a history of precancerous lesions/skin malignancies on the injection sites. Subject with history of hyper- or hypo-pigmentation on the face. Subject with a known bleeding disorder or receiving medication that will likely increase the risk of bleeding during treatment, at the Investigator appreciation. Subject having received high dose of Lidocaine (more than 200mg) and/or high dose of anesthetics structurally related to amide-type within the past week. Subject having received chemotherapy agents, immunosuppressive medications or systemic corticosteroids within the past 3 months. Patient having taken high-dose aspirin, anti-inflammatories, antiplatelet, thrombolytic during the week before the injection session. Subject having received within the past 12 months any injections including non-permanent fillers (e.g., Hyaluronic Acid, CaHA), mesotherapy or neurotoxin near or on the lips or plan to undergo such treatment during the study. Subject with prior permanent implant or treatment with non-HA or non-collagen filler near or on the lip or plan to implement these products at any time during the study. Subject having received within the past 6 months mesotherapy, resurfacing laser, photo modulation, intense pulsed light, radio frequency, photo-rejuvenation, dermabrasion, chemical peel, or other ablative or none ablative procedures near or on the lips. Subject with subcutaneous retaining structure on the face (meshing, threads, gold strand etc.) near or on the injection sites (lips) with the potential to interfere with the study results or increase the risk of Adverse Events at the Investigator appreciation. Patient having received fat grafting within the past 6 months near or on the injection sites Other condition preventing the subject to participate the study in the Investigator's opinion: subject deemed unreliable or incapable of understanding and complying with the study assessment or unrealistic expectations of treatment results. Subject who planned an intensive exposure to sunlight or UV-rays in the 2 weeks following injection.

Sites / Locations

  • Cabinet médical
  • Hôpital Roger Salengro

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

FASY L

Arm Description

Subjects will be consecutively included to receive FASY L in lips at level of their scar

Outcomes

Primary Outcome Measures

Proportion of subjects with at least one Adverse Device Event (ADE) at the visit at 30 days after the initial injection
Recording of the occurrence of Adverse Event related to the use of the investigational medical device. Assessed by investigators.

Secondary Outcome Measures

Injection Site Reactions present immediatly after injections
Recording of the presence and severity (mild, moderate or severe) of local injection site reactions after each injection.
Evaluation of the scar by the investigators
Assessement of the scar using the Patient and Observer Scar Assessment Scale (POSAS). The POSAS of the observer includes six parameters (vascularity, pigmentation, thickness, relief, elasticity and surface). In addition, a general opinion is scored. Each parameter is rated by the investigator on a scale from 1 ("normal skin") to 10 ("worst scar imaginable"). The sum of the seven parameters constitutes the total score of the scale of the observer ranging from 7 (normal skin) to 70 (worst scar imaginable).
Evaluation of the scar by the patients
Assessement of the scar using the Patient and Observer Scar Assessment Scale (POSAS). The POSAS ot the patient includes six questions about pain, itching, color, roughness, thickness and irregularities of the scar. In addition, a general opinion is scored. Each parameter is rated by the patient on a scale from 1 ("no, not at all") to 10 ("yes, extremely"). The sum of the seven parameters constitutes the total score of the scale of the patients ranging from 7 (normal skin) to 70 (worst scar imaginable)..
Incidence of Treatment-Emergent Adverse Events
Collection of Adverse Event assessed and recorded by investigators.
Patient Global aesthetic improvement
Aesthetic improvement of the face will be assessed using the Global Aesthetic Improvement Scale, a 5-point scale ranking from 1: Very much improved to 5: worse. The lower the score, the better the aesthetic result. Assessed by subjects.
Investigator Global aesthetic improvement
Aesthetic improvement of the face will be assessed using the Global Aesthetic Improvement Scale, a 5-point scale a 5-point scale ranking from 1: Very much improved to 5: worse. The lower the score, the better the aesthetic result. Assessed by investigators.
Patient's quality of life
Quality of life will be assessed using Dermatology Life Quality Index (DLQI). The Dermatology Life Quality Index is calculated by adding the score of each question, resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired. A score higher than 10 indicates that the patient's life is being severely affected by their skin disease. Assessed by subjects
Improvement of the patient's quality of life
Improvement will be assessed using a 4-point Likert scale (from 0-not improved to 3-Very much improved). Assessed by subject
Visual analogic scale pain assessment
Assessment of pain using a 0-100mm Visual Analogue Scale (0 corresponds to no pain and 100 corresponds to the highest pain that can be felt). Assessed by the subject.

Full Information

First Posted
April 11, 2023
Last Updated
October 13, 2023
Sponsor
Symatese
Collaborators
EVAMED
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1. Study Identification

Unique Protocol Identification Number
NCT05825170
Brief Title
Evaluation of a HA Dermal Filler in the Treatment of Lip Deformity
Acronym
FENTHA
Official Title
A Prospective Clinical Investigation Evaluating the Safety and Effectiveness of FASY L Hyaluronic Acid Gel for the Treatment of Lip Deformity
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
November 10, 2023 (Anticipated)
Primary Completion Date
July 1, 2024 (Anticipated)
Study Completion Date
June 1, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Symatese
Collaborators
EVAMED

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Early postnatal repair of cleft lip and palate aims at the development of the child through reconstruction of the face soon after birth. Cleft lip is the result of a defect in the fusion of the buds of the face by default of cell apoptosis of the embryonic neural crest constituting the skin and the labial mucosa. Lip surgery or cheiloplasty primary of unilateral and bilateral cleft lip and palate is carried out from the age of 6 weeks. At the end of the surgical treatment, we often observe small unsightly residual volumetric asymmetries. The choice is then either to surgically reduce a muscular part too voluminous by reducing locally the volume of the lip, or to increase the volume of the thinnest portion this second solution is made possible either by injecting fat or by injection of hyaluronic acid. By adulthood, patients with cleft lip have often undergone 10 or more defect-related surgeries and many desire less invasive options to improve any residual cosmetic imperfections. The first use of a temporary alloplastic injectable soft tissue filler, hyaluronic acid (HA), for upper lip augmentation in a patient with asymmetry after surgical cleft lip repair was reported in 2008. There are few publications on the use hyaluronic acid in complement to the surgical treatment of cleft lip and palate, but all reported promising results.
Detailed Description
The study is a pilot, prospective, multicenter, proof-of-concept clinical trial that aims to evaluate the safety and efficacy of FASY L for the treatment of lip deformity.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lip, Cleft, Lip Scar
Keywords
Hyaluronic acid, Dermal fillers, lips

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
FASY L
Arm Type
Experimental
Arm Description
Subjects will be consecutively included to receive FASY L in lips at level of their scar
Intervention Type
Device
Intervention Name(s)
FASY L
Intervention Description
Subjects will receive FASY L in lips at level of their scar.
Primary Outcome Measure Information:
Title
Proportion of subjects with at least one Adverse Device Event (ADE) at the visit at 30 days after the initial injection
Description
Recording of the occurrence of Adverse Event related to the use of the investigational medical device. Assessed by investigators.
Time Frame
30 days visit after the first injection
Secondary Outcome Measure Information:
Title
Injection Site Reactions present immediatly after injections
Description
Recording of the presence and severity (mild, moderate or severe) of local injection site reactions after each injection.
Time Frame
Day 0 and potentially at each visits (Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection)
Title
Evaluation of the scar by the investigators
Description
Assessement of the scar using the Patient and Observer Scar Assessment Scale (POSAS). The POSAS of the observer includes six parameters (vascularity, pigmentation, thickness, relief, elasticity and surface). In addition, a general opinion is scored. Each parameter is rated by the investigator on a scale from 1 ("normal skin") to 10 ("worst scar imaginable"). The sum of the seven parameters constitutes the total score of the scale of the observer ranging from 7 (normal skin) to 70 (worst scar imaginable).
Time Frame
Before the first injection (baseline) and Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection
Title
Evaluation of the scar by the patients
Description
Assessement of the scar using the Patient and Observer Scar Assessment Scale (POSAS). The POSAS ot the patient includes six questions about pain, itching, color, roughness, thickness and irregularities of the scar. In addition, a general opinion is scored. Each parameter is rated by the patient on a scale from 1 ("no, not at all") to 10 ("yes, extremely"). The sum of the seven parameters constitutes the total score of the scale of the patients ranging from 7 (normal skin) to 70 (worst scar imaginable)..
Time Frame
Before the first injection (baseline) and Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection
Title
Incidence of Treatment-Emergent Adverse Events
Description
Collection of Adverse Event assessed and recorded by investigators.
Time Frame
Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection.
Title
Patient Global aesthetic improvement
Description
Aesthetic improvement of the face will be assessed using the Global Aesthetic Improvement Scale, a 5-point scale ranking from 1: Very much improved to 5: worse. The lower the score, the better the aesthetic result. Assessed by subjects.
Time Frame
Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection.
Title
Investigator Global aesthetic improvement
Description
Aesthetic improvement of the face will be assessed using the Global Aesthetic Improvement Scale, a 5-point scale a 5-point scale ranking from 1: Very much improved to 5: worse. The lower the score, the better the aesthetic result. Assessed by investigators.
Time Frame
Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection.
Title
Patient's quality of life
Description
Quality of life will be assessed using Dermatology Life Quality Index (DLQI). The Dermatology Life Quality Index is calculated by adding the score of each question, resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired. A score higher than 10 indicates that the patient's life is being severely affected by their skin disease. Assessed by subjects
Time Frame
Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection.
Title
Improvement of the patient's quality of life
Description
Improvement will be assessed using a 4-point Likert scale (from 0-not improved to 3-Very much improved). Assessed by subject
Time Frame
Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection.
Title
Visual analogic scale pain assessment
Description
Assessment of pain using a 0-100mm Visual Analogue Scale (0 corresponds to no pain and 100 corresponds to the highest pain that can be felt). Assessed by the subject.
Time Frame
Immediately after the injection (for initial injection only)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Sex: male or female. Age: 18 years and older. Women of childbearing age must have a negative urine pregnancy test before each injection. Patient seeking an enhancement of the lip deformity with FASY L after having undergone cleft lip and palate surgical treatment. Patient, having given freely and expressly his/her informed consent. Patient who is able to comply with the study requirements, as defined in the present CIP, at the Investigator's appreciation. Patient being affiliated to a health social security system. Exclusion Criteria: Pregnant and breastfeeding women Subject who is deprived of their freedom by administrative or legal decision. Subject living in a social or sanitary establishment. Major subject who is under guardianship or who is not able to express his consent. Subject being in an exclusion period for a previous study or with a current or recent (<3 months) participation in another investigational study involving a drug or combined device with drug. Subject suffering from a severe or progressive disease or any other pathology that may interfere with the evaluation of the study results: diabetes, autoimmune pathology, cardiac pathologies, hepatic deficiency, epilepsy, porphyria. Subject who has a known history of severe multiple allergies, angioedema or anaphylactic shock. Subject with a known allergy or hypersensitivity to Hyaluronic Acid or local anesthesia (Lidocaine or anesthetics of the amide type or any of the excipients). Subject with an acute inflammatory process or active skin disease, or related conditions, such as infection, psoriasis, rosacea, acne, blotches or other pathology near or on the injection sites with the potential to interfere with the study results or increase the risk of Adverse Events at the Investigator appreciation. Subject with a past history of severe streptococcal disease or an active streptococcus infection. Subject predisposed to keloid or hypertrophic scarring. Subject with a disorder that may impact wound healing such as connective tissue or immunosuppressive disorder. Subject with a history of precancerous lesions/skin malignancies on the injection sites. Subject with history of hyper- or hypo-pigmentation on the face. Subject with a known bleeding disorder or receiving medication that will likely increase the risk of bleeding during treatment, at the Investigator appreciation. Subject having received high dose of Lidocaine (more than 200mg) and/or high dose of anesthetics structurally related to amide-type within the past week. Subject having received chemotherapy agents, immunosuppressive medications or systemic corticosteroids within the past 3 months. Patient having taken high-dose aspirin, anti-inflammatories, antiplatelet, thrombolytic during the week before the injection session. Subject having received within the past 12 months any injections including non-permanent fillers (e.g., Hyaluronic Acid, CaHA), mesotherapy or neurotoxin near or on the lips or plan to undergo such treatment during the study. Subject with prior permanent implant or treatment with non-HA or non-collagen filler near or on the lip or plan to implement these products at any time during the study. Subject having received within the past 6 months mesotherapy, resurfacing laser, photo modulation, intense pulsed light, radio frequency, photo-rejuvenation, dermabrasion, chemical peel, or other ablative or none ablative procedures near or on the lips. Subject with subcutaneous retaining structure on the face (meshing, threads, gold strand etc.) near or on the injection sites (lips) with the potential to interfere with the study results or increase the risk of Adverse Events at the Investigator appreciation. Patient having received fat grafting within the past 6 months near or on the injection sites Other condition preventing the subject to participate the study in the Investigator's opinion: subject deemed unreliable or incapable of understanding and complying with the study assessment or unrealistic expectations of treatment results. Subject who planned an intensive exposure to sunlight or UV-rays in the 2 weeks following injection.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Laure Saillet
Phone
(0)2 31 93 21 18
Ext
+33
Email
laure.saillet@evamed.fr
First Name & Middle Initial & Last Name or Official Title & Degree
Justine Colombel
Phone
(0)2 31 93 21 18
Ext
+33
Email
justine.colombel@evamed.fr
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Cyril Maire
Organizational Affiliation
Centre Médical Saint-Jean
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cabinet médical
City
Paris
State/Province
Ile De France
ZIP/Postal Code
75007
Country
France
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Laurence Bénouaiche
Phone
01 47 05 36 51
Ext
+33
Email
laurence.benouaiche@icloud.com
Facility Name
Hôpital Roger Salengro
City
Lille
State/Province
Nord
ZIP/Postal Code
59037
Country
France
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Cyril Maire
Phone
03 20 44 59 62
Ext
+33
Email
maire.dermatologie@hotmail.fr
First Name & Middle Initial & Last Name & Degree
Cyril Maire

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Evaluation of a HA Dermal Filler in the Treatment of Lip Deformity

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