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Effects of Mitigation Treatments on Bruising of CCH-aaes Treatment of Buttock Cellulite (MOBI)

Primary Purpose

Edematous Fibrosclerotic Panniculopathy (EFP), Cellulite

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
CCH-aaes
Compression
Cold Packs
Arnica Gel
INhance®
PDL
Sponsored by
Endo Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Edematous Fibrosclerotic Panniculopathy (EFP) focused on measuring Bruising mitigation, CCH-aaes

Eligibility Criteria

18 Years - 50 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Have both buttocks with:

    1. a CR-PCSS score of 3 (moderate) as reported by the Investigator, and
    2. a Hexsel CSS Subsection D "Grade of laxity, flaccidity, or sagging skin" score of 0 (absence of laxity, flaccidity, or sagging skin) or 1 (slightly draped appearance).
  2. Have a body mass index between ≥18 and ≤30 kg/m^2.
  3. Be willing to apply sunscreen to the treatment areas before each exposure to the sun for the duration of the study (from Screening Visit through the Day 71/Early Termination Visit).
  4. Be judged to be in good health.
  5. Be willing and able to cooperate with the requirements of the study.

Exclusion Criteria:

  1. Has Coagulation disorder, which requires anticoagulant or antiplatelet medication during the study (except for < 150 mg aspirin daily), or has taken anticoagulant or antiplatelet medication(s) within 14 days before injection of study treatment (except for < 150 mg aspirin daily).
  2. Has local conditions in the areas to be treated (Thrombosis, Vascular disorder, Active infection/inflammation, Active cutaneous alteration, Tattoo/mole) that restricts study participation.
  3. Has skin laxity or linear undulations on buttocks that can be effaced by lifting skin.
  4. Requires the following concomitant medications during the study and cannot discontinue these medications within the time specified before QWO (CCH-aaes) treatment.

    1. Antiplatelet medication (clopidogrel [Plavix®] including aspirin at any dose within 14 days of treatment.
    2. Anticoagulants, such as warfarin (Coumadin®); heparin analogues within 14 days of treatment.
    3. Non-steroidal anti-inflammatory drugs (NSAIDS), such as ibuprofen (Motrin®, Advil®) and naproxen (Aleve®) 7 days before the study.
    4. Any medications or food that have, or have been reported to have anticoagulant effects within 14 days of treatment.
    5. Antibiotics, such as penicillin and cephalosporin within 48 hours of treatment.
  5. Has used or intends to use any of the local applications/therapies/injections/procedures that restricts study participation.
  6. Is pregnant and/or is presently nursing or providing breast milk or plans to become pregnant during the study.
  7. Intends to initiate an intensive sport or exercise program during the study.
  8. Tanning or use of tanning agents.
  9. Intends to engage in strenuous activity within 48 hours after the first injection of QWO (CCH-aaes).
  10. Has received an investigational drug or treatment within 30 days prior to injection of QWO (CCH-aaes).
  11. Has a history of hypersensitivity or allergy to collagenase or any other excipient of QWO (CCH-aaes).
  12. Has a known systemic allergy or local sensitivity to any of the mitigation treatments or including excipients (ie, arnica patches, INhance Post-injection Serum).
  13. Has received any collagenase treatments at any time prior to treatment in this study and/or has received EN3835 or QWO (CCH-aaes) in a previous investigational study for cellulite.
  14. For subjects allocated to PDL treatment Subjects will be excluded from PDL treatment if they have any contraindications to PDL a. exposure to Accutane® (isotretinoin) within 6 months of QWO (CCH-aaes) treatment.

Sites / Locations

  • Endo Clinical Trial Site #3
  • Endo Clinical Trial Site #2
  • Endo Clinical Trial Site #7
  • Endo Clinical Trial Site #6
  • Endo Clinical Trial Site #5
  • Endo Clinical Trial Site #1
  • Endo Clinical Trial Site #8
  • Endo Clinical Trial Site #4

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Arm Label

Cohort 1: CCH-aaes

Cohort 2: CCH-aaes + Compression Garment

Cohort 3: CCH-aaes + Instant Cold Packs

Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)

Cohort 5:CCH-aaes + INhance Post-Injection Serum with TriHex Technology®

Cohort 6: CCH-aaes + Pulse Dye Laser Treatment (PDL)

Arm Description

CCH-aaes was administered without mitigation treatment (control group).

CCH-aaes was administered with compression garment.

CCH-aaes was administered with instant cold packs.

CCH-aaes was administered with arnica gel patches (OcuMend).

CCH-aaes was administered with INhance Post-Injection Serum with TriHex Technology®

CCH-aaes was administered with PDL.

Outcomes

Primary Outcome Measures

Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 4
Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale. The Investigator Assessment of Bruising Severity Scale is a 5-point photonumeric scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising. Higher scores indicated worse outcome.

Secondary Outcome Measures

Number of Participants for Whom The Investigator Reported an Improvement of Bruising on the Mitigation-treated Buttock as Measured on the Investigator-Bruising Improvement Scores (I-BIS)
The investigator assessed improvement of bruising using the I-BIS, a 3-point Likert scale that compares bruising on the mitigated side to the bruising on the non-mitigated side as either worse (1), the same (2), or improved (3). I-BIS Rating was directly obtained from the investigator's assessment rating comparing the bruising of the mitigation-treated buttock to the untreated (with mitigation treatment) buttock.
Number of Participants With an Improvement of Bruising on the Mitigation Treated Buttock on the Subject-Bruising Improvement Scale (S-BIS)
The investigator assessed improvement of bruising using the S-BIS, a 3-point Likert scale that compares bruising on the mitigated side to the bruising on the non-mitigated side as either worse (1), the same (2), or improved (3). S-BIS Rating was directly obtained from the participant's assessment rating comparing the bruising of the mitigation-treated buttock to the untreated (with mitigation treatment) buttock. The S-BIS assessment was not completed for participants that did not receive mitigation treatment (Cohort 1) or participants that received bilateral mitigation treatment (Cohort 2), as these participants did not have an untreated buttock as a comparator.
Number of Participants Bothered by the Appearance of Bruising as Assessed by the Patient Bother by Bruising Scale at Day 4
The Patient Bother by Bruising Scale is a 4-point scale, with a score of 1 indicating not bothered at all, and a score of 4, indicating extremely bothered. A lower score indicates a better outcome.
Number of Participants With an Improved (+1 or Better) Score on the Investigator-Global Aesthetic Improvement Scale (I-GAIS) at Day 71
Improvement was defined as +1 or better score on the I-GAIS for either buttock on Day 71 compared to Baseline. The I-GAIS is a 7-level scale ranging from +3 (very much improved) to -3 (very much worse). A higher score indicated a better outcome.
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 7
Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale. The Investigator Assessment of Bruising Severity Scale is a 5-level scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising. Higher scores indicated worse outcome.
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 14
Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale. The Investigator Assessment of Bruising Severity Scale is a 5-level scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising. Higher scores indicated worse outcome.
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 22
Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale. The Investigator Assessment of Bruising Severity Scale is a 5-level scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising. Higher scores indicated worse outcome.

Full Information

First Posted
December 17, 2020
Last Updated
August 15, 2023
Sponsor
Endo Pharmaceuticals
Collaborators
DeNova Research, UCSD Dermatology, The Wall Center for Plastic Surgery, Mathew Avram, MD, Laser & Skin Surgery Medical Group, Inc., Investigate MD, LLC, Brian Biesman, MD, PLLC, Plastic Surgical Associates of Fort Collins, P.C.
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1. Study Identification

Unique Protocol Identification Number
NCT04677712
Brief Title
Effects of Mitigation Treatments on Bruising of CCH-aaes Treatment of Buttock Cellulite
Acronym
MOBI
Official Title
MOBI: A Phase 4, Open-Label Study to Assess Effects of Mitigation Treatments on Bruising of CCH-aaes Treatment of Buttock Cellulite in Adult Females
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
December 28, 2020 (Actual)
Primary Completion Date
June 26, 2021 (Actual)
Study Completion Date
September 2, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Endo Pharmaceuticals
Collaborators
DeNova Research, UCSD Dermatology, The Wall Center for Plastic Surgery, Mathew Avram, MD, Laser & Skin Surgery Medical Group, Inc., Investigate MD, LLC, Brian Biesman, MD, PLLC, Plastic Surgical Associates of Fort Collins, P.C.

4. Oversight

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

5. Study Description

Brief Summary
This study will investigate treatments that may mitigate bruising after QWO™ (Collagenase clostridium histolyticum [CCH]-aaes) treatment of cellulite in the buttocks.
Detailed Description
CCH-aaes is indicated for the treatment of moderate to severe cellulite in the buttocks of adult women. Since bruising may be bothersome, this study will investigate treatments that may mitigate bruising after treatment of cellulite in the buttocks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Edematous Fibrosclerotic Panniculopathy (EFP), Cellulite
Keywords
Bruising mitigation, CCH-aaes

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1: CCH-aaes
Arm Type
Active Comparator
Arm Description
CCH-aaes was administered without mitigation treatment (control group).
Arm Title
Cohort 2: CCH-aaes + Compression Garment
Arm Type
Active Comparator
Arm Description
CCH-aaes was administered with compression garment.
Arm Title
Cohort 3: CCH-aaes + Instant Cold Packs
Arm Type
Active Comparator
Arm Description
CCH-aaes was administered with instant cold packs.
Arm Title
Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)
Arm Type
Active Comparator
Arm Description
CCH-aaes was administered with arnica gel patches (OcuMend).
Arm Title
Cohort 5:CCH-aaes + INhance Post-Injection Serum with TriHex Technology®
Arm Type
Active Comparator
Arm Description
CCH-aaes was administered with INhance Post-Injection Serum with TriHex Technology®
Arm Title
Cohort 6: CCH-aaes + Pulse Dye Laser Treatment (PDL)
Arm Type
Active Comparator
Arm Description
CCH-aaes was administered with PDL.
Intervention Type
Drug
Intervention Name(s)
CCH-aaes
Other Intervention Name(s)
QWO™
Intervention Description
Participants were administered CCH-aaes by subcutaneous injection to both buttocks.
Intervention Type
Other
Intervention Name(s)
Compression
Intervention Description
Participants used a compression garment on both buttocks following subcutaneous CCH-aaes injections.
Intervention Type
Other
Intervention Name(s)
Cold Packs
Intervention Description
Participants used cold packs applied to the right buttock for 5-10 minutes immediately after subcutaneous CCH-aaes injections.
Intervention Type
Drug
Intervention Name(s)
Arnica Gel
Intervention Description
Participants used Arnica Gel Patches (Arnica montana 50% and Ledum palustre) immediately after the CCH-aaes injection to the right buttock.
Intervention Type
Drug
Intervention Name(s)
INhance®
Intervention Description
Participants used INhance Post-injection Serum topically immediately after the CCH-aaes injection to the right buttock.
Intervention Type
Other
Intervention Name(s)
PDL
Intervention Description
Investigators applied one treatment with PDL to the right buttock between days 1-7 after injection.
Primary Outcome Measure Information:
Title
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 4
Description
Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale. The Investigator Assessment of Bruising Severity Scale is a 5-point photonumeric scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising. Higher scores indicated worse outcome.
Time Frame
Day 4 (3 days after CCH-aaes injection)
Secondary Outcome Measure Information:
Title
Number of Participants for Whom The Investigator Reported an Improvement of Bruising on the Mitigation-treated Buttock as Measured on the Investigator-Bruising Improvement Scores (I-BIS)
Description
The investigator assessed improvement of bruising using the I-BIS, a 3-point Likert scale that compares bruising on the mitigated side to the bruising on the non-mitigated side as either worse (1), the same (2), or improved (3). I-BIS Rating was directly obtained from the investigator's assessment rating comparing the bruising of the mitigation-treated buttock to the untreated (with mitigation treatment) buttock.
Time Frame
Days 4 and 7
Title
Number of Participants With an Improvement of Bruising on the Mitigation Treated Buttock on the Subject-Bruising Improvement Scale (S-BIS)
Description
The investigator assessed improvement of bruising using the S-BIS, a 3-point Likert scale that compares bruising on the mitigated side to the bruising on the non-mitigated side as either worse (1), the same (2), or improved (3). S-BIS Rating was directly obtained from the participant's assessment rating comparing the bruising of the mitigation-treated buttock to the untreated (with mitigation treatment) buttock. The S-BIS assessment was not completed for participants that did not receive mitigation treatment (Cohort 1) or participants that received bilateral mitigation treatment (Cohort 2), as these participants did not have an untreated buttock as a comparator.
Time Frame
Days 4 and 7
Title
Number of Participants Bothered by the Appearance of Bruising as Assessed by the Patient Bother by Bruising Scale at Day 4
Description
The Patient Bother by Bruising Scale is a 4-point scale, with a score of 1 indicating not bothered at all, and a score of 4, indicating extremely bothered. A lower score indicates a better outcome.
Time Frame
Day 4
Title
Number of Participants With an Improved (+1 or Better) Score on the Investigator-Global Aesthetic Improvement Scale (I-GAIS) at Day 71
Description
Improvement was defined as +1 or better score on the I-GAIS for either buttock on Day 71 compared to Baseline. The I-GAIS is a 7-level scale ranging from +3 (very much improved) to -3 (very much worse). A higher score indicated a better outcome.
Time Frame
Day 71
Title
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 7
Description
Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale. The Investigator Assessment of Bruising Severity Scale is a 5-level scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising. Higher scores indicated worse outcome.
Time Frame
Day 7
Title
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 14
Description
Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale. The Investigator Assessment of Bruising Severity Scale is a 5-level scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising. Higher scores indicated worse outcome.
Time Frame
Day 14
Title
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 22
Description
Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale. The Investigator Assessment of Bruising Severity Scale is a 5-level scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising. Higher scores indicated worse outcome.
Time Frame
Day 22

10. Eligibility

Sex
Female
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Key Inclusion Criteria: Have both buttocks with: Clinician Reported Photonumeric Cellulite Severity Scale (CR-PCSS) score of 3 (moderate) as reported by the Investigator, and Hexsel Cellulite Severity Scale (CSS) Subsection D "Grade of laxity, flaccidity, or sagging skin" score of 0 (absence of laxity, flaccidity, or sagging skin) or 1 (slightly draped appearance). Have a body mass index between ≥18 and ≤30 kilograms (kg)/square meter (m^2). Be willing to apply sunscreen before each exposure to the sun while participating in the study (that is, Baseline through end of study). Be judged to be in good health. Be willing and able to cooperate with the requirements of the study. Key Exclusion Criteria: Has a coagulation disorder including but not limited to a Factor II, V, VII, or X deficiency. Has local conditions in the areas to be treated (thrombosis, vascular disorder, active infection/inflammation, active cutaneous alteration, tattoo/mole) that restricts study participation. Has skin laxity or linear undulations on buttocks that can be effaced by lifting skin. Requires the following concomitant medications during the study and cannot discontinue these medications within the time specified before CCH-aaes treatment. Antiplatelet medication (clopidogrel [Plavix®] including aspirin at any dose within 14 days of treatment. Anticoagulants, such as warfarin (Coumadin®); heparin analogues within 14 days of treatment. Non-steroidal anti-inflammatory drugs (NSAIDS), such as ibuprofen (Motrin®, Advil®) and naproxen (Aleve®) 7 days before the study. Any medications or food that have or have been reported to have anticoagulant effects within 14 days of treatment. Antibiotics, such as penicillin and cephalosporin within 48 hours of treatment. Has used or intends to use any of the local applications/therapies/injections/procedures that restricts study participation. Is pregnant and/or is presently nursing or providing breast milk or plans to become pregnant during the study. Intends to initiate an intensive sport or exercise program during the study. Tanning or use of tanning agents. Intends to engage in strenuous activity within 48 hours after the first injection of CCH-aaes. Has received an investigational drug or treatment within 30 days prior to injection of CCH-aaes. Has a history of hypersensitivity or allergy to collagenase or any other excipient of CCH-aaes. Has a known systemic allergy or local sensitivity to any of the mitigation treatments or including excipients (that is, arnica patches, INhance Post-injection Serum). Has received any collagenase treatments at any time prior to treatment in this study and/or has received EN3835 or CCH-aaes in a previous investigational study for cellulite. For participants allocated to PDL treatment Participants will be excluded from PDL treatment if they have any contraindications to PDL a. exposure to Accutane® (isotretinoin) within 6 months of CCH-aaes treatment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Affairs
Organizational Affiliation
Endo Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Endo Clinical Trial Site #3
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85255
Country
United States
Facility Name
Endo Clinical Trial Site #2
City
Sacramento
State/Province
California
ZIP/Postal Code
95816
Country
United States
Facility Name
Endo Clinical Trial Site #7
City
San Diego
State/Province
California
ZIP/Postal Code
92122
Country
United States
Facility Name
Endo Clinical Trial Site #6
City
Fort Collins
State/Province
Colorado
ZIP/Postal Code
80525
Country
United States
Facility Name
Endo Clinical Trial Site #5
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Endo Clinical Trial Site #1
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71105
Country
United States
Facility Name
Endo Clinical Trial Site #8
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Endo Clinical Trial Site #4
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes

Learn more about this trial

Effects of Mitigation Treatments on Bruising of CCH-aaes Treatment of Buttock Cellulite

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