Evaluation of Safety and Efficacy of Micro-coring Device for Treatment of Facial Wrinkles and Skin Laxity (AIS)
Primary Purpose
Wrinkle, Facial and Neck Skin Laxity
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
micro-excisional skin removal with coring needle
Sponsored by
About this trial
This is an interventional treatment trial for Wrinkle focused on measuring skin rejuvenation, wrinkle removal, skin laxity reduction
Eligibility Criteria
Inclusion Criteria:
- Fitzpatrick Skin Type 1, 2, or 3 as assessed by Investigator
One or more of the following conditions assessed by Investigator using provided Severity Scales:
- Nasolabial fold severity at rest ≥2 and ≤4;
- Marionette line prominence at rest ≥2 and ≤4;
- Oral commissure drooping at rest ≥2 and ≤4;
- Jawline sagging at rest ≥2 and ≤4 .
- Moderate-to-Severe wrinkles at rest at least in one of the following areas - the upper lip, chin and cheeks.
Exclusion Criteria:
- Lesions suspicious for any malignancy or the presence of actinic keratosis, melasma, vitiligo, cutaneous papules/nodules or active inflammatory lesions in the areas to be treated
- History of keloid formation or hypertrophic scarring
- History of trauma or surgery to the treatment areas in the past 6 months
- Scar present in the areas to be treated
- Silicone or synthetic material injections in the areas to be treated
- Injection of FDA-approved dermal fillers in the past two years
- Injection of fat in the past year
- History of treatment with dermabrasion, ablative laser, or radiofrequency in the past year
- History of treatment with non-ablative laser in the past 6 months
- History of treatment with botulinum toxin injections in the areas to be treated within the prior 6 months
- Active smokers (0.5 pack/day) or having quit within 3 months prior to treatment
- Active, chronic, or recurrent infection
- History of compromised immune system or currently being treated with immunosuppressive agents
- History of sensitivity to analgesic agents, Aquaphor®, topical or local anesthetics (e.g., lidocaine, benzocaine, procaine) or chlorhexidine, povidone-iodine or epinephrine
- Excessive sun exposure and use of tanning beds or tanning creams within 30 days prior to treatment
- Treatment with aspirin or other blood thinning agents within 14 days prior to treatment
- History or presence of any clinically significant bleeding disorder
- Co-morbid condition that in the Investigator's opinion could limit ability to participate in the study or to comply with follow-up requirements
- History of drug and/or alcohol abuse
- Any issue that, at the discretion of the Investigator, would interfere with assessment of safety or efficacy or compromise the subject's ability to undergo study procedures or give informed consent
- Treatment with an investigational device or agent within 30 days before treatment or during the study period
Sites / Locations
- Laser & Skin Center of Northern CA
- SkinCare Physicians
- Laser & Skin Surgery Center of NY
- Nashville Center for Laser & Facial Surgery
- Dr A Jay Burns Cosmetic Surgery
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
micro-excisional skin removal
Arm Description
Facial and neck wrinkles will be treated with micro-excisional skin removal
Outcomes
Primary Outcome Measures
improvement in wrinkle appearance
One grade or better improvement in score on Wrinkle Severity Scale
Secondary Outcome Measures
improvement in skin laxity
One grade or better improvement in score on Laxity Scale
Full Information
NCT ID
NCT03228641
First Posted
February 14, 2017
Last Updated
June 7, 2018
Sponsor
Cytrellis Biosystems, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT03228641
Brief Title
Evaluation of Safety and Efficacy of Micro-coring Device for Treatment of Facial Wrinkles and Skin Laxity
Acronym
AIS
Official Title
A Prospective, Multi-center, Randomized Pilot Study for the Safety and Efficacy of a GEN II Micro-coring Device for the Treatment of Wrinkles and Skin Laxity in the Pre-auricular Area and Mid to Lower Face
Study Type
Interventional
2. Study Status
Record Verification Date
June 2018
Overall Recruitment Status
Completed
Study Start Date
June 1, 2016 (Actual)
Primary Completion Date
August 31, 2017 (Actual)
Study Completion Date
April 30, 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cytrellis Biosystems, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
A pilot study is designed to evaluate safety and efficacy of the Micro-Coring (MC) technology for treatment of facial wrinkles. MC device employs hollow coring needles that enable safe, rapid, and effective full-thickness small skin cores (200-500 microns in diameter) removal initiating a skin repair process through formation of new collagen and elastin fibers (skin rejuvenation).
Detailed Description
This is a prospective, multi-center, randomized, single blind, bilateral paired study evaluating the safety, tolerability and preliminary effectiveness of a micro-coring device for removal of excess skin using 2 needle gauges (22G, 24G,) at densities (percent of skin removed per 1cm2) of 2.5-10% in subjects with mid- and lower- face skin laxity manifested by moderate-to-severe mid and lower cheek wrinkles, deepening of the nasolabial folds at rest; prominence of marionette lines at rest; downturn of the oral commissures at rest, sagging of the skin at the jawline at rest. Subjects are blinded to needle gauge and density.
There will be two cohorts of subjects: one group of subjects will receive a single treatment and the second - multiple treatments. All subjects will be followed for 180 days with several intermediate visits at 3, 7, 30, 60, and 90-days.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Wrinkle, Facial and Neck Skin Laxity
Keywords
skin rejuvenation, wrinkle removal, skin laxity reduction
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Masking Description
subject is blinded to the needle gauge and density of treatment
Allocation
N/A
Enrollment
33 (Actual)
8. Arms, Groups, and Interventions
Arm Title
micro-excisional skin removal
Arm Type
Experimental
Arm Description
Facial and neck wrinkles will be treated with micro-excisional skin removal
Intervention Type
Device
Intervention Name(s)
micro-excisional skin removal with coring needle
Other Intervention Name(s)
micro-coring, micro-excisional skin removal
Primary Outcome Measure Information:
Title
improvement in wrinkle appearance
Description
One grade or better improvement in score on Wrinkle Severity Scale
Time Frame
60 and 90 days
Secondary Outcome Measure Information:
Title
improvement in skin laxity
Description
One grade or better improvement in score on Laxity Scale
Time Frame
up to 180 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Fitzpatrick Skin Type 1, 2, or 3 as assessed by Investigator
One or more of the following conditions assessed by Investigator using provided Severity Scales:
Nasolabial fold severity at rest ≥2 and ≤4;
Marionette line prominence at rest ≥2 and ≤4;
Oral commissure drooping at rest ≥2 and ≤4;
Jawline sagging at rest ≥2 and ≤4 .
Moderate-to-Severe wrinkles at rest at least in one of the following areas - the upper lip, chin and cheeks.
Exclusion Criteria:
Lesions suspicious for any malignancy or the presence of actinic keratosis, melasma, vitiligo, cutaneous papules/nodules or active inflammatory lesions in the areas to be treated
History of keloid formation or hypertrophic scarring
History of trauma or surgery to the treatment areas in the past 6 months
Scar present in the areas to be treated
Silicone or synthetic material injections in the areas to be treated
Injection of FDA-approved dermal fillers in the past two years
Injection of fat in the past year
History of treatment with dermabrasion, ablative laser, or radiofrequency in the past year
History of treatment with non-ablative laser in the past 6 months
History of treatment with botulinum toxin injections in the areas to be treated within the prior 6 months
Active smokers (0.5 pack/day) or having quit within 3 months prior to treatment
Active, chronic, or recurrent infection
History of compromised immune system or currently being treated with immunosuppressive agents
History of sensitivity to analgesic agents, Aquaphor®, topical or local anesthetics (e.g., lidocaine, benzocaine, procaine) or chlorhexidine, povidone-iodine or epinephrine
Excessive sun exposure and use of tanning beds or tanning creams within 30 days prior to treatment
Treatment with aspirin or other blood thinning agents within 14 days prior to treatment
History or presence of any clinically significant bleeding disorder
Co-morbid condition that in the Investigator's opinion could limit ability to participate in the study or to comply with follow-up requirements
History of drug and/or alcohol abuse
Any issue that, at the discretion of the Investigator, would interfere with assessment of safety or efficacy or compromise the subject's ability to undergo study procedures or give informed consent
Treatment with an investigational device or agent within 30 days before treatment or during the study period
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michail M Pankratov, MD, PhD
Organizational Affiliation
Senior Vice President of Clinical & Regulatory Affairs
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Patricia E Krantz
Organizational Affiliation
Director of Clinical Operations
Official's Role
Study Director
Facility Information:
Facility Name
Laser & Skin Center of Northern CA
City
Sacramento
State/Province
California
ZIP/Postal Code
95816
Country
United States
Facility Name
SkinCare Physicians
City
Chestnut Hill
State/Province
Massachusetts
ZIP/Postal Code
02467
Country
United States
Facility Name
Laser & Skin Surgery Center of NY
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Nashville Center for Laser & Facial Surgery
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Dr A Jay Burns Cosmetic Surgery
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
Clinical data analysis will be summarized in the Clinical Study Report and later submitted for publication in the peer-reviewed journal
Citations:
PubMed Identifier
23357983
Citation
Fernandes JR, Samayoa JC, Broelsch GF, McCormack MC, Nicholls AM, Randolph MA, Mihm MC, Austen WG Jr. Micro-mechanical fractional skin rejuvenation. Plast Reconstr Surg. 2013 Feb;131(2):216-223. doi: 10.1097/PRS.0b013e3182789afa.
Results Reference
result
PubMed Identifier
26627306
Citation
Russe E, Purschke M, Farinelli WA, Wang Y, Doukas AG, Limpiangkanan W, Sakamoto FH, Tam J, Wechselberger G, Anderson RR. Micro-fractional, directional skin tightening: A porcine model. Lasers Surg Med. 2016 Mar;48(3):264-9. doi: 10.1002/lsm.22444. Epub 2015 Dec 2.
Results Reference
result
Learn more about this trial
Evaluation of Safety and Efficacy of Micro-coring Device for Treatment of Facial Wrinkles and Skin Laxity
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