UltraShape Device for Non-Invasive Fat Reduction in the Male Breast (Pseudogynecomastia)
Primary Purpose
Gynecomastia, Male Breast Enlargement
Status
Withdrawn
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
UltraShape focused ultrasound device
Sponsored by
About this trial
This is an interventional treatment trial for Gynecomastia focused on measuring ultrasound, fat
Eligibility Criteria
Inclusion Criteria:
- Signed informed consent to participate in the study
- Male subjects, 18 -70 years of age at the time of enrollment
- BMI interval: BMI ≥ 22 and ≤30 (normal to overweight, but not obese)
- Fat thickness of at least 1.5 cm in the treated area (breast) as measured by calibrated caliper.
- Subject has clearly visible, palpable, excess fatty tissue in their breast area, and minimal fibrous tissue.
- Subject agrees to maintain their weight (i.e., within 3% weight change) by not making any major changes in their diet or lifestyle during the course of the study.
- General good health confirmed by medical history and skin examination of the treated area.
- Willing to follow the treatment and follow-up schedule and post-treatment care instructions.
- Willing to have photographs and images taken of the treated areas to be used, de-identified in evaluations, publications and presentations.
Exclusion Criteria:
- History of hypertension, ischemic heart disease, valvular heart disease, congestive heart failure, pacemaker/defibrillator.
- Known hyperlipidemia, diabetes mellitus, hepatitis, liver disease, HIV positive status, blood coagulopathy or excessive bleeding, autoimmune or connective tissue disease.
- Having or undergoing any form of treatment for active cancer, or having a history of skin cancer or any other cancer in the areas to be treated, including presence of malignant or pre-malignant pigmented lesions.
- Having any active electrical implant anywhere in the body, such as a pacemaker or an internal defibrillator.
- Having a permanent implant in the treated area, such as metal plates or an injected chemical substance such as silicone.
- Having undergone any other surgery in the treated areas within 12 months of treatment or during the study, including liposuction.
- Previous body contouring procedures in the treatment area within 12 months.
- History of skin disease in the treatment area, known tendency to form keloids or poor wound healing.
- Suffering from significant skin conditions in the treated areas or inflammatory skin conditions, including, but not limited to, open lacerations or abrasions and active cold sores or herpes sores prior to treatment (duration of resolution as per the Investigator's discretion) or during the treatment course.
- Skin lesions in the treatment area other than simple nevi on physical examination (e.g., atypical nevus, tattoo, abrasions) including depressed scars in the treatment area.
- Very poor skin quality (i.e., severe laxity) according to the investigator decision.
- Obesity (BMI >30).
- Unstable weight within the last 6 months (i.e., 3% weight change in the prior six months).
- Inability to comply with circumference measurement procedure (e.g., inability to hold breath for the required duration).
- Fat thickness lower than 2.5 cm after strapping at the treated area.
- Participation in another clinical study involving same anatomical areas within the last 6 months (or 30 days in case different anatomical areas were treated in previous trial/s).
- As per the Investigator's discretion, any physical or mental condition which might make it unsafe for the subject to participate in this study.
- Personal history of previous breast malignancy.
- Subject is taking any medication which could cause abnormal breast enlargement - including but not limited to: digoxin, furosemide, gonadotropins, clomiphene, phenytoin, and exogenous testosterone, ketoconazole, metronidazole, alkylating agents, cisplatin, spironolactone, cimetidine, flutamide, finasteride, etomidate, isonicotinic acid hydrazide, methyldopa, busulfan, tricyclic antidepressants, diazepam, penicillamine, omeprazole, phenothiazines, calcium channel blockers, angiotensin-converting enzyme (ACE) inhibitors.
- Subject has history of the following medical conditions: Klinefelter syndrome, Congenital anorchia, Testicular trauma, Testicular torsion, Viral orchitis, Kallmann syndrome , Pituitary tumors, Malignancies that increase the serum level of hCG (eg, large cell lung cancer, gastric carcinoma, renal cell carcinoma, hepatoma), Renal failure, Hyperthyroidism, Malnutrition, Androgen insensitivity syndrome, Five-alpha-reductase deficiency syndrome.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Unilateral UltraShape treatment
Bilateral UltraShape treatment
Arm Description
One side of the chest (left or right breast) will be treated with the UltraShape focused ultrasound device, while the opposite will serve as an untreated control.
Both sides of the chest (right and left breasts) will be treated with the UltraShape focused ultrasound device.
Outcomes
Primary Outcome Measures
Reduction in breast fat thickness after 3 treatments compared to baseline
Average reduction in breast fat thickness after 3 treatments compared to baseline, as measured by ultrasound imaging
Secondary Outcome Measures
Reduction in breast fat thickness on treated side compared to control side
Average reduction in breast fat thickness on treated side compared to control side, as measured by ultrasound imaging (Arm 1 only)
Reduction in breast/chest circumference after 3 treatments compared to baseline
Average reduction in breast/chest circumference after 3 treatments compared to baseline, as measured by measuring tape (Arm 2 only)
Reduction in breast fat thickness compared to baseline
Average reduction in breast fat thickness compared to baseline, as measured by skin caliper
Reduction in breast fat thickness on treated side compared to control side
Average reduction in breast fat thickness on treated side compared to control side, as measured by skin caliper (Arm 1 only)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02711605
Brief Title
UltraShape Device for Non-Invasive Fat Reduction in the Male Breast (Pseudogynecomastia)
Official Title
Clinical Evaluation of the UltraShape Device for Non-Invasive Fat Reduction in the Male Breast (Pseudogynecomastia)
Study Type
Interventional
2. Study Status
Record Verification Date
August 2018
Overall Recruitment Status
Withdrawn
Why Stopped
Study never got underway due to sponsor re-organization.
Study Start Date
March 13, 2016 (Actual)
Primary Completion Date
December 6, 2017 (Actual)
Study Completion Date
December 6, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Syneron Medical
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Data Monitoring Committee
No
5. Study Description
Brief Summary
Male volunteers who suffer from Pseudogynecomastia and seek noninvasive breast fat reduction will be enrolled into two arms to receive three biweekly UltraShape treatments.
Detailed Description
Up to 40 adult male volunteers, who suffer from Pseudogynecomastia, and seek noninvasive breast fat reduction will be enrolled at up to three investigational sites. Eligible subject will be divided into one of the two treatment arms: Arm 1: Subjects will be treated on one side of the breast, while the opposite side will serve as control - Up to 20 subjects; Arm 2: Subjects will be treated on both sides of the breast - Up to 20 subjects. Subjects will receive 3 bi-weekly treatments (at 2-week intervals) with the UltraShape device.
Subjects will return for 3 follow-up visits post last treatment (Tx.3): four weeks follow-up (4wk FU), eight weeks follow-up (8wk FU) and 12 weeks follow-up (12wk FU) for total expected study duration of 16 weeks.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gynecomastia, Male Breast Enlargement
Keywords
ultrasound, fat
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Unilateral UltraShape treatment
Arm Type
Experimental
Arm Description
One side of the chest (left or right breast) will be treated with the UltraShape focused ultrasound device, while the opposite will serve as an untreated control.
Arm Title
Bilateral UltraShape treatment
Arm Type
Experimental
Arm Description
Both sides of the chest (right and left breasts) will be treated with the UltraShape focused ultrasound device.
Intervention Type
Device
Intervention Name(s)
UltraShape focused ultrasound device
Other Intervention Name(s)
Contour I
Intervention Description
3 biweekly focused ultrasound treatments to the male chest with UltraShape.
Primary Outcome Measure Information:
Title
Reduction in breast fat thickness after 3 treatments compared to baseline
Description
Average reduction in breast fat thickness after 3 treatments compared to baseline, as measured by ultrasound imaging
Time Frame
12 weeks after 3rd treatment (16 weeks)
Secondary Outcome Measure Information:
Title
Reduction in breast fat thickness on treated side compared to control side
Description
Average reduction in breast fat thickness on treated side compared to control side, as measured by ultrasound imaging (Arm 1 only)
Time Frame
12 weeks after 3rd treatment (16 weeks)
Title
Reduction in breast/chest circumference after 3 treatments compared to baseline
Description
Average reduction in breast/chest circumference after 3 treatments compared to baseline, as measured by measuring tape (Arm 2 only)
Time Frame
At 4-week, 8-week and 12-week follow-ups
Title
Reduction in breast fat thickness compared to baseline
Description
Average reduction in breast fat thickness compared to baseline, as measured by skin caliper
Time Frame
At 4-week, 8-week and 12-week follow-ups
Title
Reduction in breast fat thickness on treated side compared to control side
Description
Average reduction in breast fat thickness on treated side compared to control side, as measured by skin caliper (Arm 1 only)
Time Frame
At 4-week, 8-week and 12-week follow-ups
Other Pre-specified Outcome Measures:
Title
Number of participants with adverse events
Description
The number of adverse events, severity, intervention and outcome, as reported on adverse event forms
Time Frame
through study duration up to 1 year
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Signed informed consent to participate in the study
Male subjects, 18 -70 years of age at the time of enrollment
BMI interval: BMI ≥ 22 and ≤30 (normal to overweight, but not obese)
Fat thickness of at least 1.5 cm in the treated area (breast) as measured by calibrated caliper.
Subject has clearly visible, palpable, excess fatty tissue in their breast area, and minimal fibrous tissue.
Subject agrees to maintain their weight (i.e., within 3% weight change) by not making any major changes in their diet or lifestyle during the course of the study.
General good health confirmed by medical history and skin examination of the treated area.
Willing to follow the treatment and follow-up schedule and post-treatment care instructions.
Willing to have photographs and images taken of the treated areas to be used, de-identified in evaluations, publications and presentations.
Exclusion Criteria:
History of hypertension, ischemic heart disease, valvular heart disease, congestive heart failure, pacemaker/defibrillator.
Known hyperlipidemia, diabetes mellitus, hepatitis, liver disease, HIV positive status, blood coagulopathy or excessive bleeding, autoimmune or connective tissue disease.
Having or undergoing any form of treatment for active cancer, or having a history of skin cancer or any other cancer in the areas to be treated, including presence of malignant or pre-malignant pigmented lesions.
Having any active electrical implant anywhere in the body, such as a pacemaker or an internal defibrillator.
Having a permanent implant in the treated area, such as metal plates or an injected chemical substance such as silicone.
Having undergone any other surgery in the treated areas within 12 months of treatment or during the study, including liposuction.
Previous body contouring procedures in the treatment area within 12 months.
History of skin disease in the treatment area, known tendency to form keloids or poor wound healing.
Suffering from significant skin conditions in the treated areas or inflammatory skin conditions, including, but not limited to, open lacerations or abrasions and active cold sores or herpes sores prior to treatment (duration of resolution as per the Investigator's discretion) or during the treatment course.
Skin lesions in the treatment area other than simple nevi on physical examination (e.g., atypical nevus, tattoo, abrasions) including depressed scars in the treatment area.
Very poor skin quality (i.e., severe laxity) according to the investigator decision.
Obesity (BMI >30).
Unstable weight within the last 6 months (i.e., 3% weight change in the prior six months).
Inability to comply with circumference measurement procedure (e.g., inability to hold breath for the required duration).
Fat thickness lower than 2.5 cm after strapping at the treated area.
Participation in another clinical study involving same anatomical areas within the last 6 months (or 30 days in case different anatomical areas were treated in previous trial/s).
As per the Investigator's discretion, any physical or mental condition which might make it unsafe for the subject to participate in this study.
Personal history of previous breast malignancy.
Subject is taking any medication which could cause abnormal breast enlargement - including but not limited to: digoxin, furosemide, gonadotropins, clomiphene, phenytoin, and exogenous testosterone, ketoconazole, metronidazole, alkylating agents, cisplatin, spironolactone, cimetidine, flutamide, finasteride, etomidate, isonicotinic acid hydrazide, methyldopa, busulfan, tricyclic antidepressants, diazepam, penicillamine, omeprazole, phenothiazines, calcium channel blockers, angiotensin-converting enzyme (ACE) inhibitors.
Subject has history of the following medical conditions: Klinefelter syndrome, Congenital anorchia, Testicular trauma, Testicular torsion, Viral orchitis, Kallmann syndrome , Pituitary tumors, Malignancies that increase the serum level of hCG (eg, large cell lung cancer, gastric carcinoma, renal cell carcinoma, hepatoma), Renal failure, Hyperthyroidism, Malnutrition, Androgen insensitivity syndrome, Five-alpha-reductase deficiency syndrome.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shlomit Mann, MA
Organizational Affiliation
Syneron Medical
Official's Role
Study Director
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Citations:
PubMed Identifier
17457840
Citation
Moreno-Moraga J, Valero-Altes T, Riquelme AM, Isarria-Marcosy MI, de la Torre JR. Body contouring by non-invasive transdermal focused ultrasound. Lasers Surg Med. 2007 Apr;39(4):315-23. doi: 10.1002/lsm.20478.
Results Reference
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UltraShape Device for Non-Invasive Fat Reduction in the Male Breast (Pseudogynecomastia)
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