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Moderate or Severe Submental FullnessPhase 3NCT02007434

Patient Experience Study of Deoxycholic Acid Injection

A Phase 3 study testing Deoxycholic Acid Injection, Cold Compress and Lidocaine / Epinephrine in people with Moderate or Severe Submental Fullness, run by Kythera Biopharmaceuticals at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objectives of this study are to determine the safety of deoxycholic acid subcutaneous (SC) injections in the submental area and to evaluate the effects of four interventions, relative to placebo in the submental area, particularly with regard to assessment and management of pain, bruising, and swelling/edema. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Moderate or Severe Submental Fullness
What is being tested?
Deoxycholic Acid Injection, Cold Compress and Lidocaine / Epinephrine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
84 participants
Where
1 siteUnited States
Study dates
Dec 2013to Jun 2014
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Submental fat graded by the Investigator as 2 (moderate) or 3 (severe) using the Clinician-Reported Submental Fat Rating Scale (CR-SMFRS) and graded by the subject as 2 (moderate amount) or 3 (large amount) using the Patient-Reported Submental Fat Rating Scale (PR-SMFRS)
  • Dissatisfaction with the appearance of the submental area expressed by the subject as a rating of 0, 1, or 2 using the Subject Self Rating Scale (SSRS)
  • History of stable body weight for at least 6 months and body mass index (BMI) of ≤ 40 kg/m².
  • Acceptable skin laxity as determined by the investigator
  • Agreement by the subject to refrain from making significant changes, in the documented judgment of the investigator, to his or her dietary or exercise habits during the course of the subject's participation.
  • Agreement to forego any treatment or behavior (e.g., unshaven facial hair)
  • Signed informed consent obtained before any study-specific procedure is performed.

Who cannot join

  • No prior intervention for submental fullness or recent cosmetic procedure in the neck or chin area
  • Absence of clinically significant health problems
  • Body mass index > 40.0 kg/m² as determined prior to randomization.
  • History of drug or alcohol abuse.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Investigational Site

    Tempe, Arizona, 85283

Other trials in United States

About this study

Official title: A Single Center, Double-blind, Parallel-group, Two Factor Patient-Experience Management Study of ATX-101 (Deoxycholic Acid Injection) for the Reduction of Localized Subcutaneous Fat in the Submental Area

The objectives of this study are to determine the safety of deoxycholic acid subcutaneous (SC) injections in the submental area and to evaluate the effects of four interventions, relative to placebo in the submental area, particularly with regard to assessment and management of pain, bruising, and swelling/edema.

Read the detailed description

This study evaluated the effects of four interventions, pre- and post-subcutaneous injections of deoxycholic acid injection relative to placebo in adults with submental fullness. Participants were randomized to either deoxycholic acid injection or placebo in a ratio of 4:1 and to one of four patient experience management paradigms.

Participants were required to visit the research facility on 10 separate occasions for protocol-defined treatments, procedures, tests, and observations.

Being tested
Deoxycholic Acid Injection, Placebo, Cold Compress, Lidocaine / Epinephrine, Loratadine
Medical subject headings
Lymphoma, Follicular

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Deoxycholic Acid InjectionDrug

    Also called ATX-101, Kybella

    Formulated as an injectable solution containing deoxycholic acid at a concentration of 10 mg/mL.

  • PlaceboDrug

    Phosphate buffered saline placebo for injection

  • Cold CompressOther

    A cold compress was applied to the injection area for 10 minutes before dosing and for 15 minutes after dosing.

  • Lidocaine / EpinephrineDrug

    Lidocaine 4% topical cream applied 45 minutes prior to dosing across the area to be treated, followed by 0.4 mL SC injections of lidocaine HCl 1% / epinephrine 1:100,000 around the perimeter of the treatment area and across the treatment area in a regular pattern 25 minutes before dosing.

  • LoratadineDrug

    Loratadine 10 mg orally from Day -7 until Day 7

  • IbuprofenDrug

    Ibuprofen 600 mg at least 1 hour prior to dosing and 600 mg 3 times a day for at least 3 days after dosing.

  • Compression Chin StrapOther

    A compression chin strap was applied 15 minutes after dosing for at least 24 hours.

Study groups in NCT02007434
Study groupRoleWhat they receive
Paradigm 1 / Deoxycholic Acid InjectionExperimentalParticipants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, either 6 or 8 mL (based on Baseline CR-SMFRS grade 2 or 3, respectively) on Day 0 and a cold compress applied to the treatment area.
Receives: Drug: Deoxycholic Acid Injection; Other: Cold Compress
Paradigm 1/ PlaceboPlacebo comparatorParticipants received placebo administered in 0.2 mL injections, either 6 or 8 mL on Day 0 and a cold compress applied to the treatment area.
Receives: Drug: Placebo; Other: Cold Compress
Paradigm 2 / Deoxycholic Acid InjectionExperimentalParticipants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, either 6 or 8 mL on Day 0, topical and injectable anesthetics (lidocaine/epinephrine) and a cold compress applied to the treatment area.
Receives: Drug: Deoxycholic Acid Injection; Other: Cold Compress; Drug: Lidocaine / Epinephrine
Paradigm 2 / PlaceboPlacebo comparatorParticipants received placebo administered in 0.2 mL injections, either 6 or 8 mL on Day 0, topical and injectable anesthetics and a cold compress applied to the treatment area.
Receives: Drug: Placebo; Other: Cold Compress; Drug: Lidocaine / Epinephrine
Paradigm 3 / Deoxycholic Acid InjectionExperimentalParticipants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, either 6 or 8 mL on Day 0, oral antihistamine and anti-inflammatory agents (loratadine and ibuprofen), topical and injectable anesthetics and a cold compress applied to the treatment area.
Receives: Drug: Deoxycholic Acid Injection; Other: Cold Compress; Drug: Lidocaine / Epinephrine; Drug: Loratadine; Drug: Ibuprofen
Paradigm 3 / PlaceboPlacebo comparatorParticipants received placebo administered in 0.2 mL injections, either 6 or 8 mL on Day 0, oral antihistamine and anti-inflammatory agents, topical and injectable anesthetics and a cold compress applied to the treatment area.
Receives: Drug: Placebo; Other: Cold Compress; Drug: Lidocaine / Epinephrine; Drug: Loratadine; Drug: Ibuprofen
Paradigm 4 / Deoxycholic Acid InjectionExperimentalParticipants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, either 6 or 8 mL on Day 0, a compression chin strap, oral antihistamine and anti-inflammatory agents, topical and injectable anesthetics and a cold compress applied to the treatment area.
Receives: Drug: Deoxycholic Acid Injection; Other: Cold Compress; Drug: Lidocaine / Epinephrine; Drug: Loratadine; Drug: Ibuprofen; Other: Compression Chin Strap
Paradigm 4 / PlaceboPlacebo comparatorParticipants received placebo administered in 0.2 mL injections, either 6 or 8 mL on Day 0, a compression chin strap, oral antihistamine and anti-inflammatory agents, topical and injectable anesthetics and a cold compress applied to the treatment area.
Receives: Drug: Placebo; Other: Cold Compress; Drug: Lidocaine / Epinephrine; Drug: Loratadine; Drug: Ibuprofen; Other: Compression Chin Strap

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Pain Visual Analog Scale Scores

    Participants were provided with a scale 100 mm in length and were asked to mark the place on the line that best represents his or her pain associated with the area treated with study drug. The scale ranged from 0 (no pain) to 100 (most severe pain possible).

    Measured: Baseline and Day 84

  2. Change From Baseline in Pain Assessment Using McGill Pain Questionnaire

    Participants rated 15 pain characteristics by using a number to signify how much of that specific type of pain they were experiencing using the Short-Form McGill Pain Questionnaire. The pain characteristic options included Throbbing, Shooting, Stabbing, Sharp, Cramping, Gnawing, Hot-burning, Aching, Heavy, Tender, Splitting, Tiring-exhausting, Sickening, Fearful, and Punishing- cruel. Participants assessed the intensity of each characteristic using the following score system: none (0), mild (1), moderate (2), and severe (3). In addition, present pain was assessed on a scale from 0 (no pain) to 5 (excruciating).

    Measured: Baseline (predose) and Day 84

  3. Swelling Grading Scale Scores

    The following grading system was used for the assessment of swelling:

    • Swelling/edema absent (0)
    • Minimal swelling/edema contained within treatment area (1)
    • Modest swelling/edema contained within treatment area (2)
    • Substantial swelling/edema contained within treatment area (3)
    • Swelling/edema of the neck and face beyond the treatment area (4)

    Measured: Day 84

  4. Bruising Grading Scale Scores

    The following grading system was used for the assessment of bruising:

    • Bruising absent (0)
    • Bruising associated with 1 to 3 needle insertion points (1)
    • Bruising spreading beyond 4 or more individual needle insertion points but contained within the treatment area (2)
    • Bruising covering the entire treatment area but contained within the treatment area (3)
    • Bruising of the neck and face beyond the treatment area (4)

    Measured: Day 84

  5. Induration Grading Scale Scores

    The following grading system was used for the assessment of induration:

    • Induration absent to minimal (0)
    • Induration associated with at least approximately 30% of the treatment area (1)
    • Induration associated with greater than approximately 30% to at least 60% of the treatment area (2)
    • Induration covering the entire treatment area but contained within the treatment area (3)
    • Induration of the neck and face beyond the treatment area (4)

    Measured: Day 84

Secondary outcomes (6)
  1. Change From Baseline in Clinician-Reported Submental Fat Rating Scale (CR-SMFRS)

    The CR-SMFRS score is based on the investigator's clinical evaluation of the participant, where submental fullness is scored on a 5-point ordinal scale (0-4) with 0 = absent, 1 = mild, 2 = moderate, 3 = severe, and 4 = extreme. A negative change from Baseline indicates improvement.

    Measured: Baseline and Day 84

  2. Change From Baseline in Patient-Reported Submental Fat Rating Scale (PR-SMFRS)

    The PR-SMFRS is based on the participant's response to the question "How much fat do you have under your chin right now?" answered on a 5-point ordinal scale (0-4) with 0 = no chin fat at all, 1 = a slight amount of chin fat, 2 = a moderate amount of chin fat, 3 = a large amount of chin fat, and 4 = a very large amount of chin fat. A negative change from Baseline indicates improvement.

    Measured: Baseline and Day 84

  3. Change From Baseline in Subject Self Rating Scale (SSRS)

    The SSRS assesses participant's satisfaction with their appearance in association with the face and chin on a 7-point scale from 0 to 6: where 0 = Extremely dissatisfied, 1 = Dissatisfied, 2 = Slightly dissatisfied, 3 = Neither satisfied nor dissatisfied, 4 = Slightly satisfied, 5 = Satisfied and 6 = Extremely satisfied. A positive change from Baseline indicates improvement.

    Measured: Baseline and Day 84

  4. Change From Baseline in Submental Skin Laxity Grades (SMSLG)

    Skin laxity assessment was based on clinical evaluation and palpation of the submental area on the following scale: 1 = no laxity; 2 = mild laxity; 3 = moderate laxity; 4 = severe laxity. A negative change from Baseline indicates improvement.

    Measured: Baseline and Day 84

  5. Change From Baseline in Submental Fat Thickness

    Submental thickness was measured using caliper devices.

    Measured: Baseline and Day 84

  6. Patient Experience Questions

    Participants were asked to complete 3 patient experience questions, each answered as Yes or No:

    Given your experience in this study:

    1. Would you recommend this procedure to a friend?
    2. Would you agree to receive additional treatments?
    3. Has the treatment you received in this study affected your normal activities?

    The percentage of participants answering Yes on each question is reported.

    Measured: Day 84

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Dec 2013 (estimated)
  2. Study startDec 2013
  3. Primary completionJun 2014
  4. Study completionJun 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
84 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02007434
Sponsor's protocol ID
ATX-101-13-36
Status last verified
Jul 2015
First submitted
30 Oct 2013
Last updated
28 Jul 2015
Data monitoring committee
No

Publications

  • Dover JS, Kenkel JM, Carruthers A, Lizzul PF, Gross TM, Subramanian M, Beddingfield FC 3rd. Management of Patient Experience With ATX-101 (Deoxycholic Acid Injection) for Reduction of Submental Fat. Dermatol Surg. 2016 Nov;42 Suppl 1:S288-S299. doi: 10.1097/DSS.0000000000000908.

    PubMed 27787269

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Deoxycholic Acid Injection, Cold Compress and Lidocaine / Epinephrine in people with Moderate or Severe Submental Fullness, run by Kythera Biopharmaceuticals at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Jul 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Jul 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Pain Visual Analog Scale Scores (time frame: Baseline and Day 84). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02007434, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jul 2015.

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