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Nasolabial Folds, WrinklesNCT02195427

TEOSYAL® RHA Global Action, TEOSYAL® RHA Deep Lines, and Juvéderm® Ultra XC for the Correction of Nasolabial Folds

A study testing TEOSYAL® RHA Global Action and TEOSYAL® RHA Deep Lines in people with Nasolabial Folds, Wrinkles, run by Teoxane SA at 5 sites 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 purpose of this study is 1) to compare the effectiveness and safety of TEOSYAL® RHA Global Action versus Juvéderm® Ultra XC, and 2) to compare the effectiveness and safety of TEOSYAL® RHA Deep Lines versus Juvéderm® Ultra XC, in the treatment of moderate to severe nasolabial folds. Read more about this study

Who is it for?
Ages 22 years and older
Conditions the study is for
Nasolabial Folds, Wrinkles
What is being tested?
TEOSYAL® RHA Global Action and TEOSYAL® RHA Deep Lines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
148 participants
Where
5 sitesUnited States
Study dates
Jun 2014to Mar 2016
Phase
Interventional
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 22 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Outpatient, male or female of any race, 22 years of age or older; female subjects of childbearing potential must have a negative urine pregnancy test and practice a reliable method of contraception
  • NLFs classified as WSRS grade 3 or 4 (same score for each side)
  • Willing to abstain from facial aesthetic procedures/therapies that could interfere with study evaluations
  • Able to follow study instructions and likely to complete all required visits;
  • Signed informed consent and HIPAA (Health Insurance Portability and Accountability Act) form

Who cannot join

  • Female subjects that are pregnant or breast-feeding, or of childbearing potential and not practicing reliable birth control
  • Known hypersensitivity/allergy to any component of the study devices
  • Known sensitivity to local anesthetics of the amide type, history of multiple severe allergies, history of anaphylactic shock
  • Known susceptibility to keloid formation, hypertrophic scarring or clinically significant skin pigmentation disorders
  • Clinically significant active skin disease within 6 months
  • History of active chronic debilitating systemic disease
Show all 14Show fewer
  • History of connective tissue disease
  • History of malignancy (excl. non-melanoma skin cancer) within past 5 years
  • History of bleeding disorders
  • Need for clinically significant and continuous medical treatment within 2 weeks prior to first visit
  • Received/used a prohibited treatment/procedure within certain time periods (e.g., bioresorbable fillers, NSAIDS, acetylsalicylic acid, high dose vitamin E, corticosteroids, interferon, anti-coagulation therapies, laser/light therapies, botulinum toxin injections (frontalis and glabella complex treatment permitted), prescription strength topical retinoids, facial peels, excisional facial surgery, clinically significant oral or maxillofacial surgery)
  • Clinically significant alcohol or drug abuse, or history of poor cooperation, non-compliance with medical treatment, or unreliability
  • Exhibit a physical attribute(s) that may prevent assessment or treatment of NLFs such as excessive facial hair, traumatic or surgical facial scars, and/or excessive hyperpigmentation in the treatment areas
  • A condition or situation that may put the subject at significant risk, confound the study results, or significantly interfere with the subject participation

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • United States, California

    Beverly Hills, California

  • United States, Alabama

    Birmingham, Alabama

  • United States, Massachusetts

    Chestnut Hill, Massachusetts

  • United States, Florida

    Coral Gables, Florida

  • United States, Santa Monica

    Santa Monica, California

Other trials in United States

About this study

Official title: A Controlled, Randomized, Double-Blinded, Within-Subject, Multicenter, Prospective Clinical Study of TEOSYAL® RHA Global Action and TEOSYAL® RHA Deep Lines Versus Juvéderm® Ultra XC in the Treatment of Moderate to Severe Nasolabial Folds

The purpose of this study is 1) to compare the effectiveness and safety of TEOSYAL® RHA Global Action versus Juvéderm® Ultra XC, and 2) to compare the effectiveness and safety of TEOSYAL® RHA Deep Lines versus Juvéderm® Ultra XC, in the treatment of moderate to severe nasolabial folds.

Being tested
TEOSYAL® RHA Global Action, TEOSYAL® RHA Deep Lines
Keywords
Nasolabial folds, Dermal filler, Hyaluronic acid (HA), Wrinkles

What participants receive

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

  • TEOSYAL® RHA Global ActionDevice

    A sterile, biodegradable, biocompatible, viscoelastic, clear, colorless, homogenized gel implant. It consists of cross-linked hyaluronic acid produced by fermentation of Streptococcus equi bacteria, formulated to a concentration of 23 mg/mL and 0.3% w/w lidocaine in a physiologic buffer. It is supplied in individual treatment syringes with 30G1/2" disposable sterile needles.

  • TEOSYAL® RHA Deep LinesDevice

    A sterile, biodegradable, biocompatible, viscoelastic, clear, colorless, homogenized gel implant. It consists of cross-linked hyaluronic acid produced by fermentation of Streptococcus equi bacteria, formulated to a concentration of 23 mg/mL and 0.3% w/w lidocaine in a physiologic buffer. It is supplied in individual treatment syringes with 27G1/2" disposable sterile needles.

Study groups in NCT02195427
Study groupRoleWhat they receive
TEOSYAL RHA Global Action/Juvederm Ultra XCExperimentalSplit-face injection of TEOSYAL® RHA Global Action into one NLF and Juvederm® Ultra XC into the contralateral NLF (n=75). Up to 3.0 mL injected per NLF (mid-dermis to deep-dermis). Touch-up treatment provided at 2 weeks (up to 3.0 mL per NLF).
Receives: Device: TEOSYAL® RHA Global Action
TEOSYAL RHA Deep Lines/Juvederm Ultra XCExperimentalSplit-face injection of TEOSYAL® RHA Deep Lines into one NLF and Juvederm® Ultra XC into the contralateral NLF (n=75). Up to 3.0 mL injected per NLF (mid-dermis to deep-dermis). Touch-up treatment provided at 2 weeks (up to 3.0 mL per NLF).
Receives: Device: TEOSYAL® RHA Deep Lines

What is being measured

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

  1. Non-inferiority of the Delta of TEOSYAL® RHA GA and TEOSYAL® RHA DL Versus Juvéderm® Ultra XC for the Correction of Moderate to Severe NLFs Based on the Wrinkle Severity Rating Scale (WSRS) Score Assessed by the Blinded Live Evaluator (BLE).

    TEOSYAL® RHA GA = TEOSYAL® RHA Global Action TEOSYAL® RHA DL = TEOSYAL® RHA Deep Lines WSRS (Wrinkle Severity Rating Scale) is a validated 5-point scale assessing wrinkle severity with 1 being 'absent' and 5 being 'extreme' BLE = Blinded Live Evaluator

    Measured: Baseline and 24 weeks after last treatment

Secondary outcomes (13)
  1. Post Injection Treatment Responses (From Common Treatment Responses (CTR) Diary) for Safety Evaluation of TEOSYAL® RHA Global Action (GA) and TEOSYAL® RHA Deep Lines (DL) Versus Juvéderm® Ultra XC (J).

    The subjects received a diary booklet and instructions for recording his/her observations of the Common Treatment Responses of the study treatments for the first 14 days after each treatment (initial, touch-up). The diary was discussed during each telephone follow-up visit. Subjects should complete the diary at approximately the same time each day (i.e., am or pm).

    The subject diary captured the following Common Treatment Responses (CTR) that occur following the injection of a dermal filler; specifically, redness, pain, tenderness, firmness, swelling, lumps/bumps, bruising, itching, discoloration, and "other".

    The 14-day patient CTR diary included a detailed glossary describing all signs/symptoms listed in the diary; an option was provided to rate "other" if the subject experienced a sign/symptom that is not listed.

    The table presents the number of subjects experiencing at least 1 Common Treatment Response (CTR)

    Measured: During 14 days after initial treatment (D0) and touch-up (2 weeks)

  2. Assessment of Injection Site Pain (Visual Analog Scale) of TEOSYAL® RHA Global Action (GA) and TEOSYAL® RHA Deep Lines (DL) Versus Juvéderm® Ultra XC (J).

    VAS is a 100 mm Visual Analog Scale with 0 meaning no pain and 100 meaning intolerable pain

    Measured: During Injection and 5, 15, 30 minutes post-injection

  3. Delta of the WSRS Score Between W24,36,52 and Baseline for TEOSYAL® RHA GA Versus Juvéderm® Ultra XC and TEOSYAL® RHA DL Versus Juvéderm® Ultra XC for the Correction of Moderate to Severe NLFs Based on the WSRS Score Assessed by the BLE

    TEOSYAL® RHA GA = TEOSYAL® RHA Global Action TEOSYAL® RHA DL = TEOSYAL® RHA Deep Lines WSRS (Wrinkle Severity Rating Scale) is a validated 5-point scale assessing wrinkle severity with 1 being 'absent' and 5 being 'extreme' BLE = Blinded Live Evaluator

    Measured: Baseline and Weeks 24, 36, 52, 64

  4. Delta of the WSRS Score Between W2,4,12,24,36,52,64 and Baseline for TEOSYAL® RHA GA Versus Juvéderm® Ultra XC and TEOSYAL® RHA Deep Lines Versus Juvéderm® Ultra XC for the Correction of Moderate to Severe NLFs Based on the WSRS Score Assessed by the TI

    TEOSYAL® RHA GA = TEOSYAL® RHA Global Action TEOSYAL® RHA DL = TEOSYAL® RHA Deep Lines WSRS (Wrinkle Severity Rating Scale) is a validated 5-point scale assessing wrinkle severity with 1 being 'absent' and 5 being 'extreme' TI = Treating Investigator

    Measured: Baseline and Weeks 2, 4, 12, 24, 36, 52, 64

  5. Percentage of Responders Based on the Intra-individual Improvement of at Least One Grade in the WSRS Compared to Baseline Assessed by the BLE

    A responder correspond to a subject with an intra-individual improvement of at least one grade in the WSRS compared to baseline

    Measured: Baseline and Weeks 24, 36, 52, 64

  6. Percentage of Responders Based on the Intra-individual Improvement of at Least One Grade in the WSRS Compared to Baseline Assessed by the TI

    A responder correspond to a subject with an intra-individual improvement of at least one grade in the WSRS compared to baseline

    Measured: Baseline and Weeks 2, 4, 12, 24, 36, 52, 64

  7. Number of Subjects Scored Either "Much Improved" or "Improved" on Global Aesthetic Improvement (GAI) Scale by the Blinded Live Evaluator (BLE).

    Global Aesthetic Improvement (GAI) is a subjective 5-grade scale comprised of "much improved, improved, no change, worse, and much worse" that evaluate the aesthetic improvement from baseline.

    GAI was assessed using the baseline photograph. Each side of the face was assessed independently.

    Measured: Weeks 24, 36, 52, 64

  8. Number of Global Aesthetic Improvement (GAI) Responders (i.e., Scoring Either "Much Improved" or "Improved") on GAI Scale.

    Global Aesthetic Improvement (GAI) is a subjective 5-grade scale comprised of "much improved, improved, no change, worse, and much worse" that evaluate the aesthetic improvement from baseline.

    GAI was assessed using the baseline photograph. Subjects will be instructed: "Use a mirror to compare your face to the photograph provided to you and rate the degree of aesthetic improvement by using the following scale".

    Each side of the face was assessed independently.

    Measured: Weeks 4, 12, 24, 36, 52, 64

  9. Subject's Perception of Treatment Effectiveness as Per the FACE-Q (NLF Domain) Questionnaire

    The FACE-Q measures the experience and outcomes of aesthetic facial procedures from the patient's perspective.

    FACE-Q questionnaire is composed of 5 questions with a score linked to answers (1 being 'Not at all' and 4 being 'Extremely').

    The subject was instructed as follows: "These questions ask about how you look right now. With your nasolabial folds in mind (the deep lines that run downward from the sides of your nose), in the past week, how much have you been bothered by:", and provided response.

    • How deep your nasolabial fold are?
    • How your nasolabial folds look when your face is relaxed (still)?
    • How old your nasolabial folds make you look?
    • How your nasolabial folds look when you smile?
    • How your nasolabial folds look compared with other people your age? To calculate the FACE-Q, outcomes from all 5 questions were pooled and adapted to a scale to 100 units. Data were also transformed so that higher scores reflected a beneficial outcome.

    Measured: Immediately post-injection, and weeks 2, 4, 12, 24, 36, 52, 64

  10. Subject's Satisfaction Score

    Subjective 5-point scale with 1 being 'very satisfied' and 5 being 'very dissatisfied'

    Measured: Weeks 2, 4, 12, 24, 36, 52, 64

  11. Volume to Obtain Optimal Cosmetic Result (Initial Treatment + Touch-up)

    Measured: Week 2

  12. Number of Subjects Receiving Touch-up Treatment.

    Measured: Week 2

  13. Number of Subjects Receiving Re-treatment

    Measured: Weeks 24, 36, 52, 64

Timeline

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

  1. First posted21 Jul 2014 (estimated)
  2. Study startJun 2014
  3. Primary completionMar 2015
  4. Study completionMar 2016

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
148 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02195427
Sponsor's protocol ID
TEO-RHA-1302
Status last verified
Mar 2018
First submitted
15 Jul 2014
Last updated
25 Apr 2018
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A study testing TEOSYAL® RHA Global Action and TEOSYAL® RHA Deep Lines in people with Nasolabial Folds, Wrinkles, run by Teoxane SA at 5 sites 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 5 inclusion and 14 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 25 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Mar 2018). 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?

Non-inferiority of the Delta of TEOSYAL® RHA GA and TEOSYAL® RHA DL Versus Juvéderm® Ultra XC for the Correction of Moderate to Severe NLFs Based on the Wrinkle Severity Rating Scale (WSRS) Score Assessed by the Blinded Live Evaluator (BLE). (time frame: Baseline and 24 weeks after last treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 25 Apr 2018.

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