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Moderate or Severe Submental FullnessPhase 2AYP-101NCT03982225

Evaluate the Efficacy and Safety of Polyene Phosphatidylcholine Injection (AYP-101) for the Reduction of Submental Fat

A Phase 2 study testing Polyene phosphatidylcholine injection in people with Moderate or Severe Submental Fullness, run by AMIpharm Co., Ltd. at 4 sites in South Korea.

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

Phase 2 trial to evaluate the safety and potential efficacy of three concentration of polyene phosphatidylcholine injection (AYP-101) compared to placebo for the reduction of submental fat. Read more about this study

Who is it for?
Ages 19 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Moderate or Severe Submental Fullness
What is being tested?
Polyene phosphatidylcholine injection
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
143 participants
Where
4 sitesSouth Korea
Study dates
1 Jul 2019to 21 Oct 2022
Phase
Phase 2
Are there results?
None posted in the registry

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 19 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Male and female over 19 and under 65 years old.
  • Submental fat graded by the investigator as 2 or 3 using the Clinician-Reported Submental Fat Rating Scale (CR-SMFRS) and graded by the subject as 2 or 3 using the Patient-Reported Submental Fat Rating Scale (PR-SMFRS) as determined on Visit 1.
  • Dissatisfaction with the submental area expressed by the subject as a rating of 0, 1, or 2 using the Subject Self Rating Scale (SSRS) as determined on Visit 1.
  • Stable weight over the last 6 months (body weight change within +/- 5kg), subject who should refrain from exercise and diet that may affect the study results, and who agreed to remain it for the study period.
  • Signed informed consent obtained before any study-specific procedure is performed.

Who cannot join

  • Allergic to beans or medical devices which used in this clinical trial (sterile oil pan, alcohol swab, grid pad, needle, etc.).
  • Hypersensitivity to the components of the clinical drug, lidocaine or acetaminophen.
  • Central, endocrine, or hereditary obesity (BMI 35kg/m2 or more).
  • Unable to undergo MRI by neurosis or general weakness.
  • History of any treatment (orthognathic surgery, suction lipectomy, Polyene Phosphatidylcholine (PPC) injection) in the neck or chin area.
  • History of any treatment such as massotherapy, carboxy, laser surgery, acupuncture needle, filler, chemical peeling, a botox surgery within 1 year before screening.
Show all 26Show fewer
  • Inflammation, scars or surgery on the injection area.
  • Judged to be unsuitable subject for the clinical trials; ① Abnormal or sagging skin, ② Noticeable platysma band under the chin area, ③ Less or short chin than normal.
  • Chin or neck disease that are considered to have an impact on the clinical trial such as lymphadenopathy.
  • History of or present symptoms of dysphagia.
  • Heart disease (cardiac insufficiency, angina, cardiac infarction) or stroke within 6 months before screening.
  • Requiring treatment of joint inflammation or a lung disease.
  • Uncontrolled hypertension (systolic blood pressure greater than 180 mmHg or diastolic blood pressure greater than 110 mmHg) or type 2 diabetes mellitus (HbA1c> 9%).
  • Type 1 diabetes mellitus who needs insulin treatment.
  • Autoimmune disorder as well as those who takes immunodepressant drugs.
  • Hemostatic disorder or those who takes anticoagulant drug such as warfarin and clopidogrel.
  • Thyromegaly, thyrotoxicosis, or HIV-positive.
  • Diagnosed with malignant tumor within the last 5 years.
  • Severe renal dysfunction (serum creatinine > 2.0 mg/dl) or severe dyshepatia (ALT, aspartate aminotransferase(AST), alkaline phosphatase > maximum rate of normality x 2.5).
  • History of serious psychiatric disease (Depression, schizophrenia, epilepsy, alcoholism, drug addiction, anorexia, anorexia nervosa, etc.).
  • History of taken a drug that can affect body weight or lipid metabolism such as anorectic agent, steroids, thyroid hormones, amphetamine, cyproheptadine, phenothiazine, or drugs that affect absorption, metabolism, and excretion within 3 months before screening.
  • History of other clinical trial studies within 3 months before screening.
  • Women who are pregnant, breastfeeding, having pregnancy plan, or did not agreed to the contraception (contraceptive pills, contraceptive hormones, intrauterine contraceptive device, spermicide, condoms etc.).
  • Judged to be unsuitable subject for the clinical trials.
  • No or unable to using Smart phone to fill in the e-Pro.
  • Artificial or cavity teeth filled with metallic material (iron, gold, amalgam, cobalt, titanium) which makes misinterpret MRI.

Trial locations and contacts

4 sites in 1 country.

South Korea4 sites
  • Seoul National University Bundang Hospital

    Seongnam-si, Gyeonggi-do, 13620

  • Yonsei University Health System, Severance Hospital

    Seoul, 03722

  • Asan Medical Center

    Seoul, 05505

  • Yonsei University Health System, Gangnam Severance Hospital

    Seoul, 06273

Other trials in South Korea

About this study

Official title: A Multicenter, Randomized, Subject-assessor Blind, Placebo Controlled Phase Ⅱ Study to Determine the Optimal Dose of AYP-101 S.C. Injection for the Reduction of Submental Fat

Phase 2 trial to evaluate the safety and potential efficacy of three concentration of polyene phosphatidylcholine injection (AYP-101) compared to placebo for the reduction of submental fat.

Read the detailed description

This study is to determine the optimal dose and evaluate safety and efficacy of Polyene Phosphatidylcholine S.C injection (AYP-101) for the reduction of Submental Fat (SMF) who wish improvement in the appearance of moderate to severe convexity or fullness associated with SMF in adults.

Being tested
Polyene phosphatidylcholine injection, Placebo
Keywords
Apoptosis, Lipolysis, Fat reduction, Submental fat, Polyene Phosphatidylcholine
Medical subject headings
Lymphoma, Follicular

What participants receive

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

  • Polyene phosphatidylcholine injectionDrug

    Also called AYP-101

    Formulated as an injectable solution containing Polyene Phosphatidylcholine at two concentration of 25 mg/mL and 50 mg/mL.

  • PlaceboDrug

    Phosphate buffered saline placebo for injection

Study groups in NCT03982225
Study groupRoleWhat they receive
2.5% Polyene Phosphatidylcholine Injection 0.2 mL/1.0 cmExperimentalParticipants receive 2.5% polyene phosphatidylcholine administered in 0.2 mL injections, 1.0 cm apart, up to 10.0 ml per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Receives: Drug: Polyene phosphatidylcholine injection
5.0% Polyene Phosphatidylcholine Injection 0.2 mL/1.0 cmExperimentalParticipants receive 5.0% polyene phosphatidylcholine administered in 0.2 mL injections, 1.0 cm apart, up to 10.0 ml per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Receives: Drug: Polyene phosphatidylcholine injection
5.0% Polyene Phosphatidylcholine Injection 0.4 mL/1.0 cmExperimentalParticipants receive 5.0% polyene phosphatidylcholine administered in 0.4 mL injections, 1.0 cm apart, up to 20.0 ml per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Receives: Drug: Polyene phosphatidylcholine injection
Placebo 0.2 mL/1.0 cmPlacebo comparatorParticipants receive placebo administered in 0.2 mL injections, 1.0 cm apart, up to 10.0 ml per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Receives: Drug: Placebo

What is being measured

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

  1. Percentage of Participants Who Achieved a Composite 1-grade Response with Clinician-Reported Submental Fat Rating Scale (CR-SMFRS) and Patient-Reported Submental Fat Rating Scale (PR-SMFRS) Compared to the Baseline

    A composite 1-grade response is defined as at least a 1-grade improvement from Baseline on both the Clinician-Reported Submental Fat Rating Scale (CR-SMFRS) is evaluated by independent assessor and Patient-Reported Submental Fat Rating Scale (PR-SMFRS) using the following scale:

    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.

    Measured: Baseline and 12 weeks after last treatment

Secondary outcomes (11)
  1. Percentage of Participants Who Achieved a Composite 1-grade Response with Clinician-Reported Submental Fat Rating Scale (CR-SMFRS) Compared to the Baseline

    The CR-SMFRS is defined as at least a 1-grade improvement is evaluated by independent assessor from Baseline using the following scale:

    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.

    Measured: Baseline and 12 weeks after last treatment

  2. Percentage of Participants Who Achieved a Composite 1-grade Response with Patient-Reported Submental Fat Rating Scale (PR-SMFRS) Compared to the Baseline

    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):

    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.

    Measured: Baseline and 12 weeks after last treatment

  3. Change From Baseline in a Magnetic Resonance Imaging (MRI) Response in Pre-platysmal Area

    Change rate of reduction in pre-platysmal volume.

    Measured: Baseline and 12 weeks after last treatment

  4. Change From Baseline in a Magnetic Resonance Imaging (MRI) Response in Platysmal Area

    Change rate of reduction in platysmal volume.

    Measured: Baseline and 12 weeks after last treatment

  5. Percentage of Participants Who Achieved a Composite 2-grade Response with Clinician-Reported Submental Fat Rating Scale (CR-SMFRS) and Patient-Reported Submental Fat Rating Scale (PR-SMFRS) Compared to the Baseline

    A composite 2-grade response is defined as at least a 2-grade improvement from Baseline on both the Clinician-Reported Submental Fat Rating Scale (CR-SMFRS) is evaluated by independent assessor and Patient-Reported Submental Fat Rating Scale (PR-SMFRS) using the following scale:

    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.

    Measured: Baseline and 12 weeks after last treatment

  6. Change From Baseline in Participants With a Subject Self Rating Scale (SSRS) Response

    A SSRS response is defined as an SSRS score that is 4 or greater 12 weeks after the last treatment.

    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.

    Measured: Baseline and 12 weeks after last treatment

  7. Change From Baseline in Patient-Reported Submental Fat Impact Scale (PR-SMFIS)

    Patients are asked to rate the visual and emotional impact that the appearance of submental fullness had on their self-perception using 11-point scale range from 0 (no impact) to 10 (extreme impact).

    Measured: Baseline and 12 weeks after last treatment

  8. Change From Baseline in Depth of Cervical Mental Angle Analyzed with 3D Scanner

    The cervical mental angle is measured using a 3D scanner photograph obtained at first and last visit.

    Measured: Baseline and 12 weeks after last treatment

  9. Patient Global Impression of Change scale (PGIC)

    Patient global impression of change scale (PGIC) is to rate patients total improvement or worsening in the appearance since before the first treatment compared to final treatment with 1 = Very much improved, 2 = Much improved, 3 = Minimally improved, 4 = No change, 5 = Minimally worse, 6 = Much worse, 7 = Very much worse.

    Measured: 12 weeks after last treatment

  10. Change From Baseline in Derriford Appearance Scale 24 (DAS24)

    Difference of Derriford Appearance Scale 24 (DAS24) is to measure distress and dysfunction to problems of appearance with 24 questions using 4-point from 0 (None) to 4 (more distress).

    Measured: Baseline and 12 weeks after last treatment

  11. Change From Baseline in Body Image Quality of Life Inventory (BIQLI)

    Body Image Quality Life Inventory (BIQLI) assesses participants' body image using 7-point ranging from -3 (very negative) to +3 (very positive).

    Measured: Baseline and 12 weeks after last treatment

Timeline

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

  1. First posted11 Jun 2019
  2. Study start1 Jul 2019
  3. Primary completion21 Oct 2022
  4. Study completion21 Oct 2022

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
143 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03982225
Sponsor's protocol ID
AYP-101-201
Acronym
AYP-101
Status last verified
Aug 2023
First submitted
5 Jun 2019
Last updated
15 Aug 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Polyene phosphatidylcholine injection in people with Moderate or Severe Submental Fullness, run by AMIpharm Co., Ltd. at 4 sites in South Korea.

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 26 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 15 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in South Korea. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Percentage of Participants Who Achieved a Composite 1-grade Response with Clinician-Reported Submental Fat Rating Scale (CR-SMFRS) and Patient-Reported Submental Fat Rating Scale (PR-SMFRS) Compared to the Baseline (time frame: Baseline and 12 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 15 Aug 2023.

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