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Dysmorphic Disorder (BDD)NCT04936763

To Assess The Performance And Tolerance Of Janesse 20 In The Volume Restoration Of Labia Majora

A study testing Janesse 20 (Cross-linked Hyaluronic Acid) in people with Dysmorphic Disorder (BDD) and Congenital Labia Majora Hypotrophy, run by I.R.A. Istituto Ricerche Applicate S.p.A. at 2 sites in 2 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The use of hyaluronic acid (HA)-based fillers administered by injection to obtain Labia Majora augmentation is performed by many surgeons and gynaecologists in Europe, US and other countries, but few studies have investigated the effectiveness of this procedure. Read more about this study

Who is it for?
Ages 18 years and older, women onlyHealthy volunteers can take part
What is being tested?
Janesse 20 (Cross-linked Hyaluronic Acid)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
2 sitesin 2 countries
Study dates
28 May 2021to Aug 2023
Phase
Interventional
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 18 years and older
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Women with age ≥ 18.
  • Women seeking genital rejuvenation with Genital Appearance Satisfaction Scale (GAS) >20 and Cosmetic Procedure Screening Scale modified for Labia (COPS-L)>40 .
  • Patients with diagnosis of Body Dysmorphic Disorder (BDD) following DSM-IV criteria or congenital or post-menopausal Labia Majora hypotrophy
  • • The Labia Majora (left and right) width and/or length must be between the 5th and 95th percentiles as reported in the Annex 4 of the protocol (modified table from Kreklau A e t al 2018). The measurement must be performed by the Investigators using the Sliding Zuricher Caliper mm130.
  • Women willing to provide signed informed consent to clinical investigation participation.

Who cannot join

  • Use of aspirin and antiplatelet agents a week prior to treatment.
  • Pregnant or lactating women.
  • Women with history of allergy or hypersensitivity to the HA or to other ingredients of the dermal filler.
  • Women with history of allergy or hypersensitivity to Lidocaine, Mepivacaine or Prilocaine or local anaesthetics.
  • Women with any dermal systemic pathologies, such as systemic lupus erythematosus, psoriasis, scleroderma etc.
  • Women presenting bleeding disorders in the past or present.
Show all 20Show fewer
  • Women taking or having indications for anticoagulant therapy.
  • Use of concomitant treatments or procedures aimed to improve genital skin rejuvenation over the last six months before the clinical investigation enrolment, such as chemical peeling, dermabrasion, laser resurfacing.
  • Women suffering from infectious diseases including herpes simplex virus infection, active hepatitis, Human Papilloma Virus (HPV) or Human Immunodeficiency Virus (HIV).
  • Women suffering from local dermatitis (vulvar scaly papilloma, mycosis, bacterial infection near the injection area).
  • Women at risk in term of precautions, warnings and contra-indications referred in the package insert of the clinical investigation device.
  • Women with autoimmune diseases, streptococcus disease.
  • Women with any active irritation or inflammation in the target areas of injection.
  • Recent vulvae surgery in the treatment area or progressive recent or nearby cancers (i.e. cervical cancer).
  • Tachycardia or other severe heart rhythm disorders
  • Women with previous regional radiotherapy.
  • Women who practice cycling or dedicate themselves to horse riding; women who practice bodybuilding or who perform professional sports.
  • Women unlikely to cooperate in the clinical investigation or to comply with the treatment or with the clinical investigation visits.
  • Performed dentist visit in the last week.
  • Women participating in another clinical investigation or treated with another HA filler with the same indications at the same time or within the preceding 30 days.

Trial locations and contacts

2 sites in 2 countries.

Dionisio F Barattini, MD Europe contact

+40774012684

franco.barattini@tigermedgrp.com

2 sites in 2 countries

Italy1 site, 1 recruiting
  • Villa Serena

    Genova

    Andrea Maria Scarpa, MD

    Not yet recruiting

Other trials in Italy

Romania1 site, 1 recruiting
  • SCM Dr Rosu

    Timișoara

    Florina Todorut, MD

    Recruiting

Other trials in Romania

About this study

Official title: A Multicentre, Open-Label, Interventional, Trial To Assess The Performance And Tolerance Of Janesse 20 In The Volume Restoration Of Labia Majora

The use of hyaluronic acid (HA)-based fillers administered by injection to obtain Labia Majora augmentation is performed by many surgeons and gynaecologists in Europe, US and other countries, but few studies have investigated the effectiveness of this procedure. In this open not comparative study, 36 female subjects above or equal to 18 years old at inclusion, seeking genital rejuvenation, who have congenital or post-menopausal hypotrophy of the vulvar Labia Majora (or a diagnosis of Body Dysmorphic Disorder), who have given her informed consent and meet all the eligibility criteria, will be enrolled. Subjects will come to a total of 4 visits over a period of 2 months.

The primary objective of the study is to evaluate the performance of the dermal filler by the Global Aesthetic Improvement Scale (GAIS) at day 60 and the safety during all the study. The secondary objectives are the evaluation of volume restoration of Labia Majora (measured by caliper and Ultrasound) and the subjective evaluation (by Genital Appearance Satisfaction Scale) at different visits.

Being tested
Janesse 20 (Cross-linked Hyaluronic Acid)
Keywords
Labia Majora, Genital rejuvenation, Hyaluronic Acid, Filler
Medical subject headings
Brachydactyly, Type D

What participants receive

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

  • Janesse 20 (Cross-linked Hyaluronic Acid)Device

    Janesse 20 will be administered at baseline (visit 2, day 0) and, if the Investigator will evaluate necessary, also at day 30 (visit 3). The Investigational device will be injected with retrograde technique (moving backward) with homogeneous amount on the length of each side of Labia Majora. The Janesse 20 dosage administered will be 1 ml in left labia and 1 ml in right labia for each session.

Study groups in NCT04936763
Study groupRoleWhat they receive
Janesse 20ExperimentalNot described
Receives: Device: Janesse 20 (Cross-linked Hyaluronic Acid)

What is being measured

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

  1. Global Aesthetic Improvement Scale (GAIS)

    Global Aesthetic Improvement Scale (GAIS) is will be evaluated by the investigator using standardized photos. The scale is using scores as 1= VERY MUCH IMPROVED, 2= MUCH IMPROVED, 3 = IMPROVED, 4 = NO CHANGE, 5= WORSE.

    The picture will be done at 60 days after the initiation of treatment with Janesse 20, will be compared with Baseline Visit (day 0) and one of the above-mentioned scores will be gibed used to indicate the changes after the treatment.

    Measured: 60 days

  2. Overall safety

    The overall safety will be evaluated by safety checklist for the patient (modified from Liu S, 2010) and the searching of Adverse Event (s), Adverse Device Event (s), Serious Adverse Event (s), Serious Adverse Device Event (s), Unanticipated Serious Adverse Device Event (s) and Device Deficiency at each visit.

    Measured: up to 60 days

Secondary outcomes (3)
  1. Dimensions of Labia Majora

    The measurement will be performed with the subject in lithotomy position at the different visits using a Sliding Zuricher Caliper mm130 for length and width; the ultrasound technique will be used to evaluate the depth.

    Measured: 30 days, 60 days

  2. Genital Appearance Satisfaction (GAS)

    Genital Appearance Satisfaction (GAS) self-assessment of the subject to assess the change comparing the final and baseline value. The scale contains 11 statements regarding attitudes towards genital appearance. Each item is scored on a Likert scale between 0 (="NEVER") and 3 =("ALWAYS"). Total scores range from 0 to 33. Higher scores represent greater dissatisfaction with the genitalia.

    Measured: 30 days, 60 days

  3. Global Aesthetic Improvement Scale (GAIS)

    Global Aesthetic Improvement Scale (GAIS) evaluated by blind Investigator, using scores 1= VERY MUCH IMPROVED, 2= MUCH IMPROVED, 3 = IMPROVED, 4 = NO CHANGE, 5= WORSE.

    Measured: 30 days, 60 days

Timeline

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

  1. First posted23 Jun 2021
  2. Study start28 May 2021
  3. Primary completionJun 2023 (estimated)
  4. Study completionAug 2023 (estimated)

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
36 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04936763
Sponsor's protocol ID
OPIRA/0619/MD
Status last verified
Jul 2022
First submitted
31 May 2021
Last updated
15 Jul 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Cosmetic Surgery National Data Bank Statistics. Aesthet Surg J. 2017 May 1;37(suppl_2):1-29. doi: 10.1093/asj/sjx076. No abstract available.

    PubMed 28388734
  • Bucknor A, Chen AD, Egeler S, Bletsis P, Johnson AR, Myette K, Lin SJ, Hamori CA. Labiaplasty: Indications and Predictors of Postoperative Sequelae in 451 Consecutive Cases. Aesthet Surg J. 2018 May 15;38(6):644-653. doi: 10.1093/asj/sjx241.

    PubMed 29342228
  • Ouar N, Guillier D, Moris V, Revol M, Francois C, Cristofari S. [Postoperative complications of labia minora reduction. Comparative study between wedge and edge resection]. Ann Chir Plast Esthet. 2017 Jun;62(3):219-223. doi: 10.1016/j.anplas.2017.02.005. Epub 2017 Mar 9. French.

    PubMed 28285885
  • Vanaman M, Bolton J, Placik O, Fabi SG. Emerging Trends in Nonsurgical Female Genital Rejuvenation. Dermatol Surg. 2016 Sep;42(9):1019-29. doi: 10.1097/DSS.0000000000000697.

    PubMed 27153040
  • Hunter JG. Labia Minora, Labia Majora, and Clitoral Hood Alteration: Experience-Based Recommendations. Aesthet Surg J. 2016 Jan;36(1):71-9. doi: 10.1093/asj/sjv092. Epub 2015 Oct 24.

    PubMed 26499942
  • Sharp G, Mattiske J, Vale KI. Motivations, Expectations, and Experiences of Labiaplasty: A Qualitative Study. Aesthet Surg J. 2016 Sep;36(8):920-8. doi: 10.1093/asj/sjw014. Epub 2016 Feb 23.

    PubMed 26912581
  • Sorice SC, Li AY, Canales FL, Furnas HJ. Why Women Request Labiaplasty. Plast Reconstr Surg. 2017 Apr;139(4):856-863. doi: 10.1097/PRS.0000000000003181.

    PubMed 28350660
  • Sharp G, Tiggemann M, Mattiske J. Factors That Influence the Decision to Undergo Labiaplasty: Media, Relationships, and Psychological Well-Being. Aesthet Surg J. 2016 Apr;36(4):469-78. doi: 10.1093/asj/sjv270. Epub 2016 Feb 18.

    PubMed 26893523
  • Goodman MP, Placik OJ, Benson RH 3rd, Miklos JR, Moore RD, Jason RA, Matlock DL, Simopoulos AF, Stern BH, Stanton RA, Kolb SE, Gonzalez F. A large multicenter outcome study of female genital plastic surgery. J Sex Med. 2010 Apr;7(4 Pt 1):1565-77. doi: 10.1111/j.1743-6109.2009.01573.x. Epub 2009 Nov 12.

    PubMed 19912495
  • Veale D, Eshkevari E, Ellison N, Costa A, Robinson D, Kavouni A, Cardozo L. A comparison of risk factors for women seeking labiaplasty compared to those not seeking labiaplasty. Body Image. 2014 Jan;11(1):57-62. doi: 10.1016/j.bodyim.2013.10.003. Epub 2013 Nov 14.

    PubMed 24239491
  • Jackson TD, Grilo CM, Masheb RM. Teasing history, onset of obesity, current eating disorder psychopathology, body dissatisfaction, and psychological functioning in binge eating disorder. Obes Res. 2000 Sep;8(6):451-8. doi: 10.1038/oby.2000.56.

    PubMed 11011912
  • de Jong PJ, van Overveld M, Schultz WW, Peters ML, Buwalda FM. Disgust and contamination sensitivity in vaginismus and dyspareunia. Arch Sex Behav. 2009 Apr;38(2):244-52. doi: 10.1007/s10508-007-9240-x. Epub 2007 Oct 2.

    PubMed 17909958
  • Hamori CA. Discussion: Why Women Request Labiaplasty. Plast Reconstr Surg. 2017 Apr;139(4):864. doi: 10.1097/PRS.0000000000003183. No abstract available.

    PubMed 28350661
  • Berreni N. Augmentation of the Labia Majora With Fillers. In: Hamori CA, Banwel PE, Alinsod R, editors. Female Cosmetic Genital Surgery: concepts, classification, and techniques. New York: Thieme Medical Publishers, Inc; 2017. p 125-142.

  • Jabbour S, Kechichian E, Hersant B, Levan P, El Hachem L, Noel W, Nasr M. Labia Majora Augmentation: A Systematic Review of the Literature. Aesthet Surg J. 2017 Oct 16;37(10):1157-1164. doi: 10.1093/asj/sjx056.

    PubMed 28449124

Questions about this trial

What is this clinical trial studying?

A study testing Janesse 20 (Cross-linked Hyaluronic Acid) in people with Dysmorphic Disorder (BDD) and Congenital Labia Majora Hypotrophy, run by I.R.A. Istituto Ricerche Applicate S.p.A. at 2 sites in 2 countries.

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 20 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: status not confirmed, as of the sponsor's last update on 15 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Italy, Romania. 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?

Results are not available in the source record.

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

Contact Dionisio F Barattini, MD Europe (+40774012684, franco.barattini@tigermedgrp.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Global Aesthetic Improvement Scale (GAIS) (time frame: 60 days). The study lists 2 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 NCT04936763, which also lists 28 linked publications.

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 Jul 2022.

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