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Aging ProblemsNCT05021926

Safety and Performance of DKL Crosslinked Sodium Hyaluronate 26 Dermal Filler for Cheek Augmentation

A study testing DKL crosslinked sodium hyaluronate 26 and Juvéderm Voluma™ with lidocaine (Allergan, Inc) in people with Aging Problems, run by Dr. Korman Laboratories Ltd. at 1 site in Sweden.

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

This is a pivotal, prospective, active-controlled, randomized, double blinded (blinded evaluator and subject), intra-individual split-face comparison, non-inferiority study of DKL crosslinked sodium hyaluronate 26 versus Juvederm Voluma™ after treatment of subcutaneous to upper-periostea tissue, or deep dermis… Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Aging Problems
What is being tested?
DKL crosslinked sodium hyaluronate 26 and Juvéderm Voluma™ with lidocaine (Allergan, Inc)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
1 siteSweden
Study dates
30 Aug 2021to 6 Jan 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 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Review and sign the Independent Ethics Committee (IEC)-approved Informed Consent Form (ICF) prior to any study-related procedures being performed. In addition, the subject will be asked to provide a separate release for use of their photographs in publications and the clinical investigation report (CIR). The subject has a right to refuse the photo release without jeopardizing their eligibility to participate in the study.
  • Male and female subject aged 18 to 65 years (inclusive) at the time of screening.
  • The subject desires cheek augmentation and/or correction of age-related midface contour deficiencies.
  • Midface with a MMVS score of 3 (moderate loss of fullness with slight hollowing below malar prominence) or 4 (substantial loss of fullness in the midface area, clearly apparent hollowing below malar prominence) on each side of the face as assessed by the blinded evaluator. Both sides of the face should have the same scoring.
  • Female of child-bearing potential (sexually active and not sterile nor postmenopausal for at least 1 year) should have a urine pregnancy test evaluated as negative on the day of enrolment, and agree to use a reliable method of contraception for the duration of the study (effective birth control measures include sexual abstinence, combined [estrogen and progestogen containing] hormonal contraception associated with inhibition of ovulation [oral, intravaginal, transdermal], progestogen-only hormonal contraception associated with inhibition of ovulation [oral, injectable, implantable], intrauterine device [IUD] or intrauterine hormone-releasing system [IUS] and/or condom with spermicide).
  • Subject agrees to abstain from any facial cosmetic or surgical procedures during the study period.
  • Subject agrees to refrain from excessive weight gain or loss (±10%) during the investigation period.
  • Subject has adequate understanding of the local language to understand verbal and written subject information and is willing to comply with the study requirements.

Who cannot join

  • History of any clinically significant disease or disorder, including porphyria or systemic disorders affecting wound healing, which, in the opinion of the investigator, may either put the subject at risk because of participation in the study, or influence the results or the subject's ability to participate in the study.
  • Any clinically significant illness, medical/surgical procedure or trauma within 4 weeks of the first administration of investigational device and comparator.
  • History of anaphylaxis, multiple severe allergies, atopy, or allergy to sodium hyaluronate products or to streptococcal proteins or have plans to undergo desensitization therapy during the term of the study.
  • History of immune system disorders (e.g., autoimmune disease, human immunodeficiency virus [HIV]-positive status, history of immune system degradation, or recurrent herpes simplex).
  • History of streptococcal disease (e.g. recurrent sore throat) and subjects with rheumatic fever, as judged by the investigator.
  • Dermatological problems (e.g. cutaneous lesions, inflammatory skin conditions, hypertrophic scars or a tendency for keloid formation) at the discretion of the investigator.
Show all 24Show fewer
  • Noticeable scarring (including acne scarring), prior surgery, an active inflammation, infection, cancerous or pre-cancerous lesion, history of prior significant trauma to the midface, such as dog bite or laceration, resulting in formation of a scar, or unhealed wound or have undergone radiation treatment in the area to be treated.
  • Cheek tattoos, piercings, facial hair, or scars that would interfere with visualization of the cheek area for the effectiveness assessments.
  • Very thin skin in the mid-facial region, tendency to accumulate fluid in the lower eyelids, or large infraorbital fat pads, i.e., significant convexity or projection from the infraorbital fat pads.
  • Mid-face volume deficit due to congenital defect, trauma, abnormalities in adipose tissue related to immune-mediated diseases such as generalized lipodystrophy (e.g., juvenile dermatomyositis), partial lipodystrophy (e.g., Barraquer-Simons syndrome), inherited disease or HIV-related disease.
  • Moderate or severe abnormal midface or cheek asymmetry.
  • Ongoing or history of use of immunosuppressive therapy.
  • Use of anti-coagulation, anti-platelet, or thrombolytic medications, anti-inflammatory drugs, or other substances known to increase coagulation time (as detailed in Section 9.6.2) within 10 days prior to treatment with the investigational device and comparator.
  • Use of any new (i.e. that the subject has not used before) facial over-the-counter or prescription, oral or topical, anti-wrinkle products within 90 days prior to enrolment or planning to begin use of such products at any time during the study.
  • NOTE: Continued therapy with some cosmeceuticals (e.g., alpha hydroxyl acids, glycolic acids, retinol, or retinoic acids) is allowed if the regimen was established ≥ 90 days prior to enrolment. The use of sunscreens is also allowed.
  • Known sensitivity to any investigational device or comparator components (see Section 10.1).
  • Previous cosmetic or aesthetic procedures as follows:
  • All types of previous surgical surgery below the lower orbital rim ii) All types of permanent fillers below the lower orbital rim iii) Previous semi-permanent fillers below the orbital less than 2 years before treatment iv) Previous treatment with HA-based fillers less the 18 months prior to enrolment v) Treatment with photochemotherapy or lasers less than 6 months before enrolment vi) Mechanical, chemical or medical peeling less than 6 months prior to enrolment vii) Treatment with botulinum toxins less than 12 months prior to enrollment viii) Major dental procedures less than 6 months prior to enrolment
  • The presence of abnormal midface function, with inability to effectively puff cheeks, smile broadly, or chew.
  • Pregnant, lactating, or planning to become pregnant at any time during the study.
  • Positive screen for drugs of abuse or alcohol at screening or on admission to the unit prior to administration of the investigational device and comparator.
  • History of alcohol or drug abuse or excessive intake of alcohol, as judged by the investigator.
  • Has received any investigational device within 30 days prior to study enrolment or is planning to participate in another investigation during the course of this study.
  • No access to an electronic device (e.g. smartphone, tablet or personal computer) on which to complete eDiaries.

Trial locations and contacts

1 site in 1 country.

Sweden1 site
  • CTC Clinical Trial Consultants AB

    Uppsala, 752 37

Other trials in Sweden

About this study

Official title: A Clinical Study to Evaluate the Safety and Performance of DKL Crosslinked Sodium Hyaluronate 26 Dermal Filler for Cheek Augmentation.

This is a pivotal, prospective, active-controlled, randomized, double blinded (blinded evaluator and subject), intra-individual split-face comparison, non-inferiority study of DKL crosslinked sodium hyaluronate 26 versus Juvederm Voluma™ after treatment of subcutaneous to upper-periostea tissue, or deep dermis implantation for cheek augmentation and age-related facial-volume deficit.

Read the detailed description

This is a pivotal, prospective active-controlled, randomized, double blinded (blinded evaluator and subject), intra-individual split-face comparison, non-inferiority study of DKL crosslinked sodium hyaluronate 26 versus Juvederm Voluma™ after treatment of subcutaneous to upper-periostea tissue, or deep dermis implantation cheek augmentation and age-related facial-volume deficit.

Approximately 40 subjects will be randomized and treated. Subjects will come to the research clinic for up to 6 visits, including a screening/baseline visit and up to 5 follow-up visits.

At Screening eligible subjects (males and females aged 18 to 65 years) will be randomized as to which side of the midface will be treated with the investigational device and which side will be treated with the comparator device.

The subjects will undergo baseline assessments of Medicis Midface Volume Scale (MMVS) by the evaluating investigator and have baseline two-dimensional (2D) photos taken, prior to treatment with the investigational device and comparator.

Treatment will be performed by an unblinded treating investigator. Following treatment, the subjects will complete a subject eDiary in which they will assess pre-defined treatment related events experienced during the first 14 days after the injection.

Additional visits will take place 1, 3, 6 and 9 months after the treatment. During these visits the subjects will undergo evaluations by an evaluating investigator blinded to the treatment allocation. Assessments will include photography, MMVS and Global Aesthetic Improvement Scale (GAIS). The subjects will also evaluate treatment outcome using the GAIS and complete a patient satisfaction questionnaire. The investigator will record any adverse events (AEs) that have occurred and will note their severity and relationship to the injected product.

An optional touch-up treatment will be performed one month after the initial treatment at the discretion of the treating investigator. Subjects requiring touch-up will receive touch-up according to the original randomization scheme, i.e. the investigational device and comparator product will be injected to the same midface side according to the randomization scheme. Following touch-up, these subjects will be asked to complete a subject eDiary for assessment of pre-defined treatment related events experienced 14 days after the injection. Subjects receiving touch-up will attend an additional evaluation visit 1 month after touch-up (in addition to other visits).

The treating investigators will complete a usability questionnaire.

Conditions
Aging Problems
Being tested
DKL crosslinked sodium hyaluronate 26, Juvéderm Voluma™ with lidocaine (Allergan, Inc)
Keywords
Age related facial-volume deficit

What participants receive

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

  • DKL crosslinked sodium hyaluronate 26Device

    is injected into the midface on Day 1. The volume of injection will not exceed 2 mL per side. If applicable, a touch-up of DKL crosslinked sodium hyaluronate 26 will be injected on Day 30; the volume of injection will not exceed 1 mL per side.

  • Juvéderm Voluma™ with lidocaine (Allergan, Inc)Device

    is injected into the midface on Day 1. The volume of injection will not exceed 2 mL per side. If applicable, a touch-up of Juvéderm Voluma™ will be injected on Day 30; the volume of injection will not exceed 1 mL per side.

Study groups in NCT05021926
Study groupRoleWhat they receive
Investigational deviceExperimentalDKL crosslinked sodium hyaluronate 26
Receives: Device: DKL crosslinked sodium hyaluronate 26
Comparator productExperimentalJuvéderm Voluma™ with lidocaine (Allergan, Inc)
Receives: Device: Juvéderm Voluma™ with lidocaine (Allergan, Inc)

What is being measured

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

  1. Comparison of the rate of responders determined by the aesthetic improvement of the midface according to live on-site evaluator-rated MMVS at 6 months post-treatment between the investigational device and comparator product.

    The MMVS is a 4 point scale ranging from 1 (fairly full) to 4 (substantial loss, clearly apparent hollowing). Response is defined as ≥ 1-point improvement on the MMVS for each side of the midface compared to baseline. Each side of the midface is to be assessed separately.

    Measured: Baseline (pre-treatment) to 6 months post-treatment

Secondary outcomes (8)
  1. Comparison of the rate of responders determined by the aesthetic improvement of the midface according to live on-site evaluator-rated MMVS at 1, 3 and 9 months post-treatment between the investigational device and comparator product.

    The MMVS is a 4 point scale ranging from 1 (fairly full) to 4 (substantial loss, clearly apparent hollowing). Response is defined as ≥ 1-point improvement on the MMVS for each side of the midface compared to baseline. Each side of the midface is to be assessed separately.

    Measured: Baseline (pre-treatment) to 1, 3 and 9 months post-treatment

  2. Comparison of the mean change in evaluator-rated MMVS from baseline (pre-treatment) to at 1, 3, 6 and 9 months post-treatment between the investigational device and comparator product.

    The MMVS is a 4 point scale ranging from 1 (fairly full) to 4 (substantial loss, clearly apparent hollowing). Response is defined as ≥ 1-point improvement on the MMVS for each side of the midface compared to baseline. Each side of the midface is to be assessed separately.

    Measured: Baseline (pre-treatment) to 1, 3, 6 and 9 months post-treatment

  3. Subject-rated aesthetic improvement in appearance according to GAIS at 1, 3, 6 and 9 months post-treatment. Each side of the midface is to be assessed separately.

    The 5-grade GAIS assesses the appearance of the midface compared to pre-treatment on a scale ranging from very much improved to worse.

    Measured: Baseline (pre-treatment) to 1, 3, 6 and 9 months post-treatment

  4. Evaluating Investigator-rated aesthetic improvement in appearance according to the GAIS at 1, 3, 6 and 9 months post-treatment. Each side of the midface is to be assessed separately.

    The 5-grade GAIS assesses the appearance of the midface compared to pre-treatment on a scale ranging from very much improved to worse.

    Measured: Baseline (pre-treatment) to 1, 3, 6 and 9 months post-treatment

  5. Usability of the device

    Investigator-reported usability of the device. A device usability questionnaire will be completed once by each treating investigator after treatment of his/her last subject.

    Measured: Baseline - treatment

  6. Subject-reported satisfaction with treatment as assessed by a subject satisfaction questionnaire at 1, 3, 6, and 9 months post-treatment.

    Satisfaction will be assessed on a 5-point scale ranging from very satisfied (1) to very dissatisfied (5).

    Measured: 1, 3, 6 and 9 months post-treatment

  7. Post-treatment events

    Incidence, intensity, and duration of pre-defined expected post-treatment events collected using a subject electronic diary (eDiary) for 14 days post treatment.

    Measured: Up to 14 days post-treatment

  8. Adverse events

    Frequency, intensity and seriousness of adverse events (AEs).

    Measured: Up to 9 months post-treatment

Timeline

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

  1. First posted26 Aug 2021
  2. Study start30 Aug 2021
  3. Primary completion6 Jan 2023
  4. Study completion6 Jan 2023

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
Model description
Pivotal, prospective, active-controlled, randomized, double blinded (blinded evaluator and subject), intra-individual split-face comparison, non-inferiority study
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05021926
Sponsor's protocol ID
VAL-P69
Status last verified
Jul 2023
First submitted
19 Aug 2021
Last updated
5 Jul 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing DKL crosslinked sodium hyaluronate 26 and Juvéderm Voluma™ with lidocaine (Allergan, Inc) in people with Aging Problems, run by Dr. Korman Laboratories Ltd. at 1 site in Sweden.

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 8 inclusion and 24 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 5 Jul 2023. 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 Sweden. 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?

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?

Comparison of the rate of responders determined by the aesthetic improvement of the midface according to live on-site evaluator-rated MMVS at 6 months post-treatment between the investigational device and comparator product. (time frame: Baseline (pre-treatment) to 6 months post-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 5 Jul 2023.

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