NCT02034786

Brief Summary

Lipodystrophies are part of a clinically heterogeneous group of disorders characterized by loss (lipoatrophies) and / or accumulation of fat, which usually results in a change of normal tissue surface. Millions of plastic and reconstructive surgeries are performed annually to repair soft tissue defects due to trauma, tumor resection and congenital defects. Surgical options for lipoatrophy, the lipodystrophy type characterized by subcutaneous adipose tissue atrophy, include: Transfer of autologous fat, Dermis - fat graft, Skin flaps and Commercially available fillers. Currently, the most commonly filler agent used for the lipodystrophy treatment is polymethylmethacrylate, considered permanent and with a history of short- and medium-term adverse effects. Biocompatible and temporary filler agents such as hyaluronic acid, polylactic acid and collagen have been used for over 25 years for cosmetic purposes and in lipoatrophies. More recently, the use of autologous fibroblasts proved to be efficient solving acne scars and enabling dermis regeneration. Studies in mice showed that the combination of pre - adipocytes with a biomaterial is much more effective in tissue reconstitution than the injection of adipose tissue only, providing volume and also stimulating cell proliferation and differentiation with increased production of extracellular matrix. This project aims a phase I clinical trial of a filler agent, composed of mesenchymal stem cells derived from autologous adipose tissue associated with hyaluronic acid.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
25

participants targeted

Target at P25-P50 for phase_1

Timeline
Completed

Started Mar 2015

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 10, 2014

Completed
3 days until next milestone

First Posted

Study publicly available on registry

January 13, 2014

Completed
1.1 years until next milestone

Study Start

First participant enrolled

March 1, 2015

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2016

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2016

Completed
Last Updated

February 4, 2015

Status Verified

February 1, 2015

Enrollment Period

1.2 years

First QC Date

January 10, 2014

Last Update Submit

February 3, 2015

Conditions

Keywords

Mesenchymal stem cellHyaluronic acidAdipose TissueFiller Agent

Outcome Measures

Primary Outcomes (1)

  • Adverse Events Analysis

    Proportion of patients with non-serious and serious adverse events in the first 12 months after the intervention.

    Every visit over the first 12 months after intervention

Secondary Outcomes (1)

  • Efficacy Analysis

    1, 3, 6 and 12 months after the intervention

Study Arms (2)

Test

EXPERIMENTAL

Adipose tissue collection and Transdermal injection of the filler agent, composed of mesenchymal stem cells derived from the autologous adipose tissue, associated with hyaluronic acid.

Procedure: Adipose tissue collectionBiological: Transdermal injection

Control

ACTIVE COMPARATOR

Transdermal injection of hyaluronic acid only.

Procedure: Transdermal injection

Interventions

Only the patients selected for the Test Group will go through the procedure. The adipose tissue collection will occur in an elective surgery liposuction, in patients who meet the inclusion criteria, after signing the informed consent form. Thus, the material that would be disposed after surgery will be donated to the study. The material for the study will be collected by the tumescent liposuction technique, which involves the removal of subcutaneous fat under local anesthesia.

Test

Transdermal injection of the filler agent composed of mesenchymal stem cells derived from autologous adipose tissue associated with hyaluronic acid.

Test

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female over 18 years;
  • Signature of the ICF;
  • Suitable for the following preoperative laboratory tests results: complete blood count, coagulation, biochemistry, electrocardiogram, hepatogram and β-human chorionic gonadotropin (hCG) for women of childbearing age.

You may not qualify if:

  • Patients unable to undergo surgery liposuction with Klein technique as those with severe cardiovascular disease, severe coagulation disorders including thrombophilia and pregnancy;
  • Patients with limited understanding of the procedure;
  • Pregnant or lactating;
  • Under 18 years;
  • Immunosuppressed;
  • Lack of signature of the ICF;
  • Use of drugs;
  • Patients with preoperative results considered inadequate.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital Federal de Bonsucesso

Rio de Janeiro, Rio de Janeiro, Brazil

Location

MeSH Terms

Conditions

Lipodystrophy

Interventions

Administration, Cutaneous

Condition Hierarchy (Ancestors)

Skin Diseases, MetabolicSkin DiseasesSkin and Connective Tissue DiseasesLipid Metabolism DisordersMetabolic DiseasesNutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

Administration, TopicalDrug Administration RoutesDrug TherapyTherapeutics

Study Officials

  • Paulo RC Souza, M.D

    Dermatology Service

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Paulo RC Souza, M.D

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 10, 2014

First Posted

January 13, 2014

Study Start

March 1, 2015

Primary Completion

May 1, 2016

Study Completion

June 1, 2016

Last Updated

February 4, 2015

Record last verified: 2015-02

Locations