Midfacial Product Selection
Predictive Algorithm for Product Selection in the Management of Mid Facial Volume Correction: Part I - A Pilot Validation of Patient Strata
1 other identifier
interventional
30
1 country
1
Brief Summary
This study seeks to determine whether patients pursuing injectable treatments for facial volume loss and/or contour deficiency can be separated into strata based on characteristics such as skin envelope and subcutaneous tissue quantity in the zygomatic, submalar and anteromedial cheek regions in order to guide the clinician in making the ideal product choice (i.e., Restylane Volyme vs Lyft)?
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Dec 2017
Shorter than P25 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 5, 2017
CompletedFirst Submitted
Initial submission to the registry
December 18, 2017
CompletedFirst Posted
Study publicly available on registry
December 21, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 15, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
January 8, 2019
CompletedJanuary 10, 2019
January 1, 2019
8 months
December 18, 2017
January 8, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Comparison of two Restylane products to treat mid-face/cheek deformities.
Investigators will evaluate whether a difference in physician assessed efficacy as per the standardized photos between two Restylane products at 16 weeks (visit 5) in comparison to baseline (visit 1) using the GAIS scale.
Baseline and Week 16.
Secondary Outcomes (5)
Standardized Imagery for the Improvement of Mid-face Hollowing
Baseline to week 8
Patient satisfaction questionnaire
Baseline to 16 weeks
Global aesthetic improvement scale
Baseline to 16 weeks
Medicis Mid-face Volume Scale
Baseline to 16 weeks
Standardized Ultrasonography Images
Baseline to 16 weeks
Other Outcomes (1)
Adverse events
Baseline to 16 weeks
Study Arms (2)
Group A
ACTIVE COMPARATORPoor structural support/volume (atrophy of soft tissues, leading to loss of projection) with adequate skin envelope (normal or thick skin). Treated with Restylane Lyft.
Group B
ACTIVE COMPARATORPoor structural support/volume (atrophy of soft tissues, leading to loss of projection) with poor skin envelope (thin skin). Treated with Restylane Volyme.
Interventions
Restylane® Lyft is a sterile gel of hyaluronic acid with lidocaine generated by Streptococcus species of bacteria, chemically cross-linked with BDDE (the cross linker), stabilized and suspended in phosphate buffered saline at pH=7 and concentration of 20 mg/mL. Lyft is intended to be used for facial tissue augmentation. It is recommended that the product be used for shaping the contours of the face and the correction of folds using the co-packed needles. Given the very high lift capacity of Lyft, it is often used when the skin envelope is normal or thicker than normal, as the contours of the product may be palpable in the presence of thin skin.
Restylane® Volyme is a sterile, biodegradable, viscoelastic, non-pyrogenic, clear, colorless, and homogeneous soft hyaluronic acid gel with a high lifting capacity. Volyme is intended for injection into the supraperiostic zone or subcutis to augment the volume of the cheeks. Given Volyme's viscoelastic and lifting capacities, it is best used when there is significant loss of volume and a thin skin envelope.
Eligibility Criteria
You may qualify if:
- At the time of consent, women between the ages of 30 and 75 years old;
- Patients with established mid-face/cheek hollowing;
- Patients with a MMVS score of 2 or 3 at baseline;
- Accepted the obligation not to receive any other facial procedures through the 4-month follow-up;
- Understood and accepted the obligation and would be logistically able to appear for all scheduled follow-up visits;
- No previous facial fillers for a period of 12 months prior to this study;
- No previous facial fillers in the mid-face for 18 months prior to this study;
- Capable of providing informed consent.
You may not qualify if:
- Current Pregnancy or lactation \[sexually active women of childbearing age must agree to use medically acceptable methods of contraception for the duration of this study (e.g., oral contraceptives, condoms, intrauterine device, shot/injection, patch)\].;
- Hypersensitivity to Restylane products, hyaluronic acid filler or amide local anesthetics;
- Patients presenting with porphyria;
- Inability to comply with follow-up and abstain from facial injections during the study period;
- Heavy smokers, classified as smoking more than 12 cigarettes per day;
- History of severe or multiple allergies manifested by anaphylaxis;
- Previous tissue revitalization therapy in the treatment area within 6 months before treatment with laser or light, mesotherapy, radiofrequency, ultrasound, cryotherapy, chemical peeling, or dermabrasion;
- Previous surgery including aesthetic facial surgical therapy or liposuction, piercing, or tattoos in the treatment area;
- History or presence of any disease or lesion near or at the treatment area, including inflammation, active or chronic infection, including in the mouth, dentals, head and neck region;
- Facial psoriasis, eczema, acne, rosacea, perioral dermatitis and herpes zoster;
- Scars or deformities;
- Cancer or precancer, e.g. actinic keratosis;
- History of radiation therapy to the treatment area;
- History of bleeding disorders or treatment with thrombolytics, anticoagulants, or inhibitors of platelet aggregation (e.g. Aspirin or other non-steroid anti-inflammatory drugs \[NSAIDs\]), within 2 weeks before treatment;
- Patients using immunosuppressants;
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Victoria Park Clinical Research Centre
Westmount, Quebec, H3Z1C3, Canada
Study Officials
- PRINCIPAL INVESTIGATOR
Andreas Nikolis, MD
Erevna Innovations Inc.
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 18, 2017
First Posted
December 21, 2017
Study Start
December 5, 2017
Primary Completion
August 15, 2018
Study Completion
January 8, 2019
Last Updated
January 10, 2019
Record last verified: 2019-01
Data Sharing
- IPD Sharing
- Will not share