NCT07126912

Brief Summary

Mid-face volume loss is a factor affecting beauty that makes people feel uncomfortable about themselves. The purpose of this study is to evaluate the efficacy and safety of Hyaluronic Acid injection with the brand name Alcarisa®, manufactured by Espad Pharmed Co., for treatment of this condition. The intervention consisted of a single treatment session, injecting 2 to 4 cc of gel into the zygomaticomalar area, and, if deemed by the physician, into the anteromedial cheek and submalar areas on each side of the face. The patient underwent digital photography at the following time points: before injection, immediately after injection, and at 4, 12, and 24 weeks post-injection. The physician then used these photographs to evaluate the product's efficacy and safety based on predefined measurements. In addition, participant satisfaction was assessed at the same time intervals.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jan 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

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

January 28, 2025

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 28, 2025

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

August 10, 2025

Completed
7 days until next milestone

First Posted

Study publicly available on registry

August 17, 2025

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 30, 2025

Completed
Last Updated

September 2, 2025

Status Verified

July 1, 2025

Enrollment Period

3 months

First QC Date

August 10, 2025

Last Update Submit

August 25, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • At least one-grade reduction in Midface volume deficit scale (MFVDS)

    At least a one-grade reduction from baseline in Midface volume deficit scale (MFVDS), as assessed by an independent physician based on photographs, where 0 represents no volume deficit and 5 represents severe volume deficit

    Baseline, 4 weeks after injection

Secondary Outcomes (8)

  • At least a one-grade reduction in Midface volume deficit scale (MFVDS)

    Baseline, 12 and 24 weeks after injection

  • Depth of the right and left nasolabial folds

    4,12, and 24 weeks after injection

  • Surface area of the right and left nasolabial folds

    4,12, and 24 weeks after injection

  • Volume of the right and left nasolabial folds

    4,12, and 24 weeks after injection

  • Pain severity during injection

    Intervention (day 0)

  • +3 more secondary outcomes

Study Arms (1)

Alcarisa (hyaluronic acid filler, produced by Espad Pharmed Co.)

EXPERIMENTAL

A single injection of Alcarisa filler with a maximum dose of 2 to 4 cc , was administered in the zygomaticomalar area, and if deemed appropriate by the physician, also in the anteromedial cheek and submalar areas on each side of the face.

Device: Alcarisa (hyaluronic acid filler)

Interventions

A single injection of Alcarisa filler with a maximum dose of 2 to 4 cc , was administered in the zygomaticomalar area, and if deemed appropriate by the physician, also in the anteromedial cheek and submalar areas on each side of the face.

Alcarisa (hyaluronic acid filler, produced by Espad Pharmed Co.)

Eligibility Criteria

Age30 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Men and women aged 30 to 65 years
  • Individuals with moderate to significant mid-face volume loss (score 3 to 4) based on changes in MFVDS (in cases of asymmetry between the two sides of the face, the more severe side will be considered)
  • Ability to comply with visit schedules and study procedures
  • Signed the informed consent form and agreed to 6-month follow-up

You may not qualify if:

  • History of Type I hypersensitivity reactions or anaphylaxis
  • Known allergy or sensitivity to any components of the filler, lidocaine, or to proteins from the HA-producing microorganisms (Streptococci)
  • History of hypertrophic or keloid scarring, or bleeding disorders in the injection area
  • Active inflammatory processes, infections, lesions (malignant or benign), or scars in the injection area
  • History of streptococcal diseases (such as recurrent sore throat or acute rheumatic fever) in the past 6 months
  • History of autoimmune/immunodeficiency diseases, or use of immunosuppressive drugs during the 6 months prior to or during the study
  • History of surgery or trauma in the injection area within the past 6 months
  • Use of antiplatelet drugs within 72 hours prior to treatment, or anticoagulants within 2 weeks prior to or during treatment
  • Use of drugs that reduce or inhibit hepatic metabolism (e.g., cimetidine, beta-blockers) due to the presence of lidocaine
  • Pregnancy, breastfeeding, or plans to become pregnant in the near future during the study
  • Undergoing or planning to undergo cosmetic treatments in the near future during the study, such as:
  • Botulinum toxin type A injections below the zygomatic arch during the 6 months prior to study entry
  • Previous injections of temporary dermal fillers (e.g., bovine collagen, hyaluronic acid) in the facial area within 1 year prior to study entry
  • Use of calcium hydroxyapatite, poly-L-lactic acid, or permanent fillers (e.g., silicone), or fat injections in the injection area at any time before or during the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Center for Research and Training in Skin Disease and Leprocy

Tehran, Tehran Province, 1416613675, Iran

RECRUITING

Orchid Pharmed, Medical Department

Tehran, Tehran Province, 19947-66411, Iran

RECRUITING

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: before/after clinical trial
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 10, 2025

First Posted

August 17, 2025

Study Start

January 28, 2025

Primary Completion

April 28, 2025

Study Completion

October 30, 2025

Last Updated

September 2, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will not share

Locations