Patient Experience Study of Deoxycholic Acid Injection

NCT ID: NCT02007434

Last Updated: 2015-07-28

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2014-06-30

Brief Summary

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The objectives of this study are to determine the safety of deoxycholic acid subcutaneous (SC) injections in the submental area and to evaluate the effects of four interventions, relative to placebo in the submental area, particularly with regard to assessment and management of pain, bruising, and swelling/edema.

Detailed Description

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This study evaluated the effects of four interventions, pre- and post-subcutaneous injections of deoxycholic acid injection relative to placebo in adults with submental fullness. Participants were randomized to either deoxycholic acid injection or placebo in a ratio of 4:1 and to one of four patient experience management paradigms.

Participants were required to visit the research facility on 10 separate occasions for protocol-defined treatments, procedures, tests, and observations.

Conditions

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Moderate or Severe Submental Fullness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Paradigm 1 / Deoxycholic Acid Injection

Participants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, either 6 or 8 mL (based on Baseline CR-SMFRS grade 2 or 3, respectively) on Day 0 and a cold compress applied to the treatment area.

Group Type EXPERIMENTAL

Deoxycholic Acid Injection

Intervention Type DRUG

Formulated as an injectable solution containing deoxycholic acid at a concentration of 10 mg/mL.

Cold Compress

Intervention Type OTHER

A cold compress was applied to the injection area for 10 minutes before dosing and for 15 minutes after dosing.

Paradigm 1/ Placebo

Participants received placebo administered in 0.2 mL injections, either 6 or 8 mL on Day 0 and a cold compress applied to the treatment area.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Phosphate buffered saline placebo for injection

Cold Compress

Intervention Type OTHER

A cold compress was applied to the injection area for 10 minutes before dosing and for 15 minutes after dosing.

Paradigm 2 / Deoxycholic Acid Injection

Participants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, either 6 or 8 mL on Day 0, topical and injectable anesthetics (lidocaine/epinephrine) and a cold compress applied to the treatment area.

Group Type EXPERIMENTAL

Deoxycholic Acid Injection

Intervention Type DRUG

Formulated as an injectable solution containing deoxycholic acid at a concentration of 10 mg/mL.

Cold Compress

Intervention Type OTHER

A cold compress was applied to the injection area for 10 minutes before dosing and for 15 minutes after dosing.

Lidocaine / Epinephrine

Intervention Type DRUG

Lidocaine 4% topical cream applied 45 minutes prior to dosing across the area to be treated, followed by 0.4 mL SC injections of lidocaine HCl 1% / epinephrine 1:100,000 around the perimeter of the treatment area and across the treatment area in a regular pattern 25 minutes before dosing.

Paradigm 2 / Placebo

Participants received placebo administered in 0.2 mL injections, either 6 or 8 mL on Day 0, topical and injectable anesthetics and a cold compress applied to the treatment area.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Phosphate buffered saline placebo for injection

Cold Compress

Intervention Type OTHER

A cold compress was applied to the injection area for 10 minutes before dosing and for 15 minutes after dosing.

Lidocaine / Epinephrine

Intervention Type DRUG

Lidocaine 4% topical cream applied 45 minutes prior to dosing across the area to be treated, followed by 0.4 mL SC injections of lidocaine HCl 1% / epinephrine 1:100,000 around the perimeter of the treatment area and across the treatment area in a regular pattern 25 minutes before dosing.

Paradigm 3 / Deoxycholic Acid Injection

Participants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, either 6 or 8 mL on Day 0, oral antihistamine and anti-inflammatory agents (loratadine and ibuprofen), topical and injectable anesthetics and a cold compress applied to the treatment area.

Group Type EXPERIMENTAL

Deoxycholic Acid Injection

Intervention Type DRUG

Formulated as an injectable solution containing deoxycholic acid at a concentration of 10 mg/mL.

Cold Compress

Intervention Type OTHER

A cold compress was applied to the injection area for 10 minutes before dosing and for 15 minutes after dosing.

Lidocaine / Epinephrine

Intervention Type DRUG

Lidocaine 4% topical cream applied 45 minutes prior to dosing across the area to be treated, followed by 0.4 mL SC injections of lidocaine HCl 1% / epinephrine 1:100,000 around the perimeter of the treatment area and across the treatment area in a regular pattern 25 minutes before dosing.

Loratadine

Intervention Type DRUG

Loratadine 10 mg orally from Day -7 until Day 7

Ibuprofen

Intervention Type DRUG

Ibuprofen 600 mg at least 1 hour prior to dosing and 600 mg 3 times a day for at least 3 days after dosing.

Paradigm 3 / Placebo

Participants received placebo administered in 0.2 mL injections, either 6 or 8 mL on Day 0, oral antihistamine and anti-inflammatory agents, topical and injectable anesthetics and a cold compress applied to the treatment area.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Phosphate buffered saline placebo for injection

Cold Compress

Intervention Type OTHER

A cold compress was applied to the injection area for 10 minutes before dosing and for 15 minutes after dosing.

Lidocaine / Epinephrine

Intervention Type DRUG

Lidocaine 4% topical cream applied 45 minutes prior to dosing across the area to be treated, followed by 0.4 mL SC injections of lidocaine HCl 1% / epinephrine 1:100,000 around the perimeter of the treatment area and across the treatment area in a regular pattern 25 minutes before dosing.

Loratadine

Intervention Type DRUG

Loratadine 10 mg orally from Day -7 until Day 7

Ibuprofen

Intervention Type DRUG

Ibuprofen 600 mg at least 1 hour prior to dosing and 600 mg 3 times a day for at least 3 days after dosing.

Paradigm 4 / Deoxycholic Acid Injection

Participants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, either 6 or 8 mL on Day 0, a compression chin strap, oral antihistamine and anti-inflammatory agents, topical and injectable anesthetics and a cold compress applied to the treatment area.

Group Type EXPERIMENTAL

Deoxycholic Acid Injection

Intervention Type DRUG

Formulated as an injectable solution containing deoxycholic acid at a concentration of 10 mg/mL.

Cold Compress

Intervention Type OTHER

A cold compress was applied to the injection area for 10 minutes before dosing and for 15 minutes after dosing.

Lidocaine / Epinephrine

Intervention Type DRUG

Lidocaine 4% topical cream applied 45 minutes prior to dosing across the area to be treated, followed by 0.4 mL SC injections of lidocaine HCl 1% / epinephrine 1:100,000 around the perimeter of the treatment area and across the treatment area in a regular pattern 25 minutes before dosing.

Loratadine

Intervention Type DRUG

Loratadine 10 mg orally from Day -7 until Day 7

Ibuprofen

Intervention Type DRUG

Ibuprofen 600 mg at least 1 hour prior to dosing and 600 mg 3 times a day for at least 3 days after dosing.

Compression Chin Strap

Intervention Type OTHER

A compression chin strap was applied 15 minutes after dosing for at least 24 hours.

Paradigm 4 / Placebo

Participants received placebo administered in 0.2 mL injections, either 6 or 8 mL on Day 0, a compression chin strap, oral antihistamine and anti-inflammatory agents, topical and injectable anesthetics and a cold compress applied to the treatment area.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Phosphate buffered saline placebo for injection

Cold Compress

Intervention Type OTHER

A cold compress was applied to the injection area for 10 minutes before dosing and for 15 minutes after dosing.

Lidocaine / Epinephrine

Intervention Type DRUG

Lidocaine 4% topical cream applied 45 minutes prior to dosing across the area to be treated, followed by 0.4 mL SC injections of lidocaine HCl 1% / epinephrine 1:100,000 around the perimeter of the treatment area and across the treatment area in a regular pattern 25 minutes before dosing.

Loratadine

Intervention Type DRUG

Loratadine 10 mg orally from Day -7 until Day 7

Ibuprofen

Intervention Type DRUG

Ibuprofen 600 mg at least 1 hour prior to dosing and 600 mg 3 times a day for at least 3 days after dosing.

Compression Chin Strap

Intervention Type OTHER

A compression chin strap was applied 15 minutes after dosing for at least 24 hours.

Interventions

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Deoxycholic Acid Injection

Formulated as an injectable solution containing deoxycholic acid at a concentration of 10 mg/mL.

Intervention Type DRUG

Placebo

Phosphate buffered saline placebo for injection

Intervention Type DRUG

Cold Compress

A cold compress was applied to the injection area for 10 minutes before dosing and for 15 minutes after dosing.

Intervention Type OTHER

Lidocaine / Epinephrine

Lidocaine 4% topical cream applied 45 minutes prior to dosing across the area to be treated, followed by 0.4 mL SC injections of lidocaine HCl 1% / epinephrine 1:100,000 around the perimeter of the treatment area and across the treatment area in a regular pattern 25 minutes before dosing.

Intervention Type DRUG

Loratadine

Loratadine 10 mg orally from Day -7 until Day 7

Intervention Type DRUG

Ibuprofen

Ibuprofen 600 mg at least 1 hour prior to dosing and 600 mg 3 times a day for at least 3 days after dosing.

Intervention Type DRUG

Compression Chin Strap

A compression chin strap was applied 15 minutes after dosing for at least 24 hours.

Intervention Type OTHER

Other Intervention Names

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ATX-101 Kybella

Eligibility Criteria

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Inclusion Criteria

1. Submental fat graded by the Investigator as 2 (moderate) or 3 (severe) using the Clinician-Reported Submental Fat Rating Scale (CR-SMFRS) and graded by the subject as 2 (moderate amount) or 3 (large amount) using the Patient-Reported Submental Fat Rating Scale (PR-SMFRS)
2. Dissatisfaction with the appearance of the submental area expressed by the subject as a rating of 0, 1, or 2 using the Subject Self Rating Scale (SSRS)
3. History of stable body weight for at least 6 months and body mass index (BMI) of ≤ 40 kg/m².
4. Acceptable skin laxity as determined by the investigator
5. Agreement by the subject to refrain from making significant changes, in the documented judgment of the investigator, to his or her dietary or exercise habits during the course of the subject's participation.
6. Agreement to forego any treatment or behavior (e.g., unshaven facial hair)
7. Signed informed consent obtained before any study-specific procedure is performed.

Exclusion Criteria

1. No prior intervention for submental fullness or recent cosmetic procedure in the neck or chin area
2. Absence of clinically significant health problems
3. Body mass index \> 40.0 kg/m² as determined prior to randomization.
4. History of drug or alcohol abuse.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kythera Biopharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Frederick Beddingfield, III, MD, PhD

Role: STUDY_DIRECTOR

Sponsor GmbH

Locations

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Investigational Site

Tempe, Arizona, United States

Site Status

Countries

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United States

References

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Dover JS, Kenkel JM, Carruthers A, Lizzul PF, Gross TM, Subramanian M, Beddingfield FC 3rd. Management of Patient Experience With ATX-101 (Deoxycholic Acid Injection) for Reduction of Submental Fat. Dermatol Surg. 2016 Nov;42 Suppl 1:S288-S299. doi: 10.1097/DSS.0000000000000908.

Reference Type DERIVED
PMID: 27787269 (View on PubMed)

Other Identifiers

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ATX-101-13-36

Identifier Type: -

Identifier Source: org_study_id

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