Trial Outcomes & Findings for CoolSculpting of the Flank With Alternate Treatment Parameters (NCT NCT02081196)

NCT ID: NCT02081196

Last Updated: 2021-03-01

Results Overview

The number of device- or procedure-related adverse events will be tabulated. Adverse event reports are collected throughout the study from enrollment through the 16 week follow-up visit. The investigator determines if there is a relationship between the event and the study device or procedure.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

45 participants

Primary outcome timeframe

Enrollment through 16 weeks post-treatment visit, which is approximately 5 months

Results posted on

2021-03-01

Participant Flow

Patients who seek reduction of fat in the flanks will be recruited from the general population.

Participant milestones

Participant milestones
Measure
CoolSculpting Intervention
CoolSculpting treatments were performed on one (1) flank in a single treatment visit. The contralateral flank served as the untreated control.
Overall Study
STARTED
45
Overall Study
Untreated Control Flank
45
Overall Study
COMPLETED
44
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
CoolSculpting Intervention
CoolSculpting treatments were performed on one (1) flank in a single treatment visit. The contralateral flank served as the untreated control.
Overall Study
Lost to Follow-up
1

Baseline Characteristics

CoolSculpting of the Flank With Alternate Treatment Parameters

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CoolSculpting Intervention
n=45 Participants
CoolSculpting treatments were performed on one (1) flank in a single treatment visit.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
45 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
44.1 years
n=5 Participants
Sex: Female, Male
Female
34 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
Race/Ethnicity, Customized
African American
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
37 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Others
3 Participants
n=5 Participants
Region of Enrollment
Canada
25 participants
n=5 Participants
Region of Enrollment
United States
20 participants
n=5 Participants
Body Mass Index
24.1 kg/m^2
n=5 Participants

PRIMARY outcome

Timeframe: Enrollment through 16 weeks post-treatment visit, which is approximately 5 months

Population: The safety population includes all subjects treated with CoolSculpting.

The number of device- or procedure-related adverse events will be tabulated. Adverse event reports are collected throughout the study from enrollment through the 16 week follow-up visit. The investigator determines if there is a relationship between the event and the study device or procedure.

Outcome measures

Outcome measures
Measure
CoolSculpting of the Flank With Alternate Treatment Parameters
n=45 Participants
Each subject served as their own control with 1 flank treated with CoolSculpting; the contralateral flank was untreated. Non-invasive cooling is applied to the treatment area with a defined cooling rate and duration using the Zeltiq CoolSculpting System.
The Number of Device and/or Procedure-Related Adverse Events
12 device or procedure-related AEs

PRIMARY outcome

Timeframe: Pre-treatment and 16 weeks post-treatment

Population: Thirty-five subjects were included in the per-protocol analysis population: 1 subject was LTFU, 2 subjects did not complete the 16 week follow-up visit when ultrasonographer was present and 1 subject received an incomplete treatment. Six additional subjects had weight change greater than the protocol defined 5 pounds at the final follow-up visit.

Change in the fat layer thickness will be calculated by comparison of pre-treatment and 16 week post-treatment ultrasound measurements taken in the area treated with the device, and in the untreated contralateral flank control area. The Sponsor's standardized techniques for obtaining ultrasound imaging will be used. Overall fat layer thickness changes were normalized for each subject by subtracting the change in control from the change in treated area to remove the influence of weight variations. Success is defined as, on average, at least a 1mm or greater reduction in fat layer thickness for the treated flank as compared to the untreated control flank. Results indicate the fat layer reduction in millimeters.

Outcome measures

Outcome measures
Measure
CoolSculpting of the Flank With Alternate Treatment Parameters
n=35 Participants
Each subject served as their own control with 1 flank treated with CoolSculpting; the contralateral flank was untreated. Non-invasive cooling is applied to the treatment area with a defined cooling rate and duration using the Zeltiq CoolSculpting System.
Change in the Fat Layer of the Treated Area as Measured by Ultrasound
-3.92 mm
Standard Deviation 2.45

SECONDARY outcome

Timeframe: 16 weeks post-treatment

Population: The study population consisted of 45 participants. 1 subject was lost to follow-up; 1 subject had an incomplete treatment and photos of 1 subject were poor quality. Of the remaining 42 subjects, 7 did not maintain weight per protocol. 35 sets of subject photos were included in the analysis. Each image showed both treated and untreated flanks; both "arms" were included in the photo review.

Change in the treated vs. untreated areas will be assessed by observation of changes in surface contour and/or fat volume by an independent photo review of pre-treatment and post-treatment images. Images show both treated and untreated flanks. Reviewers will be practicing dermatologists or plastic surgeons. Reviewers will be blinded to post-treatment vs. baseline untreated area. The order in which images will be presented will be randomized; for each subject placement of the baseline, pre-treatment image will be randomized for each pair of subject images. Reviewers will be asked to select the baseline photos for each subject photo series and record selections on a data collection form. Criteria for evaluable photos for the purposes of the independent review: subject completed treatments; subject has complete set of baseline photos and post-treatment photos; photos were taken using Zeltiq standard procedure. The expected success rate is 80% correct identification.

Outcome measures

Outcome measures
Measure
CoolSculpting of the Flank With Alternate Treatment Parameters
n=105 photos
Each subject served as their own control with 1 flank treated with CoolSculpting; the contralateral flank was untreated. Non-invasive cooling is applied to the treatment area with a defined cooling rate and duration using the Zeltiq CoolSculpting System.
Proportion of Pre-treatment Images Correctly Identified.
89 photos

SECONDARY outcome

Timeframe: 16 weeks post-treatment

Population: Of the 45 study participants, one subject received incomplete treatment and did not complete the questionnaire and one subject was lost to follow-up. Free text responses and inconclusive responses were excluded from analysis.

Subject satisfaction with the Zeltiq procedure as determined by the results of a subjects satisfaction questionnaire at the 16 week follow up visit. This questionnaire will be composed of 5-point Likert scale questions, as well as free-text responses.

Outcome measures

Outcome measures
Measure
CoolSculpting of the Flank With Alternate Treatment Parameters
n=43 Participants
Each subject served as their own control with 1 flank treated with CoolSculpting; the contralateral flank was untreated. Non-invasive cooling is applied to the treatment area with a defined cooling rate and duration using the Zeltiq CoolSculpting System.
Subject Satisfaction
Procedure comfortable/very comfortable
21 Participants
Subject Satisfaction
Very visible to visible fat reduction
37 Participants
Subject Satisfaction
Positive overall effect
34 Participants
Subject Satisfaction
Somewhat to very different fit of clothing
26 Participants
Subject Satisfaction
Somewhat to very satisfied with procedure/results
38 Participants
Subject Satisfaction
Somewhat likely to likely to have another procedur
39 Participants
Subject Satisfaction
Very to somewhat likely to have same area treated
24 Participants
Subject Satisfaction
Would recommend procedure to a friend
37 Participants

Adverse Events

CoolSculpting of the Flank -Subjects With Systemic AEs

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Flank Treated With CoolSculpting Group

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

UnTreated Contralateral Flank

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
CoolSculpting of the Flank -Subjects With Systemic AEs
n=45 participants at risk
Each subject served as their own control with 1 flank treated with CoolSculpting; the contralateral flank was untreated.
Flank Treated With CoolSculpting Group
n=45 participants at risk
One flank on each enrolled subject was treated with CoolSculpting.
UnTreated Contralateral Flank
n=45 participants at risk
Each enrolled subject had one flank that was untreated, and no intervention was used.
Skin and subcutaneous tissue disorders
Prolonged numbness in treatment area
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
11.1%
5/45 • Number of events 5 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
Skin and subcutaneous tissue disorders
Hyperpigmentation
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
4.4%
2/45 • Number of events 2 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
Skin and subcutaneous tissue disorders
First degree burn
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
2.2%
1/45 • Number of events 1 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
Skin and subcutaneous tissue disorders
Subcutaneous induration
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
2.2%
1/45 • Number of events 1 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
General disorders
Post-treatment pain
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
6.7%
3/45 • Number of events 3 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
General disorders
Cough and/or cold
2.2%
1/45 • Number of events 1 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
Infections and infestations
Bronchitis and strep throat
2.2%
1/45 • Number of events 1 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
Infections and infestations
Sinus infection
2.2%
1/45 • Number of events 1 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
Infections and infestations
Influenza
2.2%
1/45 • Number of events 1 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
General disorders
Anxiety
2.2%
1/45 • Number of events 1 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
Musculoskeletal and connective tissue disorders
Fractured heel
2.2%
1/45 • Number of events 1 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
General disorders
Allergic reaction
2.2%
1/45 • Number of events 1 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.
0.00%
0/45 • Adverse events were collected from enrollment through 131 days post-treatment.
Protocol defined AE definitions: Adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Adverse event data were aggregated for the study population as all subjects were treated with the Zeltiq System, with each subject having a treated flank and an untreated flank.

Additional Information

Kerrie Jiang, Executive Director, Regulatory, Clinical and Medical Affairs

Zeltiq Aesthetics

Phone: (925) 621-7462

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place