Trial Outcomes & Findings for Evaluation of the Effectiveness and Safety of Radiesse for the Correction of Nasolabial Folds in China (NCT NCT03282357)

NCT ID: NCT03282357

Last Updated: 2021-02-23

Results Overview

Treatment success was defined as a greater than or equal to (\>=) 1-point improvement from baseline, as assessed by a blinded evaluator wrinkle severity rating scale (WSRS) scale. WSRS is a 5 point scale with scores as Score 1: Absent; Score 2: Mild; Score 3: Moderate; Score 4: Severe; Score 5: Extreme.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

181 participants

Primary outcome timeframe

Month 6

Results posted on

2021-02-23

Participant Flow

The study was conducted at 4 investigative sites in China.

A total of 195 participants were screened, out of which 181 were randomized. Of these, 176 participants were treated and 164 participants completed the study.

Participant milestones

Participant milestones
Measure
Radiesse and Restylane
Participants received split-face nasolabial fold (NLF) treatment with study product Radiesse, subdermal injection, in one of the two NLFs and control product Restylane, subdermal injection, in the contralateral NLF on Day 1. Participants received an optional touch-up injection in one or both the NLFs at Month 1.
Overall Study
STARTED
181
Overall Study
Safety Evaluation Set
176
Overall Study
COMPLETED
164
Overall Study
NOT COMPLETED
17

Reasons for withdrawal

Reasons for withdrawal
Measure
Radiesse and Restylane
Participants received split-face nasolabial fold (NLF) treatment with study product Radiesse, subdermal injection, in one of the two NLFs and control product Restylane, subdermal injection, in the contralateral NLF on Day 1. Participants received an optional touch-up injection in one or both the NLFs at Month 1.
Overall Study
Lost to Follow-up
3
Overall Study
Withdrawal by Subject
4
Overall Study
Adverse Event
1
Overall Study
Other
9

Baseline Characteristics

Evaluation of the Effectiveness and Safety of Radiesse for the Correction of Nasolabial Folds in China

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Radiesse and Restylane
n=176 Participants
Participants received split-face NLF treatment with study product Radiesse, subdermal injection, in one of the two NLFs and control product Restylane, subdermal injection, in the contralateral NLF on Day 1. Participants received an optional touch-up injection in one or both the NLFs at Month 1.
Age, Continuous
45.6 years
STANDARD_DEVIATION 9.43 • n=5 Participants
Sex: Female, Male
Female
170 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
Race/Ethnicity, Customized
Ethnicity · Han Chinese
173 Participants
n=5 Participants
Race/Ethnicity, Customized
Ethnicity · Other
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Race (Asian)
176 Participants
n=5 Participants
Region of Enrollment
China
176 Participants
n=5 Participants
Fitzpatrick skin type
Type I
0 Participants
n=5 Participants
Fitzpatrick skin type
Type II
0 Participants
n=5 Participants
Fitzpatrick skin type
Type III
147 Participants
n=5 Participants
Fitzpatrick skin type
Type IV
29 Participants
n=5 Participants
Fitzpatrick skin type
Type V
0 Participants
n=5 Participants
Fitzpatrick skin type
Type VI
0 Participants
n=5 Participants
Fitzpatrick skin type
Missing
0 Participants
n=5 Participants
Height
159.9 centimeter (cm)
STANDARD_DEVIATION 5.60 • n=5 Participants
Weight
56.15 kilogram (Kg)
STANDARD_DEVIATION 8.434 • n=5 Participants
Body Mass Index (BMI)
21.87 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 2.817 • n=5 Participants

PRIMARY outcome

Timeframe: Month 6

Population: The per protocol set (PPS) was the subset of the full analysis set (FAS) without any major protocol deviations. The FAS was all participants randomized who received an investigational product with at least one post-baseline effectiveness assessment (WSRS, blind evaluator's Global Aesthetic Improvement Scale \[GAIS\] or participant's GAIS assessment).

Treatment success was defined as a greater than or equal to (\>=) 1-point improvement from baseline, as assessed by a blinded evaluator wrinkle severity rating scale (WSRS) scale. WSRS is a 5 point scale with scores as Score 1: Absent; Score 2: Mild; Score 3: Moderate; Score 4: Severe; Score 5: Extreme.

Outcome measures

Outcome measures
Measure
Radiesse
n=171 Nasolabial fold (NLF)
All participants received NLF treatment with study product Radiesse, subdermal injection, in one of the two NLFs on Day 1. Participants received an optional touch-up injection in the same NLF at Month 1.
Restylane
n=171 Nasolabial fold (NLF)
All participants received NLF treatment with control product Restylane, subdermal injection, in the contralateral NLF on Day 1. Participants received an optional touch-up injection in the same NLFs at Month 1.
Percentage of NLFs With Treatment Success at Month 6
66.0 Percentage of successfully treated NFLs
72.8 Percentage of successfully treated NFLs

SECONDARY outcome

Timeframe: Month 6

Population: The PPS was defined as the subset of the FAS without any major protocol deviations. The FAS was defined as all participants randomized and who received an investigational product with at least one post-baseline effectiveness assessment (that is WSRS, blind evaluator's GAIS or participant's GAIS assessment).

The blinded evaluator rated the current cosmetic result for each NLF according to the GAIS based on live assessments during the visit compared with photographs taken at baseline before administration of treatment on each NLF. An improvement on the GAIS was classified as "improved", "much improved", or "very much improved. The GAIS is a 7-point scale, where: +3 (very much improved), +2 (much improved), +1 (improved), 0 (no change), -1 (worse), -2 (much worse), and -3 (very much worse).

Outcome measures

Outcome measures
Measure
Radiesse
n=171 Participants
All participants received NLF treatment with study product Radiesse, subdermal injection, in one of the two NLFs on Day 1. Participants received an optional touch-up injection in the same NLF at Month 1.
Restylane
n=171 Participants
All participants received NLF treatment with control product Restylane, subdermal injection, in the contralateral NLF on Day 1. Participants received an optional touch-up injection in the same NLFs at Month 1.
Percentage of NLFs With an Improvement in the Blinded Evaluator's GAIS Score at Month 6
78.4 Percentage of NLFs
83.3 Percentage of NLFs

Adverse Events

Radiesse and Restylane

Serious events: 4 serious events
Other events: 56 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Radiesse and Restylane
n=176 participants at risk
Participants received split-face NLF treatment with study product Radiesse, subdermal injection, in one of the two NLFs and control product Restylane, subdermal injection, in the contralateral NLF on Day 1. Participants received an optional touch-up injection in one or both the NLFs at Month 1.
Reproductive system and breast disorders
Cervical dysplasia
0.57%
1/176 • Baseline up to Month 12
The investigator asked the participant for adverse events (AEs) systematically at each visit. The SES was used for AE assessment. The SES was defined as all participants who received an investigational product. As all participants received Radiesse in either of the two nasolabial folds and Restylane in the respective other, adverse events are reported in a combined group.
Reproductive system and breast disorders
Endometrial thickening
0.57%
1/176 • Baseline up to Month 12
The investigator asked the participant for adverse events (AEs) systematically at each visit. The SES was used for AE assessment. The SES was defined as all participants who received an investigational product. As all participants received Radiesse in either of the two nasolabial folds and Restylane in the respective other, adverse events are reported in a combined group.
Reproductive system and breast disorders
Uterine haemorrhage
0.57%
1/176 • Baseline up to Month 12
The investigator asked the participant for adverse events (AEs) systematically at each visit. The SES was used for AE assessment. The SES was defined as all participants who received an investigational product. As all participants received Radiesse in either of the two nasolabial folds and Restylane in the respective other, adverse events are reported in a combined group.
General disorders
Chest discomfort
0.57%
1/176 • Baseline up to Month 12
The investigator asked the participant for adverse events (AEs) systematically at each visit. The SES was used for AE assessment. The SES was defined as all participants who received an investigational product. As all participants received Radiesse in either of the two nasolabial folds and Restylane in the respective other, adverse events are reported in a combined group.
General disorders
Chest pain
0.57%
1/176 • Baseline up to Month 12
The investigator asked the participant for adverse events (AEs) systematically at each visit. The SES was used for AE assessment. The SES was defined as all participants who received an investigational product. As all participants received Radiesse in either of the two nasolabial folds and Restylane in the respective other, adverse events are reported in a combined group.
Musculoskeletal and connective tissue disorders
Pain in extremity
0.57%
1/176 • Baseline up to Month 12
The investigator asked the participant for adverse events (AEs) systematically at each visit. The SES was used for AE assessment. The SES was defined as all participants who received an investigational product. As all participants received Radiesse in either of the two nasolabial folds and Restylane in the respective other, adverse events are reported in a combined group.

Other adverse events

Other adverse events
Measure
Radiesse and Restylane
n=176 participants at risk
Participants received split-face NLF treatment with study product Radiesse, subdermal injection, in one of the two NLFs and control product Restylane, subdermal injection, in the contralateral NLF on Day 1. Participants received an optional touch-up injection in one or both the NLFs at Month 1.
Infections and infestations
Urinary tract infection
9.1%
16/176 • Baseline up to Month 12
The investigator asked the participant for adverse events (AEs) systematically at each visit. The SES was used for AE assessment. The SES was defined as all participants who received an investigational product. As all participants received Radiesse in either of the two nasolabial folds and Restylane in the respective other, adverse events are reported in a combined group.
Infections and infestations
Upper respiratory tract infection
6.2%
11/176 • Baseline up to Month 12
The investigator asked the participant for adverse events (AEs) systematically at each visit. The SES was used for AE assessment. The SES was defined as all participants who received an investigational product. As all participants received Radiesse in either of the two nasolabial folds and Restylane in the respective other, adverse events are reported in a combined group.
Infections and infestations
Viral upper respiratory tract infection
5.7%
10/176 • Baseline up to Month 12
The investigator asked the participant for adverse events (AEs) systematically at each visit. The SES was used for AE assessment. The SES was defined as all participants who received an investigational product. As all participants received Radiesse in either of the two nasolabial folds and Restylane in the respective other, adverse events are reported in a combined group.
General disorders
Injection site nodule
8.0%
14/176 • Baseline up to Month 12
The investigator asked the participant for adverse events (AEs) systematically at each visit. The SES was used for AE assessment. The SES was defined as all participants who received an investigational product. As all participants received Radiesse in either of the two nasolabial folds and Restylane in the respective other, adverse events are reported in a combined group.
Metabolism and nutrition disorders
Hyperlipidaemia
6.2%
11/176 • Baseline up to Month 12
The investigator asked the participant for adverse events (AEs) systematically at each visit. The SES was used for AE assessment. The SES was defined as all participants who received an investigational product. As all participants received Radiesse in either of the two nasolabial folds and Restylane in the respective other, adverse events are reported in a combined group.

Additional Information

Public Disclosure Manager

Merz Pharmaceuticals GmbH.

Phone: +49 69 1503 1

Results disclosure agreements

  • Principal investigator is a sponsor employee Publication of study information usually requires agreement with the sponsor. In case of justified doubts by the sponsor, the investigator will consider these doubts in the publication as long as the scientific neutrality is not affected.
  • Publication restrictions are in place

Restriction type: OTHER