Trial Outcomes & Findings for A Pilot Study to Assess the Effectiveness and Safety of Belotero Balance® Injection for Volume Augmentation of the Infraorbital Hollow (NCT NCT03777917)

NCT ID: NCT03777917

Last Updated: 2023-11-14

Results Overview

MIHAS was a 5 point scale ranging as: Grade 0 (none to minimal), Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe), Grade 4 (extreme). Responder rate was defined as percentage of participants with treatment response who achieved greater than or equal to (\>=) 1 grade improvement on both IOHs on the MIHAS.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

66 participants

Primary outcome timeframe

Baseline up to Month 2

Results posted on

2023-11-14

Participant Flow

3 investigational sites in the United States.

A total of 66 participants were randomized.

Participant milestones

Participant milestones
Measure
Treatment With Belotero Balance®
IOH injected with Belotero Balance®.
Untreated Control Group
No treatment.
Overall Study
STARTED
43
23
Overall Study
Safety Population
43
22
Overall Study
COMPLETED
34
21
Overall Study
NOT COMPLETED
9
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment With Belotero Balance®
IOH injected with Belotero Balance®.
Untreated Control Group
No treatment.
Overall Study
Withdrawal by Subject
1
0
Overall Study
Physician Decision
1
0
Overall Study
Lost to Follow-up
6
2
Overall Study
Other
1
0

Baseline Characteristics

A Pilot Study to Assess the Effectiveness and Safety of Belotero Balance® Injection for Volume Augmentation of the Infraorbital Hollow

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment With Belotero Balance®
n=43 Participants
Belotero Balance®, subcutaneous injection for IOHs.
Untreated Control Group
n=22 Participants
No treatment.
Total
n=65 Participants
Total of all reporting groups
Age, Continuous
45.9 years
STANDARD_DEVIATION 12.6 • n=5 Participants
47.3 years
STANDARD_DEVIATION 11.6 • n=7 Participants
46.4 years
STANDARD_DEVIATION 12.2 • n=5 Participants
Sex: Female, Male
Female
37 Participants
n=5 Participants
18 Participants
n=7 Participants
55 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
38 Participants
n=5 Participants
20 Participants
n=7 Participants
58 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
White
38 Participants
n=5 Participants
17 Participants
n=7 Participants
55 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline up to Month 2

Population: The intent-to-treat (ITT) population consisted of all randomized participants.

MIHAS was a 5 point scale ranging as: Grade 0 (none to minimal), Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe), Grade 4 (extreme). Responder rate was defined as percentage of participants with treatment response who achieved greater than or equal to (\>=) 1 grade improvement on both IOHs on the MIHAS.

Outcome measures

Outcome measures
Measure
Treatment With Belotero Balance®
n=38 Participants
Belotero Balance®, subcutaneous injection for IOHs.
Untreated Control Group
n=21 Participants
No treatment.
Responder Rate Compared to the Untreated Control Group According to the Merz Infraorbital Hollow Assessment Scale (MIHAS).
81.6 percentage of participants
9.5 percentage of participants

SECONDARY outcome

Timeframe: Baseline and Month 2

Population: The ITT population consisted of all randomized participants. Here "overall number of participants analyzed" were participants who were evaluable for this outcome measure.

The FACE-Q is a set of standardized patient-reported outcome scales for participants undergoing facial cosmetic procedures. The participants answered 7 questions of the FACE-Q satisfaction with eyes scale using a 4 point scale where: 1 (very dissatisfied), 2 (somewhat dissatisfied), 3 (somewhat satisfied), 4 (very satisfied). The sum scores of the FACE-Q satisfaction with eyes questionnaire and the Rasch-transformed scores ranging from 0 to 100 were summarized by treatment arm. Higher scores reflected a better outcome.

Outcome measures

Outcome measures
Measure
Treatment With Belotero Balance®
n=38 Participants
Belotero Balance®, subcutaneous injection for IOHs.
Untreated Control Group
n=21 Participants
No treatment.
Change From Baseline in Rasch-Transformed Score for the Face-Q Satisfaction With Eyes
28.8 score on a scale
Interval 21.2 to 36.5
2.1 score on a scale
Interval -3.9 to 8.1

SECONDARY outcome

Timeframe: Baseline up to Month 2

Population: The ITT population consisted of all randomized participants. Here "overall number of participants analyzed" were participants who were evaluable for this outcome measure. As planned, this OM was evaluated only for participants treated with Belotero Balance®.

7 point rating scale ranging from: +3 (very much improved), +2 (much improved), +1 (improved), 0 (no change), -1 (worse), -2 (much worse), -3 (very much worse).

Outcome measures

Outcome measures
Measure
Treatment With Belotero Balance®
n=38 Participants
Belotero Balance®, subcutaneous injection for IOHs.
Untreated Control Group
No treatment.
Global Aesthetic Improvement Scale (GAIS) Scores
Improved (+1)
11 Participants
Global Aesthetic Improvement Scale (GAIS) Scores
No Change (0)
0 Participants
Global Aesthetic Improvement Scale (GAIS) Scores
Worse (-1)
0 Participants
Global Aesthetic Improvement Scale (GAIS) Scores
Much Worse (-2)
0 Participants
Global Aesthetic Improvement Scale (GAIS) Scores
Very Much Worse (-3)
0 Participants
Global Aesthetic Improvement Scale (GAIS) Scores
Very Much Improved (+3)
23 Participants
Global Aesthetic Improvement Scale (GAIS) Scores
Much Improved (+2)
4 Participants

SECONDARY outcome

Timeframe: Baseline up to Month 2

Population: The ITT population consisted of all randomized participants. Here "overall number of participants analyzed" were participants who were evaluable for this outcome measure. As planned, this OM was evaluated only for participants treated with Belotero Balance®.

Participants evaluated their IOHs on 7 point rating scale ranging from: +3 (very much improved), +2 (much improved), +1 (improved), 0 (no change), -1 (worse), -2 (much worse), -3 (very much worse).

Outcome measures

Outcome measures
Measure
Treatment With Belotero Balance®
n=38 Participants
Belotero Balance®, subcutaneous injection for IOHs.
Untreated Control Group
No treatment.
GAIS Scores as Assessed by Participants
Very Much Worse (-3)
0 Participants
GAIS Scores as Assessed by Participants
Very Much Improved (+3)
11 Participants
GAIS Scores as Assessed by Participants
Much Improved (+2)
9 Participants
GAIS Scores as Assessed by Participants
Improved (+1)
15 Participants
GAIS Scores as Assessed by Participants
No Change (0)
2 Participants
GAIS Scores as Assessed by Participants
Worse (-1)
1 Participants
GAIS Scores as Assessed by Participants
Much Worse (-2)
0 Participants

SECONDARY outcome

Timeframe: Baseline up to Month 2

Population: The ITT population consisted of all randomized participants. Here "overall number of participants analyzed" were participants who were evaluable for this outcome measure.

MIHAS was a 5 point scale ranging as: 0 (none to minimal), 1 (mild), 2 (moderate), 3 (severe), 4 (extreme). Responder rate was defined as percentage of participants with treatment response who achieved \>=1 improvement on both IOHs compared to baseline. A participant was considered a responder if a treatment response of at least a 1-point change on both IOHs was determined by independent panel reviewers.

Outcome measures

Outcome measures
Measure
Treatment With Belotero Balance®
n=38 Participants
Belotero Balance®, subcutaneous injection for IOHs.
Untreated Control Group
n=21 Participants
No treatment.
Responder Rate in the Treatment Group and the Untreated Control Group According to MIHAS as Assessed by Independent Panel Reviewers
36.8 percentage of participants
9.5 percentage of participants

SECONDARY outcome

Timeframe: Treatment Group: Baseline up to Month 13; Untreated Control Group: Baseline up to Month 2

Population: The SP consisted of all randomized participants who received at least one study treatment in the active treatment group or who were randomized into the control arm.

Outcome measures

Outcome measures
Measure
Treatment With Belotero Balance®
n=43 Participants
Belotero Balance®, subcutaneous injection for IOHs.
Untreated Control Group
n=22 Participants
No treatment.
Number of Participants Reporting One or More Device and/or Injection Related Treatment-emergent Adverse Events (TEAEs) and Device and/or Injection Related Serious TEAEs
TEAEs
2 Participants
0 Participants
Number of Participants Reporting One or More Device and/or Injection Related Treatment-emergent Adverse Events (TEAEs) and Device and/or Injection Related Serious TEAEs
Serious TEAEs
0 Participants
0 Participants

Adverse Events

Treatment With Belotero Balance®

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Untreated Control Group

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

Serious adverse events

Serious adverse events
Measure
Treatment With Belotero Balance®
n=43 participants at risk
Belotero Balance®, subcutaneous injection for IOHs.
Untreated Control Group
n=22 participants at risk
No treatment.
Eye disorders
Retinal detachment
2.3%
1/43 • Treatment Group : Baseline up to Month 13; Untreated Control Group: Baseline up to Month 2
The investigator reported AEs systematically at each visit.
0.00%
0/22 • Treatment Group : Baseline up to Month 13; Untreated Control Group: Baseline up to Month 2
The investigator reported AEs systematically at each visit.
Eye disorders
Vitreous detachment
2.3%
1/43 • Treatment Group : Baseline up to Month 13; Untreated Control Group: Baseline up to Month 2
The investigator reported AEs systematically at each visit.
0.00%
0/22 • Treatment Group : Baseline up to Month 13; Untreated Control Group: Baseline up to Month 2
The investigator reported AEs systematically at each visit.

Other adverse events

Adverse event data not reported

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