Trial Outcomes & Findings for Renuvion APR Device to Improve the Appearance of Lax Tissue in the Neck and Submental Region (NCT NCT04146467)

NCT ID: NCT04146467

Last Updated: 2022-07-20

Results Overview

Improvement in the appearance of lax tissue in the neck and submental region at 6 months as determined by qualitative 2D photography assessment by blinded Independent Photographic Reviewers. Three experienced, blinded photographic reviewers performed a qualitative analysis/review of the pre-treatment and post-treatment sets of images of each subject in a blinded and randomized order. Each blinded reviewer chose which image was the post-treatment image. Success was correct post-treatment image selection by at least 2 of the 3 reviewers. The percentage of subjects with a correct post-treatment image selection was calculated.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

82 participants

Primary outcome timeframe

180-Day

Results posted on

2022-07-20

Participant Flow

Participant milestones

Participant milestones
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Overall Study
STARTED
17
65
Overall Study
COMPLETED
17
62
Overall Study
NOT COMPLETED
0
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Overall Study
Adverse Event
0
1
Overall Study
Lost to Follow-up
0
2

Baseline Characteristics

Renuvion APR Device to Improve the Appearance of Lax Tissue in the Neck and Submental Region

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=17 Participants
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=65 Participants
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Total
n=82 Participants
Total of all reporting groups
Age, Customized
Average Age
58.5 years
STANDARD_DEVIATION 4.0 • n=5 Participants
55.9 years
STANDARD_DEVIATION 6.3 • n=7 Participants
56.4 years
STANDARD_DEVIATION 5.9 • n=5 Participants
Age, Customized
Median Age
59 years
n=5 Participants
57.0 years
n=7 Participants
57.0 years
n=5 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
59 Participants
n=7 Participants
75 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
6 Participants
n=7 Participants
7 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Race/Ethnicity, Customized
White
14 Participants
n=5 Participants
61 Participants
n=7 Participants
75 Participants
n=5 Participants
Race/Ethnicity, Customized
Other: Greek Spanish
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
17 participants
n=5 Participants
65 participants
n=7 Participants
82 participants
n=5 Participants
Body Mass Index (BMI)
25.5 kg/m^2
n=5 Participants
24.7 kg/m^2
n=7 Participants
24.8 kg/m^2
n=5 Participants

PRIMARY outcome

Timeframe: 180-Day

Improvement in the appearance of lax tissue in the neck and submental region at 6 months as determined by qualitative 2D photography assessment by blinded Independent Photographic Reviewers. Three experienced, blinded photographic reviewers performed a qualitative analysis/review of the pre-treatment and post-treatment sets of images of each subject in a blinded and randomized order. Each blinded reviewer chose which image was the post-treatment image. Success was correct post-treatment image selection by at least 2 of the 3 reviewers. The percentage of subjects with a correct post-treatment image selection was calculated.

Outcome measures

Outcome measures
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=7 Participants
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=63 Participants
All subjects treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Day 180 Number of Participants With Improvement Measured By Independent Photographic Review
6 Participants
52 Participants

PRIMARY outcome

Timeframe: Day 7

Population: Phase I: 17 total participants started Phase I. 4 participants missed their Day 7 follow-up visit due to COVID-19 office closures and/or restrictions. Therefore, Day 7 data for Subject Reported Pain was only analyzed for 13 participants. Phase II: 65 participants started Phase 2. 1 participant exited the study prior to Day 7 follow-up visit. Therefore, Day 7 data for Subject Reported Pain was only analyzed for 64 participants.

The primary safety endpoint is the level of pain and discomfort after treatment as reported by the subject on an 11-point Numeric Rating Scale (NRS) through the 7-day follow-up visit where 0 is no pain and 10 is the most pain. Pain scores are classified as scores of 0 being no pain, 1 - 5 is minor pain, 6 - 7 is moderate pain, and 8 - 10 is severe pain. The primary safety objective is to demonstrate that the proportion of subjects with none-to- moderate pain exceeds the performance goal (PG). The performance goal is 55%.

Outcome measures

Outcome measures
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=13 Participants
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=64 Participants
All subjects treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Subject Reported Pain - None to Moderate
13 Participants
62 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 90-Day

Population: Phase I: 17 total participants started Phase I. 7 participants missed their D90 images due to COVID-19 office closures and/or restrictions. Therefore, D90 Independent Photographic Review data was only available for 10 participants. Phase II: 65 total participants started Phase 2. 1 participant exited the study prior to D90 visit and 1 participant was lost to follow-up prior to D90 Follow-up visit. Therefore, Day 90 Independent Photographic Review data was only available for 63 participants.

Change in the appearance of lax tissue in the neck and submental region at 90-days as determined by qualitative 2D photography assessment by blinded Independent Photographic Reviewers. Three experienced, blinded photographic reviewers performed a qualitative analysis/review of the pre-treatment and post-treatment sets of images of each subject in a blinded and randomized order. Each blinded reviewer chose which image was the post-treatment image. Success was correct post-treatment image selection by at least 2 of the 3 reviewers. The percentage of subjects with a correct post-treatment image selection was calculated.

Outcome measures

Outcome measures
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=10 Participants
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=63 Participants
All subjects treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Day 90 Number of Participants With Improvement Measured By Independent Photographic Review
8 Participants
48 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 90-Day

Population: Phase I: 17 total participants started Phase I. 1 participant missed their D90 Modified GAIS due to COVID-19 office closures and/or restrictions. Therefore, D90 Subject Modified GAIS data was only available for 16 participants. Phase II: 65 total participants started Phase 2. 1 participant exited the study prior to D90 visit and 1 participant was lost to follow-up prior to D90 Follow-up visit. Therefore, Day 90 Subject Modified GAIS data was only available for 63 participants.

Subject Modified GAIS: Very Much Improved, Much Improved, Improved, No Change, Worse, Much Worse, Very Much Worse

Outcome measures

Outcome measures
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=16 Participants
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=63 Participants
All subjects treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Subject Modified Global Aesthetic Improvement Scale (GAIS)
Very Much Improved
0 Participants
7 Participants
Subject Modified Global Aesthetic Improvement Scale (GAIS)
Much Improved
7 Participants
18 Participants
Subject Modified Global Aesthetic Improvement Scale (GAIS)
Improved
5 Participants
33 Participants
Subject Modified Global Aesthetic Improvement Scale (GAIS)
No Change
3 Participants
3 Participants
Subject Modified Global Aesthetic Improvement Scale (GAIS)
Worse
0 Participants
1 Participants
Subject Modified Global Aesthetic Improvement Scale (GAIS)
Much Worse
0 Participants
1 Participants
Subject Modified Global Aesthetic Improvement Scale (GAIS)
Very Much Worse
1 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 180-Day

Population: Phase-II discrepancy is due to 1 subject exited due to an AE during treatment and 2 subject lost to follow-up prior to Day 180 visit. Which brought the numbers to: Phase-II 62

Subject Modified GAIS: Very Much Improved, Much Improved, Improved, No Change, Worse, Much Worse, Very Much Worse

Outcome measures

Outcome measures
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=17 Participants
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=62 Participants
All subjects treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Subject Modified Global Aesthetic Improvement Scale (GAIS)
Very Much Improved
4 Participants
12 Participants
Subject Modified Global Aesthetic Improvement Scale (GAIS)
Much Improved
5 Participants
17 Participants
Subject Modified Global Aesthetic Improvement Scale (GAIS)
Improved
3 Participants
24 Participants
Subject Modified Global Aesthetic Improvement Scale (GAIS)
No Change
3 Participants
7 Participants
Subject Modified Global Aesthetic Improvement Scale (GAIS)
Worse
1 Participants
2 Participants
Subject Modified Global Aesthetic Improvement Scale (GAIS)
Much Worse
0 Participants
0 Participants
Subject Modified Global Aesthetic Improvement Scale (GAIS)
Very Much Worse
1 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 90-Day

Population: Phase I: 17 total participants started Phase I. 2 participants completed virtual visits and 1 participant missed their D90 visit due to COVID-19 office closures and/or restrictions. Therefore, D90 Investigator GAIS data was only available for 14 participants. Phase II: 65 total participants started Phase 2. 1 participant exited the study prior to D90 visit and 1 participant was lost to follow-up prior to D90 visit. Therefore, Day 90 Investigator GAIS data was only available for 63 participants.

Investigator Modified GAIS:Very Much Improved, Much Improved, Improved, No Change, Worse, Much Worse, Very Much Worse

Outcome measures

Outcome measures
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=14 Participants
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=63 Participants
All subjects treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Investigator Modified Global Aesthetics Improvement Scale (GAIS)
Very Much Improved
0 Participants
8 Participants
Investigator Modified Global Aesthetics Improvement Scale (GAIS)
Much Improved
3 Participants
19 Participants
Investigator Modified Global Aesthetics Improvement Scale (GAIS)
Improved
8 Participants
33 Participants
Investigator Modified Global Aesthetics Improvement Scale (GAIS)
No Change
2 Participants
3 Participants
Investigator Modified Global Aesthetics Improvement Scale (GAIS)
Worse
1 Participants
0 Participants
Investigator Modified Global Aesthetics Improvement Scale (GAIS)
Much Worse
0 Participants
0 Participants
Investigator Modified Global Aesthetics Improvement Scale (GAIS)
Very Much Worse
0 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 180-Day

Population: Phase-II discrepancy is due to 1 subject exited due to an AE during treatment and 2 subject lost to follow-up prior to Day 180 visit. Which brought the numbers to: Phase-II 62

Investigator Modified GAIS: Very Much Improved, Much Improved, Improved, No Change, Worse, Much Worse, Very Much Worse

Outcome measures

Outcome measures
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=17 Participants
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=62 Participants
All subjects treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Investigator Modified Global Aesthetic Improvement Scale (GAIS)
Very Much Improved
2 Participants
8 Participants
Investigator Modified Global Aesthetic Improvement Scale (GAIS)
Much Improved
6 Participants
19 Participants
Investigator Modified Global Aesthetic Improvement Scale (GAIS)
Improved
5 Participants
27 Participants
Investigator Modified Global Aesthetic Improvement Scale (GAIS)
No Change
3 Participants
6 Participants
Investigator Modified Global Aesthetic Improvement Scale (GAIS)
Worse
1 Participants
2 Participants
Investigator Modified Global Aesthetic Improvement Scale (GAIS)
Much Worse
0 Participants
0 Participants
Investigator Modified Global Aesthetic Improvement Scale (GAIS)
Very Much Worse
0 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 180-Day

Population: Phase II: 65 total participants started Phase 2. 1 participant exited the study prior to D180 visit and 2 participants was lost to follow-up prior to D180 Follow-up visit. Therefore, Day 180 Patient Satisfaction Questionnaire data was only available for 62 participants.

At 180 days post procedure, the subject's satisfaction with the procedure was assessed using a Patient Satisfaction Questionnaire. Questions were YES or NO questions pertaining to satisfaction with study treatment, observations of improvement, and considerations for recommendation.

Outcome measures

Outcome measures
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=17 Participants
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=62 Participants
All subjects treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Day 180 Patient Satisfaction Questionnaire (PSQ) of Procedure
Number of Subjects that Answered YES to Happy With Results of Procedure
12 Participants
47 Participants
Day 180 Patient Satisfaction Questionnaire (PSQ) of Procedure
Number of Subjects that Answered YES to More Jawline Definition
NA Participants
Data not collected in Study Phase I
39 Participants
Day 180 Patient Satisfaction Questionnaire (PSQ) of Procedure
Number of Subjects that Answered YES to Reduction in Jowls
NA Participants
Data not collected in Study Phase I
20 Participants
Day 180 Patient Satisfaction Questionnaire (PSQ) of Procedure
Number of Subjects that Answered YES to Improvement in Skin Texture in Treatment Area
NA Participants
Data not collected in Study Phase I
20 Participants
Day 180 Patient Satisfaction Questionnaire (PSQ) of Procedure
Number of Subjects that Answered YES to Reduction in the Area Under the Chin
NA Participants
Data not collected in Study Phase I
41 Participants
Day 180 Patient Satisfaction Questionnaire (PSQ) of Procedure
Number of Subjects that Answered YES to Reduction of Lines & Wrinkles in the Treatment Area
NA Participants
Data not collected in Study Phase I
21 Participants
Day 180 Patient Satisfaction Questionnaire (PSQ) of Procedure
Number of Subjects that Answered YES to Other Changes
NA Participants
Data not collected in Study Phase I
10 Participants
Day 180 Patient Satisfaction Questionnaire (PSQ) of Procedure
Number of Subjects that Answered YES to Would Recommend Procedure to a Friend
12 Participants
46 Participants
Day 180 Patient Satisfaction Questionnaire (PSQ) of Procedure
Number of Subjects that Answered YES to Would Consider Having the Procedure on Another Body Area
11 Participants
47 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 180-Day

Population: Phase II: 65 total participants started Phase 2. 1 participant exited the study prior to D180 visit, 1 participant completed a virtual visit, and 2 participants were lost to follow-up prior to D180 Follow-up visit. Therefore, Day 180 Quantitative Improvement data was only available for 61 participants.

Quantitative improvement in overall lift of the neck and submental area as determine by quantitative assessment based on 2D photography with Canfield Vectra system analysis. Fixed landmarks on the subject's face were used.

Outcome measures

Outcome measures
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=61 Participants
All subjects treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Quantitative Improvement in Overall Lift of the Neck and Submental Area
38 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 180-Day

Population: Phase II: 65 total participants started Phase 2. 1 participant exited the study prior to D180 visit, 2 participants were lost to follow-up prior to D180 visit, 1 participant completed a virtual visit for D180 and did not have photographs for volume assessment, and 1 subject had poor image quality that resulted in the inability to assess volume change. Therefore, Day 180 Quantitative Improvement in Submental Volume was only available for 60 participants.

Quantitative improvement in submental volume at 180 days as determined by quantitative assessment based on 3D photography with Canfield Vectra system analysis.

Outcome measures

Outcome measures
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=60 Participants
All subjects treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Quantitative Improvement in Submental Volume
41 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 7-Day

Population: Phase I: 17 total participants started Phase I. 4 participants missed their D7 follow-up visit due to COVID-19 office closures and/or restrictions. Therefore, D7 Average Pain data was only available for 13 participants. Phase II: 65 total participants started Phase 2. 1 participant exited the study prior to D7 visit . Therefore, Day 7 Average Pain data was only available for 64 participants.

Level of pain and discomfort after treatment as reported by the subject on a 11-point Numeric Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

Outcome measures

Outcome measures
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=13 Participants
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=64 Participants
All subjects treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Average Pain at Day 7 Reported by Subject
1.23 score on a scale
Standard Deviation 1.24
0.6 score on a scale
Standard Deviation 1.2

OTHER_PRE_SPECIFIED outcome

Timeframe: 7-Day

Population: Phase I: 17 total participants started Phase I. 4 participants missed their D7 follow-up visit due to COVID-19 office closures and/or restrictions. Therefore, D7 Median Pain data was only available for 13 participants. Phase II: 65 total participants started Phase 2. 1 participant exited the study prior to D7 visit . Therefore, Day 7 Median Pain data was only available for 64 participants.

Level of pain and discomfort after treatment as reported by the subject on a 11-point Numeric Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

Outcome measures

Outcome measures
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=13 Participants
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=64 Participants
All subjects treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Median Pain Reported by Subject at Day 7
1.0 score on a scale
Interval 0.0 to 3.0
0.0 score on a scale
Interval 0.0 to 1.0

OTHER_PRE_SPECIFIED outcome

Timeframe: 30-Day

Population: Phase I: 17 total participants started Phase I. 2 participants missed their D30 follow-up visit due to COVID-19 office closures and/or restrictions. Therefore, D30 Average Pain data was only available for 15 participants. Phase II: 65 total participants started Phase 2. 1 participant exited the study prior to D30 visit and1 participant was lost to follow-up prior to D30 visit. Therefore, Day 30 Average Pain data was only available for 63 participants.

Level of pain and discomfort after treatment as reported by the subject on a 11-point Numeric Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

Outcome measures

Outcome measures
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=15 Participants
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=63 Participants
All subjects treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Average Pain Reported by Subject at Day 30
1.33 score on a scale
Standard Deviation 2.66
0.2 score on a scale
Standard Deviation 0.5

OTHER_PRE_SPECIFIED outcome

Timeframe: 30-Day

Population: Phase I: 17 total participants started Phase I. 2 participants missed their D30 follow-up visit due to COVID-19 office closures and/or restrictions. Therefore, D30 Median Pain data was only available for 15 participants. Phase II: 65 total participants started Phase 2. 1 participant exited the study prior to D30 visit and1 participant was lost to follow-up prior to D30 visit. Therefore, Day 30 Median Pain data was only available for 63 participants.

Level of pain and discomfort after treatment as reported by the subject on a 11-point Numeric Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

Outcome measures

Outcome measures
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=15 Participants
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=63 Participants
All subjects treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Median Pain Reported by Subject at Day 30
0 score on a scale
Interval 0.0 to 9.0
0.0 score on a scale
Interval 0.0 to 0.0

Adverse Events

Sub-Dermal Neck Renuvion APR Device - Study Phase II

Serious events: 3 serious events
Other events: 62 other events
Deaths: 0 deaths

Sub-Dermal Neck Renuvion APR Device - Study Phase I

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=65 participants at risk
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=17 participants at risk
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Gastrointestinal disorders
Lower GI Bleed
1.5%
1/65 • Number of events 1 • Through 6 month follow-up visit for all enrolled subjects
0.00%
0/17 • Through 6 month follow-up visit for all enrolled subjects
General disorders
Acute Appendicitis
1.5%
1/65 • Number of events 1 • Through 6 month follow-up visit for all enrolled subjects
0.00%
0/17 • Through 6 month follow-up visit for all enrolled subjects
Renal and urinary disorders
Kidney Stone
1.5%
1/65 • Number of events 1 • Through 6 month follow-up visit for all enrolled subjects
0.00%
0/17 • Through 6 month follow-up visit for all enrolled subjects

Other adverse events

Other adverse events
Measure
Sub-Dermal Neck Renuvion APR Device - Study Phase II
n=65 participants at risk
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Sub-Dermal Neck Renuvion APR Device - Study Phase I
n=17 participants at risk
All subjects will be treated with the Renuvion APR device. Renuvion APR Device: The Renuvion APR Handpiece is a sterile, single use electrosurgical (monopolar) device intended to be used in conjunction with compatible generators for the percutaneous delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue. Radiofrequency energy is delivered to the handpiece by the generator and used to energize the electrode. When helium gas is passed over the energized electrode, a helium plasma is generated for soft tissue cutting, coagulation or ablation. The Renuvion APR Handpiece has a non-extendable electrode to generate helium plasma.
Skin and subcutaneous tissue disorders
Edema/Swelling
92.3%
60/65 • Through 6 month follow-up visit for all enrolled subjects
82.4%
14/17 • Through 6 month follow-up visit for all enrolled subjects
Skin and subcutaneous tissue disorders
Temporary sensory nerve injury (loss of sensation)
87.7%
57/65 • Through 6 month follow-up visit for all enrolled subjects
29.4%
5/17 • Through 6 month follow-up visit for all enrolled subjects
Skin and subcutaneous tissue disorders
Ecchymosis/ bruising
55.4%
36/65 • Through 6 month follow-up visit for all enrolled subjects
58.8%
10/17 • Through 6 month follow-up visit for all enrolled subjects
Skin and subcutaneous tissue disorders
Erythema
49.2%
32/65 • Through 6 month follow-up visit for all enrolled subjects
17.6%
3/17 • Through 6 month follow-up visit for all enrolled subjects
Skin and subcutaneous tissue disorders
Crepitus
41.5%
27/65 • Through 6 month follow-up visit for all enrolled subjects
17.6%
3/17 • Through 6 month follow-up visit for all enrolled subjects
Skin and subcutaneous tissue disorders
Pain/tenderness
24.6%
16/65 • Through 6 month follow-up visit for all enrolled subjects
29.4%
5/17 • Through 6 month follow-up visit for all enrolled subjects
Skin and subcutaneous tissue disorders
Nodules/subcutaneous lumps (migratory firmness)
12.3%
8/65 • Through 6 month follow-up visit for all enrolled subjects
35.3%
6/17 • Through 6 month follow-up visit for all enrolled subjects
Nervous system disorders
Temporary motor nerve Injury (nerve weakness, muscle atrophy, twitching, and paralysis)
6.2%
4/65 • Through 6 month follow-up visit for all enrolled subjects
5.9%
1/17 • Through 6 month follow-up visit for all enrolled subjects
Skin and subcutaneous tissue disorders
Pruritus/itching (not related to nerve injury)
6.2%
4/65 • Through 6 month follow-up visit for all enrolled subjects
0.00%
0/17 • Through 6 month follow-up visit for all enrolled subjects

Additional Information

Kari Larson, MBA, Sr. Director, Clinical Affairs

Apyx Medical

Phone: 8012440058

Results disclosure agreements

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

Restriction type: OTHER