Trial Outcomes & Findings for Effects of Mitigation Treatments on Bruising of CCH-aaes Treatment of Buttock Cellulite (NCT NCT04677712)

NCT ID: NCT04677712

Last Updated: 2023-08-21

Results Overview

Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale. The Investigator Assessment of Bruising Severity Scale is a 5-point photonumeric scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising. Higher scores indicated worse outcome.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

48 participants

Primary outcome timeframe

Day 4 (3 days after CCH-aaes injection)

Results posted on

2023-08-21

Participant Flow

Participant milestones

Participant milestones
Measure
Cohort 1: CCH-aaes
Collagenase clostridium histolyticum (CCH)-aaes was administered to both buttocks without mitigation treatment (control group).
Cohort 2: CCH-aaes + Compression Garment
CCH-aaes was administered to both buttocks with compression garments as the mitigation treatment.
Cohort 3: CCH-aaes + Instant Cold Packs
CCH-aaes was administered to both buttocks with instant cold packs applied to the right buttock only for 5-10 minutes post injection as the mitigation treatment.
Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)
CCH-aaes was administered to both buttocks with arnica gel patches (OcuMend) applied to the right buttock only immediately after injection and twice daily (BID) for 2 days as the mitigation treatment.
Cohort 5: CCH-aaes + INhance Post-Injection Serum With TriHex Technology®
CCH-aaes was administered to both buttocks with INhance Post-Injection Serum with TriHex Technology® applied to the right buttock only four times daily (QID) for up to 7 days as the mitigation treatment.
Cohort 6: CCH-aaes + Pulse Dye Laser Treatment (PDL)
CCH-aaes was administered to both buttocks with PDL applied once to the right buttock only between Days 1-7 post injection as the mitigation treatment.
Overall Study
STARTED
7
8
9
9
8
7
Overall Study
Received at Least 1 Dose of Study Drug
7
8
9
9
8
7
Overall Study
COMPLETED
7
7
9
9
8
7
Overall Study
NOT COMPLETED
0
1
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1: CCH-aaes
Collagenase clostridium histolyticum (CCH)-aaes was administered to both buttocks without mitigation treatment (control group).
Cohort 2: CCH-aaes + Compression Garment
CCH-aaes was administered to both buttocks with compression garments as the mitigation treatment.
Cohort 3: CCH-aaes + Instant Cold Packs
CCH-aaes was administered to both buttocks with instant cold packs applied to the right buttock only for 5-10 minutes post injection as the mitigation treatment.
Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)
CCH-aaes was administered to both buttocks with arnica gel patches (OcuMend) applied to the right buttock only immediately after injection and twice daily (BID) for 2 days as the mitigation treatment.
Cohort 5: CCH-aaes + INhance Post-Injection Serum With TriHex Technology®
CCH-aaes was administered to both buttocks with INhance Post-Injection Serum with TriHex Technology® applied to the right buttock only four times daily (QID) for up to 7 days as the mitigation treatment.
Cohort 6: CCH-aaes + Pulse Dye Laser Treatment (PDL)
CCH-aaes was administered to both buttocks with PDL applied once to the right buttock only between Days 1-7 post injection as the mitigation treatment.
Overall Study
Lost to Follow-up
0
1
0
0
0
0

Baseline Characteristics

Effects of Mitigation Treatments on Bruising of CCH-aaes Treatment of Buttock Cellulite

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1: CCH-aaes
n=7 Participants
CCH-aaes was administered to both buttocks without mitigation treatment (control group).
Cohort 2: CCH-aaes + Compression Garment
n=8 Participants
CCH-aaes was administered to both buttocks with compression garments as the mitigation treatment.
Cohort 3: CCH-aaes + Instant Cold Packs
n=9 Participants
CCH-aaes was administered to both buttocks with instant cold packs applied to the right buttock only for 5-10 minutes post injection as the mitigation treatment.
Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)
n=9 Participants
CCH-aaes was administered to both buttocks with arnica gel patches (OcuMend) applied to the right buttock only immediately after injection and BID for 2 days as the mitigation treatment.
Cohort 5:CCH-aaes + INhance Post-Injection Serum With TriHex Technology®
n=8 Participants
CCH-aaes was administered to both buttocks with INhance Post-Injection Serum with TriHex Technology® applied to the right buttock only QID for up to 7 days as the mitigation treatment.
Cohort 6: CCH-aaes + PDL
n=7 Participants
CCH-aaes was administered to both buttocks with PDL applied once to the right buttock only between Days 1-7 post injection as the mitigation treatment.
Total
n=48 Participants
Total of all reporting groups
Age, Continuous
39.5 years
STANDARD_DEVIATION 6.32 • n=93 Participants
37.8 years
STANDARD_DEVIATION 9.06 • n=4 Participants
38.4 years
STANDARD_DEVIATION 6.85 • n=27 Participants
37.8 years
STANDARD_DEVIATION 7.37 • n=483 Participants
41.4 years
STANDARD_DEVIATION 8.01 • n=36 Participants
39.4 years
STANDARD_DEVIATION 5.88 • n=10 Participants
39.0 years
STANDARD_DEVIATION 7.08 • n=115 Participants
Sex: Female, Male
Female
7 Participants
n=93 Participants
8 Participants
n=4 Participants
9 Participants
n=27 Participants
9 Participants
n=483 Participants
8 Participants
n=36 Participants
7 Participants
n=10 Participants
48 Participants
n=115 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
1 Participants
n=36 Participants
2 Participants
n=10 Participants
6 Participants
n=115 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=93 Participants
8 Participants
n=4 Participants
9 Participants
n=27 Participants
8 Participants
n=483 Participants
7 Participants
n=36 Participants
5 Participants
n=10 Participants
42 Participants
n=115 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
1 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
1 Participants
n=115 Participants
Race (NIH/OMB)
White
7 Participants
n=93 Participants
7 Participants
n=4 Participants
9 Participants
n=27 Participants
9 Participants
n=483 Participants
8 Participants
n=36 Participants
7 Participants
n=10 Participants
47 Participants
n=115 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Body Mass Index
24.46 kg/m^2
STANDARD_DEVIATION 3.182 • n=93 Participants
26.54 kg/m^2
STANDARD_DEVIATION 2.729 • n=4 Participants
24.68 kg/m^2
STANDARD_DEVIATION 3.440 • n=27 Participants
25.50 kg/m^2
STANDARD_DEVIATION 3.094 • n=483 Participants
26.81 kg/m^2
STANDARD_DEVIATION 2.645 • n=36 Participants
24.97 kg/m^2
STANDARD_DEVIATION 2.759 • n=10 Participants
25.51 kg/m^2
STANDARD_DEVIATION 2.978 • n=115 Participants
Fitzpatrick Skin Rating
I (Pale White)
0 units on a scale
n=93 Participants
2 units on a scale
n=4 Participants
0 units on a scale
n=27 Participants
1 units on a scale
n=483 Participants
0 units on a scale
n=36 Participants
0 units on a scale
n=10 Participants
3 units on a scale
n=115 Participants
Fitzpatrick Skin Rating
II (Fair)
3 units on a scale
n=93 Participants
2 units on a scale
n=4 Participants
5 units on a scale
n=27 Participants
4 units on a scale
n=483 Participants
5 units on a scale
n=36 Participants
3 units on a scale
n=10 Participants
22 units on a scale
n=115 Participants
Fitzpatrick Skin Rating
III (Darker White)
4 units on a scale
n=93 Participants
4 units on a scale
n=4 Participants
4 units on a scale
n=27 Participants
4 units on a scale
n=483 Participants
3 units on a scale
n=36 Participants
4 units on a scale
n=10 Participants
23 units on a scale
n=115 Participants

PRIMARY outcome

Timeframe: Day 4 (3 days after CCH-aaes injection)

Population: Evaluable Population: All participants allocated to treatment who receive at least 1 injection of CCH-aaes and had at least 1 bruising assessment after the first dose of CCH-aaes.

Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale. The Investigator Assessment of Bruising Severity Scale is a 5-point photonumeric scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising. Higher scores indicated worse outcome.

Outcome measures

Outcome measures
Measure
Cohort 1: CCH-aaes
n=7 Participants
CCH-aaes was administered to both buttocks without mitigation treatment (control group).
Cohort 2: CCH-aaes + Compression Garment
n=8 Participants
CCH-aaes was administered to both buttocks with compression garments as the mitigation treatment.
Cohort 3: CCH-aaes + Instant Cold Packs
n=9 Participants
CCH-aaes was administered to both buttocks with instant cold packs applied to the right buttock only for 5-10 minutes post injection as the mitigation treatment.
Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)
n=9 Participants
CCH-aaes was administered to both buttocks with arnica gel patches (OcuMend) applied to the right buttock only immediately after injection and BID for 2 days as the mitigation treatment.
Cohort 5: CCH-aaes + Post-Injection Serum With TriHex Technology®
n=8 Participants
CCH-aaes was administered to both buttocks with INhance Post-Injection Serum with TriHex Technology® applied to the right buttock only QID for up to 7 days as the mitigation treatment.
Cohort 6: CCH-aaes + PDL
n=7 Participants
CCH-aaes was administered to both buttocks with PDL applied once to the right buttock only between Days 1-7 post injection as the mitigation treatment.
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 4
Left Buttock (control): None or almost no bruising (0)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 4
Right Buttock: None or almost no bruising (0)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 4
Left Buttock (control): mild bruising (1)
2 Participants
2 Participants
5 Participants
1 Participants
1 Participants
3 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 4
Right Buttock: mild bruising (1)
2 Participants
3 Participants
5 Participants
1 Participants
1 Participants
4 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 4
Left Buttock (control): Moderate bruising (2)
1 Participants
3 Participants
3 Participants
3 Participants
2 Participants
2 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 4
Right Buttock: Moderate bruising (2)
1 Participants
2 Participants
3 Participants
4 Participants
3 Participants
2 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 4
Left Buttock (control): severe bruising (3)
3 Participants
3 Participants
1 Participants
4 Participants
5 Participants
1 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 4
Right Buttock: severe bruising (3)
3 Participants
3 Participants
1 Participants
3 Participants
4 Participants
1 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 4
Left Buttock (control): very severe bruising (4)
1 Participants
0 Participants
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 4
Right Buttock: severe bruising (4)
1 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Days 4 and 7

Population: Evaluable Population: All participants allocated to treatment who received at least 1 injection of CCH-aaes and had at least 1 bruising assessment after the first dose of CCH-aaes. The I-BIS assessment was not completed for participants that did not receive mitigation treatment (Cohort 1) or participants that received bilateral mitigation treatment (Cohort 2), as these participants did not have an untreated buttock as a comparator.

The investigator assessed improvement of bruising using the I-BIS, a 3-point Likert scale that compares bruising on the mitigated side to the bruising on the non-mitigated side as either worse (1), the same (2), or improved (3). I-BIS Rating was directly obtained from the investigator's assessment rating comparing the bruising of the mitigation-treated buttock to the untreated (with mitigation treatment) buttock.

Outcome measures

Outcome measures
Measure
Cohort 1: CCH-aaes
n=9 Participants
CCH-aaes was administered to both buttocks without mitigation treatment (control group).
Cohort 2: CCH-aaes + Compression Garment
n=9 Participants
CCH-aaes was administered to both buttocks with compression garments as the mitigation treatment.
Cohort 3: CCH-aaes + Instant Cold Packs
n=8 Participants
CCH-aaes was administered to both buttocks with instant cold packs applied to the right buttock only for 5-10 minutes post injection as the mitigation treatment.
Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)
n=7 Participants
CCH-aaes was administered to both buttocks with arnica gel patches (OcuMend) applied to the right buttock only immediately after injection and BID for 2 days as the mitigation treatment.
Cohort 5: CCH-aaes + Post-Injection Serum With TriHex Technology®
CCH-aaes was administered to both buttocks with INhance Post-Injection Serum with TriHex Technology® applied to the right buttock only QID for up to 7 days as the mitigation treatment.
Cohort 6: CCH-aaes + PDL
CCH-aaes was administered to both buttocks with PDL applied once to the right buttock only between Days 1-7 post injection as the mitigation treatment.
Number of Participants for Whom The Investigator Reported an Improvement of Bruising on the Mitigation-treated Buttock as Measured on the Investigator-Bruising Improvement Scores (I-BIS)
Day 4
2 Participants
4 Participants
2 Participants
4 Participants
Number of Participants for Whom The Investigator Reported an Improvement of Bruising on the Mitigation-treated Buttock as Measured on the Investigator-Bruising Improvement Scores (I-BIS)
Day 7
4 Participants
5 Participants
5 Participants
4 Participants

SECONDARY outcome

Timeframe: Days 4 and 7

Population: Evaluable Population: All participants allocated to treatment who received at least 1 injection of CCH-aaes and had at least 1 bruising assessment after the first dose of CCH-aaes. The S-BIS assessment was not completed for participants that did not receive mitigation treatment (Cohort 1) or participants that received bilateral mitigation treatment (Cohort 2), as these participants did not have an untreated buttock as a comparator.

The investigator assessed improvement of bruising using the S-BIS, a 3-point Likert scale that compares bruising on the mitigated side to the bruising on the non-mitigated side as either worse (1), the same (2), or improved (3). S-BIS Rating was directly obtained from the participant's assessment rating comparing the bruising of the mitigation-treated buttock to the untreated (with mitigation treatment) buttock. The S-BIS assessment was not completed for participants that did not receive mitigation treatment (Cohort 1) or participants that received bilateral mitigation treatment (Cohort 2), as these participants did not have an untreated buttock as a comparator.

Outcome measures

Outcome measures
Measure
Cohort 1: CCH-aaes
n=9 Participants
CCH-aaes was administered to both buttocks without mitigation treatment (control group).
Cohort 2: CCH-aaes + Compression Garment
n=9 Participants
CCH-aaes was administered to both buttocks with compression garments as the mitigation treatment.
Cohort 3: CCH-aaes + Instant Cold Packs
n=8 Participants
CCH-aaes was administered to both buttocks with instant cold packs applied to the right buttock only for 5-10 minutes post injection as the mitigation treatment.
Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)
n=7 Participants
CCH-aaes was administered to both buttocks with arnica gel patches (OcuMend) applied to the right buttock only immediately after injection and BID for 2 days as the mitigation treatment.
Cohort 5: CCH-aaes + Post-Injection Serum With TriHex Technology®
CCH-aaes was administered to both buttocks with INhance Post-Injection Serum with TriHex Technology® applied to the right buttock only QID for up to 7 days as the mitigation treatment.
Cohort 6: CCH-aaes + PDL
CCH-aaes was administered to both buttocks with PDL applied once to the right buttock only between Days 1-7 post injection as the mitigation treatment.
Number of Participants With an Improvement of Bruising on the Mitigation Treated Buttock on the Subject-Bruising Improvement Scale (S-BIS)
Day 4
0 Participants
3 Participants
1 Participants
3 Participants
Number of Participants With an Improvement of Bruising on the Mitigation Treated Buttock on the Subject-Bruising Improvement Scale (S-BIS)
Day 7
4 Participants
4 Participants
3 Participants
4 Participants

SECONDARY outcome

Timeframe: Day 4

Population: Evaluable Population: All participants allocated to treatment who received at least 1 injection of CCH-aaes and had at least 1 bruising assessment after the first dose of CCH-aaes.

The Patient Bother by Bruising Scale is a 4-point scale, with a score of 1 indicating not bothered at all, and a score of 4, indicating extremely bothered. A lower score indicates a better outcome.

Outcome measures

Outcome measures
Measure
Cohort 1: CCH-aaes
n=7 Participants
CCH-aaes was administered to both buttocks without mitigation treatment (control group).
Cohort 2: CCH-aaes + Compression Garment
n=8 Participants
CCH-aaes was administered to both buttocks with compression garments as the mitigation treatment.
Cohort 3: CCH-aaes + Instant Cold Packs
n=9 Participants
CCH-aaes was administered to both buttocks with instant cold packs applied to the right buttock only for 5-10 minutes post injection as the mitigation treatment.
Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)
n=9 Participants
CCH-aaes was administered to both buttocks with arnica gel patches (OcuMend) applied to the right buttock only immediately after injection and BID for 2 days as the mitigation treatment.
Cohort 5: CCH-aaes + Post-Injection Serum With TriHex Technology®
n=8 Participants
CCH-aaes was administered to both buttocks with INhance Post-Injection Serum with TriHex Technology® applied to the right buttock only QID for up to 7 days as the mitigation treatment.
Cohort 6: CCH-aaes + PDL
n=7 Participants
CCH-aaes was administered to both buttocks with PDL applied once to the right buttock only between Days 1-7 post injection as the mitigation treatment.
Number of Participants Bothered by the Appearance of Bruising as Assessed by the Patient Bother by Bruising Scale at Day 4
Left Buttock (control): Not at all bothered (1)
3 Participants
5 Participants
9 Participants
5 Participants
4 Participants
1 Participants
Number of Participants Bothered by the Appearance of Bruising as Assessed by the Patient Bother by Bruising Scale at Day 4
Right Buttock: Not at all bothered (1)
3 Participants
5 Participants
9 Participants
5 Participants
4 Participants
1 Participants
Number of Participants Bothered by the Appearance of Bruising as Assessed by the Patient Bother by Bruising Scale at Day 4
Left Buttock (control): A little bothered (2)
3 Participants
2 Participants
0 Participants
2 Participants
2 Participants
4 Participants
Number of Participants Bothered by the Appearance of Bruising as Assessed by the Patient Bother by Bruising Scale at Day 4
Right Buttock: A little bothered (2)
3 Participants
2 Participants
0 Participants
2 Participants
2 Participants
4 Participants
Number of Participants Bothered by the Appearance of Bruising as Assessed by the Patient Bother by Bruising Scale at Day 4
Left Buttock (control): Moderately bothered (3)
1 Participants
1 Participants
0 Participants
2 Participants
2 Participants
1 Participants
Number of Participants Bothered by the Appearance of Bruising as Assessed by the Patient Bother by Bruising Scale at Day 4
Right Buttock: Moderately bothered (3)
1 Participants
1 Participants
0 Participants
2 Participants
2 Participants
1 Participants
Number of Participants Bothered by the Appearance of Bruising as Assessed by the Patient Bother by Bruising Scale at Day 4
Left Buttock (control): Extremely bothered (4)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants Bothered by the Appearance of Bruising as Assessed by the Patient Bother by Bruising Scale at Day 4
Right Buttock: Extremely bothered (4)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Day 71

Population: Evaluable Population: All participants allocated to treatment who received at least 1 injection of CCH-aaes and had at least 1 bruising assessment after the first dose of CCH-aaes.

Improvement was defined as +1 or better score on the I-GAIS for either buttock on Day 71 compared to Baseline. The I-GAIS is a 7-level scale ranging from +3 (very much improved) to -3 (very much worse). A higher score indicated a better outcome.

Outcome measures

Outcome measures
Measure
Cohort 1: CCH-aaes
n=7 Participants
CCH-aaes was administered to both buttocks without mitigation treatment (control group).
Cohort 2: CCH-aaes + Compression Garment
n=7 Participants
CCH-aaes was administered to both buttocks with compression garments as the mitigation treatment.
Cohort 3: CCH-aaes + Instant Cold Packs
n=9 Participants
CCH-aaes was administered to both buttocks with instant cold packs applied to the right buttock only for 5-10 minutes post injection as the mitigation treatment.
Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)
n=9 Participants
CCH-aaes was administered to both buttocks with arnica gel patches (OcuMend) applied to the right buttock only immediately after injection and BID for 2 days as the mitigation treatment.
Cohort 5: CCH-aaes + Post-Injection Serum With TriHex Technology®
n=8 Participants
CCH-aaes was administered to both buttocks with INhance Post-Injection Serum with TriHex Technology® applied to the right buttock only QID for up to 7 days as the mitigation treatment.
Cohort 6: CCH-aaes + PDL
n=7 Participants
CCH-aaes was administered to both buttocks with PDL applied once to the right buttock only between Days 1-7 post injection as the mitigation treatment.
Number of Participants With an Improved (+1 or Better) Score on the Investigator-Global Aesthetic Improvement Scale (I-GAIS) at Day 71
Left Buttock (control)
6 Participants
6 Participants
9 Participants
9 Participants
7 Participants
5 Participants
Number of Participants With an Improved (+1 or Better) Score on the Investigator-Global Aesthetic Improvement Scale (I-GAIS) at Day 71
Right Buttock
6 Participants
6 Participants
9 Participants
9 Participants
7 Participants
6 Participants

SECONDARY outcome

Timeframe: Day 7

Population: Evaluable Population: All participants allocated to treatment who received at least 1 injection of CCH-aaes and had at least 1 bruising assessment after the first dose of CCH-aaes.

Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale. The Investigator Assessment of Bruising Severity Scale is a 5-level scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising. Higher scores indicated worse outcome.

Outcome measures

Outcome measures
Measure
Cohort 1: CCH-aaes
n=7 Participants
CCH-aaes was administered to both buttocks without mitigation treatment (control group).
Cohort 2: CCH-aaes + Compression Garment
n=8 Participants
CCH-aaes was administered to both buttocks with compression garments as the mitigation treatment.
Cohort 3: CCH-aaes + Instant Cold Packs
n=9 Participants
CCH-aaes was administered to both buttocks with instant cold packs applied to the right buttock only for 5-10 minutes post injection as the mitigation treatment.
Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)
n=9 Participants
CCH-aaes was administered to both buttocks with arnica gel patches (OcuMend) applied to the right buttock only immediately after injection and BID for 2 days as the mitigation treatment.
Cohort 5: CCH-aaes + Post-Injection Serum With TriHex Technology®
n=8 Participants
CCH-aaes was administered to both buttocks with INhance Post-Injection Serum with TriHex Technology® applied to the right buttock only QID for up to 7 days as the mitigation treatment.
Cohort 6: CCH-aaes + PDL
n=7 Participants
CCH-aaes was administered to both buttocks with PDL applied once to the right buttock only between Days 1-7 post injection as the mitigation treatment.
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 7
Left Buttock (control): None or almost no bruising (0)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 7
Right Buttock: None or almost no bruising (0)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 7
Left Buttock (control): mild bruising (1)
2 Participants
2 Participants
6 Participants
5 Participants
3 Participants
4 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 7
Right Buttock: mild bruising (1)
2 Participants
2 Participants
6 Participants
5 Participants
3 Participants
4 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 7
Left Buttock (control): Moderate bruising (2)
4 Participants
4 Participants
2 Participants
4 Participants
3 Participants
1 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 7
Right Buttock: Moderate bruising (2)
4 Participants
4 Participants
2 Participants
4 Participants
3 Participants
1 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 7
Left Buttock (control): severe bruising (3)
1 Participants
2 Participants
1 Participants
0 Participants
1 Participants
1 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 7
Right Buttock: severe bruising (3)
1 Participants
2 Participants
1 Participants
0 Participants
1 Participants
1 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 7
Left Buttock (control): very severe bruising (4)
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 7
Right Buttock: severe bruising (4)
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Day 14

Population: Evaluable Population: All participants allocated to treatment who received at least 1 injection of CCH-aaes and had at least 1 bruising assessment after the first dose of CCH-aaes.

Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale. The Investigator Assessment of Bruising Severity Scale is a 5-level scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising. Higher scores indicated worse outcome.

Outcome measures

Outcome measures
Measure
Cohort 1: CCH-aaes
n=7 Participants
CCH-aaes was administered to both buttocks without mitigation treatment (control group).
Cohort 2: CCH-aaes + Compression Garment
n=7 Participants
CCH-aaes was administered to both buttocks with compression garments as the mitigation treatment.
Cohort 3: CCH-aaes + Instant Cold Packs
n=9 Participants
CCH-aaes was administered to both buttocks with instant cold packs applied to the right buttock only for 5-10 minutes post injection as the mitigation treatment.
Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)
n=9 Participants
CCH-aaes was administered to both buttocks with arnica gel patches (OcuMend) applied to the right buttock only immediately after injection and BID for 2 days as the mitigation treatment.
Cohort 5: CCH-aaes + Post-Injection Serum With TriHex Technology®
n=8 Participants
CCH-aaes was administered to both buttocks with INhance Post-Injection Serum with TriHex Technology® applied to the right buttock only QID for up to 7 days as the mitigation treatment.
Cohort 6: CCH-aaes + PDL
n=7 Participants
CCH-aaes was administered to both buttocks with PDL applied once to the right buttock only between Days 1-7 post injection as the mitigation treatment.
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 14
Left Buttock (control): None or almost no bruising (0)
3 Participants
5 Participants
8 Participants
7 Participants
4 Participants
3 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 14
Right Buttock: None or almost no bruising (0)
3 Participants
6 Participants
9 Participants
8 Participants
4 Participants
3 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 14
Left Buttock (control): mild bruising (1)
4 Participants
2 Participants
1 Participants
2 Participants
2 Participants
4 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 14
Right Buttock: mild bruising (1)
4 Participants
1 Participants
0 Participants
1 Participants
4 Participants
4 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 14
Left Buttock (control): Moderate bruising (2)
0 Participants
0 Participants
0 Participants
0 Participants
2 Participants
0 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 14
Right Buttock: Moderate bruising (2)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 14
Left Buttock (control): severe bruising (3)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 14
Right Buttock: severe bruising (3)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 14
Left Buttock (control): very severe bruising (4)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 14
Right Buttock: severe bruising (4)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Day 22

Population: Evaluable Population: All participants allocated to treatment who received at least 1 injection of CCH-aaes and had at least 1 bruising assessment after the first dose of CCH-aaes.

Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale. The Investigator Assessment of Bruising Severity Scale is a 5-level scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising. Higher scores indicated worse outcome.

Outcome measures

Outcome measures
Measure
Cohort 1: CCH-aaes
n=6 Participants
CCH-aaes was administered to both buttocks without mitigation treatment (control group).
Cohort 2: CCH-aaes + Compression Garment
n=7 Participants
CCH-aaes was administered to both buttocks with compression garments as the mitigation treatment.
Cohort 3: CCH-aaes + Instant Cold Packs
n=9 Participants
CCH-aaes was administered to both buttocks with instant cold packs applied to the right buttock only for 5-10 minutes post injection as the mitigation treatment.
Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)
n=9 Participants
CCH-aaes was administered to both buttocks with arnica gel patches (OcuMend) applied to the right buttock only immediately after injection and BID for 2 days as the mitigation treatment.
Cohort 5: CCH-aaes + Post-Injection Serum With TriHex Technology®
n=8 Participants
CCH-aaes was administered to both buttocks with INhance Post-Injection Serum with TriHex Technology® applied to the right buttock only QID for up to 7 days as the mitigation treatment.
Cohort 6: CCH-aaes + PDL
n=7 Participants
CCH-aaes was administered to both buttocks with PDL applied once to the right buttock only between Days 1-7 post injection as the mitigation treatment.
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 22
Left Buttock (control): None or almost no bruising (0)
6 Participants
7 Participants
9 Participants
9 Participants
6 Participants
7 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 22
Right Buttock: None or almost no bruising (0)
6 Participants
7 Participants
9 Participants
9 Participants
7 Participants
7 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 22
Left Buttock (control): mild bruising (1)
0 Participants
0 Participants
0 Participants
0 Participants
2 Participants
0 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 22
Right Buttock: mild bruising (1)
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 22
Left Buttock (control): Moderate bruising (2)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 22
Right Buttock: Moderate bruising (2)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 22
Left Buttock (control): severe bruising (3)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 22
Right Buttock: severe bruising (3)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 22
Left Buttock (control): very severe bruising (4)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 22
Right Buttock: severe bruising (4)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants

Adverse Events

Cohort 1: CCH-aaes

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Cohort 2: CCH-aaes + Compression Garment

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Cohort 3:CCH-aaes + Instant Cold Packs

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Cohort 5: CCH-aaes + INhance Post-Injection Serum With TriHex Technology®

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Cohort 6: CCH-aaes + PDL

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Cohort 1: CCH-aaes
n=7 participants at risk
CCH-aaes was administered to both buttocks without mitigation treatment (control group).
Cohort 2: CCH-aaes + Compression Garment
n=8 participants at risk
CCH-aaes was administered to both buttocks with compression garments as the mitigation treatment.
Cohort 3:CCH-aaes + Instant Cold Packs
n=9 participants at risk
CCH-aaes was administered to both buttocks with instant cold packs applied to the right buttock only for 5-10 minutes post injection as the mitigation treatment.
Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)
n=9 participants at risk
CCH-aaes was administered to both buttocks with arnica gel patches (OcuMend) applied to the right buttock only immediately after injection and BID for 2 days as the mitigation treatment.
Cohort 5: CCH-aaes + INhance Post-Injection Serum With TriHex Technology®
n=8 participants at risk
CCH-aaes was administered to both buttocks with INhance Post-Injection Serum with TriHex Technology® applied to the right buttock only QID for up to 7 days as the mitigation treatment.
Cohort 6: CCH-aaes + PDL
n=7 participants at risk
CCH-aaes was administered to both buttocks with PDL applied once to the right buttock only between Days 1-7 post injection as the mitigation treatment.
General disorders
Injection site bruising
85.7%
6/7 • Day 1 (after dosing) through Day 71
100.0%
8/8 • Day 1 (after dosing) through Day 71
100.0%
9/9 • Day 1 (after dosing) through Day 71
100.0%
9/9 • Day 1 (after dosing) through Day 71
100.0%
8/8 • Day 1 (after dosing) through Day 71
85.7%
6/7 • Day 1 (after dosing) through Day 71
General disorders
Injection site discolouration
28.6%
2/7 • Day 1 (after dosing) through Day 71
25.0%
2/8 • Day 1 (after dosing) through Day 71
44.4%
4/9 • Day 1 (after dosing) through Day 71
22.2%
2/9 • Day 1 (after dosing) through Day 71
25.0%
2/8 • Day 1 (after dosing) through Day 71
28.6%
2/7 • Day 1 (after dosing) through Day 71
General disorders
Injection site nodule
14.3%
1/7 • Day 1 (after dosing) through Day 71
25.0%
2/8 • Day 1 (after dosing) through Day 71
22.2%
2/9 • Day 1 (after dosing) through Day 71
0.00%
0/9 • Day 1 (after dosing) through Day 71
0.00%
0/8 • Day 1 (after dosing) through Day 71
42.9%
3/7 • Day 1 (after dosing) through Day 71
General disorders
Injection site pain
57.1%
4/7 • Day 1 (after dosing) through Day 71
62.5%
5/8 • Day 1 (after dosing) through Day 71
77.8%
7/9 • Day 1 (after dosing) through Day 71
77.8%
7/9 • Day 1 (after dosing) through Day 71
62.5%
5/8 • Day 1 (after dosing) through Day 71
71.4%
5/7 • Day 1 (after dosing) through Day 71
General disorders
Injection site pruritus
0.00%
0/7 • Day 1 (after dosing) through Day 71
12.5%
1/8 • Day 1 (after dosing) through Day 71
0.00%
0/9 • Day 1 (after dosing) through Day 71
0.00%
0/9 • Day 1 (after dosing) through Day 71
0.00%
0/8 • Day 1 (after dosing) through Day 71
0.00%
0/7 • Day 1 (after dosing) through Day 71
Injury, poisoning and procedural complications
Contusion
0.00%
0/7 • Day 1 (after dosing) through Day 71
0.00%
0/8 • Day 1 (after dosing) through Day 71
0.00%
0/9 • Day 1 (after dosing) through Day 71
11.1%
1/9 • Day 1 (after dosing) through Day 71
12.5%
1/8 • Day 1 (after dosing) through Day 71
0.00%
0/7 • Day 1 (after dosing) through Day 71

Additional Information

Clinical Operations

Endo Pharmaceuticals

Phone: 1-800-462-3636

Results disclosure agreements

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