Trial Outcomes & Findings for Study to Evaluate the Effectiveness, Safety and Long Term Safety of Saypha® FILLER Lidocaine for Lip Augmentation (NCT NCT04917588)

NCT ID: NCT04917588

Last Updated: 2025-03-14

Results Overview

The proportion of subjects ('responders') with the lip volume improved by ≥1 point versus baseline value at 6 weeks after initial treatment based on the investigator live assessment using the validated Lip Fullness Scale (LFS). Lip Fullness Scale (LFS) is a validated 5-point rating scale,that evaluates the Lip Volume Deficiency ranging from Grade 1 (minimal volume) to Grade 5 (very significant volume): In this case, the bigger the number, the better.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

114 participants

Primary outcome timeframe

Week 6

Results posted on

2025-03-14

Participant Flow

Screened patients: N=121; Screening failures: N=7; Patients enrolled = Patients Treated with IMD: N= 114

Participant milestones

Participant milestones
Measure
Saypha® FILLER HQ
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (HQ): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER C1
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (C1): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Overall Study
STARTED
57
57
Overall Study
COMPLETED
50
51
Overall Study
NOT COMPLETED
7
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study to Evaluate the Effectiveness, Safety and Long Term Safety of Saypha® FILLER Lidocaine for Lip Augmentation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Saypha® FILLER HQ
n=57 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (HQ): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER C1
n=57 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (C1): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Total
n=114 Participants
Total of all reporting groups
Age, Continuous
42.1 years
STANDARD_DEVIATION 13.78 • n=5 Participants
44.4 years
STANDARD_DEVIATION 16.22 • n=7 Participants
43.2 years
STANDARD_DEVIATION 15.03 • n=5 Participants
Sex: Female, Male
Female
57 Participants
n=5 Participants
57 Participants
n=7 Participants
114 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
57 Participants
n=5 Participants
57 Participants
n=7 Participants
114 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Austria
57 participants
n=5 Participants
57 participants
n=7 Participants
114 participants
n=5 Participants
Smoking habit
current
21 Participants
n=5 Participants
22 Participants
n=7 Participants
43 Participants
n=5 Participants
Smoking habit
former
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Smoking habit
never smoked
32 Participants
n=5 Participants
31 Participants
n=7 Participants
63 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 6

Population: Population considered for this analysis is the Full Analysis Set (FAS) which comprises all subjects who received at least 1 administration of the IMD and who had at least 1 post-treatment evaluation of the LFS. Individual LFS grades per visit are calculated separately for the upper and the lower lip.

The proportion of subjects ('responders') with the lip volume improved by ≥1 point versus baseline value at 6 weeks after initial treatment based on the investigator live assessment using the validated Lip Fullness Scale (LFS). Lip Fullness Scale (LFS) is a validated 5-point rating scale,that evaluates the Lip Volume Deficiency ranging from Grade 1 (minimal volume) to Grade 5 (very significant volume): In this case, the bigger the number, the better.

Outcome measures

Outcome measures
Measure
Saypha® FILLER HQ
n=56 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (HQ): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER C1
n=54 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (C1): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Overall Population (Saypha® FILLER HQ + Saypha® FILLER C1)
n=110 Participants
Total eligible subjects that had bilateral lip augmentation treatments with both Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility and with Saypha® FILLER Lidocaine manufactured in the Croma Pharma in HQ facility.
Responder Rate in Lip Volume Improvement
lower lip responders
55 Participants
52 Participants
107 Participants
Responder Rate in Lip Volume Improvement
upper lip responders
53 Participants
53 Participants
106 Participants

SECONDARY outcome

Timeframe: 6, 12 and optional 18 months

Population: FAS (defined in the Analyis Population description of the primary outcome measure) was considered for the analysis of the secondary endpoints.

The percentage of responders (with the Lip Volume Improved by \>=1 Point Versus Baseline Value,) based on the investigator live assessment at 6, 12 and optional 18 months after the initial treatment using the validated LFS. Lip Fullness Scale (LFS) is a validated 5-point rating scale,that evaluates the Lip Volume Deficiency ranging from Grade 1 (minimal volume) to Grade 5 (very significant volume): In this case, the bigger the number, the better.

Outcome measures

Outcome measures
Measure
Saypha® FILLER HQ
n=56 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (HQ): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER C1
n=54 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (C1): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Overall Population (Saypha® FILLER HQ + Saypha® FILLER C1)
n=110 Participants
Total eligible subjects that had bilateral lip augmentation treatments with both Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility and with Saypha® FILLER Lidocaine manufactured in the Croma Pharma in HQ facility.
Percentage of Responders Based on the Investigator Live Assessment
Month 6 Lower Lips
48 Participants
50 Participants
98 Participants
Percentage of Responders Based on the Investigator Live Assessment
Month 6 Upper Lips
49 Participants
50 Participants
99 Participants
Percentage of Responders Based on the Investigator Live Assessment
Month 12 Lower Lips
41 Participants
36 Participants
77 Participants
Percentage of Responders Based on the Investigator Live Assessment
Month 12 Upper Lips
38 Participants
36 Participants
74 Participants
Percentage of Responders Based on the Investigator Live Assessment
Month 18 Lower Lips
28 Participants
23 Participants
51 Participants
Percentage of Responders Based on the Investigator Live Assessment
Month 18 Upper Lips
24 Participants
19 Participants
43 Participants

SECONDARY outcome

Timeframe: Week 6, Month 6, 12 and optional Month 18

Population: FAS - see primary endopoint for FAS definition

The percentage of responders based on the independent photographic reviewer´s assessments at Week 6, Month 6, 12 and optional Month 18 after initial treatment, based on photographs and using the validated LFS (compared to Baseline). Lip Fullness Scale (LFS) is a validated 5-point rating scale,that evaluates the Lip Volume Deficiency ranging from Grade 1 (minimal), Grade 2 (slight), Grade 3 (moderately thick), Grade 4 (thick), to Grade 5 (very significant): In this case, the bigger the number, the better.

Outcome measures

Outcome measures
Measure
Saypha® FILLER HQ
n=56 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (HQ): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER C1
n=54 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (C1): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Overall Population (Saypha® FILLER HQ + Saypha® FILLER C1)
n=110 Participants
Total eligible subjects that had bilateral lip augmentation treatments with both Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility and with Saypha® FILLER Lidocaine manufactured in the Croma Pharma in HQ facility.
Percentage of Responders Based on the Independent Photographic Reviewer´s Assessments
Week 6 - Lower Lip
25 Participants
30 Participants
55 Participants
Percentage of Responders Based on the Independent Photographic Reviewer´s Assessments
Week 6 - Upper Lip
17 Participants
25 Participants
42 Participants
Percentage of Responders Based on the Independent Photographic Reviewer´s Assessments
Month 6 - Lower Lip
20 Participants
19 Participants
39 Participants
Percentage of Responders Based on the Independent Photographic Reviewer´s Assessments
Month 6 - Upper Lip
15 Participants
24 Participants
39 Participants
Percentage of Responders Based on the Independent Photographic Reviewer´s Assessments
Month 12 - Lower Lip
20 Participants
15 Participants
35 Participants
Percentage of Responders Based on the Independent Photographic Reviewer´s Assessments
Month 12 - Upper Lip
20 Participants
26 Participants
46 Participants
Percentage of Responders Based on the Independent Photographic Reviewer´s Assessments
Month 18 - Lower Lip
15 Participants
16 Participants
31 Participants
Percentage of Responders Based on the Independent Photographic Reviewer´s Assessments
Month 18 - Upper Lip
13 Participants
21 Participants
34 Participants

SECONDARY outcome

Timeframe: Week 6, Month 6, 12 and optional Month 18

Population: FAS - Please see primary endpoint for definition

The percentage of subjects with an improvement relative to baseline photographs, (subjects who have been rated as "very much improved" or "much improved" or "improved"), based on the investigator assessment at Week 6, Month 6, 12 and optional Month 18 after initial treatment using the 5-point GAIS.

Outcome measures

Outcome measures
Measure
Saypha® FILLER HQ
n=56 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (HQ): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER C1
n=54 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (C1): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Overall Population (Saypha® FILLER HQ + Saypha® FILLER C1)
n=110 Participants
Total eligible subjects that had bilateral lip augmentation treatments with both Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility and with Saypha® FILLER Lidocaine manufactured in the Croma Pharma in HQ facility.
Percentage of Subjects With an Improvement Based on the Investigator Assessment Using GAIS
Week 6 -Lower Lip
56 Participants
54 Participants
110 Participants
Percentage of Subjects With an Improvement Based on the Investigator Assessment Using GAIS
Week 6 - Upper Lip
56 Participants
54 Participants
110 Participants
Percentage of Subjects With an Improvement Based on the Investigator Assessment Using GAIS
Month 6 - Lower Lip
53 Participants
53 Participants
106 Participants
Percentage of Subjects With an Improvement Based on the Investigator Assessment Using GAIS
Month 6 - Upper Lip
53 Participants
53 Participants
106 Participants
Percentage of Subjects With an Improvement Based on the Investigator Assessment Using GAIS
Month 12- Lower Lip
44 Participants
41 Participants
85 Participants
Percentage of Subjects With an Improvement Based on the Investigator Assessment Using GAIS
Month 12 - Upper Lip
44 Participants
40 Participants
84 Participants
Percentage of Subjects With an Improvement Based on the Investigator Assessment Using GAIS
Month 18 - Lower Lip
30 Participants
26 Participants
56 Participants
Percentage of Subjects With an Improvement Based on the Investigator Assessment Using GAIS
Month 18 -Upper Lip
30 Participants
21 Participants
51 Participants

SECONDARY outcome

Timeframe: Week 6, Month 6, 12 and optional Month 18

Population: FAS - please see primary endpoint description

The percentage of subjects with an improvement relative to baseline photographs (subjects who have been rated as "very much improved" or "much improved" or "improved"), based on subject assessment at Week 6, Month 6, 12 and optional Month 18 after initial treatment, using the 5-point GAIS with results ranging from 1 to 5 with lower numbers indicating better improvement

Outcome measures

Outcome measures
Measure
Saypha® FILLER HQ
n=56 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (HQ): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER C1
n=54 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (C1): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Overall Population (Saypha® FILLER HQ + Saypha® FILLER C1)
n=110 Participants
Total eligible subjects that had bilateral lip augmentation treatments with both Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility and with Saypha® FILLER Lidocaine manufactured in the Croma Pharma in HQ facility.
Percentage of Subjects With an Improvement Based on Subject Assessment Using GAIS
Month 12 - Upper Lips
44 Participants
44 Participants
88 Participants
Percentage of Subjects With an Improvement Based on Subject Assessment Using GAIS
Week 6 - lower lips
55 Participants
54 Participants
109 Participants
Percentage of Subjects With an Improvement Based on Subject Assessment Using GAIS
Week 6 - upper lips
56 Participants
54 Participants
110 Participants
Percentage of Subjects With an Improvement Based on Subject Assessment Using GAIS
Month 6 - Lower Lips
51 Participants
53 Participants
104 Participants
Percentage of Subjects With an Improvement Based on Subject Assessment Using GAIS
Month 6 - Upper Lips
53 Participants
53 Participants
106 Participants
Percentage of Subjects With an Improvement Based on Subject Assessment Using GAIS
Month 12 - Lower Lips
45 Participants
44 Participants
89 Participants
Percentage of Subjects With an Improvement Based on Subject Assessment Using GAIS
Month 18 - Lower Lips
37 Participants
34 Participants
71 Participants
Percentage of Subjects With an Improvement Based on Subject Assessment Using GAIS
Month 18 - Upper Lips
34 Participants
35 Participants
69 Participants

SECONDARY outcome

Timeframe: Week 6, Month 6, 12 and optional Month 18

Population: The population considered for this analysis comprises all subjects who received at least 1 administration of the Investigational Medical Device, who had at least 1 post-treatment evaluation using the Lip Fullness Scale and who have Face-Q measurements available for the respective timepoints. In the protocol and statistical analysis plan, the analysis for this outcome measure was planned only for the overall population and not for the randomized subgroups Saypha® FILLER HQ and Saypha® FILLER C1.

The extent of subject´s satisfaction with overall outcome of the treatment, at Week 6, Month 6, 12 and optional Month 18 after initial treatment, assessed by the subject using the Face-Q TM Questionnaire. The FACE-Q Satisfaction with Outcome scale is a patient-reported outcome measure designed to assess a patient's satisfaction with the results of a facial aesthetic procedure. This scale comprises six items, each with four response options: "definitely agree," "somewhat agree," "somewhat disagree," and "definitely disagree." The raw summed scale score is converted to a score from 0 to 100 by using the respective Conversion Tables available from Face Q authors. Higher scores reflect a better outcome (i.e., 0 (worst) to 100 (best)).

Outcome measures

Outcome measures
Measure
Saypha® FILLER HQ
n=110 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (HQ): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER C1
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (C1): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Overall Population (Saypha® FILLER HQ + Saypha® FILLER C1)
Total eligible subjects that had bilateral lip augmentation treatments with both Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility and with Saypha® FILLER Lidocaine manufactured in the Croma Pharma in HQ facility.
Subject Satisfaction Using Face-Q Questionnaire
Week 6
85.8 score on Face Q questionnaire
Standard Deviation 17.88
Subject Satisfaction Using Face-Q Questionnaire
Month 6
80.0 score on Face Q questionnaire
Standard Deviation 20.61
Subject Satisfaction Using Face-Q Questionnaire
Month 12
71.7 score on Face Q questionnaire
Standard Deviation 25.53
Subject Satisfaction Using Face-Q Questionnaire
Month 18
78.3 score on Face Q questionnaire
Standard Deviation 25.76

SECONDARY outcome

Timeframe: Week 6, Month 6, 12 and optional Month 18

Population: The population considered for this analysis comprises all subjects who received at least 1 administration of the Investigational Medical Device, who had at least 1 post-treatment evaluation using the Lip Fullness Scale and who have Face-Q measurements available for the respective timepoints. In the protocol and statistical analysis plan, the analysis for this outcome measure was planned only for the overall population and not for the randomized subgroups Saypha® FILLER HQ and Saypha® FILLER C1.

The extent of subject's satisfaction with augmentation of lips, at Week 6, Month 6, 12 and optional Month 18 after initial treatment, assessed by the subject using the Face-Q TM Questionnaire "Satisfaction with Lips", a 6-items Aesthetic Appearance Questionnaire with 5 pre-defined answer options between "very satisfied" and "very dissatisfied". The extent of subject´s satisfaction with overall outcome of the treatment, at Week 6, Month 6, 12 and optional Month 18 after initial treatment, assessed by the subject using the Face-Q. The raw summed scale score is converted to a score from 0 to 100 by using the respective Conversion Tables available from Face Q authors. Higher scores reflect a better outcome (i.e., 0 (worst) to 100 (best)).

Outcome measures

Outcome measures
Measure
Saypha® FILLER HQ
n=110 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (HQ): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER C1
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (C1): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Overall Population (Saypha® FILLER HQ + Saypha® FILLER C1)
Total eligible subjects that had bilateral lip augmentation treatments with both Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility and with Saypha® FILLER Lidocaine manufactured in the Croma Pharma in HQ facility.
Subject Satisfaction Using Face-Q TM Questionnaire "Satisfaction With Lips"
Week 6
90.9 score Face Q questionnaire
Standard Deviation 11.96
Subject Satisfaction Using Face-Q TM Questionnaire "Satisfaction With Lips"
Month 6
84.9 score Face Q questionnaire
Standard Deviation 17.24
Subject Satisfaction Using Face-Q TM Questionnaire "Satisfaction With Lips"
Month 12
76.2 score Face Q questionnaire
Standard Deviation 22.69
Subject Satisfaction Using Face-Q TM Questionnaire "Satisfaction With Lips"
Month 18
78.3 score Face Q questionnaire
Standard Deviation 20.45

SECONDARY outcome

Timeframe: Day1, Week 3

Population: FAS-please see primary endpoint population definition

Subject's perception of pain after initial and touch-up treatment with Saypha® FILLER Lidocaine using the 11-point Numeric Pain Rating Scale (NPRS), where 0 is no pain and 10 is the worst pain imaginable.

Outcome measures

Outcome measures
Measure
Saypha® FILLER HQ
n=110 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (HQ): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER C1
n=56 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (C1): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Overall Population (Saypha® FILLER HQ + Saypha® FILLER C1)
n=54 Participants
Total eligible subjects that had bilateral lip augmentation treatments with both Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility and with Saypha® FILLER Lidocaine manufactured in the Croma Pharma in HQ facility.
Subject's Perception of Pain Using the 11-point Numeric Pain Rating Scale
Initial Treatment - Immediately after treatment
3.3 score on a scale
Standard Deviation 1.71
3.6 score on a scale
Standard Deviation 1.75
3.0 score on a scale
Standard Deviation 1.62
Subject's Perception of Pain Using the 11-point Numeric Pain Rating Scale
Initial Treatment - 15 min post treatment
0.5 score on a scale
Standard Deviation 0.92
0.7 score on a scale
Standard Deviation 1.05
0.3 score on a scale
Standard Deviation 0.73
Subject's Perception of Pain Using the 11-point Numeric Pain Rating Scale
Touch up (Week 3) - Immediately after treatment
2.9 score on a scale
Standard Deviation 1.48
2.7 score on a scale
Standard Deviation 1.52
3.0 score on a scale
Standard Deviation 1.46
Subject's Perception of Pain Using the 11-point Numeric Pain Rating Scale
Touch up (Week 3 ) - 15 min post treatment
0.4 score on a scale
Standard Deviation 0.65
0.4 score on a scale
Standard Deviation 0.77
0.3 score on a scale
Standard Deviation 0.53

SECONDARY outcome

Timeframe: Week 6, Month 6, 12 and optional Month 18

Population: The population considered for this analysis comprises all subjects who received at least 1 administration of the Investigational Medical Device and who had at least 1 post-treatment evaluation using the Lip Fullness Scale. In the protocol and statistical analysis plan, the analysis for this outcome measure was planned only for the overall population and not for the randomized subgroups Saypha® FILLER HQ and Saypha® FILLER C1.

Percentage of subjects demonstrating an aesthetic effect at Week 6, Month 6, 12 and optional Month 18 based on the investigator's life assessment. A live assessment of the treated areas was performed and the treated areas compared to the subject's photographs obtained at the Baseline Visit. The presence of the aesthetic effect was recorded as either "Yes" or "No"

Outcome measures

Outcome measures
Measure
Saypha® FILLER HQ
n=110 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (HQ): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER C1
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (C1): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Overall Population (Saypha® FILLER HQ + Saypha® FILLER C1)
Total eligible subjects that had bilateral lip augmentation treatments with both Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility and with Saypha® FILLER Lidocaine manufactured in the Croma Pharma in HQ facility.
Percentage of Subjects Demonstrating an Aesthetic Effect
Week 6
110 Participants
Percentage of Subjects Demonstrating an Aesthetic Effect
Month 6
106 Participants
Percentage of Subjects Demonstrating an Aesthetic Effect
Month 12
86 Participants
Percentage of Subjects Demonstrating an Aesthetic Effect
Month 18
59 Participants

SECONDARY outcome

Timeframe: Day1, Week 3

Population: The population considered for this analysis comprises all subjects who had at least 1 post-treatment evaluation using the Lip Fullness Scale and who received treatment with the Investigational Medical Device at the respective timepoints. In the protocol and statistical analysis plan, the analysis for this outcome measure was planned only for the overall population and not for the randomized subgroups Saypha® FILLER HQ and Saypha® FILLER C1.

Injection volume (initial and touch-up) required for an optimal augmentation of the lips with Saypha® FILLER Lidocaine.

Outcome measures

Outcome measures
Measure
Saypha® FILLER HQ
n=110 Participants
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (HQ): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER C1
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (C1): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Overall Population (Saypha® FILLER HQ + Saypha® FILLER C1)
Total eligible subjects that had bilateral lip augmentation treatments with both Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility and with Saypha® FILLER Lidocaine manufactured in the Croma Pharma in HQ facility.
Injection Volume Required
Day 1 - initial treatment -lower lip
0.79 ml
Standard Deviation 0.282
Injection Volume Required
Day 1 - Initial Treatment - Upper Lip
0.80 ml
Standard Deviation 0.285
Injection Volume Required
Day 1 - initial treatment - both lips
1.59 ml
Standard Deviation 0.516
Injection Volume Required
Week 3 - touch up treatment - lower lip
0.50 ml
Standard Deviation 0.298
Injection Volume Required
Week 3 - touch up treatment - upper lip
0.51 ml
Standard Deviation 0.305
Injection Volume Required
Week 3 - touch up treatment - both lips
0.85 ml
Standard Deviation 0.604

Adverse Events

Saypha® FILLER HQ

Serious events: 0 serious events
Other events: 35 other events
Deaths: 0 deaths

Saypha® FILLER C1

Serious events: 1 serious events
Other events: 32 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Saypha® FILLER HQ
n=57 participants at risk
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (HQ): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER C1
n=57 participants at risk
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (C1): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Psychiatric disorders
Depression
0.00%
0/57 • Adverse events (AEs) were documented from the time of first IMD application at Baseline visit (Visit 1) throughout the course of the clinical investigation, which means up to 18 months after IMD application.
AEs will be detected at each visit by observation and by asking the subject about the occurrence of AEs. Care should be taken not to introduce bias when eliciting AE information from the subject. Open-ended and non-leading verbal questioning is the preferred method. In addition, the subjects will be instructed to immediately contact the investigator/investigation site in case of occurrence of any untoward event between visits and an unscheduled visit will be performed.
1.8%
1/57 • Number of events 1 • Adverse events (AEs) were documented from the time of first IMD application at Baseline visit (Visit 1) throughout the course of the clinical investigation, which means up to 18 months after IMD application.
AEs will be detected at each visit by observation and by asking the subject about the occurrence of AEs. Care should be taken not to introduce bias when eliciting AE information from the subject. Open-ended and non-leading verbal questioning is the preferred method. In addition, the subjects will be instructed to immediately contact the investigator/investigation site in case of occurrence of any untoward event between visits and an unscheduled visit will be performed.

Other adverse events

Other adverse events
Measure
Saypha® FILLER HQ
n=57 participants at risk
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (HQ): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER C1
n=57 participants at risk
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0). Saypha® FILLER Lidocaine (C1): Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
General disorders
Application site pain
45.6%
26/57 • Number of events 30 • Adverse events (AEs) were documented from the time of first IMD application at Baseline visit (Visit 1) throughout the course of the clinical investigation, which means up to 18 months after IMD application.
AEs will be detected at each visit by observation and by asking the subject about the occurrence of AEs. Care should be taken not to introduce bias when eliciting AE information from the subject. Open-ended and non-leading verbal questioning is the preferred method. In addition, the subjects will be instructed to immediately contact the investigator/investigation site in case of occurrence of any untoward event between visits and an unscheduled visit will be performed.
36.8%
21/57 • Number of events 25 • Adverse events (AEs) were documented from the time of first IMD application at Baseline visit (Visit 1) throughout the course of the clinical investigation, which means up to 18 months after IMD application.
AEs will be detected at each visit by observation and by asking the subject about the occurrence of AEs. Care should be taken not to introduce bias when eliciting AE information from the subject. Open-ended and non-leading verbal questioning is the preferred method. In addition, the subjects will be instructed to immediately contact the investigator/investigation site in case of occurrence of any untoward event between visits and an unscheduled visit will be performed.
General disorders
Injection Site Bruising
29.8%
17/57 • Number of events 21 • Adverse events (AEs) were documented from the time of first IMD application at Baseline visit (Visit 1) throughout the course of the clinical investigation, which means up to 18 months after IMD application.
AEs will be detected at each visit by observation and by asking the subject about the occurrence of AEs. Care should be taken not to introduce bias when eliciting AE information from the subject. Open-ended and non-leading verbal questioning is the preferred method. In addition, the subjects will be instructed to immediately contact the investigator/investigation site in case of occurrence of any untoward event between visits and an unscheduled visit will be performed.
28.1%
16/57 • Number of events 22 • Adverse events (AEs) were documented from the time of first IMD application at Baseline visit (Visit 1) throughout the course of the clinical investigation, which means up to 18 months after IMD application.
AEs will be detected at each visit by observation and by asking the subject about the occurrence of AEs. Care should be taken not to introduce bias when eliciting AE information from the subject. Open-ended and non-leading verbal questioning is the preferred method. In addition, the subjects will be instructed to immediately contact the investigator/investigation site in case of occurrence of any untoward event between visits and an unscheduled visit will be performed.
General disorders
Injection site swelling
31.6%
18/57 • Number of events 22 • Adverse events (AEs) were documented from the time of first IMD application at Baseline visit (Visit 1) throughout the course of the clinical investigation, which means up to 18 months after IMD application.
AEs will be detected at each visit by observation and by asking the subject about the occurrence of AEs. Care should be taken not to introduce bias when eliciting AE information from the subject. Open-ended and non-leading verbal questioning is the preferred method. In addition, the subjects will be instructed to immediately contact the investigator/investigation site in case of occurrence of any untoward event between visits and an unscheduled visit will be performed.
28.1%
16/57 • Number of events 22 • Adverse events (AEs) were documented from the time of first IMD application at Baseline visit (Visit 1) throughout the course of the clinical investigation, which means up to 18 months after IMD application.
AEs will be detected at each visit by observation and by asking the subject about the occurrence of AEs. Care should be taken not to introduce bias when eliciting AE information from the subject. Open-ended and non-leading verbal questioning is the preferred method. In addition, the subjects will be instructed to immediately contact the investigator/investigation site in case of occurrence of any untoward event between visits and an unscheduled visit will be performed.
Infections and infestations
COVID 19
19.3%
11/57 • Number of events 13 • Adverse events (AEs) were documented from the time of first IMD application at Baseline visit (Visit 1) throughout the course of the clinical investigation, which means up to 18 months after IMD application.
AEs will be detected at each visit by observation and by asking the subject about the occurrence of AEs. Care should be taken not to introduce bias when eliciting AE information from the subject. Open-ended and non-leading verbal questioning is the preferred method. In addition, the subjects will be instructed to immediately contact the investigator/investigation site in case of occurrence of any untoward event between visits and an unscheduled visit will be performed.
12.3%
7/57 • Number of events 7 • Adverse events (AEs) were documented from the time of first IMD application at Baseline visit (Visit 1) throughout the course of the clinical investigation, which means up to 18 months after IMD application.
AEs will be detected at each visit by observation and by asking the subject about the occurrence of AEs. Care should be taken not to introduce bias when eliciting AE information from the subject. Open-ended and non-leading verbal questioning is the preferred method. In addition, the subjects will be instructed to immediately contact the investigator/investigation site in case of occurrence of any untoward event between visits and an unscheduled visit will be performed.

Additional Information

Head of Clinical Operations

CROMA - PHARMA

Phone: +43 0226268468

Results disclosure agreements

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