Trial Outcomes & Findings for Saypha® VOLUME Lidocaine for Midface Augmentation (NCT NCT05386030)

NCT ID: NCT05386030

Last Updated: 2025-01-16

Results Overview

The percentage of responders on the 5-point MVDSS (Mid-Face Volume Deficit Severity Scale where 0 means no deficit and 4 means Extreme Deficit) based on the blinded evaluator´s live assessment at Week 24 after last injection of initial treatment phase compared to the pre-treatment score at Baseline visit. Subjects are defined as responders if they are showing an \>=1 point improvement in MVDSS at Week 24 relative to baseline.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

562 participants

Primary outcome timeframe

Week 24

Results posted on

2025-01-16

Participant Flow

Of 562 enrolled participants, 486 met inclusion criteria and were randomized to treatment.

Participant milestones

Participant milestones
Measure
Saypha® VOLUME Lidocaine
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Overall Study
STARTED
324
162
Overall Study
Received Treatment
322
161
Overall Study
COMPLETED
280
143
Overall Study
NOT COMPLETED
44
19

Reasons for withdrawal

Reasons for withdrawal
Measure
Saypha® VOLUME Lidocaine
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Overall Study
Death
1
0
Overall Study
Physician Decision
2
1
Overall Study
Lost to Follow-up
19
7
Overall Study
Withdrawal by Subject
20
10
Overall Study
Eligibility criteria violation
1
1
Overall Study
Personal Reasons
1
0

Baseline Characteristics

Saypha® VOLUME Lidocaine for Midface Augmentation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Total
n=483 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
263 Participants
n=5 Participants
132 Participants
n=7 Participants
395 Participants
n=5 Participants
Age, Categorical
>=65 years
59 Participants
n=5 Participants
29 Participants
n=7 Participants
88 Participants
n=5 Participants
Age, Continuous
54.6 years
STANDARD_DEVIATION 10.7 • n=5 Participants
56.0 years
STANDARD_DEVIATION 9.5 • n=7 Participants
55.1 years
STANDARD_DEVIATION 10.3 • n=5 Participants
Sex: Female, Male
Female
303 Participants
n=5 Participants
154 Participants
n=7 Participants
457 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
7 Participants
n=7 Participants
26 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
68 Participants
n=5 Participants
28 Participants
n=7 Participants
96 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
254 Participants
n=5 Participants
133 Participants
n=7 Participants
387 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
9 Participants
n=5 Participants
7 Participants
n=7 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
Asian
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
20 Participants
n=5 Participants
7 Participants
n=7 Participants
27 Participants
n=5 Participants
Race (NIH/OMB)
White
283 Participants
n=5 Participants
140 Participants
n=7 Participants
423 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
322 participants
n=5 Participants
161 participants
n=7 Participants
483 participants
n=5 Participants
Midface Volume Deficit Severity Scale (MVDSS) by the Blinded Evaluator
0 (none/minimal)
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Midface Volume Deficit Severity Scale (MVDSS) by the Blinded Evaluator
1 (mild)
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Midface Volume Deficit Severity Scale (MVDSS) by the Blinded Evaluator
2 (moderate)
189 Participants
n=5 Participants
99 Participants
n=7 Participants
288 Participants
n=5 Participants
Midface Volume Deficit Severity Scale (MVDSS) by the Blinded Evaluator
3 (severe)
133 Participants
n=5 Participants
62 Participants
n=7 Participants
195 Participants
n=5 Participants
Midface Volume Deficit Severity Scale (MVDSS) by the Blinded Evaluator
4 (very severe)
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 24

Population: The population used consists of all randomized subjects, who received at least one administration of the test device or the comparator device and who did not have any major protocol deviation affecting the primary effectiveness endpoint. Subjects with missing baseline Mid-Face Volume Deficit Severity Scale (MVDSS) score and / or missing MVDSS score at Week 24 after last injection of the initial treatment phase were not included in the analysis.

The percentage of responders on the 5-point MVDSS (Mid-Face Volume Deficit Severity Scale where 0 means no deficit and 4 means Extreme Deficit) based on the blinded evaluator´s live assessment at Week 24 after last injection of initial treatment phase compared to the pre-treatment score at Baseline visit. Subjects are defined as responders if they are showing an \>=1 point improvement in MVDSS at Week 24 relative to baseline.

Outcome measures

Outcome measures
Measure
Saypha® VOLUME Lidocaine
n=275 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=139 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Week 24 - Per Protocol Dataset
268 Participants
124 Participants

PRIMARY outcome

Timeframe: Week 24

Population: The population used consists of all randomized subjects, who received at least one administration of the test device or the comparator device. Participants were analyzed as randomized.

The percentage of responders on the 5-point MVDSS (Mid-Face Volume Deficit Severity Scale where 0 means no deficit and 4 means Extreme Deficit) based on the blinded evaluator´s live assessment at Week 24 after last injection of initial treatment phase compared to the pre-treatment score at Baseline visit. Subjects are defined as responders if they are showing an \>=1 point improvement in MVDSS at Week 24 relative to baseline. Subjects with missing baseline MVDSS score and / or missing MVDSS score at Week 24 after last injection of the initial treatment phase were imputed as non-responders.

Outcome measures

Outcome measures
Measure
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Week 24 - Full Analysis Dataset
283 Participants
135 Participants

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 36, and 48

Population: The population used consists of all randomized subjects, who received at least one administration of the test device or the comparator device and have data available for the respective visit. Participants were analyzed as randomized.

The percentage of responders on the 5-point MVDSS (Mid-Face Volume Deficit Severity Scale where 0 means no deficit and 4 means Extreme Deficit), based on the blinded evaluator´s live assessment at Weeks 4, 8, 16, 36, and 48 after last injection of initial treatment compared to the score at Baseline. Subjects are defined as responders if they are showing an \>=1 point improvement in MVDSS at the respective visit relative to baseline.

Outcome measures

Outcome measures
Measure
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 36, and 48 as Rated by the Blinded Evaluator
Week 16
286 Participants
147 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 36, and 48 as Rated by the Blinded Evaluator
Week 36
254 Participants
115 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 36, and 48 as Rated by the Blinded Evaluator
Week 4
291 Participants
149 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 36, and 48 as Rated by the Blinded Evaluator
Week 8
294 Participants
147 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 36, and 48 as Rated by the Blinded Evaluator
Week 48
203 Participants
90 Participants

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects, who received at least one administration of the test device or the comparator device and who have data available for the respective visit. Participants were analyzed as randomized.

The percentage of responders on the 5-point MVDSS (Mid-Face Volume Deficit Severity Scale where 0 means no deficit and 4 means Extreme Deficit), based on the independent blinded photographic reviewer´s assessment by using photographs at Weeks 4, 8, 16, 24, 36, and 48 after last injection of initial treatment compared to the score at Baseline. The median of all assessments for the same photograph were taken into account.

Outcome measures

Outcome measures
Measure
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 24, 36, and 48 as Rated by the Independent Blinded Photographic Reviewer
Week 8
173 Participants
83 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 24, 36, and 48 as Rated by the Independent Blinded Photographic Reviewer
Week 36
156 Participants
67 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 24, 36, and 48 as Rated by the Independent Blinded Photographic Reviewer
Week 48
147 Participants
67 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 24, 36, and 48 as Rated by the Independent Blinded Photographic Reviewer
Week 4
162 Participants
78 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 24, 36, and 48 as Rated by the Independent Blinded Photographic Reviewer
Week 16
170 Participants
85 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 24, 36, and 48 as Rated by the Independent Blinded Photographic Reviewer
Week 24
163 Participants
77 Participants

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects, who received at least one administration of the test device or the comparator device and who have data available for the respective visit. Participants were analyzed as randomized.

Mean change in midface volume deficit measured on the 5-point MVDSS (Mid-Face Volume Deficit Severity Scale where 0 means no deficit and 4 means Extreme Deficit), and based on the blinded evaluator´s live assessment at Weeks 4, 8, 16, 24, 36, and 48 after last injection of initial treatment compared to the score at Baseline.

Outcome measures

Outcome measures
Measure
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Mean Change in Midface Volume Deficit
Week 4 - Change from Baseline
-1.8 score on a scale
Standard Deviation 0.7
-1.6 score on a scale
Standard Deviation 0.8
Mean Change in Midface Volume Deficit
Week 8 - Change from Baseline
-1.8 score on a scale
Standard Deviation 0.7
-1.6 score on a scale
Standard Deviation 0.8
Mean Change in Midface Volume Deficit
Week 16 - Change from Baseline
-1.7 score on a scale
Standard Deviation 0.7
-1.5 score on a scale
Standard Deviation 0.7
Mean Change in Midface Volume Deficit
Week 24 - Change from Baseline
-1.6 score on a scale
Standard Deviation 0.7
-1.4 score on a scale
Standard Deviation 0.8
Mean Change in Midface Volume Deficit
Week 36 - Change from Baseline
-1.4 score on a scale
Standard Deviation 0.8
-1.2 score on a scale
Standard Deviation 0.8
Mean Change in Midface Volume Deficit
Week 48 - Change from Baseline
-1.0 score on a scale
Standard Deviation 0.8
-0.9 score on a scale
Standard Deviation 0.8

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects, who received at least one administration of the test device or the comparator device and who have data available at the respective visit. Participants were analyzed as randomized.

Mean change in midface volume deficit as measured by volumetric change measurement by using 3D digital photographic images at Weeks 4, 8, 16, 24, 36, and 48 after last injection of initial treatment compared to Baseline.

Outcome measures

Outcome measures
Measure
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Mean Change in Midface Volume Deficit as Measured by Volumetric Change Measurement
Week 8 - Change from Baseline [cm^3]
8.236 cm^3
Standard Deviation 4.561
6.711 cm^3
Standard Deviation 4.341
Mean Change in Midface Volume Deficit as Measured by Volumetric Change Measurement
Week 16 - Change from Baseline [cm^3]
7.627 cm^3
Standard Deviation 4.612
6.115 cm^3
Standard Deviation 4.900
Mean Change in Midface Volume Deficit as Measured by Volumetric Change Measurement
Week 4 - Change from Baseline [cm^3]
8.538 cm^3
Standard Deviation 4.572
6.536 cm^3
Standard Deviation 4.163
Mean Change in Midface Volume Deficit as Measured by Volumetric Change Measurement
Week 24 - Change from Baseline [cm^3]
7.315 cm^3
Standard Deviation 4.654
5.767 cm^3
Standard Deviation 4.793
Mean Change in Midface Volume Deficit as Measured by Volumetric Change Measurement
Week 36 - Change from Baseline [cm^3]
6.781 cm^3
Standard Deviation 4.575
4.739 cm^3
Standard Deviation 5.106
Mean Change in Midface Volume Deficit as Measured by Volumetric Change Measurement
Week 48 - Change from Baseline [cm^3]
6.383 cm^3
Standard Deviation 4.836
4.690 cm^3
Standard Deviation 5.426

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects, who received at least one administration of the test device or the comparator device and who have data available at the respective visit. Participants were analyzed as randomized.

Shift from baseline in nasolabial folds measured by the 5-point validated NLF-SRS (Nasolabial Folds Severity Rating Scale, where 0 means no NLF and 4 means Extreme Nasolabial fold) based on the blinded evaluator´s live assessment at Weeks 4, 8, 16, 24, 36, and 48 after last injection of initial treatment.

Outcome measures

Outcome measures
Measure
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Change in Nasolabial Folds Measurements
Week 48 - Change from Baseline - Left side of the face
-0.4 units on a scale
Standard Deviation 0.7
-0.3 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 4 - Change from Baseline - Left side of the face
-0.5 units on a scale
Standard Deviation 0.8
-0.5 units on a scale
Standard Deviation 0.7
Change in Nasolabial Folds Measurements
Week 4 - Change from Baseline - Right side of the face
-0.5 units on a scale
Standard Deviation 0.8
-0.5 units on a scale
Standard Deviation 0.7
Change in Nasolabial Folds Measurements
Week 8 - Change from Baseline - Left side of the face
-0.5 units on a scale
Standard Deviation 0.8
-0.5 units on a scale
Standard Deviation 0.7
Change in Nasolabial Folds Measurements
Week 8 - Change from Baseline - Right side of the face
-0.5 units on a scale
Standard Deviation 0.9
-0.5 units on a scale
Standard Deviation 0.7
Change in Nasolabial Folds Measurements
Week 16 - Change from Baseline - Left side of the face
-0.5 units on a scale
Standard Deviation 0.8
-0.5 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 16 - Change from Baseline - Right side of the face
-0.4 units on a scale
Standard Deviation 0.8
-0.5 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 24 - Change from Baseline - Left side of the face
-0.5 units on a scale
Standard Deviation 0.8
-0.5 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 24 - Change from Baseline - Right side of the face
-0.4 units on a scale
Standard Deviation 0.8
-0.5 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 36 - Change from Baseline - Left side of the face
-0.4 units on a scale
Standard Deviation 0.8
-0.4 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 36 - Change from Baseline - Right side of the face
-0.3 units on a scale
Standard Deviation 0.8
-0.4 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 48 - Change from Baseline - Right side of the face
-0.3 units on a scale
Standard Deviation 0.8
-0.2 units on a scale
Standard Deviation 0.8

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects who received at least one injection with study medication and for whom data are available at the respective timepoint. Participants were analyzed as randomized.

The percentage of subjects with a global aesthetic improvement over baseline (subjects who have been rated as "much improved" or "improved"), based on the blinded evaluator's assessment at Weeks 4, 8, 16, 24, 36, and 48, after last injection of initial treatment phase using the 5-point modified Global Aesthetic Improvement Scale (GAIS). The blinded evaluators assess aesthetic improvement via photographs comparing baseline photos against the respective study visit week photo with the following possible 5 outcomes: "Much worse", "Worse", "No change", "Improved", "Much improved".

Outcome measures

Outcome measures
Measure
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Blinded Evaluator
Week 16
287 Participants
149 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Blinded Evaluator
Week 24
283 Participants
135 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Blinded Evaluator
Week 36
261 Participants
126 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Blinded Evaluator
Week 48
237 Participants
105 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Blinded Evaluator
Week 4
292 Participants
150 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Blinded Evaluator
Week 8
298 Participants
149 Participants

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects who received at least one injection with study medication and for whom data are available at the respective timepoint. Participants were analyzed as randomized.

The percentage of subjects with a global aesthetic improvement over baseline (subjects who have been rated as "much improved" or "improved"), based on the subject's assessment at Weeks 4, 8, 16, 24, 36, and 48, after last injection of initial treatment phase using the 5-point modified Global Aesthetic Improvement Scale (GAIS). The subjects assess aesthetic improvement via photographs comparing baseline photos against the respective study visit week photo with the following possible 5 outcomes: "Much worse", "Worse", "No change", "Improved", "Much improved".

Outcome measures

Outcome measures
Measure
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Subject
Week 16
269 Participants
137 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Subject
Week 24
255 Participants
125 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Subject
Week 36
219 Participants
120 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Subject
Week 48
213 Participants
99 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Subject
Week 4
283 Participants
146 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Subject
Week 8
281 Participants
142 Participants

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects who received at least one injection with study medication and for whom data are available at the respective timepoint. Participants were analyzed as randomized.

The extent of subject's satisfaction with overall treatment outcome at Weeks 4, 8, 16, 24, 36, and 48 after last injection of initial treatment phase as assessed by the subject using the Face-Q(TM) Questionnaire "Satisfaction with Outcome". This validated patient reported outcome is based on subject's answers to pre-specified questions with answers ranging as 1="Definitely disagree", 2="Somewhat disagree", 3="Somewhat agree", 4="Definitely agree". The answers are mathematically transferred to one single numerical result between 100 and 0, where 100 reflects the highest possible satisfaction and 0 means the lowest possible satisfaction.

Outcome measures

Outcome measures
Measure
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Satisfaction With Outcome Based on FACE-Q(TM) Assessed by Subjects
Week 8
72.1 score on a scale
Standard Deviation 23.0
70.5 score on a scale
Standard Deviation 22.7
Satisfaction With Outcome Based on FACE-Q(TM) Assessed by Subjects
Week 16
68.6 score on a scale
Standard Deviation 23.1
68.7 score on a scale
Standard Deviation 21.6
Satisfaction With Outcome Based on FACE-Q(TM) Assessed by Subjects
Week 48
63.5 score on a scale
Standard Deviation 24.3
62.1 score on a scale
Standard Deviation 24.6
Satisfaction With Outcome Based on FACE-Q(TM) Assessed by Subjects
Week 24
68.2 score on a scale
Standard Deviation 23.4
68.4 score on a scale
Standard Deviation 22.6
Satisfaction With Outcome Based on FACE-Q(TM) Assessed by Subjects
Week 36
63.7 score on a scale
Standard Deviation 24.5
64.5 score on a scale
Standard Deviation 24.7
Satisfaction With Outcome Based on FACE-Q(TM) Assessed by Subjects
Week 4
73.2 score on a scale
Standard Deviation 20.6
72.6 score on a scale
Standard Deviation 21.1

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects who received at least one injection with study medication and for whom data are available at the respective timepoint. Participants were analyzed as randomized.

The extent of subject's appearance appraisal at Weeks 4, 8, 16, 24, 36, and 48 after last injection of initial treatment phase as assessed by the FACE-Q(TM) questionnaire "Satisfaction with Cheeks" compared to Baseline visit (i.e., change from baseline). This validated patient reported outcome is based on subject's answers to pre-specified questions with answers ranging as 1="Very Dissatisfied", 2="Somewhat Dissatisfied", 3="Somewhat Satisfied", 4="Very Satisfied". The answers are mathematically transferred to one single numerical result between 100 and 0, where 100 reflects the highest possible satisfaction and 0 means the lowest possible satisfaction.

Outcome measures

Outcome measures
Measure
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Appearance Appraisal Based on FACE-Q(TM) Assessed by Subjects
Week 4 - Change from Baseline
47.7 score on a scale
Standard Deviation 29.5
44.5 score on a scale
Standard Deviation 30.0
Appearance Appraisal Based on FACE-Q(TM) Assessed by Subjects
Week 8 - Change from Baseline
46.9 score on a scale
Standard Deviation 28.3
40.4 score on a scale
Standard Deviation 31.3
Appearance Appraisal Based on FACE-Q(TM) Assessed by Subjects
Week 16 - Change from Baseline
42.5 score on a scale
Standard Deviation 30.4
39.1 score on a scale
Standard Deviation 30.1
Appearance Appraisal Based on FACE-Q(TM) Assessed by Subjects
Week 24 - Change from Baseline
40.2 score on a scale
Standard Deviation 30.3
36.8 score on a scale
Standard Deviation 31.4
Appearance Appraisal Based on FACE-Q(TM) Assessed by Subjects
Week 36 - Change from Baseline
35.4 score on a scale
Standard Deviation 30.1
32.8 score on a scale
Standard Deviation 30.3
Appearance Appraisal Based on FACE-Q(TM) Assessed by Subjects
Week 48 - Change from Baseline
34.7 score on a scale
Standard Deviation 29.3
28.7 score on a scale
Standard Deviation 30.2

SECONDARY outcome

Timeframe: Baseline - Immediately after end of treatment and 15, 30, 45, 60 minutes after end of treatment; Week 2 - Immediately after end of treatment and 15, 30, 45, 60 minutes after end of treatment

Population: The population used consists of all randomized subjects who received at least one injection with study medication and for whom data are available at the respective timepoint and side of face. Participants were analyzed as randomized. Participants who received Lidocaine before the assessment were excluded from the analysis for the respective visit.

Assessment of pain associated with the procedure by subjects immediately after injection and about 15, 30, 45 and 60 minutes thereafter for initial treatment at baseline and for touch-up treatment at week 2 (if applicable). Subjects quantified the pain associated with the procedure using a semi-quantitative 11-point Numeric Pain Rating Scale (NPRS): 0 is no pain and 10 is the worst pain you can imagine. Left and right side of the face was assessed separately.

Outcome measures

Outcome measures
Measure
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Pain Assessment by Subjects
Pain assessment immediately after end of treatment - Baseline - Left
2.5 score on a scale
Standard Deviation 2.3
2.3 score on a scale
Standard Deviation 2.2
Pain Assessment by Subjects
Pain assessment 30 minutes after end of treatment - Baseline - Left
0.4 score on a scale
Standard Deviation 0.8
0.6 score on a scale
Standard Deviation 1.0
Pain Assessment by Subjects
Pain assessment 60 minutes after end of treatment - Baseline - Left
0.1 score on a scale
Standard Deviation 0.4
0.2 score on a scale
Standard Deviation 0.6
Pain Assessment by Subjects
Pain assessment 60 minutes after end of treatment - Baseline - Right
0.1 score on a scale
Standard Deviation 0.4
0.2 score on a scale
Standard Deviation 0.5
Pain Assessment by Subjects
Pain assessment immediately after end of treatment - Week 2 - Left
2.0 score on a scale
Standard Deviation 2.5
1.8 score on a scale
Standard Deviation 2.1
Pain Assessment by Subjects
Pain assessment 15 minutes after end of treatment - Week 2 - Left
0.7 score on a scale
Standard Deviation 1.4
0.6 score on a scale
Standard Deviation 1.2
Pain Assessment by Subjects
Pain assessment 30 minutes after end of treatment - Week 2 - Left
0.4 score on a scale
Standard Deviation 1.0
0.3 score on a scale
Standard Deviation 0.8
Pain Assessment by Subjects
Pain assessment 30 minutes after end of treatment - Week 2 - Right
0.4 score on a scale
Standard Deviation 1.0
0.3 score on a scale
Standard Deviation 0.8
Pain Assessment by Subjects
Pain assessment 15 minutes after end of treatment - Baseline - Left
0.7 score on a scale
Standard Deviation 1.2
0.8 score on a scale
Standard Deviation 1.3
Pain Assessment by Subjects
Pain assessment 15 minutes after end of treatment - Baseline - Right
0.8 score on a scale
Standard Deviation 1.3
0.8 score on a scale
Standard Deviation 1.4
Pain Assessment by Subjects
Pain assessment 15 minutes after end of treatment - Week 2 - Right
0.6 score on a scale
Standard Deviation 1.4
0.7 score on a scale
Standard Deviation 1.2
Pain Assessment by Subjects
Pain assessment 30 minutes after end of treatment - Baseline - Right
0.4 score on a scale
Standard Deviation 0.8
0.6 score on a scale
Standard Deviation 1.0
Pain Assessment by Subjects
Pain assessment 45 minutes after end of treatment - Baseline - Left
0.2 score on a scale
Standard Deviation 0.6
0.4 score on a scale
Standard Deviation 0.9
Pain Assessment by Subjects
Pain assessment immediately after end of treatment - Baseline - Right
2.5 score on a scale
Standard Deviation 2.2
2.3 score on a scale
Standard Deviation 2.3
Pain Assessment by Subjects
Pain assessment 45 minutes after end of treatment - Baseline - Right
0.2 score on a scale
Standard Deviation 0.6
0.4 score on a scale
Standard Deviation 0.9
Pain Assessment by Subjects
Pain assessment 45 minutes after end of treatment - Week 2 - Left
0.2 score on a scale
Standard Deviation 0.8
0.2 score on a scale
Standard Deviation 0.6
Pain Assessment by Subjects
Pain assessment 45 minutes after end of treatment - Week 2 - Right
0.2 score on a scale
Standard Deviation 0.8
0.2 score on a scale
Standard Deviation 0.6
Pain Assessment by Subjects
Pain assessment 60 minutes after end of treatment - Week 2 - Left
0.1 score on a scale
Standard Deviation 0.7
0.1 score on a scale
Standard Deviation 0.5
Pain Assessment by Subjects
Pain assessment 60 minutes after end of treatment - Week 2 - Right
0.1 score on a scale
Standard Deviation 0.7
0.1 score on a scale
Standard Deviation 0.5
Pain Assessment by Subjects
Pain assessment immediately after end of treatment - Week 2 - Right
1.9 score on a scale
Standard Deviation 2.4
1.9 score on a scale
Standard Deviation 2.1

SECONDARY outcome

Timeframe: Baseline and Week 2

Population: The population used consists of all randomized subjects who received at least one injection with study medication and for whom data are available at the respective timepoint. Participants were analyzed as randomized.

Injection volume required to achieve optimal aesthetic result at each treatment (baseline and touch-up treatment together) measured in mL.

Outcome measures

Outcome measures
Measure
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Evaluation of Injection Volume
5.163 mL
Standard Deviation 2.306
4.975 mL
Standard Deviation 2.251

Adverse Events

Saypha® VOLUME Lidocaine

Serious events: 4 serious events
Other events: 84 other events
Deaths: 1 deaths

Juvéderm® Voluma™ XC

Serious events: 2 serious events
Other events: 41 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Saypha® VOLUME Lidocaine
n=322 participants at risk
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 participants at risk
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Injury, poisoning and procedural complications
Humerus fracture
0.00%
0/322 • 48 weeks
0.62%
1/161 • Number of events 1 • 48 weeks
Injury, poisoning and procedural complications
Overdose
0.31%
1/322 • Number of events 1 • 48 weeks
0.00%
0/161 • 48 weeks
Nervous system disorders
Cerebrovascular accident
0.31%
1/322 • Number of events 1 • 48 weeks
0.00%
0/161 • 48 weeks
Pregnancy, puerperium and perinatal conditions
Ectopic pregnancy
0.00%
0/322 • 48 weeks
0.62%
1/161 • Number of events 1 • 48 weeks
Psychiatric disorders
Mental disorder
0.31%
1/322 • Number of events 1 • 48 weeks
0.00%
0/161 • 48 weeks
Skin and subcutaneous tissue disorders
Vascular skin disorder
0.31%
1/322 • Number of events 1 • 48 weeks
0.00%
0/161 • 48 weeks

Other adverse events

Other adverse events
Measure
Saypha® VOLUME Lidocaine
n=322 participants at risk
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 participants at risk
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Eye disorders
Vision blurred
2.5%
8/322 • Number of events 8 • 48 weeks
0.62%
1/161 • Number of events 1 • 48 weeks
General disorders
Injection site bruising
1.9%
6/322 • Number of events 6 • 48 weeks
3.1%
5/161 • Number of events 6 • 48 weeks
General disorders
Injection site pain
2.5%
8/322 • Number of events 10 • 48 weeks
0.62%
1/161 • Number of events 1 • 48 weeks
Infections and infestations
COVID-19
5.0%
16/322 • Number of events 16 • 48 weeks
3.1%
5/161 • Number of events 5 • 48 weeks
Infections and infestations
Nasopharyngitis
2.2%
7/322 • Number of events 7 • 48 weeks
3.7%
6/161 • Number of events 7 • 48 weeks
Infections and infestations
Sinusitis
2.5%
8/322 • Number of events 9 • 48 weeks
0.62%
1/161 • Number of events 1 • 48 weeks
Investigations
Palpatory finding abnormal
3.4%
11/322 • Number of events 12 • 48 weeks
6.2%
10/161 • Number of events 11 • 48 weeks
Investigations
Weight increased
0.62%
2/322 • Number of events 2 • 48 weeks
2.5%
4/161 • Number of events 4 • 48 weeks
Musculoskeletal and connective tissue disorders
Mastication disorder
1.2%
4/322 • Number of events 5 • 48 weeks
2.5%
4/161 • Number of events 4 • 48 weeks
Nervous system disorders
Dizziness
0.62%
2/322 • Number of events 2 • 48 weeks
3.7%
6/161 • Number of events 7 • 48 weeks
Nervous system disorders
Headache
14.0%
45/322 • Number of events 61 • 48 weeks
11.2%
18/161 • Number of events 21 • 48 weeks
Psychiatric disorders
Anxiety
0.62%
2/322 • Number of events 2 • 48 weeks
2.5%
4/161 • Number of events 4 • 48 weeks

Additional Information

Clinical Development - Head of Clinical Operations

Croma Pharma

Phone: +432262684680

Results disclosure agreements

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