- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04677712
Effects of Mitigation Treatments on Bruising of CCH-aaes Treatment of Buttock Cellulite (MOBI)
August 15, 2023 updated by: Endo Pharmaceuticals
MOBI: A Phase 4, Open-Label Study to Assess Effects of Mitigation Treatments on Bruising of CCH-aaes Treatment of Buttock Cellulite in Adult Females
This study will investigate treatments that may mitigate bruising after QWO™ (Collagenase clostridium histolyticum [CCH]-aaes) treatment of cellulite in the buttocks.
Study Overview
Status
Completed
Intervention / Treatment
Detailed Description
CCH-aaes is indicated for the treatment of moderate to severe cellulite in the buttocks of adult women.
Since bruising may be bothersome, this study will investigate treatments that may mitigate bruising after treatment of cellulite in the buttocks.
Study Type
Interventional
Enrollment (Actual)
48
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Arizona
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Scottsdale, Arizona, United States, 85255
- Endo Clinical Trial Site #3
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California
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Sacramento, California, United States, 95816
- Endo Clinical Trial Site #2
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San Diego, California, United States, 92122
- Endo Clinical Trial Site #7
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Colorado
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Fort Collins, Colorado, United States, 80525
- Endo Clinical Trial Site #6
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Illinois
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Chicago, Illinois, United States, 60611
- Endo Clinical Trial Site #5
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Louisiana
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Shreveport, Louisiana, United States, 71105
- Endo Clinical Trial Site #1
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Endo Clinical Trial Site #8
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Tennessee
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Nashville, Tennessee, United States, 37203
- Endo Clinical Trial Site #4
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 50 years (Adult)
Accepts Healthy Volunteers
Yes
Description
Key Inclusion Criteria:
Have both buttocks with:
- Clinician Reported Photonumeric Cellulite Severity Scale (CR-PCSS) score of 3 (moderate) as reported by the Investigator, and
- Hexsel Cellulite Severity Scale (CSS) Subsection D "Grade of laxity, flaccidity, or sagging skin" score of 0 (absence of laxity, flaccidity, or sagging skin) or 1 (slightly draped appearance).
- Have a body mass index between ≥18 and ≤30 kilograms (kg)/square meter (m^2).
- Be willing to apply sunscreen before each exposure to the sun while participating in the study (that is, Baseline through end of study).
- Be judged to be in good health.
- Be willing and able to cooperate with the requirements of the study.
Key Exclusion Criteria:
- Has a coagulation disorder including but not limited to a Factor II, V, VII, or X deficiency.
- Has local conditions in the areas to be treated (thrombosis, vascular disorder, active infection/inflammation, active cutaneous alteration, tattoo/mole) that restricts study participation.
- Has skin laxity or linear undulations on buttocks that can be effaced by lifting skin.
Requires the following concomitant medications during the study and cannot discontinue these medications within the time specified before CCH-aaes treatment.
- Antiplatelet medication (clopidogrel [Plavix®] including aspirin at any dose within 14 days of treatment.
- Anticoagulants, such as warfarin (Coumadin®); heparin analogues within 14 days of treatment.
- Non-steroidal anti-inflammatory drugs (NSAIDS), such as ibuprofen (Motrin®, Advil®) and naproxen (Aleve®) 7 days before the study.
- Any medications or food that have or have been reported to have anticoagulant effects within 14 days of treatment.
- Antibiotics, such as penicillin and cephalosporin within 48 hours of treatment.
- Has used or intends to use any of the local applications/therapies/injections/procedures that restricts study participation.
- Is pregnant and/or is presently nursing or providing breast milk or plans to become pregnant during the study.
- Intends to initiate an intensive sport or exercise program during the study.
- Tanning or use of tanning agents.
- Intends to engage in strenuous activity within 48 hours after the first injection of CCH-aaes.
- Has received an investigational drug or treatment within 30 days prior to injection of CCH-aaes.
- Has a history of hypersensitivity or allergy to collagenase or any other excipient of CCH-aaes.
- Has a known systemic allergy or local sensitivity to any of the mitigation treatments or including excipients (that is, arnica patches, INhance Post-injection Serum).
- Has received any collagenase treatments at any time prior to treatment in this study and/or has received EN3835 or CCH-aaes in a previous investigational study for cellulite.
- For participants allocated to PDL treatment Participants will be excluded from PDL treatment if they have any contraindications to PDL a. exposure to Accutane® (isotretinoin) within 6 months of CCH-aaes treatment.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Cohort 1: CCH-aaes
CCH-aaes was administered without mitigation treatment (control group).
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Participants were administered CCH-aaes by subcutaneous injection to both buttocks.
Other Names:
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Active Comparator: Cohort 2: CCH-aaes + Compression Garment
CCH-aaes was administered with compression garment.
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Participants used a compression garment on both buttocks following subcutaneous CCH-aaes injections.
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Active Comparator: Cohort 3: CCH-aaes + Instant Cold Packs
CCH-aaes was administered with instant cold packs.
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Participants used cold packs applied to the right buttock for 5-10 minutes immediately after subcutaneous CCH-aaes injections.
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Active Comparator: Cohort 4: CCH-aaes + Arnica Gel Patches (OcuMend)
CCH-aaes was administered with arnica gel patches (OcuMend).
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Participants used Arnica Gel Patches (Arnica montana 50% and Ledum palustre) immediately after the CCH-aaes injection to the right buttock.
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Active Comparator: Cohort 5:CCH-aaes + INhance Post-Injection Serum with TriHex Technology®
CCH-aaes was administered with INhance Post-Injection Serum with TriHex Technology®
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Participants used INhance Post-injection Serum topically immediately after the CCH-aaes injection to the right buttock.
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Active Comparator: Cohort 6: CCH-aaes + Pulse Dye Laser Treatment (PDL)
CCH-aaes was administered with PDL.
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Investigators applied one treatment with PDL to the right buttock between days 1-7 after injection.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 4
Time Frame: Day 4 (3 days after CCH-aaes injection)
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Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale.
The Investigator Assessment of Bruising Severity Scale is a 5-point photonumeric scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising.
Higher scores indicated worse outcome.
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Day 4 (3 days after CCH-aaes injection)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants for Whom The Investigator Reported an Improvement of Bruising on the Mitigation-treated Buttock as Measured on the Investigator-Bruising Improvement Scores (I-BIS)
Time Frame: Days 4 and 7
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The investigator assessed improvement of bruising using the I-BIS, a 3-point Likert scale that compares bruising on the mitigated side to the bruising on the non-mitigated side as either worse (1), the same (2), or improved (3).
I-BIS Rating was directly obtained from the investigator's assessment rating comparing the bruising of the mitigation-treated buttock to the untreated (with mitigation treatment) buttock.
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Days 4 and 7
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Number of Participants With an Improvement of Bruising on the Mitigation Treated Buttock on the Subject-Bruising Improvement Scale (S-BIS)
Time Frame: Days 4 and 7
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The investigator assessed improvement of bruising using the S-BIS, a 3-point Likert scale that compares bruising on the mitigated side to the bruising on the non-mitigated side as either worse (1), the same (2), or improved (3).
S-BIS Rating was directly obtained from the participant's assessment rating comparing the bruising of the mitigation-treated buttock to the untreated (with mitigation treatment) buttock.
The S-BIS assessment was not completed for participants that did not receive mitigation treatment (Cohort 1) or participants that received bilateral mitigation treatment (Cohort 2), as these participants did not have an untreated buttock as a comparator.
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Days 4 and 7
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Number of Participants Bothered by the Appearance of Bruising as Assessed by the Patient Bother by Bruising Scale at Day 4
Time Frame: Day 4
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The Patient Bother by Bruising Scale is a 4-point scale, with a score of 1 indicating not bothered at all, and a score of 4, indicating extremely bothered.
A lower score indicates a better outcome.
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Day 4
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Number of Participants With an Improved (+1 or Better) Score on the Investigator-Global Aesthetic Improvement Scale (I-GAIS) at Day 71
Time Frame: Day 71
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Improvement was defined as +1 or better score on the I-GAIS for either buttock on Day 71 compared to Baseline.
The I-GAIS is a 7-level scale ranging from +3 (very much improved) to -3 (very much worse).
A higher score indicated a better outcome.
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Day 71
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Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 7
Time Frame: Day 7
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Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale.
The Investigator Assessment of Bruising Severity Scale is a 5-level scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising.
Higher scores indicated worse outcome.
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Day 7
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The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 14
Time Frame: Day 14
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Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale.
The Investigator Assessment of Bruising Severity Scale is a 5-level scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising.
Higher scores indicated worse outcome.
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Day 14
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The Number of Participants by Buttock at Each Level of Bruising on the Investigator Assessment of Bruising Severity Scale at Day 22
Time Frame: Day 22
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Participants were assessed by the investigator using the Investigator Assessment of Bruising Severity Scale.
The Investigator Assessment of Bruising Severity Scale is a 5-level scale ranging from 0 to 4, with "0" indicating no bruising or almost none, and "4" indicating very severe bruising.
Higher scores indicated worse outcome.
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Day 22
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Study Director: Medical Affairs, Endo Pharmaceuticals
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
December 28, 2020
Primary Completion (Actual)
June 26, 2021
Study Completion (Actual)
September 2, 2021
Study Registration Dates
First Submitted
December 17, 2020
First Submitted That Met QC Criteria
December 17, 2020
First Posted (Actual)
December 21, 2020
Study Record Updates
Last Update Posted (Actual)
August 21, 2023
Last Update Submitted That Met QC Criteria
August 15, 2023
Last Verified
August 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- EN3835-401
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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