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CompletedNCT01559922Updated Nov 1, 2019Results posted

Use of Artefill® for Moderate to Severe Atrophic Acne Scar Correction

A Phase 3 interventional study of Normal Saline and Artefill in Atrophic Acne Scar, sponsored by Suneva Medical, Inc.. Completed at 10 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-11-01.

Sponsored by Suneva Medical, Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
175
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine whether Artefill is safe and effective for the correction of atrophic facial acne scars.

Read the detailed description

This is a multi-center, randomized, double-blind, placebo-controlled study assessing the efficacy and safety of Artefill for correction of moderate to severe atrophic acne scars.

The study is divided into two study periods. In Period I, scars meeting the treatment criteria will be individually identified, numbered and mapped using photographs and transparent sheets prior to treatment. This mapping will be used to track individual scars throughout the trial. Four (4) weeks following a baseline qualification visit, subjects randomized to treatment will receive one treatment of Artefill or Control (saline), administered by the Treating Investigator. At 72 hours following injections, subjects will be followed-up by telephone to confirm the occurrence of any AEs. Subjects will return to the clinic at 2 weeks for follow-up evaluation, and then at 4 weeks where subjects may receive one optional touch-up treatment. Subjects receiving touch-up treatment will be followed-up by telephone at 72 hours to confirm the occurrence of any AEs, and return for clinic visits at 6 weeks and 8 weeks. All subjects will then return for clinic follow-up at months 3 and 6 (after last treatment).

Period II is open label and will begin at month 6. Artefill group subjects will return to the clinic for assessments at months 9 and 12 (Track A) and Control group subjects will enter Track B, re-establish baseline, and complete additional month 6 visit activities including Artefill treatment. Subjects will receive touch up (if required) 4 weeks later, and be followed for an additional 12 months.

Subjects will be required to abstain from other aesthetic treatment to their face during the study period and failure to do so will be considered a protocol violation. However, if a subject does receive additional aesthetic or non-aesthetic treatments, available information on such treatment will be collected and the subject will be continued to be followed per protocol. Such subjects will not be excluded from the analysis, but will also be evaluated separately.

02

Conditions studied

  • Atrophic Acne Scar

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Keywords

  • Acne
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Subject must be an outpatient, male or female subjects of any race, 18 years of age or older. Female subjects of childbearing potential must have a negative urine pregnancy test result at Baseline and practice a reliable method of contraception throughout the study.
  2. Subject must have moderate to severe atrophic acne scars
  3. Subject must desire correction of his/her moderate to severe acne scarring.
  4. Subjects of all Fitzpatrick skin types are eligible.
  5. Subject must be willing to withhold additional aesthetic therapies to the face (eg, other soft tissue fillers: Restylane, Radiesse, Sculptra, and/or any resurfacing procedures for the duration of the study.
  6. Subject must be able to follow study instructions and likely to complete all required visits, as assessed by the Investigator.
  7. Subject must sign an IRB-approved Informed Consent form, Photographic Release Form, and the Authorization for Use and release of Health and Research Study Information (HIPAA) form prior to any study-related procedures being performed

Exclusion criteria

Exclusion Criteria:

  1. Female subjects that are pregnant (positive urine pregnancy test), breast-feeding, or who are of childbearing potential and not practicing a reliable method of birth control.
  2. Undergo facial treatments with any listed of the prohibited treatment/procedures and/or use of any other prohibited treatment/procedure within certain time periods.
  3. Have any skin pathology or condition that could interfere with the evaluation of the treatment areas, worsen due to the proposed treatment or require interfering topical, systemic or surgical therapy.
  4. Have a recent or current history of inflammatory skin disease, infection, cancerous/pre-cancerous lesion, unhealed wound or clinically significant acne in the proposed treatment areas. Clinically significant acne is defined as a patient whom has >3 active inflammatory acne lesions in either the right or left treatment area.
  5. Have a history of systemic granulomatous diseases active or inactive (eg, Sarcoid, Wegeners, TB, etc.) or connective tissue diseases (eg, lupus, dermatomyositis, etc.).
  6. Have hypertrophic acne scars, any evidence of keloid scarring, predominantly icepick scarring (defined as more than half of all scar area in either the left or right or treatment area) or sinus tract scars.
  7. Have a known hypersensitivity or previous allergic reaction to any of the components of the study device (including lidocaine or any amide-based anesthetic), or has a history of allergies to any bovine collagen products, including but not limited to injectable collagen, collagen implants, hemostatic sponges, and collagen-based sutures.
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
175 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Normal Saline

    Drug: Normal Saline

  • Experimental
    Artefill

    Dermal Filler

    Device: Artefill

Interventions

  • DrugNormal Saline

    Administration of up to 2 study treatments administered 6 weeks apart

  • DeviceArtefill

    Administration of up to 2 study treatments administered 6 weeks apart

05

What researchers measure

Primary outcomes

  1. ASRS Responder Rate at 6 Months

    Subject considered to be a "responder" if at least 50% of treated scars demonstrate an ASRS improvement of ≥ 2-point (Blinded Evaluator assessment).

    Time frame: 6 months post-treatment

06

Results

Posted Feb 14, 2017

Participant flow

199 subjects were enrolled into the Screening phase. 175 subjects were randomized, with a total of 147 subjects receiving study treatment. Data presented are from all Randomized/Treated subjects (i.e., n=147).

Participant flow — Overall Study
MilestonePlaceboArtefill
Started5097
Completed4687
Not completed410

Outcome measures

PrimaryASRS Responder Rate at 6 Months

Subject considered to be a "responder" if at least 50% of treated scars demonstrate an ASRS improvement of ≥ 2-point (Blinded Evaluator assessment).

Time frame:
6 months post-treatment
Reported as:
Number · percentage of participants
ASRS Responder Rate at 6 Months
percentage of participantsPlaceboArtefill
ASRS Responder Rate at 6 Months32.4 (17.3 to 52.2)67.4 (51.3 to 80.2)

Adverse events

Collected over 12 months post treatment. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo—2/50 (4%)0/50 (0%)
Artefill—3/97 (3.1%)0/97 (0%)
Most frequent serious events
Most frequent serious events
EventPlaceboArtefill
Cholecystitis acuteHepatobiliary disorders1/500/97
Breast Cancer (recurrent)Neoplasms benign, malignant and unspecified (incl cysts and polyps)1/500/97
Back painMusculoskeletal and connective tissue disorders0/501/97
DepressionPsychiatric disorders0/501/97
MeningitisInfections and infestations0/501/97

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)PlaceboArtefillTotal
<=18 years000
Between 18 and 65 years5097147
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboArtefillTotal
Female306090
Male203757
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboArtefillTotal
American Indian or Alaska Native022
Asian448
Native Hawaiian or Other Pacific Islander011
Black or African American82028
White3870108
More than one race000
Unknown or Not Reported000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboArtefillTotal
Hispanic or Latino132033
Not Hispanic or Latino3777114
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)PlaceboArtefillTotal
United States5097147
07

Study locations

10 sites
  • Call Suneva for Info
    Beverly Hills, California 90210, United States
  • Call Suneva for Info
    Los Angeles, California 90036, United States
  • Call Suneva for Info
    San Diego, California 92121, United States
  • Call Suneva for Info
    Santa Monica, California 90404, United States
  • Call Suneva for Info
    Miami Beach, Florida 33137, United States
  • Call Suneva for Info
    Saint Petersburg, Florida 33716, United States
  • Call Suneva for Info
    Glenn Dale, Maryland 20769, United States
  • Call Suneva for Info
    Wellesley, Massachusetts 02481, United States
  • Call Suneva for Info
    Houston, Texas 77056, United States
  • Call Suneva for Info
    Spokane, Washington 99204, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Registry details

Key details

Study ID
NCT01559922
Lead sponsor
Suneva Medical, Inc.
Collaborators
ethica Clinical Research Inc.
Responsible party
Sponsor
First posted
Mar 21, 2012
Start date
Feb 2012
Primary completion
Apr 2013
Completion
Feb 2014
Results posted
Feb 14, 2017
Last update
Nov 1, 2019

Study contacts

Nancy Serreta
study director · Suneva Medical

Oversight

Data monitoring committee
No
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