CClinicalTrials.gg
CompletedNCT02700165Updated Nov 16, 2021Results posted

Fat Reduction in the Submandibular/Submental Area

An interventional study of The ZELTIQ CoolSculpting System in Body Fat Disorder, sponsored by Zeltiq Aesthetics. Completed at 1 site in United States. Open to participants aged 22 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-11-16.

Sponsored by Zeltiq Aesthetics · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
14
Allocation
Not applicable
Ages
22 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to further evaluate the safety and efficacy of non-invasive reduction of subcutaneous fat in the submental and submandibular area using Cryolipolysis.

02

Conditions studied

  • Body Fat Disorder
03

In context

Lipid Metabolism Disorders

180 studies on the registry are indexed under Lipid Metabolism Disorders; 33 are open to participants now.

This study's enrollment of 14 is below the median of 51 across 136 interventional studies indexed under Lipid Metabolism Disorders.

Browse Lipid Metabolism Disorders studies →

Lead sponsor

Zeltiq Aesthetics is the lead sponsor of 39 studies on the registry; none are open to participants now.

Of its 29 completed or terminated interventional studies of FDA-regulated products, 29 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
22 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Male or female subjects > 22 years of age and \< 65 years of age.
  • Submental and submandibular skin fold thickness > 1cm (measured by caliper).
  • No weight change exceeding 5% of body weight in the preceding month.
  • Agreement to maintain his/her weight (i.e., within 5%) by not making any major changes in diet or exercise routine during the course of the study.
  • Subject has signed a written informed consent form.

Exclusion criteria

Exclusion Criteria

  • Skin laxity in the neck or chin area for which reduction in submental and submandibular fat may, in the opinion of the investigator, result in an unacceptable aesthetic result.
  • Prominent platysmal bands at rest which may interfere with assessment of submental fat
  • Evidence of any cause of enlargement in the submental area other than localized subcutaneous fat, such as swollen lymph nodes or ptotic submandibular glands.
  • Significant enlargement on the anterior neck that may prevent the proper placement of the applicator e.g. enlarged thyroid glands.
  • Treatment with dermal fillers, radiofrequency or laser procedures, or chemical peels in the neck or chin area (below the mandible) within the past 6 months.
  • Botulinum toxin or other aesthetic drug injections within the neck or chin area (below the mandible) within the past 6 months.
  • History of facial nerve paresis or paralysis (such as Bell's palsy).
  • History of a fat reduction procedure (e.g., liposuction, surgery, lipolytic agents, etc.) or implant in or adjacent to the area of intended treatment.
  • History of prior neck surgery, or prior surgery in the area of intended treatment.
  • Current dental infection.
  • Known history of cryoglobulinemia, cold urticaria, cold agglutinin disease or paroxysmal cold hemoglobinuria.
  • Known history of Raynaud's disease, or any known condition with a response to cold exposure that limits blood flow to the skin.
  • History of bleeding disorder or is taking any medication that in the investigator's opinion may increase the subject's risk of bruising.
  • Currently taking or has taken diet pills or weight control supplements within the past month.
  • Any dermatological conditions, such as scars in the location of the treatment area that may interfere with the treatment or evaluation.
  • Active implanted device such as a pacemaker, defibrillator, or drug delivery system.
  • Pregnant or intending to become pregnant in the next 6 months.
  • Lactating or has been lactating in the past 6 months.
  • Unable or unwilling to comply with the study requirements.
  • Currently enrolled in a clinical study of an unapproved investigational drug or device.
  • Any other condition or laboratory value that would, in the professional opinion of the investigator, potentially affect the subject's response or the integrity of the data or would pose an unacceptable risk to the subject.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
14 participants (actual)

Study arms

  • Experimental
    CoolSculpting with CoolMini

    The treatments are designed to see if fat in the submandibular/submental area (chin), can be reduced using cryolipolysis.

    Device: The ZELTIQ CoolSculpting System

Interventions

  • DeviceThe ZELTIQ CoolSculpting System

    The CoolSculpting device will be used to perform the treatments.

06

What researchers measure

Primary outcomes

  1. Proportion of Accurately Identified Pre-Treatment Photos by a Panel of Blinded Independent Reviewers

    Change in the treated vs. untreated areas will be assessed by observation of changes in surface contour and/or fat volume by an independent photo review of pre-treatment and post-treatment images of the treated areas. Reviewers will be practicing dermatologists or plastic surgeons. All reviewers will be blinded to post-treatment vs. baseline untreated area. The order in which images will be presented will be randomized; for each subject placement of the baseline, pre-treatment image will be randomized for each pair of subject images. Reviewers will be asked to select the baseline photos for each subject photo series and record selections on a data collection form. Success is defined as 70% correct identification of pre-treatment images by at least 70% correct identification of pre-treatment images by two out of three reviewers.

    Time frame: Baseline (pre-treatment) and 12 weeks post treatment

  2. The Number of Unanticipated Adverse Device Effects (UADE) Reported

    The primary safety endpoint is the count of unanticipated adverse device effects (UADEs) reported in the study period. It is expected there will be zero UADEs.

    Time frame: Enrollment through the 12 week final follow-up visit

Secondary outcomes

  1. Change in Fat Layer Thickness of the Submental Area as Measured by Caliper

    Caliper measurements will be collected prior to treatment (pre-treatment) and at the 12-week follow-up visit. The caliper measurement process involves pinching the tissue within the treatment area in order to obtain the measurement, thereby folding the tissue and doubling the fat layer thickness. Measurements were taken with subjects standing in a neutral position. Measured values (mm) will be halved to reflect single fat layer change and will not take into account the fold of tissue during the measurement process. The fat layer measured pre-treatment will be compared to the 12-week post-treatment measurement.

    Time frame: Baseline and 12 week post-treatment

  2. Subject Satisfaction

    Subject satisfaction as assessed by questionnaires administered at 12 weeks. Subjects will be asked to determine overall satisfaction with the treatment using a 5-point scale and free-text response options on a questionnaire. The choice options will be 1 = very dissatisfied, 2- dissatisfied, 3 - not sure, 4- satisfied and 5- very satisfied. Positive responses to questionnaire statements (score 4 or 5) will be used to assess satisfaction with the CoolSculpting procedure.

    Time frame: 12 weeks post-treatment

07

Results

Posted May 17, 2021

Participant flow

Subjects seeking reduction of fat in the submental and submandibular area were recruited from the general population.

Participant flow — Overall Study
MilestoneCoolSculpting With CoolMini Applicator for Fat Reduction in the Chin
Started14
Completed14
Not completed0

Outcome measures

PrimaryProportion of Accurately Identified Pre-Treatment Photos by a Panel of Blinded Independent Reviewers

Change in the treated vs. untreated areas will be assessed by observation of changes in surface contour and/or fat volume by an independent photo review of pre-treatment and post-treatment images of the treated areas. Reviewers will be practicing dermatologists or plastic surgeons. All reviewers will be blinded to post-treatment vs. baseline untreated area. The order in which images will be presented will be randomized; for each subject placement of the baseline, pre-treatment image will be randomized for each pair of subject images. Reviewers will be asked to select the baseline photos for each subject photo series and record selections on a data collection form. Success is defined as 70% correct identification of pre-treatment images by at least 70% correct identification of pre-treatment images by two out of three reviewers.

Time frame:
Baseline (pre-treatment) and 12 weeks post treatment
Reported as:
Count of units · photos
Proportion of Accurately Identified Pre-Treatment Photos by a Panel of Blinded Independent Reviewers
photosCoolSculpting With CoolMini Applicator
Proportion of Accurately Identified Pre-Treatment Photos by a Panel of Blinded Independent Reviewers11
Statistical analysis
  • CoolSculpting With CoolMini Applicator · Sucess proportion: 78.6 · 95% CI 49.2 to 95.3Independent physician reviewers correctly identified 13/14, 11/14 and 10/14, respectively for an overall percentage of correct identification of 34/42 or 81%. Two of three reviewers correctly identified 11/14 (78.6%) photos.
PrimaryThe Number of Unanticipated Adverse Device Effects (UADE) Reported

The primary safety endpoint is the count of unanticipated adverse device effects (UADEs) reported in the study period. It is expected there will be zero UADEs.

Time frame:
Enrollment through the 12 week final follow-up visit
Reported as:
Number · UADEs
The Number of Unanticipated Adverse Device Effects (UADE) Reported
UADEsCoolSculpting With CoolMini Applicator
The Number of Unanticipated Adverse Device Effects (UADE) Reported0
SecondaryChange in Fat Layer Thickness of the Submental Area as Measured by Caliper

Caliper measurements will be collected prior to treatment (pre-treatment) and at the 12-week follow-up visit. The caliper measurement process involves pinching the tissue within the treatment area in order to obtain the measurement, thereby folding the tissue and doubling the fat layer thickness. Measurements were taken with subjects standing in a neutral position. Measured values (mm) will be halved to reflect single fat layer change and will not take into account the fold of tissue during the measurement process. The fat layer measured pre-treatment will be compared to the 12-week post-treatment measurement.

Time frame:
Baseline and 12 week post-treatment
Reported as:
Mean · millimeters fat layer change
Change in Fat Layer Thickness of the Submental Area as Measured by Caliper
millimeters fat layer changeCoolSculpting With CoolMini Applicator
Change in Fat Layer Thickness of the Submental Area as Measured by Caliper-2.3 ± 0.8
SecondarySubject Satisfaction

Subject satisfaction as assessed by questionnaires administered at 12 weeks. Subjects will be asked to determine overall satisfaction with the treatment using a 5-point scale and free-text response options on a questionnaire. The choice options will be 1 = very dissatisfied, 2- dissatisfied, 3 - not sure, 4- satisfied and 5- very satisfied. Positive responses to questionnaire statements (score 4 or 5) will be used to assess satisfaction with the CoolSculpting procedure.

Time frame:
12 weeks post-treatment
Reported as:
Count of participants · Participants
Subject Satisfaction
ParticipantsCoolSculpting With CoolMini Applicator
Procedure comfortable/very comfortable7
Visible fat/very visible fat reduction10
Agree/strongly agree appearance more youthful9
Agree/strongly agree chin looked more toned12
Agree/strongly agree less self-conscious of chin11
Agree/strongly agree appearance improved11
Agree/strongly agree result was as expected11
Satisfied/very satisfied with CoolSculpting13
Would recommend procedure to a friend13

Adverse events

Collected over Adverse event data was collected from enrollment through the 12 week final follow-up visit.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
CoolSculpting With CoolMini Applicator0/14 (0%)1/14 (7.1%)3/14 (21.4%)
Most frequent serious events
Most frequent serious events
EventCoolSculpting With CoolMini Applicator
Hip ReplacementMusculoskeletal and connective tissue disorders1/14
Most frequent other events
Most frequent other events
EventCoolSculpting With CoolMini Applicator
Rash on face and neckSkin and subcutaneous tissue disorders1/14
Ear painSurgical and medical procedures1/14
Tongue tinglingGeneral disorders1/14

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)CoolSculpting With CoolMini Applicator
<=18 years0
Between 18 and 65 years14
>=65 years0
Age, Continuous
Age, Continuous(years)CoolSculpting With CoolMini Applicator
Mean50.5 (27 to 57)
Sex: Female, Male
Sex: Female, Male(Participants)CoolSculpting With CoolMini Applicator
Female12
Male2
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)CoolSculpting With CoolMini Applicator
African American2
Asian0
Caucasian12
Hispanic0
Other0
Region of Enrollment
Region of Enrollment(Participants)CoolSculpting With CoolMini Applicator
United States14
Body Mass Index
Body Mass Index(kg/m^2)CoolSculpting With CoolMini Applicator
Mean33.1 (21.4 to 34.3)
08

Study locations

1 site
  • Main Line Center for Laser Surgery
    Ardmore, Pennsylvania 19003, United States
09

References and documents

Publications

  • Bernstein EF, Bloom JD. Safety and Efficacy of Bilateral Submental Cryolipolysis With Quantified 3-Dimensional Imaging of Fat Reduction and Skin Tightening. JAMA Facial Plast Surg. 2017 Sep 1;19(5):350-357. doi: 10.1001/jamafacial.2017.0102. PubMed 28426847 ↗

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 16, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02700165
Lead sponsor
Zeltiq Aesthetics
Responsible party
Sponsor
First posted
Mar 7, 2016
Start date
Feb 2016
Primary completion
Dec 2016
Completion
Dec 2016
Results posted
May 17, 2021
Last update
Nov 16, 2021

Study contacts

Eric Bernstein, MD
principal investigator · Main Line Center for Laser Surgery

Oversight

Data monitoring committee
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion