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CompletedNCT02868749Updated Jan 23, 2019

Histology and Ultrasound Pilot Study of HA Gels Adipose Tissue

An interventional study of Hyaluronic Acid filler and Hyaluronic Acid filler in Atrophy, sponsored by Vandeputte, Joan, M.D.. Completed at 2 sites in Belgium. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-01-23.

Sponsored by Vandeputte, Joan, M.D. · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
5
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This study is a single-blind intra-individual comparative study to evaluate the short and medium term tissue response after the injection of 2 brands of hyaluronic acid gels (HA), designed for deep injection, that have been used for several years on a worldwide scale.

Read the detailed description

The study will be disclosed to patients who present with an indication for either abdominoplasty or bilateral breast reduction with a Wise pattern skin excision (inverted T inframammary scar) Informed consent will be obtained from volunteers at their next consultation, during which the preoperative preparation is finalised and the surgery is booked.

Participants will receive injections for the first time three weeks to four months before the operation and for the second time five to nine days before the operation, in tissue that will be removed during the surgery.

In each session, through one single access point, a linear retrograde, subcutaneous injection will be performed with 0,5 ml of each of the studied hyaluronic acid gels, each in an opposite direction, each parallel to the skin surface.

Both sessions will be monitored by ultrasound examination. After the injections, the 2 cm of injected area which is most remote from the entrance point of the cannula will be remodelled by finger pressure and tissue pinching, to simulate remodelling as commonly performed after filler injection.

At the beginning of the operation, the injected subcutaneous fat will be removed with the overlying skin, to be sent for histologic examination.

The objective of the histologic examination is to assess the tissue response at one week versus three weeks to four months after the injection, as well as to assess the spread of the products, with and without remodelling after injection.

02

Conditions studied

  • Atrophy

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Keywords

  • Hyaluronic Acid
  • histology
  • ultrasound
  • subcutaneous
  • adipose tissue
03

In context

Atrophy

828 studies on the registry are indexed under Atrophy; 122 are open to participants now.

This study's enrollment of 5 is below the median of 34 across 603 interventional studies indexed under Atrophy.

Browse Atrophy studies →

Lead sponsor

This is the only study on the registry with Vandeputte, Joan, M.D. as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • patients eligible for and requesting abdominoplasty
  • patients eligible for and requesting bilateral breast reduction

Exclusion criteria

Exclusion Criteria:

  • Patients prone to hypertrophic scarring or keloids
  • Hypersensitivity to hyaluronic acid
  • Hypersensitivity to lidocaine or amide type local anaesthetics
  • Autoimmune disease
  • Severe, multiple allergies or anaphylactic shock
  • Epilepsy
  • Heart rhythm disorders
  • Porphyria, congenital methemoglobinemia, glucose-6 phosphate dehydrogenase deficiencies, treatment with methaemoglobin-inducing substances.
  • Previous streptococcal disease (acute rheumatic fever whether or not with heart valve involvement)
  • Patients on medication which slows hepatic metabolism (such as cimetidine, beta-blockers)
  • Diabetes requiring insulin treatment
  • Major system disease.
  • Coagulation disorders. Anticoagulation therapy. Chronic use of acetylsalicylic acid.
  • Previous surgery in the areas eligible for injections.
  • All contraindications to their surgical treatment (such as pregnancy or lactation).
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Single group
Masking
Single (Participant)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Hyaluronic Acid filler 1 for deep injection

    Injection Session 1 of Hyaluronic Acid filler 1, 3 weeks to 4 months before the surgery Injection Session 2 of Hyaluronic Acid filler 1, 5 to 9 days before the surgery

    Device: Hyaluronic Acid filler

  • Active comparator
    Hyaluronic Acid filler 2 for deep injection

    Injection Session 1 of Hyaluronic Acid filler 2, 3 weeks to 4 months before the surgery Injection Session 2 of Hyaluronic Acid filler 2, 5 to 9 days before the surgery

    Device: Hyaluronic Acid filler

Interventions

  • DeviceHyaluronic Acid filler

    Linear retrograde, subcutaneous injection of 0,5 ml of hyaluronic acid gel in one side of the abdomen or one breast, 3 weeks to 4 months before the surgery.

  • DeviceHyaluronic Acid filler

    Linear retrograde, subcutaneous injection of 0,5 ml of hyaluronic acid gel in other side of the abdomen or other breast, 5 to 9 days before the surgery.

06

What researchers measure

Primary outcomes

  1. tissue inflammation after injection of hyaluronic acid filler

    Presence of lymphocytes and/ or histiocytes around the filler through histologic examination \[Yes/No\]

    Time frame: 3 weeks to 4 months after injection

Secondary outcomes

  1. tissue response after injection of hyaluronic acid filler

    Presence of lymphocytes and/ or histiocytes and/ or macrophages around the filler through histologic examination \[Yes/No\]

    Time frame: 1 week after injection

  2. tissue response after injection and remodelling of hyaluronic acid filler

    Presence of lymphocytes and/ or histiocytes and/ or macrophages around the filler through histologic examination \[Yes/No\]

    Time frame: 3 weeks to 4 months after injection

  3. tissue response after injection and remodelling of hyaluronic acid filler

    Presence of lymphocytes and/ or histiocytes and/ or macrophages around the filler through histologic examination \[Yes/No\]

    Time frame: 1 week after injection

  4. filler distribution in tissue

    The height and width of the total filler spread \[mm\]

    Time frame: 3 weeks to 4 months after injection

  5. filler distribution in tissue

    The height and width of the total filler spread \[mm\]

    Time frame: 1 week after injection

07

Study locations

2 sites
  • Universitair Ziekenhuis Brussel
    Brussel, B-1090, Belgium
  • A.Z. Oudenaarde
    Oudenaarde, B-9700, Belgium
08

References and documents

Publications

  • Flynn TC, Sarazin D, Bezzola A, Terrani C, Micheels P. Comparative histology of intradermal implantation of mono and biphasic hyaluronic acid fillers. Dermatol Surg. 2011 May;37(5):637-43. doi: 10.1111/j.1524-4725.2010.01852.x. Epub 2011 Jan 27. PubMed 21272119 ↗
  • Hirsch RJ, Narurkar V, Carruthers J. Management of injected hyaluronic acid induced Tyndall effects. Lasers Surg Med. 2006 Mar;38(3):202-4. doi: 10.1002/lsm.20283. PubMed 16485276 ↗
  • Arlette JP, Trotter MJ. Anatomic location of hyaluronic acid filler material injected into nasolabial fold: a histologic study. Dermatol Surg. 2008 Jun;34 Suppl 1:S56-62; discussion S62-3. doi: 10.1111/j.1524-4725.2008.34244.x. PubMed 18547183 ↗
  • Micheels P, Sarazin D, Besse S, Sundaram H, Flynn TC. A blanching technique for intradermal injection of the hyaluronic acid Belotero. Plast Reconstr Surg. 2013 Oct;132(4 Suppl 2):59S-68S. doi: 10.1097/PRS.0b013e31829a02fb. PubMed 24077012 ↗
  • Franca Wanick FB, Almeida Issa MC, Luiz RR, Soares Filho PJ, Olej B. Skin Remodeling Using Hyaluronic Acid Filler Injections in Photo-Aged Faces. Dermatol Surg. 2016 Mar;42(3):352-9. doi: 10.1097/DSS.0000000000000659. PubMed 26918965 ↗
  • Shaw RB Jr, Katzel EB, Koltz PF, Kahn DM, Girotto JA, Langstein HN. Aging of the mandible and its aesthetic implications. Plast Reconstr Surg. 2010 Jan;125(1):332-342. doi: 10.1097/PRS.0b013e3181c2a685. PubMed 20048624 ↗
  • Rohrich RJ, Pessa JE. The fat compartments of the face: anatomy and clinical implications for cosmetic surgery. Plast Reconstr Surg. 2007 Jun;119(7):2219-2227. doi: 10.1097/01.prs.0000265403.66886.54. PubMed 17519724 ↗
  • Pilsl U, Rosmarin W, Anderhuber F. The premaxillary space: a location for filler injection? Dermatol Surg. 2014 Mar;40(3):301-4. doi: 10.1111/dsu.12431. Epub 2014 Jan 30. PubMed 24479675 ↗

Individual participant data

Plan to share: Yes — pilot study on 5 patients: min, max, average measurements will be published

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 23, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02868749
Lead sponsor
Vandeputte, Joan, M.D.
Collaborators
Universitair Ziekenhuis Brussel
Responsible party
Sponsor
First posted
Aug 16, 2016
Start date
Mar 22, 2017
Primary completion
Apr 11, 2018
Completion
Sep 30, 2018
Last update
Jan 23, 2019

Study contacts

Joan H Vandeputte, MD
principal investigator · A.Z Oudenaarde (Oudenaarde General Hospital)

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2019. You cannot join it, but the record below documents what was studied.

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