ClinicalTrials.gg
CompletedNCT03320096ULT-218Updated Jul 10, 2019Results posted

Evaluation of the Ulthera System for Treating Axillary Hyperhidrosis

An interventional study of Microfocused ultrasound with visualization in Axillary Hyperhidrosis, sponsored by Ulthera, Inc. Completed at 2 sites in Germany. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2019-07-10.

Sponsored by Ulthera, Inc (part of Merz Pharma) · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 10 months after the study started (first participant enrolled Dec 2016, registered Oct 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

To evaluate the Ulthera System and the 7-3.0mm transducer for treating axillary hyperhidrosis.

02

Conditions studied

  • Axillary Hyperhidrosis

Browse trials for

03

In context

Hyperhidrosis

111 studies on the registry are indexed under Hyperhidrosis; 10 are open to participants now.

This study's enrollment of 20 is below the median of 50 across 99 interventional studies indexed under Hyperhidrosis.

Browse Hyperhidrosis studies →

Lead sponsor

Ulthera, Inc is the lead sponsor of 46 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 4 (80%) have results posted.

First submitted after Ulthera, Inc became part of Merz Pharma.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female, age 18-75 years.
  • Diagnosis of bilateral axillary hyperhidrosis to previous topical therapies.
  • At least 50 mg of spontaneous resting axillary sweat production in each axilla measured gravimetrically at room temperature/humidity (20 - 25.6°C/20-80%) over a period of 5 minutes. (Patients should be at rest for at least 30 minutes after physical exercise including walking.)
  • HDSS score of 3 or 4. An attempt will be made to approximate an equal number of scores 3 and 4.
  • Willingness to refrain from use of aspirin, Ibuprofen, Naproxen or any other NSAID, and Vitamin E in the 2 weeks prior to each study treatment .

Exclusion criteria

Exclusion Criteria:

  • Dermal disorder including infection at anticipated treatment sites in either axilla.
  • Previous botulinum toxin treatment of the axilla in the past year.
  • Expected use of botulinum toxin for the treatment of any other disease during the study period.
  • Known allergy to starch powder, iodine, lidocaine, or epinephrine.
  • Secondary hyperhidrosis, for example, hyperhidrosis that is secondary to other underlying diseases including hyperthyroidism, lymphoma and malaria.
  • Previous surgical treatment of hyperhidrosis including sympathectomy, surgical debulking of the sweat glands, subcutaneous tissue curettage and ultrasonic surgery.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

05

Study design

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

Study arms

  • Experimental
    Microfocused ultrasound with visualization

    Device: Microfocused ultrasound with visualization

Interventions

  • DeviceMicrofocused ultrasound with visualization

    Subjects will receive 2 treatments (day 1 and day 30), each at a 3.0mm depth and 0.30 Joule of energy. Treatment will be delivered in a 3\*4 grid, 12 treatment squares, delivering 60 lines of treatment per square, i.e., 720 lines per axilla in each treatment (1440 lines total per treatment.)

    Also known as: Ultherapy, Ulthera treatment

06

What researchers measure

Primary outcomes

  1. Number of Participants With Hyperhidrosis Disease Severity Scale (HDSS) Score Reduction at Day 30 Post Second Treatment

    Treatment success was defined as a reduction on the HDSS score from a value of 3 or 4 at baseline to a 1 or 2 at 30-day post second treatment. The HDSS was a validated scale used for primary axillary/underarm hyperhidrosis participants. HDSS provides a qualitative measure of the severity of participant's condition based on how it affects their daily activities. It is a 4-point scale (1-4) with scores as: 1 (underarm sweating was never noticeable and never interferes with daily activities); 2 (underarm sweating was tolerable but sometimes interferes with daily activities); 3 (underarm sweating was barely tolerable and frequently interferes with daily activities); and 4 (underarm sweating was intolerable and always interferes with daily activities).

    Time frame: Day 60 (30 days post second treatment)

Secondary outcomes

  1. Number of Participants With HDSS Score Reduction at Day 90 Post Second Treatment

    Treatment success was defined as an HDSS score reduction from a value of a 3 or 4 to a 1 or 2 at 90-day post second treatment. The HDSS was a validated scale used for primary axillary/underarm hyperhidrosis participants. HDSS provides a qualitative measure of the severity of participant's condition based on how it affects their daily activities. It is a 4-point scale (1-4) with scores as: 1 (underarm sweating was never noticeable and never interferes with daily activities); 2 (underarm sweating was tolerable but sometimes interferes with daily activities); 3 (underarm sweating was barely tolerable and frequently interferes with daily activities); and 4 (underarm sweating was intolerable and always interferes with daily activities).

    Time frame: Day 120 (90 days post second treatment)

  2. Number of Participants With Gravimetric Axillary Sweat Reduction by at Least 50 Percent (%) at Days 30 and 90 Post Second Treatment

    Treatment success for gravimetric sweat production test was defined as a 50% or more reduction in spontaneous sweat production compared to baseline at 30 days and 90 days post second treatment. Gravimetric sweat production was measured using a pre-weighed filter paper placed into the axilla for a period of 5 minutes. The paper was removed and weighed and rate of sweat production was calculated in milligram per 5 minute (mg/5 min) based on the difference in end-weight and pre-weight.

    Time frame: Days 60 (30 days post second treatment) and 120 (90 days post second treatment)

  3. Number of Participants Who Showed Improvement With the Starch Iodine Test at Days 30 and 90 Post Second Treatment

    Improvement for the starch iodine test was defined as a reduction in the dark blue starch iodine area, both the left and right axilla needed to show improvement for a participant to be classified as improved. The starch iodine test was used to assess the area involved in excessive sweating by visually identifying areas that were actively producing sweat. The test was performed by applying iodine solution to the axilla and allowing the solution to dry. After drying, starch was sprinkled on the area. The light-brown iodine color turns dark purple as iodine-starch complexes form in the liquid medium with the sweat rising to the surface of the affected area. Starch iodine test was captured with digital images.

    Time frame: Days 60 (30 days post second treatment) and 120 (90 days post second treatment)

07

Results

Posted Jul 10, 2019

Participant flow

The study was conducted at 2 sites in Germany.

Participant flow — Overall Study
MilestoneUltherapy Treatment
Started20
Completed20
Not completed0

Outcome measures

PrimaryNumber of Participants With Hyperhidrosis Disease Severity Scale (HDSS) Score Reduction at Day 30 Post Second Treatment

Treatment success was defined as a reduction on the HDSS score from a value of 3 or 4 at baseline to a 1 or 2 at 30-day post second treatment. The HDSS was a validated scale used for primary axillary/underarm hyperhidrosis participants. HDSS provides a qualitative measure of the severity of participant's condition based on how it affects their daily activities. It is a 4-point scale (1-4) with scores as: 1 (underarm sweating was never noticeable and never interferes with daily activities); 2 (underarm sweating was tolerable but sometimes interferes with daily activities); 3 (underarm sweating was barely tolerable and frequently interferes with daily activities); and 4 (underarm sweating was intolerable and always interferes with daily activities).

Time frame:
Day 60 (30 days post second treatment)
Reported as:
Number · participants
Number of Participants With Hyperhidrosis Disease Severity Scale (HDSS) Score Reduction at Day 30 Post Second Treatment
participantsUltherapy Treatment
Number of Participants With Hyperhidrosis Disease Severity Scale (HDSS) Score Reduction at Day 30 Post Second Treatment11
SecondaryNumber of Participants With HDSS Score Reduction at Day 90 Post Second Treatment

Treatment success was defined as an HDSS score reduction from a value of a 3 or 4 to a 1 or 2 at 90-day post second treatment. The HDSS was a validated scale used for primary axillary/underarm hyperhidrosis participants. HDSS provides a qualitative measure of the severity of participant's condition based on how it affects their daily activities. It is a 4-point scale (1-4) with scores as: 1 (underarm sweating was never noticeable and never interferes with daily activities); 2 (underarm sweating was tolerable but sometimes interferes with daily activities); 3 (underarm sweating was barely tolerable and frequently interferes with daily activities); and 4 (underarm sweating was intolerable and always interferes with daily activities).

Time frame:
Day 120 (90 days post second treatment)
Reported as:
Number · participants
Number of Participants With HDSS Score Reduction at Day 90 Post Second Treatment
participantsUltherapy Treatment
Number of Participants With HDSS Score Reduction at Day 90 Post Second Treatment15
SecondaryNumber of Participants With Gravimetric Axillary Sweat Reduction by at Least 50 Percent (%) at Days 30 and 90 Post Second Treatment

Treatment success for gravimetric sweat production test was defined as a 50% or more reduction in spontaneous sweat production compared to baseline at 30 days and 90 days post second treatment. Gravimetric sweat production was measured using a pre-weighed filter paper placed into the axilla for a period of 5 minutes. The paper was removed and weighed and rate of sweat production was calculated in milligram per 5 minute (mg/5 min) based on the difference in end-weight and pre-weight.

Time frame:
Days 60 (30 days post second treatment) and 120 (90 days post second treatment)
Reported as:
Number · participants
Number of Participants With Gravimetric Axillary Sweat Reduction by at Least 50 Percent (%) at Days 30 and 90 Post Second Treatment
participantsUltherapy Treatment
Day 6012
Day 12015
SecondaryNumber of Participants Who Showed Improvement With the Starch Iodine Test at Days 30 and 90 Post Second Treatment

Improvement for the starch iodine test was defined as a reduction in the dark blue starch iodine area, both the left and right axilla needed to show improvement for a participant to be classified as improved. The starch iodine test was used to assess the area involved in excessive sweating by visually identifying areas that were actively producing sweat. The test was performed by applying iodine solution to the axilla and allowing the solution to dry. After drying, starch was sprinkled on the area. The light-brown iodine color turns dark purple as iodine-starch complexes form in the liquid medium with the sweat rising to the surface of the affected area. Starch iodine test was captured with digital images.

Time frame:
Days 60 (30 days post second treatment) and 120 (90 days post second treatment)
Reported as:
Number · participants
Number of Participants Who Showed Improvement With the Starch Iodine Test at Days 30 and 90 Post Second Treatment
participantsUltherapy Treatment
Day 6016
Day 12020

Adverse events

Collected over Baseline up to Day 120. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ultherapy Treatment0/20 (0%)0/20 (0%)18/20 (90%)
Most frequent other events
Most frequent other events
EventUltherapy Treatment
HematomaGeneral disorders16/20
TinglingNervous system disorders8/20
TendernessGeneral disorders3/20
HeadacheNervous system disorders2/20
BronchitisRespiratory, thoracic and mediastinal disorders2/20
GastritisGastrointestinal disorders1/20
NauseaGastrointestinal disorders1/20
NeuritisNervous system disorders1/20
SwellingGeneral disorders1/20

Baseline characteristics

Full analysis set (FAS) was the subset of participants in the safety evaluation set (SES) for whom the primary efficacy variable was available (that is, all participants who had baseline and at least one post-baseline value of the primary efficacy variable). SES was the subset of all participants who were exposed to study treatment at least once.

Age, Continuous
Age, Continuous(years)Ultherapy Treatment
Mean40.3 ± 10.9
Sex: Female, Male
Sex: Female, Male(Participants)Ultherapy Treatment
Female16
Male4
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Ultherapy Treatment
Hispanic or Latino0
Not Hispanic or Latino20
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Ultherapy Treatment
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White20
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Ultherapy Treatment
Germany20
Body Mass Index (BMI)
Body Mass Index (BMI)(kilogram per square meter (kg/m^2))Ultherapy Treatment
Mean24.1 ± 4.0
Fitzpatrick Skin Type
Fitzpatrick Skin Type(Participants)Ultherapy Treatment
Skin Type I0
Skin Type II15
Skin Type III4
Skin Type IV1
Skin Type V0
Skin Type VI0
08

Study locations

2 sites
  • Rosenpark Research, Study Research Center; Merz Investigational Site #0490099
    Darmstadt, 64283, Germany
  • Haut- & Laserzentrum, Merz Investigational Site #0490362
    Potsdam, 14467, Germany
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

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 Jul 10, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03320096
Lead sponsor
Ulthera, Inc
Responsible party
Sponsor
First posted
Oct 25, 2017
Start date
Dec 13, 2016
Primary completion
Jun 19, 2017
Completion
Aug 22, 2017
Results posted
Jul 10, 2019
Last update
Jul 10, 2019

Study contacts

Merz Medical Expert
study director · Merz North America, Inc.

Oversight

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

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