CClinicalTrials.gg
CompletedNCT03909100Updated Jun 27, 2023Results posted

International CoolSculpting: Study to Evaluate Patient Satisfaction for Non-Invasive Fat Reduction in Abdomen and/or Flanks (iCOOL)

An interventional study of CoolSculpting® System in Non-invasive Fat Reduction, sponsored by Allergan. Completed at 7 sites in 4 countries. Open to participants aged 22 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-06-27.

Sponsored by Allergan · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Not applicable
Ages
22 Years to 65 Years
Sex
All
01

Study summary

This study aims to generate data that conveys participant's experiences such as their overall satisfaction with the CoolSculpting® treatment for their belly and love handles. By doing this, the study will provide insights for doctors to better inform participants about the expected outcomes.

02

Conditions studied

  • Non-invasive Fat Reduction
03

In context

Lead sponsor

Allergan is the lead sponsor of 499 studies on the registry; none are open to participants now.

Of its 91 completed or terminated interventional studies of FDA-regulated products, 89 (98%) 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

  • Participant has clearly visible fat in the flanks and/or abdomen, which in the investigator's opinion, may benefit from the treatment.
  • Participant has not had weight change fluctuations exceeding 4.5 kg (or 5% of body weight) in the preceding month.
  • Participant has a body mass index (BMI) of 18.5 to 30. A BMI is defined as weight in kilograms divided by height in meters squared (kg/m2).
  • Participant agrees to maintain weight (ie, within 5% of body weight) by not making any changes in diet or exercise routine during the course of the study.
  • Participant agrees to have photographs taken of the treatment area(s) during the scheduled time periods.

Exclusion criteria

Exclusion Criteria:

  • Participant has had liposuction, or another surgical procedure(s) or mesotherapy in area of intended treatment.
  • Participant has had a non-invasive fat reduction and/or body contouring procedure in the area(s) of intended treatment within the past 12 months.
  • Participant needs to administer, or has a known history of subcutaneous injections into the area(s) of intended treatment (eg, cortisone, heparin, insulin) within the past 6 months.
  • Participant is pregnant or intending to become pregnant.
  • Participant is lactating or has been lactating in the past 6-9 months.
  • Participant is unable or unwilling to comply with study requirements.
  • Participant is currently enrolled in a clinical study of any unapproved investigational device, investigational product or any other type of medical research judged not to be scientifically or medically compatible with this study.
  • Participant has an active implanted device such as a pacemaker, defibrillator, or drug delivery system or any other metal containing implant.
  • Participant with known history of cryoglobulinemia, cold agglutinin disease, or paroxysmal cold hemoglobinuria.
  • Participant with known sensitivity to cold or has any condition with a known response to cold exposure that limits blood flow to the skin such as cold urticaria or Raynaud's disease, or Chilblains (pernio).
  • Participant with known sensitivity or allergy to fructose, glycerin, isopropyl alcohol, or propylene glycol.
  • Participant with impaired peripheral circulation in the area to be treated
  • Participant with neuropathic disorders such as post-herpetic neuralgia or diabetic neuropathy.
  • Participant with impaired skin sensation.
  • Participant with open or infected wounds.
  • Participant with bleeding disorders, or concomitant use of blood thinners, or is taking any medication that in the investigator's opinion may increase the participant's risk of bruising.
  • Participant with recent surgery or scar tissue in the area to be treated.
  • Participant has history of hernia in or adjacent to the treatment area(s) site.
  • Participant with skin conditions such as eczema, dermatitis, or rashes in the area to be treated.
  • Participant has any dermatological conditions, such as moderate to excessive skin laxity, or scars in the location of the treatment sites that may interfere with the treatment or evaluation (stretch marks is not an exclusion).
  • Participant is taking or has taken diet pills or supplements within the past 6 months.
  • Any other condition or laboratory value that would, in the professional opinion of the investigator, potentially affect the participant's response or the integrity of the data or would pose an unacceptable risk to the participant.
  • Participant diagnosed with fibrosis.
05

Study design

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

Study arms

  • Experimental
    CoolSculpting® System

    Participants received up to two CoolSculpting® treatment sessions for the abdomen, flanks or both 8 weeks apart. A treatment session was comprised of timed segments of cooling (treatment cycles) followed by 2 minutes of manual massage. Up to 12 cycles per treatment session were performed at the investigator's discretion.

    Device: CoolSculpting® System

Interventions

  • DeviceCoolSculpting® System

    A treatment session is comprised of timed segments of cooling (treatment cycles) followed by 2 minutes of manual massage.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Reported "Satisfied" or "Very Satisfied" on Cryolipolysis Satisfaction Questionnaire (CSQ) Item #1 Overall

    The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1="Rate your overall satisfaction with the fat reduction procedure on the treated area" using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied.

    Time frame: 12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)

Secondary outcomes

  1. Percentage of Participants Who Reported "Satisfied" or "Very Satisfied" on CSQ Item #1 in Treated Area(s)

    The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1="Rate your overall satisfaction with the fat reduction procedure on the treated area" using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied.

    Time frame: 12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)

  2. Percentage of Participants Who Received 1 or 2 Treatments Who Reported "Satisfied" or "Very Satisfied" on CSQ Item #1 by Number of Treatment Cycles

    The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1="Rate your overall satisfaction with the fat reduction procedure on the treated area" using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied.

    Time frame: 12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)

  3. Percentage of Participants by Body Mass Index (BMI) Categories Who Reported "Satisfied" or "Very Satisfied" on CSQ Item #1

    The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1="Rate your overall satisfaction with the fat reduction procedure on the treated area" using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied. Participants were analyzed based on BMI ranges from 18.5 to \< 25.0 and 25.0 to \< 30.0. BMI was defined as weight in kilograms divided by height in meters squared (kg/m\^2).

    Time frame: 12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)

  4. Change From Baseline in Volume of Fat as Measured by 3 Dimensional (3D) Photography

    Change in the volume of fat was assessed by a 3D stereoscopic camera which was used to generate a 3D image of the body, allowing quantification of the abdomen and flank areas. A 2-step 3D matching algorithm process was used, to identify the change of volume in milliliters (mL).

    Time frame: Baseline to 8 Weeks post-Treatment 1 and 12 Weeks post-Final Treatment 2

  5. Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    An AE was defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in participants, users, or other persons, if related to the investigational medical device. A SAE is any AE, that is fatal, life threatening, requires hospitalization or results in prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. A TEAE is defined as any new adverse event or worsening of an existing condition after initiation of treatment.

    Time frame: First treatment to Follow-up/Exit Visit (Week 12 +/- 14 days for those participants who received 1 treatment and Week 20 +/- 14 days for those participants who received 2 treatments)

  6. Percentage of Participants With Adverse Device Effects (ADEs) and Serious Adverse Device Effects (SADEs)

    An ADE was defined in accordance with ISO 14155 as an AE related to the use of an investigational medical device or defined as AE with a reasonable possibility (Possible, Probable, or Causal relationship) that the device caused the event. SADE is an ADE that might have led to any SAE consequences if a suitable action had not been taken or intervention had not been made.

    Time frame: First treatment to Follow-up/Exit Visit (Week 12 +/- 14 days for those participants who received 1 treatment and Week 20 +/- 14 days for those participants who received 2 treatments)

07

Results

Posted Mar 22, 2021

Participant flow

Participant flow — Overall Study
MilestoneCoolSculpting® System
Started120
Safety population112
Received treatment in session 2107
Evaluable population106
Completed105
Not completed15
Withdrew: Protocol deviation2
Withdrew: Technical problems4
Withdrew: Withdrawal by subject4
Withdrew: Lost to follow-up1
Withdrew: Reason not specified4

Outcome measures

PrimaryPercentage of Participants Who Reported "Satisfied" or "Very Satisfied" on Cryolipolysis Satisfaction Questionnaire (CSQ) Item #1 Overall

The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1="Rate your overall satisfaction with the fat reduction procedure on the treated area" using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied.

Time frame:
12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)
Reported as:
Number · percentage of participants
Percentage of Participants Who Reported "Satisfied" or "Very Satisfied" on Cryolipolysis Satisfaction Questionnaire (CSQ) Item #1 Overall
percentage of participantsCoolSculpting® System
Percentage of Participants Who Reported "Satisfied" or "Very Satisfied" on Cryolipolysis Satisfaction Questionnaire (CSQ) Item #1 Overall89.6 (83.8 to 95.4)
SecondaryPercentage of Participants Who Reported "Satisfied" or "Very Satisfied" on CSQ Item #1 in Treated Area(s)

The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1="Rate your overall satisfaction with the fat reduction procedure on the treated area" using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied.

Time frame:
12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)
Reported as:
Number · percentage of participants
Percentage of Participants Who Reported "Satisfied" or "Very Satisfied" on CSQ Item #1 in Treated Area(s)
percentage of participantsCoolSculpting® System
Abdomen87.1 (80.6 to 93.7)
Flanks93.1 (88.1 to 98.0)
Abdomen and Flanks89.6 (83.5 to 95.7)
SecondaryPercentage of Participants Who Received 1 or 2 Treatments Who Reported "Satisfied" or "Very Satisfied" on CSQ Item #1 by Number of Treatment Cycles

The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1="Rate your overall satisfaction with the fat reduction procedure on the treated area" using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied.

Time frame:
12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)
Reported as:
Number · percentage of participants
Percentage of Participants Who Received 1 or 2 Treatments Who Reported "Satisfied" or "Very Satisfied" on CSQ Item #1 by Number of Treatment Cycles
percentage of participantsCoolSculpting® System
24 Treatment Cycles92.2 (84.8 to 99.5)
22 Treatment Cycles100.0 (100.0 to 100.0)
21 Treatment Cycles100.0 (100.0 to 100.0)
20 Treatment Cycles100.0 (100.0 to 100.0)
18 Treatment Cycles80.0 (44.9 to 100.0)
17 Treatment Cycles100.0 (100.0 to 100.0)
16 Treatment Cycles92.3 (77.8 to 100.0)
15 Treatment Cycles100.0 (100.0 to 100.0)
14 Treatment Cycles66.7 (28.9 to 100.0)
13 Treatment Cycles100.0 (100.0 to 100.0)
12 Treatment Cycles80.0 (55.2 to 100.0)
11 Treatment Cycles100.0 (100.0 to 100.0)
10 Treatment Cycles100.0 (100.0 to 100.0)
9 Treatment Cycles100.0 (100.0 to 100.0)
7 Treatment Cycles0 (0 to 0)
6 Treatment Cycles100.0 (100.0 to 100.0)
5 Treatment Cycles100.0 (100.0 to 100.0)
2 Treatment Cycles100.0 (100.0 to 100.0)
SecondaryPercentage of Participants by Body Mass Index (BMI) Categories Who Reported "Satisfied" or "Very Satisfied" on CSQ Item #1

The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1="Rate your overall satisfaction with the fat reduction procedure on the treated area" using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied. Participants were analyzed based on BMI ranges from 18.5 to \< 25.0 and 25.0 to \< 30.0. BMI was defined as weight in kilograms divided by height in meters squared (kg/m\^2).

Time frame:
12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)
Reported as:
Number · percentage of participants
Percentage of Participants by Body Mass Index (BMI) Categories Who Reported "Satisfied" or "Very Satisfied" on CSQ Item #1
percentage of participantsCoolSculpting® System
BMI 18.5 - < 2588.5 (79.8 to 97.1)
BMI 25 - ≤ 3090.7 (83.0 to 98.5)
SecondaryChange From Baseline in Volume of Fat as Measured by 3 Dimensional (3D) Photography

Change in the volume of fat was assessed by a 3D stereoscopic camera which was used to generate a 3D image of the body, allowing quantification of the abdomen and flank areas. A 2-step 3D matching algorithm process was used, to identify the change of volume in milliliters (mL).

Time frame:
Baseline to 8 Weeks post-Treatment 1 and 12 Weeks post-Final Treatment 2
Reported as:
Mean · mL
Change From Baseline in Volume of Fat as Measured by 3 Dimensional (3D) Photography
mLCoolSculpting® System
Change from Baseline at 8 Weeks Post-Treatment Session 1-149.1 ± 280.61
Change from Baseline at 12 Weeks Post-Final Treatment-264.8 ± 411.36
SecondaryPercentage of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

An AE was defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in participants, users, or other persons, if related to the investigational medical device. A SAE is any AE, that is fatal, life threatening, requires hospitalization or results in prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. A TEAE is defined as any new adverse event or worsening of an existing condition after initiation of treatment.

Time frame:
First treatment to Follow-up/Exit Visit (Week 12 +/- 14 days for those participants who received 1 treatment and Week 20 +/- 14 days for those participants who received 2 treatments)
Reported as:
Number · percentage of participants
Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
percentage of participantsCoolSculpting®: Treatment Session 1CoolSculpting®: Treatment Session 2
TEAE14.310.3
SAE0.00.9
SecondaryPercentage of Participants With Adverse Device Effects (ADEs) and Serious Adverse Device Effects (SADEs)

An ADE was defined in accordance with ISO 14155 as an AE related to the use of an investigational medical device or defined as AE with a reasonable possibility (Possible, Probable, or Causal relationship) that the device caused the event. SADE is an ADE that might have led to any SAE consequences if a suitable action had not been taken or intervention had not been made.

Time frame:
First treatment to Follow-up/Exit Visit (Week 12 +/- 14 days for those participants who received 1 treatment and Week 20 +/- 14 days for those participants who received 2 treatments)
Reported as:
Number · percentage of participants
Percentage of Participants With Adverse Device Effects (ADEs) and Serious Adverse Device Effects (SADEs)
percentage of participantsCoolSculpting®: Treatment Session 1CoolSculpting®: Treatment Session 2
ADE14.39.3
SADE00

Adverse events

Collected over First treatment to Follow-up/Exit Visit (Week 12 +/- 14 days for those participants who received 1 treatment and Week 20 +/- 14 days for those participants who received 2 treatments). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
CoolSculpting®: Treatment Session 10/112 (0%)0/112 (0%)10/112 (8.9%)
CoolSculpting®: Treatment Session 20/107 (0%)1/107 (0.9%)1/107 (0.9%)
Most frequent serious events
Most frequent serious events
EventCoolSculpting®: Treatment Session 1CoolSculpting®: Treatment Session 2
Abortion spontaneousPregnancy, puerperium and perinatal conditions0/831/79
Most frequent other events
Most frequent other events
EventCoolSculpting®: Treatment Session 1CoolSculpting®: Treatment Session 2
PruritusSkin and subcutaneous tissue disorders10/1121/107

Baseline characteristics

Safety Population included all participants who had at least 1 of the treatment procedures conducted.

Age, Continuous
Age, Continuous(years)CoolSculpting® System
Mean42.5 ± 9.86
Sex: Female, Male
Sex: Female, Male(Participants)CoolSculpting® System
Female83
Male29
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)CoolSculpting® System
White48
Black1
Asian - Chinese51
Asian - Korean1
Asian, Other9
Arab/Middle Eastern1
Other1
08

Study locations

7 sites
  • Sandhurt Plastic Surgery
    Bendigo, Victoria 3550, Australia
  • Academy Face and Body
    Subiaco, Western Australia 6008, Australia
  • Vancouver Laser & Skin Care Centre
    Vancouver, British Columbia V5Z 1H2, Canada
  • Halley Medical Aesthetics
    Singapore, 238858, Singapore
  • Dr Benjamin Yim Clinical Aesthetics and Laser Centre
    Singapore, 238884, Singapore
  • Revere Riverside Ltd
    Northwood, Middlesex HA6 2NP, United Kingdom
  • Revere Clinics
    London, W1G 7JA, United Kingdom
09

References and documents

Study documents

  • Study protocol · Nov 20, 2019
  • Statistical analysis plan · Oct 6, 2018

Documents are hosted by the registry — open the source record to download them.

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 Jun 27, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03909100
Lead sponsor
Allergan
Responsible party
Sponsor
First posted
Apr 9, 2019
Start date
Jul 29, 2019
Primary completion
Feb 28, 2020
Completion
Feb 28, 2020
Results posted
Mar 22, 2021
Last update
Jun 27, 2023

Study contacts

Esther Jo
study director · Allergan

Oversight

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

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