A Phase 2 interventional study of RZL-012 and Placebo in Submental Fat, sponsored by Raziel Therapeutics Ltd.. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-11-18.
Sponsored by Raziel Therapeutics Ltd. · Phase 2, Interventional, and Treatment
Twenty-Eight (28) subjects (12 for cohort 1 and 16 for cohort 2 ) will be included in the study. Subjects in each cohort will be injected with a different dose of RZL-012. The total of 28 subjects will be enrolled in 2 clinical sites.
This is a single blinded, randomized, placebo-controlled, 2-cohort clinical study in healthy volunteers. Cohort 1 will be comprised of 8 active (RZL-012) and 4 placebo subjects. Cohort 2 will be comprised of 16 subjects wuth at least 4 placebo subjects. All subjects will receive a single dose of RZL-012 or vehicle into the submental area, after which they will be monitored for safety and efficacy during 84 days of follow-up.
Subjects will be blinded to study treatment while physicians will not be blinded.
The study will be composed of 2 treatment cohorts, 12 in cohort 1 and 16 in cohort 2.
The study will be conducted in 2 clinical sites. Per each study cohort, subjects will be randomized to receive active or placebo treatment according to a randomization program that will be prepared prior to study initiation. Each clinical site will have at least one active and one placebo treatment subject per each study cohorts. In case of slow enrollment in one of the sites, other sites may complete the enrollment of subjects in each cohort.
Cohort 1 (N=12) - Each subject will be dosed with up to 120 mg RZL-012 (depending on submental fat area) or vehicle.
Cohort 2 (N=16) - Each subject will be dosed with up to 240 mg RZL-012 (depending on submental fat area) or vehicle.
Treatment of cohort 2 will start following cohort 1 day 28 data. An independent Data Safety Monitoring Board (DSMB) will review safety and tolerability data for cohort 1 subjects, 28 days after injection, and decide whether it is safe to increase the dose for the next study cohort. The decision to proceed to the cohort 2 will be made within 30 days (28 days + 2 days) after injection of the last dosed subject in cohort 1.
The DSMB will be comprised of two independent MDs with expertise in the aesthetic area and in conduction of clinical trials.
In case of serious safety concerns (e.g. prolonged severe swelling or severe pain following injection) among cohort 1 subjects receiving the 120mg dose, sponsor and DSMB may decide to reduce or stay with the 120mg/subject dose level for cohort 2 subjects.
Raziel Therapeutics Ltd. is the lead sponsor of 9 studies on the registry; none are open to participants now.
Of its 9 completed or terminated interventional studies of FDA-regulated products, 8 (89%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Subjects meeting any of the following criteria will be excluded from study participation:
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.05/0.1mL per site): 1. Up to 120mg administered at 48 sites in a volume of 0.05 ml at each injection site (total injected volume 2.4mL) 2. Up to 240 mg administered at 48 sites in a volume of 1 ml at each injection site (total volume injected 4.8mL)
Drug: RZL-012
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.05/0.1mL per site) into the submental fat. Up to a total of 2.4 mL will be injected for placebo subjects enrolled during cohort 1. Up to a total of 4.8 mL will be injected for placebo subjects enrolled during cohort 2.
Drug: Placebo
Subcutaneous injection to the submental fat area
Placebo
Safety: Adverse Events Follow up
To evaluate the safety of RZL-012 subcutaneous injections in the submental area, relative to placebo, as assessed by spontaneous adverse event reports and post injection evaluation of subjects. Specifically, Pain, Induration, Bruising, Erythema and Edema will be closely followed up following treatment.
Time frame: 0-84 days
Physician's Global Assessment
Evaluation of treatment efficacy by using Physician's global assessment questionnaire for active vs. placebo subjects, on study Day 84
Time frame: 0-84 days
Efficacy: MRI Volume Reduction
Reduction from baseline in submental fat volume, as measured with MRI, in RZL-012 treated subjects vs. placebo treated subjects on Day 84 following injection.
Time frame: 0-84 days
Efficacy: Improvement in Face Satisfaction Questionnaire - A Score From 0 (Worst) to 100 (Best) Marks the Subject's Satisfaction
Improvement from baseline in the Faceq satisfaction questionnaire rating score in RZL-012 treated subjects vs. placebo treated subjects on day 84.
Time frame: 0-84 days
| Milestone | RZL-012 Cohort 1 | Vehicle Cohort 1 | RZL-012 Cohort 2 | Vehicle Cohort 2 |
|---|---|---|---|---|
| Started | 8 | 4 | 10 | 6 |
| Completed | 8 | 4 | 10 | 6 |
| Not completed | 0 | 0 | 0 | 0 |
To evaluate the safety of RZL-012 subcutaneous injections in the submental area, relative to placebo, as assessed by spontaneous adverse event reports and post injection evaluation of subjects. Specifically, Pain, Induration, Bruising, Erythema and Edema will be closely followed up following treatment.
| Participants | RZL-012 Cohort 1 | Vehicle | RZL-012 Cohort 2 | Vehicle Cohort 2 |
|---|---|---|---|---|
| Safety: Adverse Events Follow up | 8 | 4 | 10 | 6 |
Evaluation of treatment efficacy by using Physician's global assessment questionnaire for active vs. placebo subjects, on study Day 84
| Participants | RZL-012 Cohort 1 | Vehicle Cohort 1 | RZL-012 Cohort 2 | Vehicle Cohort 2 |
|---|---|---|---|---|
| Subjects experienced improvement (Score =0 (completely clear) , 1, 2, 3, Score=4(slight improvement) | 7 | 0 | 10 | 0 |
| Subjects that experienced no improvement = Score 5 (no Change) | 1 | 4 | 0 | 6 |
Reduction from baseline in submental fat volume, as measured with MRI, in RZL-012 treated subjects vs. placebo treated subjects on Day 84 following injection.
| percentage of volume reduction high dose | RZL-012 | Vehicle |
|---|---|---|
| Cohort 2 High Dose (BioClinica Analysis) | -12.5 ± 8 | 0.7 ± 8.5 |
| Cohort 1 Low Dose (Bioclinica Analysis) | -6.4 ± 11 | -5.7 ± 3 |
Improvement from baseline in the Faceq satisfaction questionnaire rating score in RZL-012 treated subjects vs. placebo treated subjects on day 84.
| change in scores on a scale | RZL-012 Cohort 1 | Vehicle Cohort 1 | RZL-012 Cohort 2 | Vehicle Cohort 2 |
|---|---|---|---|---|
| Efficacy: Improvement in Face Satisfaction Questionnaire - A Score From 0 (Worst) to 100 (Best) Marks the Subject's Satisfaction | 34.8 ± 10 | -3.8 ± 29.2 | 38.5 ± 25 | -1.2 ± 16.3 |
Collected over 84 days. Non-serious events are listed at a 1% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| RZL-012 Cohort 1 | 0/8 (0%) | 0/8 (0%) | 8/8 (100%) |
| Vehicle Cohort 1 | 0/4 (0%) | 0/4 (0%) | 4/4 (100%) |
| RZL-012 Cohort 2 | 0/10 (0%) | 0/10 (0%) | 10/10 (100%) |
| Vehicle Cohort 2 | 0/6 (0%) | 0/6 (0%) | 6/6 (100%) |
| Event | RZL-012 Cohort 1 | Vehicle Cohort 1 | RZL-012 Cohort 2 | Vehicle Cohort 2 |
|---|---|---|---|---|
| Injection site bruisingGeneral disorders | 5/8 | 3/4 | 7/10 | 3/6 |
| EdemaGeneral disorders | 4/8 | 2/4 | 6/10 | 3/6 |
| IndurationGeneral disorders | 4/8 | 2/4 | 6/10 | 3/6 |
| Injection site erythemaGeneral disorders | 4/8 | 2/4 | 3/10 | 1/6 |
| Injection site painGeneral disorders | 4/8 | 2/4 | 4/10 | 2/6 |
| Bruising sensationNervous system disorders | 2/8 | 1/4 | 0/10 | 0/6 |
| PruritusSkin and subcutaneous tissue disorders | 1/8 | 0/4 | 0/10 | 0/6 |
| Injection site edemaGeneral disorders | 0/8 | 0/4 | 1/10 | 0/6 |
Baseline is defined as the last available and evaluable parameter value before and closest to the injection.
| Age, Continuous(years) | RZL-012 Cohort 1 | Vehicle Cohort 1 | RZL-012 Cohort 2 | Vehicle Cohort 2 | Total |
|---|---|---|---|---|---|
| Mean | 51.6 ± 6.8 | 57.5 ± 8.2 | 43.3 ± 9.5 | 48.8 ± 10.2 | 49.65 ± 9.6 |
| Sex: Female, Male(Participants) | RZL-012 Cohort 1 | Vehicle Cohort 1 | RZL-012 Cohort 2 | Vehicle Cohort 2 | Total |
|---|---|---|---|---|---|
| Female | 6 | 3 | 9 | 6 | 24 |
| Male | 2 | 1 | 1 | 0 | 4 |
| Ethnicity (NIH/OMB)(Participants) | RZL-012 Cohort 1 | Vehicle Cohort 1 | RZL-012 Cohort 2 | Vehicle Cohort 2 | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 1 | 1 | 2 |
| Not Hispanic or Latino | 8 | 4 | 9 | 5 | 26 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | RZL-012 Cohort 1 | Vehicle Cohort 1 | RZL-012 Cohort 2 | Vehicle Cohort 2 | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 1 | 0 | 1 |
| White | 8 | 4 | 9 | 6 | 27 |
| More than one race | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Region of Enrollment(Participants) | RZL-012 Cohort 1 | Vehicle Cohort 1 | RZL-012 Cohort 2 | Vehicle Cohort 2 | Total |
|---|---|---|---|---|---|
| United States | 8 | 4 | 10 | 6 | 28 |
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Raziel Therapeutics Ltd.