ClinicalTrials.gg
CompletedNCT04639713Updated Mar 19, 2024Results posted

Clinical Study Evaluating the Safety and Effectiveness of The Tixel Fractional System in The Treatment of Periorbital Wrinkles

An interventional study of Tixel 2 in Wrinkle, Periorbital and Tixel 2, sponsored by Novoxel Ltd.. Completed at 3 sites in 2 countries. Open to participants aged 35 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-03-19.

Sponsored by Novoxel Ltd. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
51
Allocation
Not applicable
Ages
35 Years to 70 Years
Sex
All
01

Study summary

A Prospective, Multicenter, Single-Arm Clinical Study of 51 study subjects who are seeking a procedure to reduce the appearance of the peri-orbital wrinkles. Up to 5 investigational centers in Israel and the United States will participate in the recruitment. Each study subject will receive four (4) treatments with Tixel in a monthly interval. Follow-up will occur 1 month and 3 months following last treatment.

Read the detailed description

A Prospective, Multicenter, Single-Arm Clinical Study of 51 subjects who are seeking a procedure to reduce the appearance of the periorbital wrinkles, and meet study eligibility criteria, and have provided informed consent will be enrolled in the study. Up to 5 investigational centers in Israel and the United States will participate in the recruitment. Each study subject will receive 4 treatments with Tixel in a monthly interval. Follow-up will occur at 1 month and 3 months following the last treatment.

The clinic visits will be as follow:

  1. Baseline (1st tx)
  2. Phone-call visit (3 days after the first treatment)
  3. 4wk (2nd tx)
  4. 8wk (3rd tx)
  5. 12wk (4th tx)
  6. 4 weeks after the last treatment (1st FU)
  7. 12 weeks after the last treatment (2nd FU= 3 months FU, primary endpoint and study completion visit) Primary Efficacy Endpoint is the comparison of the proportion of subjects with a ≥ 1-score improvement on the FWCS at the 3-month visit compared to baseline as determined by at least 2 out of 3 blinded Independent Photographic Reviewers.

Primary Safety Endpoint is the evaluation of related adverse events up to the 3-month visit after treatment.

02

Conditions studied

  • Wrinkle
  • Periorbital
  • Tixel 2
  • Fractional
  • Resurfacing
03

In context

Lead sponsor

Novoxel Ltd. is the lead sponsor of 8 studies on the registry; none are open to participants now.

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

04

Who can participate

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

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

  1. Male or female 35-70 years old diagnosed with clinically evident fine (mild) to moderate depth periorbital wrinkling
  2. Willingness and ability to comply with all required study activities including returning for follow-up visits and protocol requirements.
  3. The subject is able to provide written and perform the study's activities according to HIPAA guidelines and/or Israeli law, depending on each specific study site.
  4. Fitzpatrick wrinkle score of 3-7 in the peri-orbital areas per the treating investigator and clinically noticeable wrinkles in the treating area.
  5. Stable body weight during the study period.
  6. Skin Type I - V as per Fitzpatrick Skin Scale

Exclusion criteria

Exclusion Criteria:

  1. Past treatment with Tixel device.
  2. The subject may not undergo treatment by the Tixel device according to the device's for use, as defined in the User Manual and in the Instructions for Use and by any other labeling of the device.
  3. Subjects who, in the investigator's opinion, have a history of poor cooperation, noncompliance with medical treatment, or unreliability.
  4. Female subjects who are pregnant, or planning to become pregnant, or have given birth less than 3 months ago or are lactating.
  5. Subjects with significant exposure to critical amounts of ultraviolet light (Sun-tan).
  6. Subjects who have had the following treatments:

    1. a cosmetic procedure to improve peri-orbital rhytides (i.e. periorbital or eyelid/eyebrow surgery, brow lift, CO2/Erbium/similar laser/fractional resurfacing, radiofrequency treatment) within 12 months
    2. prior facial treatments with laser, surgical, chemical or light-based facial treatments within the previous 12 months, over the periorbital area including botulinum toxin injections, microdermabrasion or prescription level glycolic acid treatments.
    3. Injectable filler in cheeks (mid face) temples and in the upper face area to be treated within 12 months of investigation.
  7. Any subject who have visible scars or other visible changes over the treated areas that may affect evaluation of response and/or quality of photography.
  8. Subjects with any type of active cut, wound, inflammation, lesion (benign, premalignant or malignant) or active bacterial, viral, fungal, or herpetic infection on the skin on the designated treatment sites or in close proximity to it.
  9. Existing or history of the following (when discussing skin conditions, refers only to the periorbital sites):

    1. skin , or any diagnosis of suspected malignancy
    2. Collagen or vascular or bleeding disease
    3. or disease
    4. Erythema with or without blistering
    5. History of post inflammatory hyperpigmentation.
    6. Active Acne Vulgaris, HSV-1, or any existing skin condition/disease that in the investigator's opinion would interfere with the evaluation of the safety of the study treatment and evaluation.
    7. Any skin pathology which can induce bullous lesions, urticaria, or demonstrate a Koebner phenomenon (psoriasis, lichen planus, etc.).
    8. Any disease that inhibits pain sensation
    9. History of keloid formation, or hypertrophic scarring
    10. Conditions affecting healing rate (i.e. diabetes mellitus I or II, vascular condition, etc.)
    11. neuromuscular disorders
  10. Subjects who have used, within 30 days, any medication that can cause dermal or affect skin characteristics over the treated area (i.e. topically applied Retinoids, Hydroquinone, Chemical peel of any strength: glycolic acid, lactic acid, salicylic acid)
  11. Subjects who have used, systemic treatment which may induce dyspigmentation, such as amiodarone, clofazinmine, minocycline or chloroquine.
  12. Subjects currently taking or have taken an oral retinoid in the past six months; Subjects currently taking long-term oral treatment.
  13. Concurrent therapy that, in the principal investigator's opinion, would interfere with the evaluation of the safety or efficacy of the study treatment.
  14. Subjects who anticipate the need for major surgery or overnight hospitalization during the study that can affect the study schedule or treatment evaluation.
  15. Enrollment in any active study involving the use of devices or drugs.
  16. Any other cause per the principal investigator's discretion.
Terms in these criteria, in plain language(8)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

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

Study arms

  • Experimental
    Tixel 2

    Tixel 2 Treatment, 4 treatment sessions, followed by 2 Follow up sessions, 1and 3 months after last treatment visit. Subject would be questioned about pain level, subjective dountime assessment and subjective response assessment. Images would be taken at baseline and in Follow-Up visits

    Device: Tixel 2

Interventions

  • DeviceTixel 2

    Thermo-mechanical technology for fractional treatment of human skin. Dermal heating and coagulative effect that occur during the treatment session provide dermal remodeling and collagen restructuring that promote wrinkles appearance improvement.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Safety Adverse Events

    Evaluation of related adverse events up to the 3-month after a treatment visit.

    Time frame: 6 months

  2. The Mean Improvement and Treatment Effectiveness by Blinded Assessors Using Using the Fitzpatrick Wrinkle Classification Scale (FWCS) Evaluation

    Comparison of the proportion of subjects with a ≥ 1-score improvement on the Fitzpatrick Wrinkle Classification Scale (FWCS) at the 3-month visit compared to baseline as determined by at least 2 out of 3 blinded Independent Photographic Reviewers. The FWCS is a clinically validated assessment tool used to assess skin wrinkle severity and elastosis on a scale from 1 through 9, where the lower score is considered better.

    Time frame: baseline and at 3 months

Secondary outcomes

  1. The Mean Evaluation of Improvement Assessed by the Handling Physician by Using GAIS Scale - Global Aesthetic Improvement Scale Assessment

    Assessment of improvement using Global Aesthetic Improvement Scale Assessment at each visit compared to baseline by the handling physician. Rating: 1) expectational improvement; 2) very improved patient; 3) Improved patient; 4) Unaltered patient; 5) Worsened patient

    Time frame: Baseline and 3 months visits

  2. The Mean Score Evaluation of the Pain and Discomfort for Each Treatment

    Evaluation of the pain and discomfort of the treatment as reported by the subject on a visual analog scale (VAS). Scoring will consist of making a mark on a 10-points scale. Each line will be awarded a score of 0 - 10 according to the level of pain when 0 is no pain and 10 is the maximum pain possible.

    Time frame: Up to 6 months

  3. Satisfaction Questionnaire

    Subject Experience (Satisfaction) questionnaire - Subjects assessed their satisfaction at the follow up visits. The following parameters were assessed: results of treatment, treatment experience and expectations (indicating whether the treatment has fulfilled the subject's expectations). For each parameter, the assessment was based on a 5-point scale: 1 = "Poor - Poor or not satisfied at all", 2 ="Fair - satisfied to some extent", 3 = "Moderately - Satisfied", 4 = "Good - Satisfied", 5 = "Excellent - Very Satisfied".

    Time frame: up to 6 months

07

Results

Posted Mar 19, 2024

Participant flow

Participant flow — Overall Study
MilestoneTixel 2
Started51
Completed48
Not completed3
Withdrew: Protocol noncompliance2
Withdrew: Withdrawal by subject1

Outcome measures

PrimaryPercentage of Participants With Safety Adverse Events

Evaluation of related adverse events up to the 3-month after a treatment visit.

Time frame:
6 months
Reported as:
Number · Percentage of Participants
Percentage of Participants With Safety Adverse Events
Percentage of ParticipantsTixel 2
Percentage of Participants With Safety Adverse Events3.92
PrimaryThe Mean Improvement and Treatment Effectiveness by Blinded Assessors Using Using the Fitzpatrick Wrinkle Classification Scale (FWCS) Evaluation

Comparison of the proportion of subjects with a ≥ 1-score improvement on the Fitzpatrick Wrinkle Classification Scale (FWCS) at the 3-month visit compared to baseline as determined by at least 2 out of 3 blinded Independent Photographic Reviewers. The FWCS is a clinically validated assessment tool used to assess skin wrinkle severity and elastosis on a scale from 1 through 9, where the lower score is considered better.

Time frame:
baseline and at 3 months
Reported as:
Mean · score on a scale
The Mean Improvement and Treatment Effectiveness by Blinded Assessors Using Using the Fitzpatrick Wrinkle Classification Scale (FWCS) Evaluation
score on a scaleTixel 2
Assessed by evaluator #12.00 ± 0.83
Assessed by evaluator #22.17 ± 0.71
Assessed by evaluator #31.19 ± 0.55
SecondaryThe Mean Evaluation of Improvement Assessed by the Handling Physician by Using GAIS Scale - Global Aesthetic Improvement Scale Assessment

Assessment of improvement using Global Aesthetic Improvement Scale Assessment at each visit compared to baseline by the handling physician. Rating: 1) expectational improvement; 2) very improved patient; 3) Improved patient; 4) Unaltered patient; 5) Worsened patient

Time frame:
Baseline and 3 months visits
Reported as:
Mean · score on a scale
The Mean Evaluation of Improvement Assessed by the Handling Physician by Using GAIS Scale - Global Aesthetic Improvement Scale Assessment
score on a scaleTixel 2
GAIS at visit 5 - 1 month FU3.54 ± 0.68
GAIS at visit 6 - 3 months FU3.52 ± 0.58
SecondaryThe Mean Score Evaluation of the Pain and Discomfort for Each Treatment

Evaluation of the pain and discomfort of the treatment as reported by the subject on a visual analog scale (VAS). Scoring will consist of making a mark on a 10-points scale. Each line will be awarded a score of 0 - 10 according to the level of pain when 0 is no pain and 10 is the maximum pain possible.

Time frame:
Up to 6 months
Reported as:
Mean · score on a scale
The Mean Score Evaluation of the Pain and Discomfort for Each Treatment
score on a scaleTixel 2
procedure-associated VAS - treatment 12.98 ± 1.52
procedure-associated VAS - treatment 22.94 ± 1.14
procedure-associated VAS - treatment 32.82 ± 1.22
procedure-associated VAS - treatment 42.81 ± 1.2
SecondarySatisfaction Questionnaire

Subject Experience (Satisfaction) questionnaire - Subjects assessed their satisfaction at the follow up visits. The following parameters were assessed: results of treatment, treatment experience and expectations (indicating whether the treatment has fulfilled the subject's expectations). For each parameter, the assessment was based on a 5-point scale: 1 = "Poor - Poor or not satisfied at all", 2 ="Fair - satisfied to some extent", 3 = "Moderately - Satisfied", 4 = "Good - Satisfied", 5 = "Excellent - Very Satisfied".

Time frame:
up to 6 months
Reported as:
Count of participants · Participants
Satisfaction Questionnaire
ParticipantsTixel 2
'Very satisfied' with the results of the treatment23
'Very satisfied' with the treatment experience33
'Very satisfied' with regard to their expectations from treatment21

Adverse events

Collected over 6 months. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Tixel 20/51 (0%)0/51 (0%)2/51 (3.9%)
Most frequent other events
Most frequent other events
EventTixel 2
ErythemaSkin and subcutaneous tissue disorders1/51
Back PainMusculoskeletal and connective tissue disorders1/51

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Tixel 2
<=18 years0
Between 18 and 65 years43
>=65 years8
Age, Continuous
Age, Continuous(years)Tixel 2
Mean56.8 ± 7.42
Sex: Female, Male
Sex: Female, Male(Participants)Tixel 2
Female45
Male6
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Tixel 2
Hispanic or Latino4
Not Hispanic or Latino46
Unknown or Not Reported1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Tixel 2
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American0
White49
More than one race0
Unknown or Not Reported1
Region of Enrollment
Region of Enrollment(participants)Tixel 2
United States15
Israel36
08

Study locations

3 sites
  • Physicians Laser and Dermatology Institute
    Chicago, Illinois 60611, United States
  • Laser & Skin Surgery Center of New York
    New York, New York 10016, United States
  • Rabin Medical Center, Ha'Sharon Campus
    Petach Tikva, 49100, Israel
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 Mar 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04639713
Lead sponsor
Novoxel Ltd.
Responsible party
Sponsor
First posted
Nov 20, 2020
Start date
Mar 2, 2021
Primary completion
Apr 4, 2022
Completion
Apr 4, 2022
Results posted
Mar 19, 2024
Last update
Mar 19, 2024

Study contacts

Jerome M Garden, MD
principal investigator · Physicians Laser and Dermatology Institute

Oversight

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

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This study is completed, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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