An interventional study of Saypha® FILLER Lidocaine (HQ) and Saypha® FILLER Lidocaine (C1) in Abnormal Lip, sponsored by Croma-Pharma GmbH. Completed at 3 sites in Austria. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-03-14.
Sponsored by Croma-Pharma GmbH · Not applicable, Interventional, and Treatment
This is a prospective, open-label, multicentre, randomized study conducted to evaluate the effectiveness, safety and long-term safety of Saypha® FILLER Lidocaine for lip augmentation.
Following informed consent and screening, eligible subjects with moderate to severe deficiency of lip volume will be randomized to receive Saypha® FILLER Lidocaine from 1 of 2 manufacturing sites. The device will be injected into the submucosa of the lips, and subjects will return for follow-up assessments at Week 3, 6, 26, 52 and optional at Week 76 after the treatment.
A Touch-up treatment may be done at Week 3, if deemed appropriate by the investigator. The performance of the investigational device will be evaluated by the investigator by assessing severity using the LFS, Lip Fullness Scale, at Week 6, 26, 52 after the treatment and optional at Week 76 and in comparison to Day 0. The upper and lower lip will be graded separately.
Telephone visits will be performed approximately 24 hours post-administration to monitor possible adverse events. In case any adverse events are reported during the telephone visits an unscheduled visit should be performed.
Croma-Pharma GmbH is the lead sponsor of 24 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma HQ Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0).
Combination Product: Saypha® FILLER Lidocaine (HQ)
Eligible subjects will undergo bilateral lip augmentation treatments with Saypha® FILLER Lidocaine manufactured in the Croma Pharma C1 Facility in order to correct moderate to severe deficiency of lip volume. The treatment will be administered at the Baseline visit (Day 0).
Combination Product: Saypha® FILLER Lidocaine (C1)
Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Saypha® FILLER Lidocaine is administered by injection into the lips. The volume applied depends on the size of the area which requires correction and will be selected by the investigator. A maximum volume of 2 mL for both lips in total (i.e., for upper plus lower lip) including touch up might be needed per treatment but the treatment should not exceed 10 mL in total per treatment or 20 mL per year.
Responder Rate in Lip Volume Improvement
The proportion of subjects ('responders') with the lip volume improved by ≥1 point versus baseline value at 6 weeks after initial treatment based on the investigator live assessment using the validated Lip Fullness Scale (LFS). Lip Fullness Scale (LFS) is a validated 5-point rating scale,that evaluates the Lip Volume Deficiency ranging from Grade 1 (minimal volume) to Grade 5 (very significant volume): In this case, the bigger the number, the better.
Time frame: Week 6
Percentage of Responders Based on the Investigator Live Assessment
The percentage of responders (with the Lip Volume Improved by \>=1 Point Versus Baseline Value,) based on the investigator live assessment at 6, 12 and optional 18 months after the initial treatment using the validated LFS. Lip Fullness Scale (LFS) is a validated 5-point rating scale,that evaluates the Lip Volume Deficiency ranging from Grade 1 (minimal volume) to Grade 5 (very significant volume): In this case, the bigger the number, the better.
Time frame: 6, 12 and optional 18 months
Percentage of Responders Based on the Independent Photographic Reviewer´s Assessments
The percentage of responders based on the independent photographic reviewer´s assessments at Week 6, Month 6, 12 and optional Month 18 after initial treatment, based on photographs and using the validated LFS (compared to Baseline). Lip Fullness Scale (LFS) is a validated 5-point rating scale,that evaluates the Lip Volume Deficiency ranging from Grade 1 (minimal), Grade 2 (slight), Grade 3 (moderately thick), Grade 4 (thick), to Grade 5 (very significant): In this case, the bigger the number, the better.
Time frame: Week 6, Month 6, 12 and optional Month 18
Percentage of Subjects With an Improvement Based on the Investigator Assessment Using GAIS
The percentage of subjects with an improvement relative to baseline photographs, (subjects who have been rated as "very much improved" or "much improved" or "improved"), based on the investigator assessment at Week 6, Month 6, 12 and optional Month 18 after initial treatment using the 5-point GAIS.
Time frame: Week 6, Month 6, 12 and optional Month 18
Percentage of Subjects With an Improvement Based on Subject Assessment Using GAIS
The percentage of subjects with an improvement relative to baseline photographs (subjects who have been rated as "very much improved" or "much improved" or "improved"), based on subject assessment at Week 6, Month 6, 12 and optional Month 18 after initial treatment, using the 5-point GAIS with results ranging from 1 to 5 with lower numbers indicating better improvement
Time frame: Week 6, Month 6, 12 and optional Month 18
Subject Satisfaction Using Face-Q Questionnaire
The extent of subject´s satisfaction with overall outcome of the treatment, at Week 6, Month 6, 12 and optional Month 18 after initial treatment, assessed by the subject using the Face-Q TM Questionnaire. The FACE-Q Satisfaction with Outcome scale is a patient-reported outcome measure designed to assess a patient's satisfaction with the results of a facial aesthetic procedure. This scale comprises six items, each with four response options: "definitely agree," "somewhat agree," "somewhat disagree," and "definitely disagree." The raw summed scale score is converted to a score from 0 to 100 by using the respective Conversion Tables available from Face Q authors. Higher scores reflect a better outcome (i.e., 0 (worst) to 100 (best)).
Time frame: Week 6, Month 6, 12 and optional Month 18
Subject Satisfaction Using Face-Q TM Questionnaire "Satisfaction With Lips"
The extent of subject's satisfaction with augmentation of lips, at Week 6, Month 6, 12 and optional Month 18 after initial treatment, assessed by the subject using the Face-Q TM Questionnaire "Satisfaction with Lips", a 6-items Aesthetic Appearance Questionnaire with 5 pre-defined answer options between "very satisfied" and "very dissatisfied". The extent of subject´s satisfaction with overall outcome of the treatment, at Week 6, Month 6, 12 and optional Month 18 after initial treatment, assessed by the subject using the Face-Q. The raw summed scale score is converted to a score from 0 to 100 by using the respective Conversion Tables available from Face Q authors. Higher scores reflect a better outcome (i.e., 0 (worst) to 100 (best)).
Time frame: Week 6, Month 6, 12 and optional Month 18
Subject's Perception of Pain Using the 11-point Numeric Pain Rating Scale
Subject's perception of pain after initial and touch-up treatment with Saypha® FILLER Lidocaine using the 11-point Numeric Pain Rating Scale (NPRS), where 0 is no pain and 10 is the worst pain imaginable.
Time frame: Day1, Week 3
Percentage of Subjects Demonstrating an Aesthetic Effect
Percentage of subjects demonstrating an aesthetic effect at Week 6, Month 6, 12 and optional Month 18 based on the investigator's life assessment. A live assessment of the treated areas was performed and the treated areas compared to the subject's photographs obtained at the Baseline Visit. The presence of the aesthetic effect was recorded as either "Yes" or "No"
Time frame: Week 6, Month 6, 12 and optional Month 18
Injection Volume Required
Injection volume (initial and touch-up) required for an optimal augmentation of the lips with Saypha® FILLER Lidocaine.
Time frame: Day1, Week 3
Screened patients: N=121; Screening failures: N=7; Patients enrolled = Patients Treated with IMD: N= 114
| Milestone | Saypha® FILLER HQ | Saypha® FILLER C1 |
|---|---|---|
| Started | 57 | 57 |
| Completed | 50 | 51 |
| Not completed | 7 | 6 |
The proportion of subjects ('responders') with the lip volume improved by ≥1 point versus baseline value at 6 weeks after initial treatment based on the investigator live assessment using the validated Lip Fullness Scale (LFS). Lip Fullness Scale (LFS) is a validated 5-point rating scale,that evaluates the Lip Volume Deficiency ranging from Grade 1 (minimal volume) to Grade 5 (very significant volume): In this case, the bigger the number, the better.
| Participants | Saypha® FILLER HQ | Saypha® FILLER C1 | Overall Population (Saypha® FILLER HQ + Saypha® FILLER C1) |
|---|---|---|---|
| lower lip responders | 55 | 52 | 107 |
| upper lip responders | 53 | 53 | 106 |
The percentage of responders (with the Lip Volume Improved by \>=1 Point Versus Baseline Value,) based on the investigator live assessment at 6, 12 and optional 18 months after the initial treatment using the validated LFS. Lip Fullness Scale (LFS) is a validated 5-point rating scale,that evaluates the Lip Volume Deficiency ranging from Grade 1 (minimal volume) to Grade 5 (very significant volume): In this case, the bigger the number, the better.
| Participants | Saypha® FILLER HQ | Saypha® FILLER C1 | Overall Population ( Saypha® FILLER HQ + Saypha® FILLER C1) |
|---|---|---|---|
| Month 6 Lower Lips | 48 | 50 | 98 |
| Month 6 Upper Lips | 49 | 50 | 99 |
| Month 12 Lower Lips | 41 | 36 | 77 |
| Month 12 Upper Lips | 38 | 36 | 74 |
| Month 18 Lower Lips | 28 | 23 | 51 |
| Month 18 Upper Lips | 24 | 19 | 43 |
The percentage of responders based on the independent photographic reviewer´s assessments at Week 6, Month 6, 12 and optional Month 18 after initial treatment, based on photographs and using the validated LFS (compared to Baseline). Lip Fullness Scale (LFS) is a validated 5-point rating scale,that evaluates the Lip Volume Deficiency ranging from Grade 1 (minimal), Grade 2 (slight), Grade 3 (moderately thick), Grade 4 (thick), to Grade 5 (very significant): In this case, the bigger the number, the better.
| Participants | Saypha® FILLER HQ | Saypha® FILLER C1 | Overall Population ( Saypha® FILLER HQ + Saypha® FILLER C1) |
|---|---|---|---|
| Week 6 - Lower Lip | 25 | 30 | 55 |
| Week 6 - Upper Lip | 17 | 25 | 42 |
| Month 6 - Lower Lip | 20 | 19 | 39 |
| Month 6 - Upper Lip | 15 | 24 | 39 |
| Month 12 - Lower Lip | 20 | 15 | 35 |
| Month 12 - Upper Lip | 20 | 26 | 46 |
| Month 18 - Lower Lip | 15 | 16 | 31 |
| Month 18 - Upper Lip | 13 | 21 | 34 |
The percentage of subjects with an improvement relative to baseline photographs, (subjects who have been rated as "very much improved" or "much improved" or "improved"), based on the investigator assessment at Week 6, Month 6, 12 and optional Month 18 after initial treatment using the 5-point GAIS.
| Participants | Saypha® FILLER HQ | Saypha® FILLER C1 | Overall Population ( Saypha® FILLER HQ + Saypha® FILLER C1) |
|---|---|---|---|
| Week 6 -Lower Lip | 56 | 54 | 110 |
| Week 6 - Upper Lip | 56 | 54 | 110 |
| Month 6 - Lower Lip | 53 | 53 | 106 |
| Month 6 - Upper Lip | 53 | 53 | 106 |
| Month 12- Lower Lip | 44 | 41 | 85 |
| Month 12 - Upper Lip | 44 | 40 | 84 |
| Month 18 - Lower Lip | 30 | 26 | 56 |
| Month 18 -Upper Lip | 30 | 21 | 51 |
The percentage of subjects with an improvement relative to baseline photographs (subjects who have been rated as "very much improved" or "much improved" or "improved"), based on subject assessment at Week 6, Month 6, 12 and optional Month 18 after initial treatment, using the 5-point GAIS with results ranging from 1 to 5 with lower numbers indicating better improvement
| Participants | Saypha® FILLER HQ | Saypha® FILLER C1 | Overall Population ( Saypha® FILLER HQ + Saypha® FILLER C1) |
|---|---|---|---|
| Week 6 - lower lips | 55 | 54 | 109 |
| Week 6 - upper lips | 56 | 54 | 110 |
| Month 6 - Lower Lips | 51 | 53 | 104 |
| Month 6 - Upper Lips | 53 | 53 | 106 |
| Month 12 - Lower Lips | 45 | 44 | 89 |
| Month 12 - Upper Lips | 44 | 44 | 88 |
| Month 18 - Lower Lips | 37 | 34 | 71 |
| Month 18 - Upper Lips | 34 | 35 | 69 |
The extent of subject´s satisfaction with overall outcome of the treatment, at Week 6, Month 6, 12 and optional Month 18 after initial treatment, assessed by the subject using the Face-Q TM Questionnaire. The FACE-Q Satisfaction with Outcome scale is a patient-reported outcome measure designed to assess a patient's satisfaction with the results of a facial aesthetic procedure. This scale comprises six items, each with four response options: "definitely agree," "somewhat agree," "somewhat disagree," and "definitely disagree." The raw summed scale score is converted to a score from 0 to 100 by using the respective Conversion Tables available from Face Q authors. Higher scores reflect a better outcome (i.e., 0 (worst) to 100 (best)).
| score on Face Q questionnaire | Overall Population ( Saypha® FILLER HQ + Saypha® FILLER C1) |
|---|---|
| Week 6 | 85.8 ± 17.88 |
| Month 6 | 80.0 ± 20.61 |
| Month 12 | 71.7 ± 25.53 |
| Month 18 | 78.3 ± 25.76 |
The extent of subject's satisfaction with augmentation of lips, at Week 6, Month 6, 12 and optional Month 18 after initial treatment, assessed by the subject using the Face-Q TM Questionnaire "Satisfaction with Lips", a 6-items Aesthetic Appearance Questionnaire with 5 pre-defined answer options between "very satisfied" and "very dissatisfied". The extent of subject´s satisfaction with overall outcome of the treatment, at Week 6, Month 6, 12 and optional Month 18 after initial treatment, assessed by the subject using the Face-Q. The raw summed scale score is converted to a score from 0 to 100 by using the respective Conversion Tables available from Face Q authors. Higher scores reflect a better outcome (i.e., 0 (worst) to 100 (best)).
| score Face Q questionnaire | Overall Population ( Saypha® FILLER HQ + Saypha® FILLER C1) |
|---|---|
| Week 6 | 90.9 ± 11.96 |
| Month 6 | 84.9 ± 17.24 |
| Month 12 | 76.2 ± 22.69 |
| Month 18 | 78.3 ± 20.45 |
Subject's perception of pain after initial and touch-up treatment with Saypha® FILLER Lidocaine using the 11-point Numeric Pain Rating Scale (NPRS), where 0 is no pain and 10 is the worst pain imaginable.
| score on a scale | Overall Population ( Saypha® FILLER HQ + Saypha® FILLER C1) | Saypha® FILLER HQ | Saypha® FILLER C1 |
|---|---|---|---|
| Initial Treatment - Immediately after treatment | 3.3 ± 1.71 | 3.6 ± 1.75 | 3.0 ± 1.62 |
| Initial Treatment - 15 min post treatment | 0.5 ± 0.92 | 0.7 ± 1.05 | 0.3 ± 0.73 |
| Touch up (Week 3) - Immediately after treatment | 2.9 ± 1.48 | 2.7 ± 1.52 | 3.0 ± 1.46 |
| Touch up (Week 3 ) - 15 min post treatment | 0.4 ± 0.65 | 0.4 ± 0.77 | 0.3 ± 0.53 |
Percentage of subjects demonstrating an aesthetic effect at Week 6, Month 6, 12 and optional Month 18 based on the investigator's life assessment. A live assessment of the treated areas was performed and the treated areas compared to the subject's photographs obtained at the Baseline Visit. The presence of the aesthetic effect was recorded as either "Yes" or "No"
| Participants | Overall Population ( Saypha® FILLER HQ + Saypha® FILLER C1) |
|---|---|
| Week 6 | 110 |
| Month 6 | 106 |
| Month 12 | 86 |
| Month 18 | 59 |
Injection volume (initial and touch-up) required for an optimal augmentation of the lips with Saypha® FILLER Lidocaine.
| ml | Overall Population ( Saypha® FILLER HQ + Saypha® FILLER C1) |
|---|---|
| Day 1 - initial treatment -lower lip | 0.79 ± 0.282 |
| Day 1 - Initial Treatment - Upper Lip | 0.80 ± 0.285 |
| Day 1 - initial treatment - both lips | 1.59 ± 0.516 |
| Week 3 - touch up treatment - lower lip | 0.50 ± 0.298 |
| Week 3 - touch up treatment - upper lip | 0.51 ± 0.305 |
| Week 3 - touch up treatment - both lips | 0.85 ± 0.604 |
Collected over Adverse events (AEs) were documented from the time of first IMD application at Baseline visit (Visit 1) throughout the course of the clinical investigation, which means up to 18 months after IMD application.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Saypha® FILLER HQ | 0/57 (0%) | 0/57 (0%) | 35/57 (61.4%) |
| Saypha® FILLER C1 | 0/57 (0%) | 1/57 (1.8%) | 32/57 (56.1%) |
| Event | Saypha® FILLER HQ | Saypha® FILLER C1 |
|---|---|---|
| DepressionPsychiatric disorders | 0/57 | 1/57 |
| Event | Saypha® FILLER HQ | Saypha® FILLER C1 |
|---|---|---|
| Application site painGeneral disorders | 26/57 | 21/57 |
| Injection site swellingGeneral disorders | 18/57 | 16/57 |
| Injection Site BruisingGeneral disorders | 17/57 | 16/57 |
| COVID 19Infections and infestations | 11/57 | 7/57 |
Population considered for this analysis is the Full Analysis Set (FAS) which comprises all subjects who received at least 1 administration of the IMD and who had at least 1 post-treatment evaluation of the LFS.
| Age, Continuous(years) | Saypha® FILLER HQ | Saypha® FILLER C1 | Total |
|---|---|---|---|
| Mean | 42.1 ± 13.78 | 44.4 ± 16.22 | 43.2 ± 15.03 |
| Sex: Female, Male(Participants) | Saypha® FILLER HQ | Saypha® FILLER C1 | Total |
|---|---|---|---|
| Female | 57 | 57 | 114 |
| Male | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Saypha® FILLER HQ | Saypha® FILLER C1 | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 |
| White | 57 | 57 | 114 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(participants) | Saypha® FILLER HQ | Saypha® FILLER C1 | Total |
|---|---|---|---|
| Austria | 57 | 57 | 114 |
| Smoking habit(Participants) | Saypha® FILLER HQ | Saypha® FILLER C1 | Total |
|---|---|---|---|
| current | 21 | 22 | 43 |
| former | 4 | 4 | 8 |
| never smoked | 32 | 31 | 63 |
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Croma-Pharma GmbH