ClinicalTrials.gg
CompletedNCT05605691Updated Mar 26, 2025Results posted

Post-Market Lower Eyelid Treatment With Renuvion in Greece

An interventional study of Renuvion APR System in Skin Laxity, sponsored by Apyx Medical. Completed at 1 site in Greece. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-03-26.

Sponsored by Apyx Medical · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
16
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a prospective, multi-center, non-randomized, single-arm study of up to 15 subjects treated with the Renuvion APR System. Subjects will receive treatment with the Renuvion APR System in the lower periorbital area on both sides of the face.

Read the detailed description

This is a prospective, multi-center, non-randomized, single-arm study of up to 15 subjects treated with the Renuvion APR System. Subjects will receive treatment with the Renuvion APR System in the lower periorbital area on both sides of the face.

At baseline, images will be taken utilizing the site's camera system. Baseline images will be used as comparator images for follow-up images for Independent Photographic Reviewer evaluation and subject/investigator assessments.

The treatment area will be tumesced with 20 - 25ml of fluid on each side of the periorbital area.

The treatment of the periorbital area will be accessed from an incision placed in the crease of the lower lid. Two incisions will be placed in both the medial and lateral crease of the lower lid. Treatment will be performed through one incision and the second incision will be used to allow for adequate venting of helium gas. Care will be taken to undermine the tissue and to ensure the incisions communicate with each other to allow adequate venting. An optional third lower lid incision may be made as needed. The treatment plane will be above the orbicularis muscle. The treatment settings will be 20% Power, 1 LPM, and 3 Passes. Procedure data and adverse events will be captured.

Follow-up will occur 1 day, 3 days, 7 days, 30 days, 90 days, and 180 days post-procedure; images will be taken at all visits. Investigator/subjects assessments will be completed at D30, D90, and D180 visits. Subjects may also be seen back for follow-up at the investigator's discretion.

02

Conditions studied

  • Skin Laxity

Keywords

  • Periorbital
03

In context

Lead sponsor

Apyx Medical is the lead sponsor of 11 studies on the registry; 1 is open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 8 (100%) have results posted.

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
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

  • Male or female subjects, ages 18 - 75 years old.
  • ASA Physical Status Classification System Class I and Class II subjects.
  • Complaint of skin laxity or lines in the lower eyelid area.
  • Understands and accepts the obligation not to undergo any other procedures or treatments in the areas to be treated during study participation.
  • Absence of physical conditions unacceptable to the investigator.
  • Females of who are sexually active must be willing to use an approved method of during study participation.
  • Willing and able to comply with protocol requirements, including study-required images/photos, assessments/measurements, and returning for follow-up visits.
  • Willing to release rights for the use of study photos, including in publication.
  • Able to read, understand, sign, and date the .
  • Able to communicate with the site via video and/or photographs, in the event of a virtual follow-up visit.

Exclusion criteria

Exclusion Criteria:

  • Subjects presenting with ASA Physical Status Classification System Classes III or higher.
  • Festoons in the periorbital area.
  • Prior cosmetic/aesthetic fillers (hyaluronic acid, poly-l-lactic acid, calcium hydroxylapatite, et.) in the study treatment area within the past 12 months.
  • Pregnant, lactating, or plans to become pregnant during study participation.
  • Known or allergy to tumescent anesthetic (lidocaine/ epinephrine).
  • Known hypersensitivity or allergy to ibuprofen or other NSAIDS.
  • Previous surgery in the study treatment area.
  • Active systemic or local skin disease that may alter wound healing.
  • Significant or uncontrolled medical condition that in the opinion of the investigator participation in the study may compromise the patient's health.
  • History of disease (excluding Hashimoto's thyroiditis).
  • Known susceptibility to keloid formation or hypertrophic scarring.
  • Cancerous or pre-cancerous lesions in the area to be treated.
  • Possesses a surgically implanted electronic device (i.e., pacemaker).
  • Serious mental health illness such as dementia or schizophrenia; psychiatric hospitalization in the past two years.
  • Participation in any other study within 30 days prior to consent and throughout study participation.
  • Subject who, in the opinion of the investigator, is not an appropriate candidate for the study.
Terms in these criteria, in plain language(6)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

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.

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.

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
16 participants (actual)

Study arms

  • Experimental
    Renuvion APR System Treatment

    Subject will be treated with the Renuvion APR system in the lower eyelid (periorbital) area.

    Device: Renuvion APR System

Interventions

  • DeviceRenuvion APR System

    The Renuvion Generator (K192867) is indicated for delivery of radiofrequency energy and/or helium plasma to cut, coagulate and ablate soft tissue during open and laparoscopic surgical procedures. The Renuvion APR Handpiece (K191542) is intended to be used with compatible electrosurgical generators for the delivery of radiofrequency energy and/or helium plasma for cutting, coagulation and ablation of soft tissue during open surgical procedures. Together, the Renuvion Generator and Handpiece are referred to as the Renuvion APR System.

06

What researchers measure

Primary outcomes

  1. Day 180 Number of Participants With Improvement in Lower Eyelid Area as Determined by a Masked, Qualitative Assessment.

    Improvement in the lower eyelid area as determined by a masked, qualitative assessment of photographs at 180-days post-treatment compared to baseline by blinded independent reviewers. Improvement will be assessed based on photographs taken at all visits using the site's 2D camera system.

    Time frame: 180-Day

Secondary outcomes

  1. Day 90 Number of Participants With Improvement in the Lower Eyelid Area as Determined by a Masked, Qualitative Assessment.

    Improvement in the lower eyelid area as determined by a masked, qualitative assessment of photographs at 90-days post-treatment compared to baseline by blinded independent reviewers. Improvement will be assessed based on photographs taken at all visits using the site's 2D camera system.

    Time frame: 90-Day

Other outcomes

  1. Snap-Back Test Grade Analysis of Change From Baseline to Day 30

    This test provides relative lower lid laxity. In normal lids, the skin snaps-back to the original position immediately; the longer it takes, the more laxity is present. To perform the snap-back test, pull the lower lid away and down from globe for several seconds and wait to see how long it returns to the original position without the subject blinking. Grade 0 (Normal lid that returns to position immediately on release), Grade I (Approx 2-3 seconds to return to original position), Grade II (4-5 seconds to return to original position), Grade III (\>5 seconds but does return to original position with blinking), Grade IV (never returns to original position and continues to hand down in frank ectropion after the snap-back test).

    Time frame: 30-Day

  2. Snap-Back Test Grade Analysis of Change From Baseline to Day 90

    This test provides relative lower lid laxity. In normal lids, the skin snaps-back to the original position immediately; the longer it takes, the more laxity is present. To perform the snap-back test, pull the lower lid away and down from globe for several seconds and wait to see how long it returns to the original position without the subject blinking. Grade 0 (Normal lid that returns to position immediately on release), Grade I (Approx 2-3 seconds to return to original position), Grade II (4-5 seconds to return to original position), Grade III (\>5 seconds but does return to original position with blinking), Grade IV (never returns to original position and continues to hand down in frank ectropion after the snap-back test).

    Time frame: 90-Day

  3. Snap-Back Test Grade Analysis of Change From Baseline to Day 180

    This test provides relative lower lid laxity. In normal lids, the skin snaps-back to the original position immediately; the longer it takes, the more laxity is present. To perform the snap-back test, pull the lower lid away and down from globe for several seconds and wait to see how long it returns to the original position without the subject blinking. Grade 0 (Normal lid that returns to position immediately on release), Grade I (Approx 2-3 seconds to return to original position), Grade II (4-5 seconds to return to original position), Grade III (\>5 seconds but does return to original position with blinking), Grade IV (never returns to original position and continues to hand down in frank ectropion after the snap-back test).

    Time frame: 180-Day

  4. Medical Canthal Laxity Test Analysis of Change From Baseline to Day 30

    This test provides medial canthal laxity by means of measuring displacement. The greater the distance, the more the laxity. To perform the medial canthal laxity test, pull the lower lid laterally away from the medial canthus and measure displacement of medial punctum. Grade 0 (\<2mm displacement), Grade I (approx 2mm displacement), Grade II (approx 3mm displacement), Grade III (\>3mm displacement), Grade IV (does not return to baseline after release and blinking).

    Time frame: 30-Day

  5. Medical Canthal Laxity Test Analysis of Change From Baseline to Day 90

    This test provides medial canthal laxity by means of measuring displacement. The greater the distance, the more the laxity. To perform the medial canthal laxity test, pull the lower lid laterally away from the medial canthus and measure displacement of medial punctum. Grade 0 (\<2mm displacement), Grade I (approx 2mm displacement), Grade II (approx 3mm displacement), Grade III (\>3mm displacement), Grade IV (does not return to baseline after release and blinking).

    Time frame: 90-Day

  6. Medical Canthal Laxity Test Analysis of Change From Baseline to Day 180

    This test provides medial canthal laxity by means of measuring displacement. The greater the distance, the more the laxity. To perform the medial canthal laxity test, pull the lower lid laterally away from the medial canthus and measure displacement of medial punctum. Grade 0 (\<2mm displacement), Grade I (approx 2mm displacement), Grade II (approx 3mm displacement), Grade III (\>3mm displacement), Grade IV (does not return to baseline after release and blinking).

    Time frame: 180-Day

  7. Lateral Canthal Laxity Test Analysis of Change From Baseline to Day 30

    This test provides lateral canthal laxity by means of measuring displacement. The greater the distance, the more the laxity. To perform the lateral canthal laxity test, pull the lower lid medially away from the lateral canthus and measure displacement of lateral canthal corner. Grade 0 (\<2mm displacement), Grade I (2-4mm displacement), Grade II (4-6mm displacement), Grade III (\>6mm displacement), Grade IV (does not return to baseline after release and blinking).

    Time frame: 30-Day

  8. Lateral Canthal Laxity Test Analysis of Change From Baseline to Day 90

    This test provides lateral canthal laxity by means of measuring displacement. The greater the distance, the more the laxity. To perform the lateral canthal laxity test, pull the lower lid medially away from the lateral canthus and measure displacement of lateral canthal corner. Grade 0 (\<2mm displacement), Grade I (2-4mm displacement), Grade II (4-6mm displacement), Grade III (\>6mm displacement), Grade IV (does not return to baseline after release and blinking).

    Time frame: 90-Day

  9. Lateral Canthal Laxity Test Analysis of Change From Baseline to Day 180

    This test provides lateral canthal laxity by means of measuring displacement. The greater the distance, the more the laxity. To perform the lateral canthal laxity test, pull the lower lid medially away from the lateral canthus and measure displacement of lateral canthal corner. Grade 0 (\<2mm displacement), Grade I (2-4mm displacement), Grade II (4-6mm displacement), Grade III (\>6mm displacement), Grade IV (does not return to baseline after release and blinking).

    Time frame: 180-Day

  10. Subject Modified Global Aesthetic Improvement Scale (GAIS)

    The subject will grade the overall improvement of treatment area as very much improved, much improved, improved, no change, worse, much worse, and very much worse.

    Time frame: 90-Day

  11. Subject Modified Global Aesthetic Improvement Scale (GAIS)

    The subject will grade the overall improvement of treatment area as very much improved, much improved, improved, no change, worse, much worse, and very much worse.

    Time frame: 180-Day

  12. Investigator Modified Global Aesthetic Improvement Scale (GAIS)

    The investigator will grade the overall improvement of treatment area as very much improved, much improved, improved, no change, worse, much worse, and very much worse.

    Time frame: 90-Day

  13. Investigator Modified Global Aesthetic Improvement Scale (GAIS)

    The investigator will grade the overall improvement of treatment area as very much improved, much improved, improved, no change, worse, much worse, and very much worse.

    Time frame: 180-Day

  14. Day 180 Patient Satisfaction Questionnaire (PSQ)

    At Day 180 Follow-Up visit, the study subjects will be asked to complete a subject satisfaction survey referring to the assessment of baseline photos, current photos, and a hand mirror. Yes/No - did you notice any improvement in your lower eyelid area? If yes, checkbox - improvement in wrinkles, less sagging skin, smother skin texture, other. How would you characterize your satisfaction with the treatment - very satisfied, satisfied, slightly satisfied, neither satisfied or dissatisfied, slightly dissatisfied, dissatisfied, very dissatisfied. Yes/No - would you recommend this treatment to your friends and family members.

    Time frame: 180-Day

  15. Average Pain at Procedure Day Reported by Subject

    Study subjects will be asked to complete a 11-point Numeric Rating Scale (NRS) for the level of pain and discomfort associated with the study procedure. Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

    Time frame: Procedure Day 0 Following Study Treatment (within 60 minutes post procedure)

  16. Average Pain at Day 1 Reported by Subject

    Study subjects will be asked to complete a 11-point Numeric Rating Scale (NRS) for the level of pain and discomfort associated with the study procedure. Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

    Time frame: 1-Day

  17. Average Pain at Day 3 Reported by Subject

    Study subjects will be asked to complete a 11-point Numeric Rating Scale (NRS) for the level of pain and discomfort associated with the study procedure. Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

    Time frame: 3-Day

  18. Average Pain at Day 7 Reported by Subject

    Study subjects will be asked to complete a 11-point Numeric Rating Scale (NRS) for the level of pain and discomfort associated with the study procedure. Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

    Time frame: 7-Day

  19. Average Pain at Day 30 Reported by Subject

    Study subjects will be asked to complete a 11-point Numeric Rating Scale (NRS) for the level of pain and discomfort associated with the study procedure. Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

    Time frame: 30-Day

  20. Average Pain at Day 90 Reported by Subject

    Study subjects will be asked to complete a 11-point Numeric Rating Scale (NRS) for the level of pain and discomfort associated with the study procedure. Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

    Time frame: 90-Day

  21. Average Pain at Day 180 Reported by Subject

    Study subjects will be asked to complete a 11-point Numeric Rating Scale (NRS) for the level of pain and discomfort associated with the study procedure. Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

    Time frame: 180-Day

07

Results

Posted Mar 26, 2025

Participant flow

Participant flow — Overall Study
MilestoneRenuvion APR System Treatment
Started16
Completed15
Not completed1
Withdrew: Lost to follow-up1

Outcome measures

PrimaryDay 180 Number of Participants With Improvement in Lower Eyelid Area as Determined by a Masked, Qualitative Assessment.

Improvement in the lower eyelid area as determined by a masked, qualitative assessment of photographs at 180-days post-treatment compared to baseline by blinded independent reviewers. Improvement will be assessed based on photographs taken at all visits using the site's 2D camera system.

Time frame:
180-Day
Reported as:
Count of participants · Participants
Day 180 Number of Participants With Improvement in Lower Eyelid Area as Determined by a Masked, Qualitative Assessment.
ParticipantsRenuvion APR System Treatment
Day 180 Number of Participants With Improvement in Lower Eyelid Area as Determined by a Masked, Qualitative Assessment.5
SecondaryDay 90 Number of Participants With Improvement in the Lower Eyelid Area as Determined by a Masked, Qualitative Assessment.

Improvement in the lower eyelid area as determined by a masked, qualitative assessment of photographs at 90-days post-treatment compared to baseline by blinded independent reviewers. Improvement will be assessed based on photographs taken at all visits using the site's 2D camera system.

Time frame:
90-Day
Reported as:
Count of participants · Participants
Day 90 Number of Participants With Improvement in the Lower Eyelid Area as Determined by a Masked, Qualitative Assessment.
ParticipantsRenuvion APR System Treatment
Day 90 Number of Participants With Improvement in the Lower Eyelid Area as Determined by a Masked, Qualitative Assessment.8
Other pre-specifiedSnap-Back Test Grade Analysis of Change From Baseline to Day 30

This test provides relative lower lid laxity. In normal lids, the skin snaps-back to the original position immediately; the longer it takes, the more laxity is present. To perform the snap-back test, pull the lower lid away and down from globe for several seconds and wait to see how long it returns to the original position without the subject blinking. Grade 0 (Normal lid that returns to position immediately on release), Grade I (Approx 2-3 seconds to return to original position), Grade II (4-5 seconds to return to original position), Grade III (\>5 seconds but does return to original position with blinking), Grade IV (never returns to original position and continues to hand down in frank ectropion after the snap-back test).

Time frame:
30-Day
Reported as:
Count of participants · Participants
Snap-Back Test Grade Analysis of Change From Baseline to Day 30
ParticipantsRenuvion APR System Treatment
Grade 015
Grade I0
Grade II0
Grade III0
Grade IV0
Other pre-specifiedSnap-Back Test Grade Analysis of Change From Baseline to Day 90

This test provides relative lower lid laxity. In normal lids, the skin snaps-back to the original position immediately; the longer it takes, the more laxity is present. To perform the snap-back test, pull the lower lid away and down from globe for several seconds and wait to see how long it returns to the original position without the subject blinking. Grade 0 (Normal lid that returns to position immediately on release), Grade I (Approx 2-3 seconds to return to original position), Grade II (4-5 seconds to return to original position), Grade III (\>5 seconds but does return to original position with blinking), Grade IV (never returns to original position and continues to hand down in frank ectropion after the snap-back test).

Time frame:
90-Day
Reported as:
Count of participants · Participants
Snap-Back Test Grade Analysis of Change From Baseline to Day 90
ParticipantsRenuvion APR System Treatment
Grade 015
Grade I0
Grade II0
Grade III0
Grade IV0
Other pre-specifiedSnap-Back Test Grade Analysis of Change From Baseline to Day 180

This test provides relative lower lid laxity. In normal lids, the skin snaps-back to the original position immediately; the longer it takes, the more laxity is present. To perform the snap-back test, pull the lower lid away and down from globe for several seconds and wait to see how long it returns to the original position without the subject blinking. Grade 0 (Normal lid that returns to position immediately on release), Grade I (Approx 2-3 seconds to return to original position), Grade II (4-5 seconds to return to original position), Grade III (\>5 seconds but does return to original position with blinking), Grade IV (never returns to original position and continues to hand down in frank ectropion after the snap-back test).

Time frame:
180-Day
Reported as:
Count of participants · Participants
Snap-Back Test Grade Analysis of Change From Baseline to Day 180
ParticipantsRenuvion APR System Treatment
Grade 015
Grade I0
Grade II0
Grade III0
Grade IV0
Other pre-specifiedMedical Canthal Laxity Test Analysis of Change From Baseline to Day 30

This test provides medial canthal laxity by means of measuring displacement. The greater the distance, the more the laxity. To perform the medial canthal laxity test, pull the lower lid laterally away from the medial canthus and measure displacement of medial punctum. Grade 0 (\<2mm displacement), Grade I (approx 2mm displacement), Grade II (approx 3mm displacement), Grade III (\>3mm displacement), Grade IV (does not return to baseline after release and blinking).

Time frame:
30-Day
Reported as:
Count of participants · Participants
Medical Canthal Laxity Test Analysis of Change From Baseline to Day 30
ParticipantsRenuvion APR System Treatment
Grade 013
Grade I2
Grade II0
Grade III0
Grade IV0
Other pre-specifiedMedical Canthal Laxity Test Analysis of Change From Baseline to Day 90

This test provides medial canthal laxity by means of measuring displacement. The greater the distance, the more the laxity. To perform the medial canthal laxity test, pull the lower lid laterally away from the medial canthus and measure displacement of medial punctum. Grade 0 (\<2mm displacement), Grade I (approx 2mm displacement), Grade II (approx 3mm displacement), Grade III (\>3mm displacement), Grade IV (does not return to baseline after release and blinking).

Time frame:
90-Day
Reported as:
Count of participants · Participants
Medical Canthal Laxity Test Analysis of Change From Baseline to Day 90
ParticipantsRenuvion APR System Treatment
Grade 015
Grade I0
Grade II0
Grade III0
Grade IV0
Other pre-specifiedMedical Canthal Laxity Test Analysis of Change From Baseline to Day 180

This test provides medial canthal laxity by means of measuring displacement. The greater the distance, the more the laxity. To perform the medial canthal laxity test, pull the lower lid laterally away from the medial canthus and measure displacement of medial punctum. Grade 0 (\<2mm displacement), Grade I (approx 2mm displacement), Grade II (approx 3mm displacement), Grade III (\>3mm displacement), Grade IV (does not return to baseline after release and blinking).

Time frame:
180-Day
Reported as:
Count of participants · Participants
Medical Canthal Laxity Test Analysis of Change From Baseline to Day 180
ParticipantsRenuvion APR System Treatment
Grade 015
Grade I0
Grade II0
Grade III0
Grade IV0
Other pre-specifiedLateral Canthal Laxity Test Analysis of Change From Baseline to Day 30

This test provides lateral canthal laxity by means of measuring displacement. The greater the distance, the more the laxity. To perform the lateral canthal laxity test, pull the lower lid medially away from the lateral canthus and measure displacement of lateral canthal corner. Grade 0 (\<2mm displacement), Grade I (2-4mm displacement), Grade II (4-6mm displacement), Grade III (\>6mm displacement), Grade IV (does not return to baseline after release and blinking).

Time frame:
30-Day
Reported as:
Count of participants · Participants
Lateral Canthal Laxity Test Analysis of Change From Baseline to Day 30
ParticipantsRenuvion APR System Treatment
Grade 013
Grade I2
Grade II0
Grade III0
Grade IV0
Other pre-specifiedLateral Canthal Laxity Test Analysis of Change From Baseline to Day 90

This test provides lateral canthal laxity by means of measuring displacement. The greater the distance, the more the laxity. To perform the lateral canthal laxity test, pull the lower lid medially away from the lateral canthus and measure displacement of lateral canthal corner. Grade 0 (\<2mm displacement), Grade I (2-4mm displacement), Grade II (4-6mm displacement), Grade III (\>6mm displacement), Grade IV (does not return to baseline after release and blinking).

Time frame:
90-Day
Reported as:
Count of participants · Participants
Lateral Canthal Laxity Test Analysis of Change From Baseline to Day 90
ParticipantsRenuvion APR System Treatment
Grade 015
Grade I0
Grade II0
Grade III0
Grade IV0
Other pre-specifiedLateral Canthal Laxity Test Analysis of Change From Baseline to Day 180

This test provides lateral canthal laxity by means of measuring displacement. The greater the distance, the more the laxity. To perform the lateral canthal laxity test, pull the lower lid medially away from the lateral canthus and measure displacement of lateral canthal corner. Grade 0 (\<2mm displacement), Grade I (2-4mm displacement), Grade II (4-6mm displacement), Grade III (\>6mm displacement), Grade IV (does not return to baseline after release and blinking).

Time frame:
180-Day
Reported as:
Count of participants · Participants
Lateral Canthal Laxity Test Analysis of Change From Baseline to Day 180
ParticipantsRenuvion APR System Treatment
Grade 015
Grade I0
Grade II0
Grade III0
Grade IV0
Other pre-specifiedSubject Modified Global Aesthetic Improvement Scale (GAIS)

The subject will grade the overall improvement of treatment area as very much improved, much improved, improved, no change, worse, much worse, and very much worse.

Time frame:
90-Day
Reported as:
Count of participants · Participants
Subject Modified Global Aesthetic Improvement Scale (GAIS)
ParticipantsRenuvion APR System Treatment
Very Much Improved14
Much Improved1
Improved0
No Change0
Worse0
Much Worse0
Very Much Worse0
Other pre-specifiedSubject Modified Global Aesthetic Improvement Scale (GAIS)

The subject will grade the overall improvement of treatment area as very much improved, much improved, improved, no change, worse, much worse, and very much worse.

Time frame:
180-Day
Reported as:
Count of participants · Participants
Subject Modified Global Aesthetic Improvement Scale (GAIS)
ParticipantsRenuvion APR System Treatment
Very Much Improved10
Much Improved5
Improved0
No Change0
Worse0
Much Worse0
Very Much Worse0
Other pre-specifiedInvestigator Modified Global Aesthetic Improvement Scale (GAIS)

The investigator will grade the overall improvement of treatment area as very much improved, much improved, improved, no change, worse, much worse, and very much worse.

Time frame:
90-Day
Reported as:
Count of participants · Participants
Investigator Modified Global Aesthetic Improvement Scale (GAIS)
ParticipantsRenuvion APR System Treatment
Very Much Improved15
Much Improved0
Improved0
No Change0
Worse0
Much Worse0
Very Much Worse0
Other pre-specifiedInvestigator Modified Global Aesthetic Improvement Scale (GAIS)

The investigator will grade the overall improvement of treatment area as very much improved, much improved, improved, no change, worse, much worse, and very much worse.

Time frame:
180-Day
Reported as:
Count of participants · Participants
Investigator Modified Global Aesthetic Improvement Scale (GAIS)
ParticipantsRenuvion APR System Treatment
Very Much Improved14
Much Improved1
Improved0
No Change0
Worse0
Much Worse0
Very Much Worse0
Other pre-specifiedDay 180 Patient Satisfaction Questionnaire (PSQ)

At Day 180 Follow-Up visit, the study subjects will be asked to complete a subject satisfaction survey referring to the assessment of baseline photos, current photos, and a hand mirror. Yes/No - did you notice any improvement in your lower eyelid area? If yes, checkbox - improvement in wrinkles, less sagging skin, smother skin texture, other. How would you characterize your satisfaction with the treatment - very satisfied, satisfied, slightly satisfied, neither satisfied or dissatisfied, slightly dissatisfied, dissatisfied, very dissatisfied. Yes/No - would you recommend this treatment to your friends and family members.

Time frame:
180-Day
Reported as:
Count of participants · Participants
Day 180 Patient Satisfaction Questionnaire (PSQ)
ParticipantsRenuvion APR System Treatment
Improvement Noticed — Yes15
Improvement Noticed — No0
Improvement in Wrinkles — Yes7
Improvement in Wrinkles — No8
Less Sagging Skin — Yes12
Less Sagging Skin — No3
Smoother Skin Texture — Yes11
Smoother Skin Texture — No4
Level of Satisfaction (Very Satisfied, Satisfied, Slightly Satisfied) — Yes15
Level of Satisfaction (Very Satisfied, Satisfied, Slightly Satisfied) — No0
Yes, would recommend to friends & family — Yes15
Yes, would recommend to friends & family — No0
Other pre-specifiedAverage Pain at Procedure Day Reported by Subject

Study subjects will be asked to complete a 11-point Numeric Rating Scale (NRS) for the level of pain and discomfort associated with the study procedure. Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

Time frame:
Procedure Day 0 Following Study Treatment (within 60 minutes post procedure)
Reported as:
Count of participants · Participants
Average Pain at Procedure Day Reported by Subject
ParticipantsRenuvion APR System Treatment
016
10
20
30
40
50
60
70
80
90
100
Other pre-specifiedAverage Pain at Day 1 Reported by Subject

Study subjects will be asked to complete a 11-point Numeric Rating Scale (NRS) for the level of pain and discomfort associated with the study procedure. Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

Time frame:
1-Day
Reported as:
Count of participants · Participants
Average Pain at Day 1 Reported by Subject
ParticipantsRenuvion APR System Treatment
016
10
20
30
40
50
60
70
80
90
100
Other pre-specifiedAverage Pain at Day 3 Reported by Subject

Study subjects will be asked to complete a 11-point Numeric Rating Scale (NRS) for the level of pain and discomfort associated with the study procedure. Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

Time frame:
3-Day
Reported as:
Count of participants · Participants
Average Pain at Day 3 Reported by Subject
ParticipantsRenuvion APR System Treatment
016
10
20
30
40
50
60
70
80
90
100
Other pre-specifiedAverage Pain at Day 7 Reported by Subject

Study subjects will be asked to complete a 11-point Numeric Rating Scale (NRS) for the level of pain and discomfort associated with the study procedure. Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

Time frame:
7-Day
Reported as:
Count of participants · Participants
Average Pain at Day 7 Reported by Subject
ParticipantsRenuvion APR System Treatment
016
10
20
30
40
50
60
70
80
90
100
Other pre-specifiedAverage Pain at Day 30 Reported by Subject

Study subjects will be asked to complete a 11-point Numeric Rating Scale (NRS) for the level of pain and discomfort associated with the study procedure. Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

Time frame:
30-Day
Reported as:
Count of participants · Participants
Average Pain at Day 30 Reported by Subject
ParticipantsRenuvion APR System Treatment
015
10
20
30
40
50
60
70
80
90
100
Other pre-specifiedAverage Pain at Day 90 Reported by Subject

Study subjects will be asked to complete a 11-point Numeric Rating Scale (NRS) for the level of pain and discomfort associated with the study procedure. Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

Time frame:
90-Day
Reported as:
Count of participants · Participants
Average Pain at Day 90 Reported by Subject
ParticipantsRenuvion APR System Treatment
015
10
20
30
40
50
60
70
80
90
100
Other pre-specifiedAverage Pain at Day 180 Reported by Subject

Study subjects will be asked to complete a 11-point Numeric Rating Scale (NRS) for the level of pain and discomfort associated with the study procedure. Rating Scale where 0 is "No Pain" and 10 is "Worst Possible Pain"

Time frame:
180-Day
Reported as:
Count of participants · Participants
Average Pain at Day 180 Reported by Subject
ParticipantsRenuvion APR System Treatment
015
10
20
30
40
50
60
70
80
90
100

Adverse events

Collected over Through Day 180 follow-up visit.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Renuvion APR System Treatment0/16 (0%)0/16 (0%)14/16 (87.5%)
Most frequent other events
Most frequent other events
EventRenuvion APR System Treatment
Bruise (ETE)Skin and subcutaneous tissue disorders14/16
Edema (ETE)Skin and subcutaneous tissue disorders13/16
Contact DermatitisSkin and subcutaneous tissue disorders1/16

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Renuvion APR System Treatment
Mean48.1 ± 9.3
Sex: Female, Male
Sex: Female, Male(Participants)Renuvion APR System Treatment
Female13
Male3
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Renuvion APR System Treatment
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White16
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Renuvion APR System Treatment
Greece16
NRS for Pain
NRS for Pain(Participants)Renuvion APR System Treatment
016
10
20
30
40
50
60
70
80
90
100
Snap-Back Test Grade
Snap-Back Test Grade(Participants)Renuvion APR System Treatment
Grade 00
Grade I9
Grade II3
Grade III4
Grade IV0
Medial Canthal Laxity Test Grade
Medial Canthal Laxity Test Grade(Participants)Renuvion APR System Treatment
Grade 01
Grade I14
Grade II1
Grade III0
Grace IV0
Lateral Canthal Laxity Test Grade
Lateral Canthal Laxity Test Grade(Participants)Renuvion APR System Treatment
Grade 01
Grade I14
Grade II1
Grade III0
Grade IV0
08

Study locations

1 site
  • Metropolitan General Hospital
    Athens, 15562, Greece
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2022 to primary completion in Mar 2024, 16 months.

Results were first posted in Mar 2025, 1 year after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 31, 2022
First posted
Nov 4, 2022
StartActual
Oct 11, 2022
Primary completionActual
Mar 5, 2024
CompletionActual
Mar 5, 2024
Results first posted
Mar 26, 2025
Last update
Mar 26, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05605691
Lead sponsor
Apyx Medical
Responsible party
Sponsor
First posted
Nov 4, 2022
Start date
Oct 11, 2022
Primary completion
Mar 5, 2024
Completion
Mar 5, 2024
Results posted
Mar 26, 2025
Last update
Mar 26, 2025

Study contacts

Aris Sterodimas, MD
principal investigator · Metropolitan General Hospital

Oversight

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

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This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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