ClinicalTrials.gg
CompletedNCT05776836HAtrophyUpdated Mar 13, 2025

Evaluation of HA Dermal Fillers in the Treatment of Pathological Facial Lipoatrophy

An interventional study of Dermal filler in Facial Lipoatrophy (FLA), sponsored by Symatese. Completed at 3 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-13.

Sponsored by Symatese · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Facial lipoatrophy (FLA) refers to the loss of adipose tissue and is manifested by flattening or indentation of convex contours of the face. Most frequently, the subcutaneous layer is affected and most common locations of adipose tissue loss are the cheeks, temples, preauricular, orbital or perioral and oral areas. Most common etiology for FLA is related to HIV. In 1998, first FLA was described in Subjects under highly active antiretroviral therapy (HAART). Currently, no specific treatment for FLA is known. For HIV-associated FLA, the European AIDS Clinical Society (EACS) recommends in prevention, the avoidance of some ART (Active Antiretroviral therapy) such as stavudine and zidovudine. In corrective purpose, the switch of ART is advisable as well as surgical intervention involving dermal fillers.

Different filling treatment options are available to treat volume defect on FLA Subjects including PolyLactic Acid (PLLA) (i.e.; Sculptra®), Calcium hydroxyapatite ( CaHa - i.e.: Radiesse®), autologous fat graft and hyaluronic acid (HA). Several studies shown promising results for the use of HA in this indication with good reconstructive and aesthetic outcomes, excellent safety profile and comparable to the autologous fat transfer treatment. HA fillers are described as voluming agents for treatment of FLA associated with fat wasting disorders, lasting at least 6 months but the persistent volumetric effect depends on HA crosslinking level and concentration.

Read the detailed description

The study is a pilot, prospective, multicenter, proof-of-concept clinical trial that aims to evaluate the safety and efficacy of FASY F and FASY P products for the treatment of FLA.

02

Conditions studied

  • Facial Lipoatrophy (FLA)

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Keywords

  • Hyaluronic acid
  • Dermal fillers
  • Lipoatrophy
03

In context

Lipodystrophy

139 studies on the registry are indexed under Lipodystrophy; 10 are open to participants now.

This study's enrollment of 30 is below the median of 46 across 97 interventional studies indexed under Lipodystrophy.

Browse Lipodystrophy studies →

Lead sponsor

Symatese is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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. Sex: male or female.
  2. Age: 18 years and older.
  3. If female of , must have a negative urine pregnancy test before the first injection and use a reliable form of for more than 12 weeks prior to screening and throughout the investigation.

    Note: to be considered females of non-child-bearing potential, females must be surgically sterile or or under highly effective birth control methods as: combined hormonal contraception (containing estrogens and progestogen) associated with inhibition of ovulation (oral, intravaginal, transdermal); progestogen only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable); intrauterine device (IUD); intrauterine hormone-releasing system (IUS); bilateral tubal occlusion; vasectomized partner; sexual abstinence documented in medical history for at least 1 year.

  4. In case of :

    • HIV infection with a non-detectable viral charge (viral load \<50 copies/mL) confirmed by a recent blood analysis.
    • Patient with count greater than 50,000 cells/L by a recent blood analysis.
  5. Patient with mild to moderate facial lipoatrophy based on "Ascher lipoatrophy Scale" scale (grade II to IV).
  6. Patient, having given freely and expressly his/her .
  7. Patient who is able to comply with the study requirements, as defined in the present clinical investigation protocole, at the Investigator's appreciation.
  8. Patient being affiliated to a health social security system.

Exclusion criteria

Exclusion Criteria:

  1. Pregnant and breastfeeding women
  2. Subject who is deprived of their freedom by administrative or legal decision.
  3. Subject living in a social or sanitary establishment.
  4. Major subject who is under guardianship or who is not able to express his consent.
  5. Subject being in an exclusion period for a previous study or with a current or recent (\<3 months) participation in another study involving a drug or combined device with drug.
  6. Subject who has scars, moles, sunburn, too many hairs, or other blemishes in the test area (face) which would interfere with the evaluation.
  7. Subject suffering from a severe or progressive disease or any other pathology that may interfere with the evaluation of the study results: diabetes, pathology, cardiac pathologies, hepatic deficiency, epilepsy, porphyria (other than and related HIV disease).
  8. Subject who has a known history of severe multiple allergies, angioedema or anaphylactic shock.
  9. Subject with a known allergy or to Hyaluronic Acid or local anesthesia (Lidocaine or anesthetics of the amide type or any of the )
  10. Subject with an acute inflammatory process or active skin disease, or related conditions, such as infection, psoriasis, rosacea, acne, blotches or other pathology near or on the injection sites with the potential to interfere with the study results or increase the risk of Adverse Events at the Investigator appreciation (other than HIV and related HIV disease).
  11. Subject with a past history of severe streptococcal disease or an active streptococcus infection.
  12. Subject predisposed to keloid or hypertrophic scarring.
  13. Subject with a disorder that may impact wound healing such as connective tissue or disorder (other than HIV and related HIV disease).
  14. Subject with a history of precancerous lesions/skin on the injection sites.
  15. Subject with history of hyper- or hypo-pigmentation on the face.
  16. Subject with a known bleeding disorder or receiving medication that will likely increase the risk of bleeding during treatment, at the Investigator appreciation.
  17. Subject having received high dose of Lidocaine (more than 200mg) and/or high dose of anesthetics structurally related to amide-type within the past week.
  18. Subject having received chemotherapy agents, immunosuppressive medications or systemic within the past 3 months.
  19. Patient having taken high-dose aspirin, anti-inflammatories, antiplatelet, thrombolytic during the week before the injection session.
  20. Subject having received within the past 12 months any injections including nonpermanent fillers (e.g., Hyaluronic Acid, CaHA), mesotherapy or neurotoxin near or on the cheeks and/or cheekbones and/or infraorbital hollows or plan to undergo such treatment during the study.
  21. Subject with prior permanent implant or treatment with non-HA or non-collagen filler near or on the cheeks and/or cheekbones and/or infraorbital hollows or plan to implement these products at any time during the study.
  22. Subject having received within the past 6 months mesotherapy, resurfacing laser, photo modulation, intense pulsed light, radio frequency, photo-rejuvenation, dermabrasion, chemical peel, or other ablative or none ablative procedures near or on cheekbones and/or infraorbital hollows.
  23. Subject with subcutaneous retaining structure on the face (meshing, threads, gold strand etc.).
  24. Patient having received fat grafting within the past 12 months
  25. Other condition preventing the subject to participate the study in the Investigator's opinion: subject deemed unreliable or incapable of understanding and complying with the study assessment or unrealistic expectations of treatment results.
  26. Subject willing to perform any aesthetic treatment on the face other than treatment planned in the protocol during the study period.
  27. Subject who have planned an intensive exposure to sunlight or UV-rays in the 2 weeks following injection.
Terms in these criteria, in plain language(13)

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

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.

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.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    FASY

    Subjects will be consecutively included to receive FASY F in cheeks and nasolabial folds and FASY P in periorbital areas.

    Device: Dermal filler

Interventions

  • DeviceDermal filler

    Subjects will be consecutively included to receive FASY F in nasolabial folds and cheeks and FASY P in periorbital areas.

06

What researchers measure

Primary outcomes

  1. Proportion of subjects with at least one Injection Site Reaction within 30 days after the last injection.

    Recording of the occurrence of local injection site reactions for each injection areas (cheeks, nasolabial folds, periorbital). Assessed by investigators.

    Time frame: 30 days visit after the last injection.

Secondary outcomes

  1. Injection Site Reactions present within the 14 days of the last injection.

    Recording in a daily diary of the presence and severity of local injection site reactions for each injection areas (cheeks, nasolabial folds, periorbital). Assessed by patients.

    Time frame: During 14 days after the last injection.

  2. Global safety evaluation

    Collection of Adverse Event assessed and recorded by investigators.

    Time frame: Day 30, Month 3, Month 6, Month 9 and Month 12 after the last injection.

  3. Visual analogic scale pain assessment.

    Description: Assessment of pain using a 0-100mm Visual Analogue Scale for each injection area. (0 corresponds to no pain and 100 corresponds to the highest pain that can be felt).

    Time frame: Immediately after the injection (for initial injection only)

  4. Lipoatrophy severity modification

    Assessemnt of the level of facial lipoatrophy using Ascher Lipoatrophy Scale, a 5-point scale ranking from grade 1: Mild flattening or shadowing of one or more facial regions to grade 5: Severe indentation of one or more facial regions. The lower the score, the better the aesthetic result. Assessed by investigators.

    Time frame: Baseline, Day 30, Month 3, Month 6, Month 9 and Month 12 after the last injection.

  5. Facial volume quantification

    Quantitative measure of cheeks, nasolabial fold and infraorbital hollows volumes (in milliliter) measured using Quantificare® program based on 3D LIFEVIZ mini® photographs.

    Time frame: Baseline, Day 30, Month 3, Month 6, Month 9 and Month 12 after the last injection.

  6. Quality of life assessement

    Assessment of patient's quality of life using the Facial Appearance Inventory scale, a 7-grade scale ranking from 1:very negative to 7: very positive. The higher the score, the better the quality of life. Assessed by patients.

    Time frame: Day 30, Month 3, Month 6, Month 9 and Month 12 after the last injection.

  7. Patient Global aesthetic improvement

    Aesthetic improvement of the face will be assessed using the Global Aesthetic Improvement Scale, a 5-point scale ranking from 1: Very much improved to 5: worse. The lower the score, the better the aesthetic result. Assessed by subjects.

    Time frame: Before touch-up, if any, then at Day 30, Month 3, Month 6, Month 9 and Month 12 after the last injection..

  8. Investigator Global aesthetic improvement

    Aesthetic improvement of the face will be assessed using the Global Aesthetic Improvement Scale, a 5-point scale a 5-point scale ranking from 1: Very much improved to 5: worse. The lower the score, the better the aesthetic result. Assessed by investigators.

    Time frame: Before touch-up, if any, then at Day 30, Month 3, Month 6, Month 9 and Month 12 after the last injection.

  9. Implant card readability.

    Assessment of the reading and understanding of the FASY F or FASY P implant card by 15 subjects using a questionnaire on which the text present on the implant card must be identified and reported.

    Time frame: Day 0

07

Study locations

3 sites
  • THINKIN
    Paris, Ile De France 75116, France
  • Dermatology practice
    Saint-Maur-des-Fossés, Ile De France 94100, France
  • Palais de Flore
    Lyon, Rhone 69006, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2023 to primary completion in Dec 2023, 3 months.

Of 23 interventional studies with no phase under Lipodystrophy, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 23. This study's 3 months is below that.

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

Registered
Feb 24, 2023
First posted
Mar 20, 2023
StartActual
Aug 28, 2023
Primary completionActual
Dec 13, 2023
CompletionActual
Nov 26, 2024
Last update
Mar 13, 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 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05776836
Lead sponsor
Symatese
Collaborators
EVAMED
Responsible party
Sponsor
First posted
Mar 20, 2023
Start date
Aug 28, 2023
Primary completion
Dec 13, 2023
Completion
Nov 26, 2024
Last update
Mar 13, 2025

Oversight

Data monitoring committee
Yes
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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