ClinicalTrials.gg
RecruitingNCT07014163Updated Jun 10, 2025

Evaluating the Efficacy and Safety of Embella (Deoxycholic Acid, Produced by Espad Pharmed Co.) Injection in the Management of Superficial Lipomas

An interventional study of Embella (Deoxycholic acid, produced by Espad Pharmed Co.) in Lipoma, sponsored by Espad Pharmed. Recruiting at 2 sites in Iran, Islamic Republic of. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-06-10.

Sponsored by Espad Pharmed · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Mar 2026, 7 months ago, but the record still lists the study as recruiting.
  • Registered 11 months after the study started (first participant enrolled May 2024, registered May 2025).
  • Started May 2024; still recruiting 2 years 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Lipoma is a relatively common, slow-growing mesenchymal neoplasm originating from adipose tissue. Patients seek treatment for lipomas for various reasons, such as concerns about their growth and spread, aesthetic issues, or worries about the compressive effects of the lipoma. Lipomas are typically removed surgically through excision, which can have complications including bleeding, infection, scarring, and recurrence. Other mentioned treatment methods include liposuction, laser, and medicinal approaches.

Purified synthetic deoxycholic acid has been introduced as the first pharmacological intervention approved by the FDA for the reduction of submental fat. Deoxycholic acid is a type of bile acid that, due to its ability to cause non-selective cell lysis and disruption of adipocyte membranes (adipocytolysis), leads to emulsification of fat in the intestine.

This is an interventional (pre-post), single-arm, and open-label study to evaluate the efficacy and safety of Embella (Deoxycholic acid, produced by Espad Pharmed Co.) for the management of superficial lipomas.

02

Conditions studied

  • Lipoma

Browse trials for

03

In context

Lipoma

22 studies on the registry are indexed under Lipoma; 6 are open to participants now.

This study's planned enrollment of 10 is below the median of 30 across 17 interventional studies indexed under Lipoma.

Browse Lipoma studies →

Lead sponsor

Espad Pharmed is the lead sponsor of 8 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 to 65 Years
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. Men and women aging between 18 to 65 years
  2. Having at least one lipoma (based on clinical and sonographic diagnosis), which is accessible for treatment and assessment and is quantifiable along at least 2 perpendicular diameters and lower than 2 centimeter in depth, with the following characteristics:

    • History of slow growth followed by dormancy
    • Being stable for at least 6 months
    • Greatest length by greatest perpendicular width between 4 and 4 square centimeters
    • Inclusive discrete, oval to rounded in shape, not hard or attached to underlying tissue
    • Located on the trunk, upper and lower limbs, far from main and vulnerable neurovascular structures
  3. Stable body weight with a of less than 30 kg/m² in the past three months
  4. Signed
  5. Ability to follow study instructions and likely to complete all required visits
  6. Agreement to abstain from any treatment for lipomas during the study

Exclusion criteria

Exclusion Criteria:

  1. Any medical and physical conditions (for example, high blood pressure or respiratory, cardiovascular, liver, neurological, or thyroid disorders) that, in the opinion of the attending physician, affect the evaluation of the efficacy and safety of the product.
  2. Known allergy or sensitivity to the study medication or its components
  3. Females who are pregnant or breastfeeding, or expecting to conceive children within the projected duration of study
  4. Current enrollment in an drug or device study or participation in such a study within 30 days of entry into this study and for the duration of the study.
  5. Previous treatment for lipomas
  6. Subjects planning a surgical procedure for lipoma during the study or at any time that may affect the evaluation
  7. Subjects with volume deficit due to trauma, abnormalities in adipose tissue related to immune-mediated diseases such as generalized lipodystrophy (e.g., juvenile dermatomyositis), partial lipodystrophy (e.g., Barraquer-Simons syndrome) or -related disease
  8. Evidence of recent alcohol or drug abuse
  9. Medical and/or psychiatric problems that are severe enough to interfere with the study results
  10. Known bleeding disorder or receiving medication that will likely increase the risk of bleeding after injection
  11. Having a tendency to develop hypertrophic scarring
  12. Having a history of anaphylaxis or allergy to lidocaine (or any amide-based anesthetics), hyaluronic acid products, or Streptococcal protein
  13. Having an active inflammation, dermatoses, infection, cancerous or precancerous lesion, or unhealed wound in the site of lipoma
  14. Having a condition or being in a situation that, in the investigator's opinion, may put the subject at significant risk, may confound the study results, or may interfere significantly with the subject's participation in the study
Terms in these criteria, in plain language(4)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

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.

05

Study design

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

Study arms

  • Experimental
    Embella (Deoxycholic acid, produced by Espad Pharmed Co.)

    During each treatment, 0.1 mL or 0.15 mL of a 10 mg/mL deoxycholic acid solution will be injected into every 1\*1 cm2 of the lipoma using an insulin syringe with a 1cm needle attached (the max volume of injection is 2 cc in each treatment session). Pressure will be applied directly to the site of injection for several seconds to prevent local bleeding and an adhesive dressing will be applied. The injection will be done at visit 1 (day 0) for everyone and at visits 2 (week 4) and 3 (week 8) as touch-up injections if needed (treatment will be continued until the patient is satisfied with the lipoma's response to the injection, for a max of 3 injections).

    Device: Embella (Deoxycholic acid, produced by Espad Pharmed Co.)

Interventions

  • DeviceEmbella (Deoxycholic acid, produced by Espad Pharmed Co.)

    0.1 mL or 0.15 mL of a 10 mg/mL deoxycholic acid solution will be injected into every 1\*1 cm2 of the lipoma using an insulin syringe with a 1cm needle attached (the max volume of injection is 2 cc in each treatment session).

06

What researchers measure

Primary outcomes

  1. Percentage of calculated volume change of lipoma in participants

    Percentage of calculated volume change from baseline to week 16 based on ultrasound evaluation in participants

    Time frame: Baseline and week 16

  2. Percentage of lipoma size change in participants

    Percentage of lipoma size change from baseline to week 16 based on both ultrasound evaluation and objective evaluation (using flexible meter) in participants

    Time frame: Baseline and week 16

  3. Percentage of participant with lipoma size change more than 50%

    Percentage of participant with size change more than 50% from baseline to week 16

    Time frame: Baseline and week 16

  4. Score of patient satisfaction

    The score is evaluated by the answers of two questions: 1. How satisfied are you with the result of your injections? The scales are from 1 to 5, 1 indicating very dissatisfied, and 5 indicating very satisfied. 2. Knowing what you know now, how likely is it that you would choose this method again for your initial problem? The scales are: 1 indicating very likely, 3 indicating somewhat likely, and 5 indicating unlikely.

    Time frame: Week 16

Secondary outcomes

  1. Percentage of participants requiring touch-up injection

    Percentage of participants requiring touch-up injection (week 4 and week 8)

    Time frame: Week 4 and week 8

  2. Percentage of participants requiring surgical removal

    Percentage of participants requiring surgical removal in 4 months after injections

    Time frame: Week 16

  3. Number of injections needed to achieve favorable result

    Number of injections needed to achieve favorable result

    Time frame: Week 16

  4. The change in diameter of lipoma compared to baseline

    The change in diameter of lipoma compared to baseline (week 4 and 8) based on ultrasound evaluation

    Time frame: Baseline, week 4, and week 8

  5. The change in volume of lipoma compared to baseline

    The change in volume of lipoma compared to baseline (week 4 and 8) based on ultrasound evaluation

    Time frame: Baseline, week 4, and week 8

  6. The change in depth of lipoma compared to baseline

    The change in depth of lipoma compared to baseline (week 4 and 8) based on ultrasound evaluation

    Time frame: Baseline, week 4, and week 8

  7. Safety assessment by evaluation of the severity of adverse events (AEs)

    The severity of AEs is assessed at all visits, based on the physician's judgment.

    Time frame: Screening visit, Visit 1 (Day 0), Visit 2 (week 4), Visit 3 (week 8), Visit 4 (week 16)

  8. Safety assessment by evaluation of the seriousness of adverse events (AEs)

    The seriousness of AEs is assessed at all visits, in accordance with the International Council for Harmonization (ICH-E2B) guidelines.

    Time frame: Screening visit, Visit 1 (Day 0), Visit 2 (week 4), Visit 3 (week 8), Visit 4 (week 16)

  9. Safety assessment by evaluation of causality of adverse events (AEs)

    The causality of AEs is assessed at all visits, based on World Health Organization (WHO) criteria.

    Time frame: Screening visit, Visit 1 (Day 0), Visit 2 (week 4), Visit 3 (week 8), Visit 4 (week 16)

07

Study locations

1 of 2 sites recruiting
  • Orchid Pharmed, Medical Department
    Tehran, 19947-66411, Iran, Islamic Republic of
    Completed

    Not enrolling at this site.

  • Razi hospital
    Tehran, Iran, Islamic Republic of
    Recruiting
    • Kamran Balighi, Professor · Contact+9852888282
08

References and documents

Individual participant data

Plan to share: No — Data produced in the present study are available upon reasonable request from the investigators.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started May 2024 (actual). Primary completion is estimated for Mar 2026, 21 months after the start.

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

Registered
May 20, 2025
First posted
Jun 10, 2025
StartActual
May 21, 2024
Primary completionEst.
Mar 20, 2026
CompletionEst.
Jun 20, 2026
Last update
Jun 10, 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 Jun 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07014163
Lead sponsor
Espad Pharmed
Responsible party
Sponsor
First posted
Jun 10, 2025
Start date
May 21, 2024
Primary completion
Mar 20, 2026 (estimated)
Completion
Jun 20, 2026 (estimated)
Last update
Jun 10, 2025

Study contacts

Hamidreza kafi, PHD
Contact
Kafi.H@orchidpharmed.com
+982143473000
Kamran Balighi, Prof. Derm
Contact
Kamran.Balighi@yahoo.com
Kamran Balighi
principal investigator · Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Oversight

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

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