ClinicalTrials.gg
RecruitingNCT07126912Updated Sep 2, 2025

Evaluation of Efficacy and Safety of Alcarisa (Hyaluronic Acid Produced by Espad Pharmed Co.) for Restoration of Mid-face Volume

An interventional study of Alcarisa (hyaluronic acid filler) in Mid Face Volume Deficit, sponsored by Espad Pharmed. Recruiting at 2 sites in Iran. Open to participants aged 30 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-09-02.

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

From the registry’s dates

  • Registered 6 months after the study started (first participant enrolled Jan 2025, registered Aug 2025).
  • Started Jan 2025; still recruiting 1 year 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
30 Years to 65 Years
Sex
All
01

Study summary

Mid-face volume loss is a factor affecting beauty that makes people feel uncomfortable about themselves. The purpose of this study is to evaluate the efficacy and safety of Hyaluronic Acid injection with the brand name Alcarisa®, manufactured by Espad Pharmed Co., for treatment of this condition.

The intervention consisted of a single treatment session, injecting 2 to 4 cc of gel into the zygomaticomalar area, and, if deemed by the physician, into the anteromedial cheek and submalar areas on each side of the face.

The patient underwent digital photography at the following time points: before injection, immediately after injection, and at 4, 12, and 24 weeks post-injection. The physician then used these photographs to evaluate the product's efficacy and safety based on predefined measurements. In addition, participant satisfaction was assessed at the same time intervals.

02

Conditions studied

  • Mid Face Volume Deficit
03

In context

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
30 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

  • Men and women aged 30 to 65 years
  • Individuals with moderate to significant mid-face volume loss (score 3 to 4) based on changes in MFVDS (in cases of asymmetry between the two sides of the face, the more severe side will be considered)
  • Ability to comply with visit schedules and study procedures
  • Signed the form and agreed to 6-month follow-up

Exclusion criteria

Exclusion Criteria:

  • History of Type I reactions or anaphylaxis
  • Known allergy or sensitivity to any components of the filler, lidocaine, or to proteins from the HA-producing microorganisms (Streptococci)
  • History of hypertrophic or keloid scarring, or bleeding disorders in the injection area
  • Active inflammatory processes, infections, lesions (malignant or benign), or scars in the injection area
  • History of streptococcal diseases (such as recurrent sore throat or acute rheumatic fever) in the past 6 months
  • History of /immunodeficiency diseases, or use of drugs during the 6 months prior to or during the study
  • History of surgery or trauma in the injection area within the past 6 months
  • Use of antiplatelet drugs within 72 hours prior to treatment, or anticoagulants within 2 weeks prior to or during treatment
  • Use of drugs that reduce or inhibit hepatic metabolism (e.g., cimetidine, beta-blockers) due to the presence of lidocaine
  • Pregnancy, breastfeeding, or plans to become pregnant in the near future during the study
  • Undergoing or planning to undergo cosmetic treatments in the near future during the study, such as:

    1. Botulinum toxin type A injections below the zygomatic arch during the 6 months prior to study entry
    2. Previous injections of temporary dermal fillers (e.g., bovine collagen, hyaluronic acid) in the facial area within 1 year prior to study entry
    3. Use of calcium hydroxyapatite, poly-L-lactic acid, or permanent fillers (e.g., silicone), or fat injections in the injection area at any time before or during 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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    Alcarisa (hyaluronic acid filler, produced by Espad Pharmed Co.)

    A single injection of Alcarisa filler with a maximum dose of 2 to 4 cc , was administered in the zygomaticomalar area, and if deemed appropriate by the physician, also in the anteromedial cheek and submalar areas on each side of the face.

    Device: Alcarisa (hyaluronic acid filler)

Interventions

  • DeviceAlcarisa (hyaluronic acid filler)

    A single injection of Alcarisa filler with a maximum dose of 2 to 4 cc , was administered in the zygomaticomalar area, and if deemed appropriate by the physician, also in the anteromedial cheek and submalar areas on each side of the face.

06

What researchers measure

Primary outcomes

  1. At least one-grade reduction in Midface volume deficit scale (MFVDS)

    At least a one-grade reduction from baseline in Midface volume deficit scale (MFVDS), as assessed by an independent physician based on photographs, where 0 represents no volume deficit and 5 represents severe volume deficit

    Time frame: Baseline, 4 weeks after injection

Secondary outcomes

  1. At least a one-grade reduction in Midface volume deficit scale (MFVDS)

    At least a one-grade reduction from baseline in Midface volume deficit scale (MFVDS) as assessed by an independent physician based on photographs, where 0 represents no volume deficit and 5 represents severe volume deficit

    Time frame: Baseline, 12 and 24 weeks after injection

  2. Depth of the right and left nasolabial folds

    Depth of the right and left nasolabial folds, measured using standard frontal facial photographs taken with the Visioface device and analyzed via CSI software

    Time frame: 4,12, and 24 weeks after injection

  3. Surface area of the right and left nasolabial folds

    Surface area of the right and left nasolabial folds, measured using standard frontal facial photographs taken with the Visioface device and analyzed via CSI software

    Time frame: 4,12, and 24 weeks after injection

  4. Volume of the right and left nasolabial folds

    Volume of the right and left nasolabial folds, measured using standard frontal facial photographs taken with the Visioface device and analyzed via CSI software

    Time frame: 4,12, and 24 weeks after injection

  5. Pain severity during injection

    evaluated using the Visual Analogue Scale (VAS) from 0 to 10, where 0 indicates no pain at all and 10 indicates the maximum imaginable pain

    Time frame: Intervention (day 0)

  6. Participants satisfaction

    Participants' satisfaction assessed using the Visual Analogue Scale (VAS) from 0 to 10, where 0 represents complete dissatisfaction and 10 represents complete satisfaction

    Time frame: at 4, 12, and 24 weeks after injection

  7. Assessment of midface area improvement

    Assessment of midface area improvement, based on the Global Aesthetic Improvement Scale (GAIS) as judged by the investigator compared to baseline, where 0 means the condition has been worsened and 4 represents excellent improvement

    Time frame: at 4, 12, and 24 weeks after the injection

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

    All observed or reported adverse events immediately after injection, as well as 4, 12, and 24 weeks after injection, should be mentioned along with the severity grade (mild = 1, moderate = 2, and severe = 3).

    Time frame: Immediately after injection; 4, 12, and 24 weeks after injection

07

Study locations

2 of 2 sites recruiting
  • Center for Research and Training in Skin Disease and Leprocy
    Tehran, Tehran Province 1416613675, Iran
    Recruiting
    • Alireza firooz, doctorate · Contactfirozali@tums.ac.ir · 02188972220
    • Alireza Firooz · Principal investigator
    • Mansour Nasiri Kashani · Sub investigator
    • Azin Ayatollahi · Sub investigator
    • Saman Ahmadnasrollahi · Sub investigator
    • Ensiyeh Samadi · Sub investigator
    • Taraneh Yazdanparast · Sub investigator
    • Amir Houshang Ehsani · Sub investigator
  • Orchid Pharmed, Medical Department
    Tehran, Tehran Province 19947-66411, Iran
    Recruiting
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 reached

Ran from Jan 2025 to primary completion in Apr 2025, 3 months.

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

Registered
Aug 10, 2025
First posted
Aug 17, 2025
StartActual
Jan 28, 2025
Primary completionActual
Apr 28, 2025
CompletionEst.
Oct 30, 2025
Last update
Sep 2, 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 Sep 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07126912
Lead sponsor
Espad Pharmed
Responsible party
Sponsor
First posted
Aug 17, 2025
Start date
Jan 28, 2025
Primary completion
Apr 28, 2025
Completion
Oct 30, 2025 (estimated)
Last update
Sep 2, 2025

Oversight

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

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