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Phase 2 Study for the Treatment of Superficial Lipomas

Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study of the Safety and Efficacy of ATX-101 (Sodium Deoxycholate for Injection) Intralipomal Injections for the Treatment of Superficial Lipomas

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00608842
Enrollment
62
Registered
2008-02-06
Start date
2007-11-30
Completion date
2010-01-31
Last updated
2016-01-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lipoma

Brief summary

The purpose of this research is to compare the safety and effectiveness of 3 different concentrations of deoxycholic acid for injection against a placebo in the treatment of superficial lipomas.

Detailed description

A lipoma is a fatty lump typically located on the trunk, shoulder, arms, or legs. For the purposes of this study, only lipomas on the trunk, arms, legs, or neck were treated. (Lipomas on the face, wrists, hands, lower portion of the spine, genitals, ankles, or feet were not treated.)

Interventions

Administered via intralipomal injection.

DRUGPlacebo

Matching vehicle placebo administered via intralipomal injection.

Sponsors

Kythera Biopharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* One or more lipomas, based on clinical and histological diagnosis, which are accessible for treatment and assessment, are quantifiable along at least 2 perpendicular diameters, and have the following characteristics: * History of slow growth followed by dormancy, and stable for at least 6 months * Greatest length multiplied by greatest perpendicular width between 1 and 16 cm², inclusive * Discrete, oval to rounded in shape, not hard or attached to underlying tissue * Without changes in overlying skin (ie, inflammation, pain or tenderness, hyperpigmentation) * Located on the trunk, arms, legs, or neck * Signed informed consent.

Exclusion criteria

* Absence of significant medical conditions that could affect safety * History of surgical or deoxycholate treatment for lipomas * Treatment with an investigational agent within 30 days before ATX-101 treatment

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis Abnormalities24 weeksAn abnormality is defined as a value outside the limits of the expanded normal range/notable range.
Number of Participants With Positive Histopathology Results at ScreeningScreening (prior to randomization)A needle core tissue sample biopsy was performed at screening for all treated lipomas.
Number of Participants With Positive Histopathology Results at Week 20Week 20After the completion of all tests and procedures scheduled for week 20, participants with treated lipomas that remained palpable could have their treated lipomas excised.
Number of Participants With Adverse Events (AEs)Up to 24 weeksSeverity of AEs was determined using the following scale: Mild: The participant was aware of a sign or symptom, but it was easily tolerated; Moderate: Discomfort or interference with usual activity; Severe: Incapacitating, with inability to engage in usual activity. The investigator determined the relationship of each AE to the administration of study material by answering the question: Was there a reasonable possibility that the event may have been caused by treatment with study material? A serious AE was an event that constituted a significant medical hazard or side effect, regardless of the investigator's or sponsor's opinion regarding relatedness to study material. Serious AEs included any event that was fatal or life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or other significant medical hazard.
Number of Participants With Clinically Significant Changes in Vital Signs or WeightUp to 24 weeks

Secondary

MeasureTime frameDescription
Percent Change From Baseline in the Sum of the Areas of All Treated LipomasBaseline and week 12 (last treatment session), week 16 (4 weeks after last treatment), and week 20 (8 weeks after last treatment)Percent change from baseline was calculated as the baseline total lipoma area - postbaseline total lipoma area / baseline total lipoma area \* 100. A positive change indicates a reduction in size.
Percentage of Participants With Complete Clearance or ≥ 75% ClearanceBaseline and week 20 (8 weeks after last dose)At randomization 1 to 3 lipomas were selected for treatment. Lipomas were measured in 3 dimensions (longest length, perpendicular width, and height if possible) using digital calipers. Complete clearance indicates target lipoma(s) not present or detectable, and ≥ 75% clearance is defined as a ≥ 75% reduction from baseline in the area of target lipoma(s). For participants with \> 1 target lipoma, the total area of all target lipomas was used in the calculation of response.

Countries

United States

Participant flow

Participants by arm

ArmCount
Deoxycholic Acid 1%
Participants received 1.0% deoxycholic acid administered at a volume dependent on the size of the lipoma, up to a maximum of 4.8 mL per treatment session, at 28-day intervals for up to a maximum of 4 treatments.
15
Deoxycholic Acid 2%
Participants received 2.0% deoxycholic acid administered at a volume dependent on the size of the lipoma, up to a maximum of 4.8 mL per treatment session, at 28-day intervals for up to a maximum of 4 treatments.
15
Deoxycholic Acid 4%
Participants received 4.0% deoxycholic acid administered at a volume dependent on the size of the lipoma, up to a maximum of 4.8 mL per treatment session, at 28-day intervals for up to a maximum of 4 treatments.
14
Placebo
Participants received matching placebo administered at a volume dependent on the size of the lipoma, up to a maximum of 4.8 mL per treatment session, at 28-day intervals for up to a maximum of 4 treatments.
17
Total61

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyLost to Follow-up1000
Overall StudyParticipant's Request0121

Baseline characteristics

CharacteristicDeoxycholic Acid 1%Deoxycholic Acid 2%Deoxycholic Acid 4%PlaceboTotal
Age, Continuous45.9 years
STANDARD_DEVIATION 9.5
48.5 years
STANDARD_DEVIATION 9.1
49.5 years
STANDARD_DEVIATION 10.5
45.5 years
STANDARD_DEVIATION 8.9
47.2 years
STANDARD_DEVIATION 9.4
Sex: Female, Male
Female
5 Participants5 Participants3 Participants6 Participants19 Participants
Sex: Female, Male
Male
10 Participants10 Participants11 Participants11 Participants42 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
12 / 1513 / 1514 / 1512 / 17
serious
Total, serious adverse events
1 / 150 / 151 / 150 / 17

Outcome results

Primary

Number of Participants With Adverse Events (AEs)

Severity of AEs was determined using the following scale: Mild: The participant was aware of a sign or symptom, but it was easily tolerated; Moderate: Discomfort or interference with usual activity; Severe: Incapacitating, with inability to engage in usual activity. The investigator determined the relationship of each AE to the administration of study material by answering the question: Was there a reasonable possibility that the event may have been caused by treatment with study material? A serious AE was an event that constituted a significant medical hazard or side effect, regardless of the investigator's or sponsor's opinion regarding relatedness to study material. Serious AEs included any event that was fatal or life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or other significant medical hazard.

Time frame: Up to 24 weeks

Population: Safety population (all participants who received at least 1 dose of study medication)

ArmMeasureGroupValue (NUMBER)
Deoxycholic Acid 1%Number of Participants With Adverse Events (AEs)Any adverse event12 participants
Deoxycholic Acid 1%Number of Participants With Adverse Events (AEs)Any adverse event leading to drug discontinuation1 participants
Deoxycholic Acid 1%Number of Participants With Adverse Events (AEs)Any serious adverse event1 participants
Deoxycholic Acid 1%Number of Participants With Adverse Events (AEs)Any treatment-related adverse event6 participants
Deoxycholic Acid 1%Number of Participants With Adverse Events (AEs)Any severe adverse event1 participants
Deoxycholic Acid 2%Number of Participants With Adverse Events (AEs)Any adverse event13 participants
Deoxycholic Acid 2%Number of Participants With Adverse Events (AEs)Any treatment-related adverse event9 participants
Deoxycholic Acid 2%Number of Participants With Adverse Events (AEs)Any adverse event leading to drug discontinuation0 participants
Deoxycholic Acid 2%Number of Participants With Adverse Events (AEs)Any serious adverse event0 participants
Deoxycholic Acid 2%Number of Participants With Adverse Events (AEs)Any severe adverse event1 participants
Deoxycholic Acid 4%Number of Participants With Adverse Events (AEs)Any adverse event leading to drug discontinuation3 participants
Deoxycholic Acid 4%Number of Participants With Adverse Events (AEs)Any serious adverse event1 participants
Deoxycholic Acid 4%Number of Participants With Adverse Events (AEs)Any adverse event14 participants
Deoxycholic Acid 4%Number of Participants With Adverse Events (AEs)Any severe adverse event2 participants
Deoxycholic Acid 4%Number of Participants With Adverse Events (AEs)Any treatment-related adverse event8 participants
PlaceboNumber of Participants With Adverse Events (AEs)Any treatment-related adverse event7 participants
PlaceboNumber of Participants With Adverse Events (AEs)Any adverse event12 participants
PlaceboNumber of Participants With Adverse Events (AEs)Any severe adverse event0 participants
PlaceboNumber of Participants With Adverse Events (AEs)Any adverse event leading to drug discontinuation0 participants
PlaceboNumber of Participants With Adverse Events (AEs)Any serious adverse event0 participants
Primary

Number of Participants With Clinically Significant Changes in Vital Signs or Weight

Time frame: Up to 24 weeks

Population: Safety population

ArmMeasureValue (NUMBER)
Deoxycholic Acid 1%Number of Participants With Clinically Significant Changes in Vital Signs or Weight0 participants
Deoxycholic Acid 2%Number of Participants With Clinically Significant Changes in Vital Signs or Weight0 participants
Deoxycholic Acid 4%Number of Participants With Clinically Significant Changes in Vital Signs or Weight0 participants
PlaceboNumber of Participants With Clinically Significant Changes in Vital Signs or Weight0 participants
Primary

Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis Abnormalities

An abnormality is defined as a value outside the limits of the expanded normal range/notable range.

Time frame: 24 weeks

Population: Safety population

ArmMeasureGroupValue (NUMBER)
Deoxycholic Acid 1%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesBlood triglycerides0 participants
Deoxycholic Acid 1%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesAlkaline phosphatase0 participants
Deoxycholic Acid 1%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesUrinalysis - Glucose0 participants
Deoxycholic Acid 1%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesAlanine transaminase0 participants
Deoxycholic Acid 1%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesAspartate aminotransferase0 participants
Deoxycholic Acid 2%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesAspartate aminotransferase0 participants
Deoxycholic Acid 2%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesAlkaline phosphatase0 participants
Deoxycholic Acid 2%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesBlood triglycerides0 participants
Deoxycholic Acid 2%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesAlanine transaminase0 participants
Deoxycholic Acid 2%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesUrinalysis - Glucose0 participants
Deoxycholic Acid 4%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesAspartate aminotransferase1 participants
Deoxycholic Acid 4%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesAlanine transaminase1 participants
Deoxycholic Acid 4%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesBlood triglycerides1 participants
Deoxycholic Acid 4%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesAlkaline phosphatase1 participants
Deoxycholic Acid 4%Number of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesUrinalysis - Glucose1 participants
PlaceboNumber of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesAlkaline phosphatase0 participants
PlaceboNumber of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesAlanine transaminase0 participants
PlaceboNumber of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesBlood triglycerides0 participants
PlaceboNumber of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesAspartate aminotransferase0 participants
PlaceboNumber of Participants With Newly Occurring or Worsening Biochemistry/Hematology/Urinalysis AbnormalitiesUrinalysis - Glucose0 participants
Primary

Number of Participants With Positive Histopathology Results at Screening

A needle core tissue sample biopsy was performed at screening for all treated lipomas.

Time frame: Screening (prior to randomization)

Population: Safety population with biopsy results at screening

ArmMeasureGroupValue (NUMBER)
Deoxycholic Acid 1%Number of Participants With Positive Histopathology Results at ScreeningHemorrhage0 participants
Deoxycholic Acid 1%Number of Participants With Positive Histopathology Results at ScreeningChronic inflammation0 participants
Deoxycholic Acid 1%Number of Participants With Positive Histopathology Results at ScreeningFibrosis/scarring0 participants
Deoxycholic Acid 1%Number of Participants With Positive Histopathology Results at ScreeningAcute inflammation0 participants
Deoxycholic Acid 1%Number of Participants With Positive Histopathology Results at ScreeningMature adipose tissue11 participants
Deoxycholic Acid 1%Number of Participants With Positive Histopathology Results at ScreeningNecrosis0 participants
Deoxycholic Acid 2%Number of Participants With Positive Histopathology Results at ScreeningMature adipose tissue11 participants
Deoxycholic Acid 2%Number of Participants With Positive Histopathology Results at ScreeningNecrosis0 participants
Deoxycholic Acid 2%Number of Participants With Positive Histopathology Results at ScreeningAcute inflammation0 participants
Deoxycholic Acid 2%Number of Participants With Positive Histopathology Results at ScreeningFibrosis/scarring0 participants
Deoxycholic Acid 2%Number of Participants With Positive Histopathology Results at ScreeningChronic inflammation0 participants
Deoxycholic Acid 2%Number of Participants With Positive Histopathology Results at ScreeningHemorrhage0 participants
Deoxycholic Acid 4%Number of Participants With Positive Histopathology Results at ScreeningAcute inflammation1 participants
Deoxycholic Acid 4%Number of Participants With Positive Histopathology Results at ScreeningMature adipose tissue13 participants
Deoxycholic Acid 4%Number of Participants With Positive Histopathology Results at ScreeningHemorrhage2 participants
Deoxycholic Acid 4%Number of Participants With Positive Histopathology Results at ScreeningChronic inflammation0 participants
Deoxycholic Acid 4%Number of Participants With Positive Histopathology Results at ScreeningFibrosis/scarring1 participants
Deoxycholic Acid 4%Number of Participants With Positive Histopathology Results at ScreeningNecrosis0 participants
PlaceboNumber of Participants With Positive Histopathology Results at ScreeningNecrosis0 participants
PlaceboNumber of Participants With Positive Histopathology Results at ScreeningChronic inflammation0 participants
PlaceboNumber of Participants With Positive Histopathology Results at ScreeningFibrosis/scarring0 participants
PlaceboNumber of Participants With Positive Histopathology Results at ScreeningHemorrhage1 participants
PlaceboNumber of Participants With Positive Histopathology Results at ScreeningMature adipose tissue13 participants
PlaceboNumber of Participants With Positive Histopathology Results at ScreeningAcute inflammation0 participants
Primary

Number of Participants With Positive Histopathology Results at Week 20

After the completion of all tests and procedures scheduled for week 20, participants with treated lipomas that remained palpable could have their treated lipomas excised.

Time frame: Week 20

Population: Safety population with biopsy results at week 20

ArmMeasureGroupValue (NUMBER)
Deoxycholic Acid 1%Number of Participants With Positive Histopathology Results at Week 20Necrosis14 participants
Deoxycholic Acid 1%Number of Participants With Positive Histopathology Results at Week 20Fibrosis/scarring13 participants
Deoxycholic Acid 1%Number of Participants With Positive Histopathology Results at Week 20Acute inflammation3 participants
Deoxycholic Acid 1%Number of Participants With Positive Histopathology Results at Week 20Chronic inflammation10 participants
Deoxycholic Acid 1%Number of Participants With Positive Histopathology Results at Week 20Hemorrhage5 participants
Deoxycholic Acid 1%Number of Participants With Positive Histopathology Results at Week 20Mature adipose tissue15 participants
Deoxycholic Acid 2%Number of Participants With Positive Histopathology Results at Week 20Mature adipose tissue13 participants
Deoxycholic Acid 2%Number of Participants With Positive Histopathology Results at Week 20Acute inflammation2 participants
Deoxycholic Acid 2%Number of Participants With Positive Histopathology Results at Week 20Chronic inflammation12 participants
Deoxycholic Acid 2%Number of Participants With Positive Histopathology Results at Week 20Hemorrhage5 participants
Deoxycholic Acid 2%Number of Participants With Positive Histopathology Results at Week 20Necrosis13 participants
Deoxycholic Acid 2%Number of Participants With Positive Histopathology Results at Week 20Fibrosis/scarring12 participants
Deoxycholic Acid 4%Number of Participants With Positive Histopathology Results at Week 20Necrosis14 participants
Deoxycholic Acid 4%Number of Participants With Positive Histopathology Results at Week 20Acute inflammation1 participants
Deoxycholic Acid 4%Number of Participants With Positive Histopathology Results at Week 20Mature adipose tissue15 participants
Deoxycholic Acid 4%Number of Participants With Positive Histopathology Results at Week 20Fibrosis/scarring14 participants
Deoxycholic Acid 4%Number of Participants With Positive Histopathology Results at Week 20Hemorrhage6 participants
Deoxycholic Acid 4%Number of Participants With Positive Histopathology Results at Week 20Chronic inflammation13 participants
PlaceboNumber of Participants With Positive Histopathology Results at Week 20Hemorrhage2 participants
PlaceboNumber of Participants With Positive Histopathology Results at Week 20Necrosis3 participants
PlaceboNumber of Participants With Positive Histopathology Results at Week 20Chronic inflammation0 participants
PlaceboNumber of Participants With Positive Histopathology Results at Week 20Fibrosis/scarring6 participants
PlaceboNumber of Participants With Positive Histopathology Results at Week 20Mature adipose tissue16 participants
PlaceboNumber of Participants With Positive Histopathology Results at Week 20Acute inflammation0 participants
Secondary

Percentage of Participants With Complete Clearance or ≥ 75% Clearance

At randomization 1 to 3 lipomas were selected for treatment. Lipomas were measured in 3 dimensions (longest length, perpendicular width, and height if possible) using digital calipers. Complete clearance indicates target lipoma(s) not present or detectable, and ≥ 75% clearance is defined as a ≥ 75% reduction from baseline in the area of target lipoma(s). For participants with \> 1 target lipoma, the total area of all target lipomas was used in the calculation of response.

Time frame: Baseline and week 20 (8 weeks after last dose)

Population: MITT Population

ArmMeasureGroupValue (NUMBER)
Deoxycholic Acid 1%Percentage of Participants With Complete Clearance or ≥ 75% Clearance≥ 75% Cleared13.3 percentage of participants
Deoxycholic Acid 1%Percentage of Participants With Complete Clearance or ≥ 75% ClearanceComplete Clearance0.0 percentage of participants
Deoxycholic Acid 2%Percentage of Participants With Complete Clearance or ≥ 75% ClearanceComplete Clearance0.0 percentage of participants
Deoxycholic Acid 2%Percentage of Participants With Complete Clearance or ≥ 75% Clearance≥ 75% Cleared6.7 percentage of participants
Deoxycholic Acid 4%Percentage of Participants With Complete Clearance or ≥ 75% ClearanceComplete Clearance7.1 percentage of participants
Deoxycholic Acid 4%Percentage of Participants With Complete Clearance or ≥ 75% Clearance≥ 75% Cleared14.3 percentage of participants
PlaceboPercentage of Participants With Complete Clearance or ≥ 75% ClearanceComplete Clearance0.0 percentage of participants
PlaceboPercentage of Participants With Complete Clearance or ≥ 75% Clearance≥ 75% Cleared11.8 percentage of participants
Comparison: Complete Clearance95% CI: [-18.4, 20.4]
Comparison: Complete Clearance95% CI: [-18.4, 20.4]
Comparison: Complete Clearance95% CI: [-12.2, 31.5]
Comparison: ≥ 75% Cleared95% CI: [-23, 27.5]
Comparison: ≥ 75% Cleared95% CI: [-28.3, 19.6]
Comparison: ≥ 75% Cleared95% CI: [-22.3, 29.5]
Secondary

Percent Change From Baseline in the Sum of the Areas of All Treated Lipomas

Percent change from baseline was calculated as the baseline total lipoma area - postbaseline total lipoma area / baseline total lipoma area \* 100. A positive change indicates a reduction in size.

Time frame: Baseline and week 12 (last treatment session), week 16 (4 weeks after last treatment), and week 20 (8 weeks after last treatment)

Population: MITT Population

ArmMeasureGroupValue (MEAN)Dispersion
Deoxycholic Acid 1%Percent Change From Baseline in the Sum of the Areas of All Treated LipomasWeek 1241.2 percent changeStandard Deviation 31.5
Deoxycholic Acid 1%Percent Change From Baseline in the Sum of the Areas of All Treated LipomasWeek 2050.1 percent changeStandard Deviation 30.6
Deoxycholic Acid 1%Percent Change From Baseline in the Sum of the Areas of All Treated LipomasWeek 1643.9 percent changeStandard Deviation 30.1
Deoxycholic Acid 2%Percent Change From Baseline in the Sum of the Areas of All Treated LipomasWeek 1228.5 percent changeStandard Deviation 46
Deoxycholic Acid 2%Percent Change From Baseline in the Sum of the Areas of All Treated LipomasWeek 2025.9 percent changeStandard Deviation 42.6
Deoxycholic Acid 2%Percent Change From Baseline in the Sum of the Areas of All Treated LipomasWeek 1623.3 percent changeStandard Deviation 41.8
Deoxycholic Acid 4%Percent Change From Baseline in the Sum of the Areas of All Treated LipomasWeek 1620.0 percent changeStandard Deviation 38.2
Deoxycholic Acid 4%Percent Change From Baseline in the Sum of the Areas of All Treated LipomasWeek 1218.0 percent changeStandard Deviation 34.9
Deoxycholic Acid 4%Percent Change From Baseline in the Sum of the Areas of All Treated LipomasWeek 2035.9 percent changeStandard Deviation 40.7
PlaceboPercent Change From Baseline in the Sum of the Areas of All Treated LipomasWeek 1238.5 percent changeStandard Deviation 32.4
PlaceboPercent Change From Baseline in the Sum of the Areas of All Treated LipomasWeek 2036.7 percent changeStandard Deviation 38
PlaceboPercent Change From Baseline in the Sum of the Areas of All Treated LipomasWeek 1632.1 percent changeStandard Deviation 40.5

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026