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Sequential Treatment With BELKYRA® Then Juvéderm® VOLUMA™ With Lidocaine for Overall Improvement in Jawline Contour

A Prospective, Open-label Study to Evaluate Sequential Treatment With BELKYRA® and Juvéderm® VOLUMA™ With Lidocaine for Overall Improvement in Jawline Contour

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03425253
Acronym
JAWLINE
Enrollment
58
Registered
2018-02-07
Start date
2018-02-02
Completion date
2019-12-05
Last updated
2020-12-31

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

Conditions

Contour

Keywords

Lower Face Contouring

Brief summary

This study has been designed to evaluate the safety and effectiveness of sequential treatment with BELKYRA® (for the treatment of convexity and fullness associated with submental fat) and VOLUMA™ (to restore volume along the mandibular border) to enhance the overall contour of the jawline.

Detailed description

Participants may be treated with up to 6 treatments with Belkyra, followed by treatment with Voluma. Participants will have opportunity to participation in a skin biopsy sub-study.

Interventions

BELKYRA® was injected into preplatysma fat tissue in the submental area (at least 1 plus up to 5 optional treatments, for maximum of 6 treatments 8 weeks apart).

DEVICEJuvéderm® VOLUMA™ with Lidocaine

Juvéderm® VOLUMA™ with Lidocaine VOLUMA™ was injected along the mandibular border.

Sponsors

Allergan
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Grade 2 or above on Allergan Loss of Jawline Definition Scale (ALJDS) * Grade 2 or 3 on reported Clinician-Rated Submental Fat Rating Scale (CR-SMFRS) * Stable body weight for at least 26 weeks * Accept the obligation to forego any treatment or behavior (e.g., unshaven facial hair; significant changes to dietary or exercise habits) during the participants participation in the study that may affect the assessments of the submental area

Exclusion criteria

* Grade 4 on Submental Skin Laxity Grade (SMSLG) * Grade 4 on Allergan Jowl Fat Rating Scale (AJFRS) * Body mass index (BMI) \>35 kg/m\^2 * History of, or current symptoms of dysphagia * History of temporary, semi-permanent or permanent facial or neck dermal filler injections below the medial canthi at any time prior to treatment, or within 52 weeks before Screening for treatment above the medial canthi * History of facial and/or neck plastic surgery, tissue grafting or permanent facial implants anywhere in the face or neck * History of any intervention (e.g., liposuction, surgery, or lipolytic agents) to treat submental fat (SMF) * Evidence of any cause of enlargement in the submental area other than localized SMF * History of mesotherapy or ablative procedures to the face and/or neck 52 weeks before Screening * History of skin resurfacing in the neck or submental area within 26 weeks before Screening * Treatment with botulinum toxin injections in the neck or submental area within 26 weeks before Screening * Participants on prescription topical retinoid therapy and/or topical hormone cream applied to the face, who have not been on a consistent dose regimen for at least 26 weeks before Screening and who are unable to maintain regimen for the study * Systemic retinoid therapy within 52 weeks before Screening * Current use of oral corticosteroids * Is on a regimen of anticoagulation therapy (eg, warfarin, clopidogrel) * Has current injection site inflammatory or infectious processes, abscess, an unhealed wound, or a known cancerous or precancerous lesion in chin, masseter, or submental region * Planned oral surgery or other dental procedures (e.g., tooth extraction, orthodontia, or implantation) within 2 weeks prior to and after VOLUMA™ treatment

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Who Showed ≥ 1-point Jawline Improvement From Baseline on the Allergan Loss of Jawline Definition Scale (ALJDS), as Assessed by the InvestigatorBaseline (Day 0) to Week 58The ALJDS was an investigator assessment of loss of jawline definition measured by a 5-point scale where: 0=none, 1=mild, 2=moderate, 3=severe, 4=extreme. Data is reported for both sides of the face, right side of the face and left side of the face.

Secondary

MeasureTime frameDescription
Mean Change From Baseline to Final Study Visit in the FACE-Q™ Satisfaction With Lower Face and Jawline ScoreBaseline (Day 0) to Week 58The participant assessed satisfaction using the 5 items on the Satisfaction of Lower Face and Jawline module of the FACE-Q™ questionnaire, measured on a 4-point scale where: 1=very dissatisfied, 2=somewhat dissatisfied, 3=somewhat satisfied, 4=very satisfied. The Rasch transformed scale total score was 0 (worst) to 100 (best). A positive change from baseline indicated improvement.
Mean Change From Baseline to Final Study Visit in the FACE-Q™ Appraisal of NeckBaseline (Day 0) to Week 58The participant assessed satisfaction using the 10 items on the Appraisal of Neck module of the FACE-Q™ questionnaire measured on a 4-point scale where: 1=not at all, 2=a little, 3=moderately, 4=extremely. The Rasch transformed scale total score was 0 (worst) to 100 (best). A positive change from baseline indicated improvement.
Mean Change From Baseline to Final Study Visit for FACE-Q™ Appraisal of Area Under ChinBaseline (Day 0) to Week 58The participant assessed satisfaction using the 5 items on the Appraisal of Area Under Chin module of the FACE-Q™ questionnaire measured on a 4-point scale where: 1=not at all, 2=a little, 3=moderately, 4=extremely. The Rasch transformed scale total score was 0 (worst) to 100 (best). A negative change from baseline indicated worsening.
Mean Change From Baseline to Last BELKYRA® Treatment on the ALJDSBaseline (Day 0) to Last Treatment (Up to Week 48)The ALJDS was an investigator and independent reviewer assessment of jawline contour measured by a 5-point scale where: 0=none, 1=mild, 2=moderate, 3=severe, 4=extreme. A negative change from baseline indicated improvement. The data is reported for both sides of the face, right side of the face and left side of the face.
Mean Change From Baseline to Final Study Visit for Patient-Reported Submental Fat Rating Scale (PR-SMFRS)Baseline (Day 0) to Week 58The PR-SMFRS was based on the participant's response to the question How much fat do you have under your chin right now? and answered on a 5-point ordinal scale where: 0=no chin fat at all, 1=a slight amount of chin fat, 2=a moderate amount of chin fat, 3=a large amount of chin fat, and 4=a very large amount of chin fat. A negative change from baseline indicated improvement.
Mean Change From Baseline to Final Study Visit for Submental Skin Laxity Grade (SMSLG) ScoreBaseline (Day 0) to Week 58The SMSLG scale integrated 3 skin features: skin wrinkling, adherence to underlying neck structures (bone and muscle), and redundancy (horizontal and vertical folds) assessed by the investigator using a 4-point scale where: 1=none, 2=mild, 3=moderate and 4=severe. A negative change from baseline indicated improvement.
Mean Change From Baseline to Final Study Visit in Jawline Definition, Based on Independent Reviewer Assessment Using the ALJDS and Photographic ImagesBaseline (Day 0) to Week 58The independent reviewer used photographic images collected at the time of the participant's live visit and the ALJDS to assess of loss of jawline definition using a 5-point scale where: 0=none, 1=mild, 2=moderate, 3=severe, 4=extreme. A negative change from baseline indicates improvement.
Mean Change From Baseline to Final Study Visit for Clinician-Reported Submental Fat Rating Scale (CR-SMFRS)Baseline (Day 0) to Week 58The CR-SMFRS score was based on the investigator's clinical evaluation of the participant, where submental fullness was scored on a 5-point scale where: 0=absent, 1=mild, 2=moderate, 3=severe, and 4=extreme. A negative change from baseline indicated improvement.

Countries

Australia

Participant flow

Recruitment details

Participants participated in the study at 3 study sites in Australia from 02 February 2018 to 05 December 2019.

Participants by arm

ArmCount
BELKYRA® and Juvéderm® VOLUMA™ With Lidocaine
BELKYRA® was injected into subcutaneous preplatysma fat tissue in the submental area (at least 1 plus up to 5 optional treatments, for maximum of 6 treatments 8 weeks apart). When the investigator and participant agreed that no further intervention was required to achieve the desired result, participants were eligible to receive VOLUMA™ treatment. VOLUMA™ was injected along the mandibular border, with an optional touch-up visit 2 weeks later if applicable.
53
Total53

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event2
Overall StudyDid not Meet all Eligibility Criteria Defined in the Protocol5
Overall StudyLost to Follow-up3
Overall StudyWithdrew Consent6

Baseline characteristics

CharacteristicBELKYRA® and Juvéderm® VOLUMA™ With Lidocaine
Age, Continuous48.0 years
STANDARD_DEVIATION 11.07
Race/Ethnicity, Customized
Race
Asian /Oriental
1 Participants
Race/Ethnicity, Customized
Race
Other
1 Participants
Race/Ethnicity, Customized
Race
White/Caucasian
51 Participants
Sex: Female, Male
Female
44 Participants
Sex: Female, Male
Male
9 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 53
other
Total, other adverse events
53 / 53
serious
Total, serious adverse events
2 / 53

Outcome results

Primary

Percentage of Participants Who Showed ≥ 1-point Jawline Improvement From Baseline on the Allergan Loss of Jawline Definition Scale (ALJDS), as Assessed by the Investigator

The ALJDS was an investigator assessment of loss of jawline definition measured by a 5-point scale where: 0=none, 1=mild, 2=moderate, 3=severe, 4=extreme. Data is reported for both sides of the face, right side of the face and left side of the face.

Time frame: Baseline (Day 0) to Week 58

Population: Evaluable Set (ES) included participants who received both study treatments (i.e., both BELKYRA® and VOLUMA™) and had a post-treatment efficacy assessment at the Exit Visit.

ArmMeasureGroupValue (NUMBER)
BELKYRA® and Juvéderm® VOLUMA™ With LidocainePercentage of Participants Who Showed ≥ 1-point Jawline Improvement From Baseline on the Allergan Loss of Jawline Definition Scale (ALJDS), as Assessed by the InvestigatorBoth Sides of the Face92.9 percentage of participants
BELKYRA® and Juvéderm® VOLUMA™ With LidocainePercentage of Participants Who Showed ≥ 1-point Jawline Improvement From Baseline on the Allergan Loss of Jawline Definition Scale (ALJDS), as Assessed by the InvestigatorRight Side of the Face92.9 percentage of participants
BELKYRA® and Juvéderm® VOLUMA™ With LidocainePercentage of Participants Who Showed ≥ 1-point Jawline Improvement From Baseline on the Allergan Loss of Jawline Definition Scale (ALJDS), as Assessed by the InvestigatorLeft Side of the Face92.9 percentage of participants
Secondary

Mean Change From Baseline to Final Study Visit for Clinician-Reported Submental Fat Rating Scale (CR-SMFRS)

The CR-SMFRS score was based on the investigator's clinical evaluation of the participant, where submental fullness was scored on a 5-point scale where: 0=absent, 1=mild, 2=moderate, 3=severe, and 4=extreme. A negative change from baseline indicated improvement.

Time frame: Baseline (Day 0) to Week 58

Population: ES included participants who received both study treatments (i.e., both BELKYRA® and VOLUMA™) and had a post-treatment efficacy assessment at the Exit Visit.

ArmMeasureGroupValue (MEAN)Dispersion
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit for Clinician-Reported Submental Fat Rating Scale (CR-SMFRS)Baseline2.5 score on a scaleStandard Deviation 0.5
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit for Clinician-Reported Submental Fat Rating Scale (CR-SMFRS)Change From Baseline to Week 58-1.9 score on a scaleStandard Deviation 0.67
p-value: <0.001Paired t-test
Secondary

Mean Change From Baseline to Final Study Visit for FACE-Q™ Appraisal of Area Under Chin

The participant assessed satisfaction using the 5 items on the Appraisal of Area Under Chin module of the FACE-Q™ questionnaire measured on a 4-point scale where: 1=not at all, 2=a little, 3=moderately, 4=extremely. The Rasch transformed scale total score was 0 (worst) to 100 (best). A negative change from baseline indicated worsening.

Time frame: Baseline (Day 0) to Week 58

Population: ES included participants who received both study treatments (i.e., both BELKYRA® and VOLUMA™) and had a post-treatment efficacy assessment at the Exit Visit.

ArmMeasureGroupValue (MEAN)Dispersion
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit for FACE-Q™ Appraisal of Area Under ChinBaseline60.1 score on a scaleStandard Deviation 23.86
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit for FACE-Q™ Appraisal of Area Under ChinChange From Baseline to Week 58-45.4 score on a scaleStandard Deviation 17.09
p-value: <0.001Paired t-test
Secondary

Mean Change From Baseline to Final Study Visit for Patient-Reported Submental Fat Rating Scale (PR-SMFRS)

The PR-SMFRS was based on the participant's response to the question How much fat do you have under your chin right now? and answered on a 5-point ordinal scale where: 0=no chin fat at all, 1=a slight amount of chin fat, 2=a moderate amount of chin fat, 3=a large amount of chin fat, and 4=a very large amount of chin fat. A negative change from baseline indicated improvement.

Time frame: Baseline (Day 0) to Week 58

Population: ES included participants who received both study treatments (i.e., both BELKYRA® and VOLUMA™) and had a post-treatment efficacy assessment at the Exit Visit.

ArmMeasureGroupValue (MEAN)Dispersion
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit for Patient-Reported Submental Fat Rating Scale (PR-SMFRS)Baseline2.3 score on a scaleStandard Deviation 0.71
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit for Patient-Reported Submental Fat Rating Scale (PR-SMFRS)Change From Baseline to Week 58-1.6 score on a scaleStandard Deviation 0.61
p-value: <0.001Paired t-test
Secondary

Mean Change From Baseline to Final Study Visit for Submental Skin Laxity Grade (SMSLG) Score

The SMSLG scale integrated 3 skin features: skin wrinkling, adherence to underlying neck structures (bone and muscle), and redundancy (horizontal and vertical folds) assessed by the investigator using a 4-point scale where: 1=none, 2=mild, 3=moderate and 4=severe. A negative change from baseline indicated improvement.

Time frame: Baseline (Day 0) to Week 58

Population: ES included participants who received both study treatments (i.e., both BELKYRA® and VOLUMA™) and had a post-treatment efficacy assessment at the Exit Visit.

ArmMeasureGroupValue (MEAN)Dispersion
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit for Submental Skin Laxity Grade (SMSLG) ScoreBaseline2.0 score on a scaleStandard Deviation 0.62
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit for Submental Skin Laxity Grade (SMSLG) ScoreChange From Baseline to Week 58-0.3 score on a scaleStandard Deviation 0.62
p-value: 0.003Paired t-test
Secondary

Mean Change From Baseline to Final Study Visit in Jawline Definition, Based on Independent Reviewer Assessment Using the ALJDS and Photographic Images

The independent reviewer used photographic images collected at the time of the participant's live visit and the ALJDS to assess of loss of jawline definition using a 5-point scale where: 0=none, 1=mild, 2=moderate, 3=severe, 4=extreme. A negative change from baseline indicates improvement.

Time frame: Baseline (Day 0) to Week 58

Population: ES included participants who received both study treatments (i.e., both BELKYRA® and VOLUMA™) and had a post-treatment efficacy assessment at the Exit Visit.

ArmMeasureGroupValue (MEAN)Dispersion
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit in Jawline Definition, Based on Independent Reviewer Assessment Using the ALJDS and Photographic ImagesBoth Side of the Face, Baseline2.9 score on a scaleStandard Deviation 1.05
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit in Jawline Definition, Based on Independent Reviewer Assessment Using the ALJDS and Photographic ImagesBoth Side of the Face, End of Study-0.7 score on a scaleStandard Deviation 0.91
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit in Jawline Definition, Based on Independent Reviewer Assessment Using the ALJDS and Photographic ImagesRight Side of the Face, Baseline2.7 score on a scaleStandard Deviation 1.12
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit in Jawline Definition, Based on Independent Reviewer Assessment Using the ALJDS and Photographic ImagesRight Side of the Face, End of study-0.5 score on a scaleStandard Deviation 0.98
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit in Jawline Definition, Based on Independent Reviewer Assessment Using the ALJDS and Photographic ImagesLeft Side of the Face, Baseline2.8 score on a scaleStandard Deviation 1.08
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit in Jawline Definition, Based on Independent Reviewer Assessment Using the ALJDS and Photographic ImagesLeft Side of the Face, End of Study-0.9 score on a scaleStandard Deviation 0.98
Comparison: Both Side of the Face, End of Studyp-value: <0.001Paired t-test
Comparison: Right Side of the Face, End of studyp-value: <0.001Paired t-test
Comparison: Left Side of the Face, End of Studyp-value: <0.001Paired t-test
Secondary

Mean Change From Baseline to Final Study Visit in the FACE-Q™ Appraisal of Neck

The participant assessed satisfaction using the 10 items on the Appraisal of Neck module of the FACE-Q™ questionnaire measured on a 4-point scale where: 1=not at all, 2=a little, 3=moderately, 4=extremely. The Rasch transformed scale total score was 0 (worst) to 100 (best). A positive change from baseline indicated improvement.

Time frame: Baseline (Day 0) to Week 58

Population: ES included participants who received both study treatments (i.e., both BELKYRA® and VOLUMA™) and had a post-treatment efficacy assessment at the Exit Visit. Overall number analyzed is the number of participants with available data at given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit in the FACE-Q™ Appraisal of NeckBaseline13.8 score on a scaleStandard Deviation 8.85
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit in the FACE-Q™ Appraisal of NeckChange From Baseline to Week 58-11.0 score on a scaleStandard Deviation 13.44
p-value: 0.597Paired t-test
Secondary

Mean Change From Baseline to Final Study Visit in the FACE-Q™ Satisfaction With Lower Face and Jawline Score

The participant assessed satisfaction using the 5 items on the Satisfaction of Lower Face and Jawline module of the FACE-Q™ questionnaire, measured on a 4-point scale where: 1=very dissatisfied, 2=somewhat dissatisfied, 3=somewhat satisfied, 4=very satisfied. The Rasch transformed scale total score was 0 (worst) to 100 (best). A positive change from baseline indicated improvement.

Time frame: Baseline (Day 0) to Week 58

Population: ES included participants who received both study treatments (i.e., both BELKYRA® and VOLUMA™) and had a post-treatment efficacy assessment at the Exit Visit.

ArmMeasureGroupValue (MEAN)Dispersion
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit in the FACE-Q™ Satisfaction With Lower Face and Jawline ScoreBaseline24.1 score on a scoreStandard Deviation 16.78
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Final Study Visit in the FACE-Q™ Satisfaction With Lower Face and Jawline ScoreChange From Baseline to Week 5855.9 score on a scoreStandard Deviation 21.78
p-value: <0.001Paired t-test
Secondary

Mean Change From Baseline to Last BELKYRA® Treatment on the ALJDS

The ALJDS was an investigator and independent reviewer assessment of jawline contour measured by a 5-point scale where: 0=none, 1=mild, 2=moderate, 3=severe, 4=extreme. A negative change from baseline indicated improvement. The data is reported for both sides of the face, right side of the face and left side of the face.

Time frame: Baseline (Day 0) to Last Treatment (Up to Week 48)

Population: FAS included all participants who received BELKYRA®. Number analyzed is the number of participants with available data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Last BELKYRA® Treatment on the ALJDSInvestigator: Both Sides of Face, Baseline2.7 score on a scaleStandard Deviation 0.52
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Last BELKYRA® Treatment on the ALJDSInvestigator: Both Sides of Face, Last Treatment-0.6 score on a scaleStandard Deviation 0.71
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Last BELKYRA® Treatment on the ALJDSInvestigator: Right Side of Face, Baseline2.5 score on a scaleStandard Deviation 0.5
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Last BELKYRA® Treatment on the ALJDSInvestigator: Right Side of Face, Last Treatment-0.6 score on a scaleStandard Deviation 0.62
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Last BELKYRA® Treatment on the ALJDSInvestigator: Left Side of Face, Baseline2.6 score on a scaleStandard Deviation 0.52
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Last BELKYRA® Treatment on the ALJDSInvestigator: Left Side of Face, Last Treatment-0.6 score on a scaleStandard Deviation 0.72
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Last BELKYRA® Treatment on the ALJDSIndependent Reviewer: Both Sides of Face, Baseline2.9 score on a scaleStandard Deviation 1.04
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Last BELKYRA® Treatment on the ALJDSIndependent Reviewer: Both Sides of Face, Last Treatment-0.3 score on a scaleStandard Deviation 0.98
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Last BELKYRA® Treatment on the ALJDSIndependent Reviewer: Right Side of Face, Baseline2.7 score on a scaleStandard Deviation 1.1
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Last BELKYRA® Treatment on the ALJDSIndependent Reviewer: Right Side of Face, Last Treatment-0.1 score on a scaleStandard Deviation 1.13
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Last BELKYRA® Treatment on the ALJDSIndependent Reviewer: Left Side of Face, Baseline2.7 score on a scaleStandard Deviation 1.03
BELKYRA® and Juvéderm® VOLUMA™ With LidocaineMean Change From Baseline to Last BELKYRA® Treatment on the ALJDSIndependent Reviewer: Left Side of Face, Last Treatment-0.4 score on a scaleStandard Deviation 1.01
Comparison: Investigator: Both Sides of Face, Last Treatmentp-value: <0.001Paired t-test
Comparison: Investigator: Right Side of Face, Last Treatmentp-value: <0.001Paired t-test
Comparison: Investigator: Left Side of Face, Last Treatmentp-value: <0.001Paired t-test
Comparison: Independent Reviewer: Both Sides of Face, Last Treatmentp-value: 0.018Paired t-test
Comparison: Independent Reviewer: Right Side of Face, Last Treatmentp-value: 0.301Paired t-test
Comparison: Independent Reviewer: Left Side of Face, Last Treatmentp-value: 0.011Paired t-test

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