Lip Enhancement
Conditions
Brief summary
This study will evaluate the safety and effectiveness of VOLBELLA with Lidocaine injectable gel in Chinese adults seeking lip enhancement.
Interventions
JUVÉDERM® VOLBELLA® XC with lidocaine injected into lips.
No-treatment was administered.
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female, 18 years of age or older with an overall baseline Lip Fullness Scale (LFS) score of minimal, mild or moderate on the 5-point LFS scale. * Has the ability to follow study instructions and is likely to complete all required visits
Exclusion criteria
* Has had any facial procedures or trauma that may interfere with the study procedures and results * Is on anti-coagulation therapy or other contraindicated treatments * Has current cutaneous inflammatory or infectious processes or lesions in the mouth area
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With a ≥1-point Increase (Improvement) on the Evaluating Investigator's (EI's) Assessed 5-point Lip Fullness Scale (LFS) | Baseline to Month 3 Post Last Treatment (JUVÉDERM® VOLBELLA® XC with Lidocaine arm) or Month 3 Post Randomization (No-treatment Control arm) | The investigator assessed the participant's lip fullness using the 5-point LFS where: 0=Minimal (Flat or nearly flat contour, minimal red lip show), 1=Mild (Some red lip show; no lower lip pout), 2=Moderate (Moderate red lip show with slight lower lip pout), 3=Marked (Significant red lip show and lower lip pout), and 4=Very Marked (Very significant red lip show, lower lip pout, and upper lip pout). Improvement was defined as a ≥1-point increase in fullness from Baseline. Number analyzed is the number of participants with data available for analysis at Baseline and Month 3. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Overall Lip Volume | Baseline to Month 3 Post Treatment ( JUVÉDERM® VOLBELLA® XC with Lidocaine arm) or Month 3 Post Randomization (No-treatment Control arm) | Overall lip volume was measured by 3-dimensional (3D) photography images. A positive change from Baseline indicates improvement. Number analyzed is the number of participants with data available for analysis at Baseline and Month 3. |
| Percentage Change From Baseline in Lip Surface Area | Baseline to Month 3 Post Treatment ( JUVÉDERM® VOLBELLA® XC with Lidocaine arm) or Month 3 Post Randomization (No-treatment Control arm) | Lips surface area was measured by 3D photography images. A positive percentage change from Baseline indicates improvement. Number analyzed is the number of participants with data available for analysis at Baseline and Month 3. |
| Percentage of Participants With a ≥1-point Increase (Improvement) Based on the Participant's Assessed 5-point LFS | Baseline to Month 3 Post Treatment | Lip fullness was assessed by the participant using the 5-point LFS where: 0=Minimal (Flat or nearly flat contour, minimal red lip show), 1=Mild (Some red lip show; no lower lip pout), 2=Moderate (Moderate red lip show with slight lower lip pout), 3=Marked (Significant red lip show and lower lip pout), and 4=Very Marked (Very significant red lip show, lower lip pout, and upper lip pout). Improvement was defined as a ≥1-point increase in fullness from Baseline. Number analyzed is the number of participants with data available for analysis at Baseline and Month 3. |
| Number of Participants With Injection Site Responses (ISRs) | Up to 30 days after each treatment with JUVÉDERM® VOLBELLA® XC with Lidocaine | ISRs were recorded by the participant in a safety diary for 30 days after each treatment and were summarized by treatment (initial and touch-up). ISRs were defined as redness, pain after injection, tenderness to touch, firmness, swelling, lumps/bumps, bruising, itching and discoloration. Number analyzed is the number of participants with safety diary data available for analysis. |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) | Baseline to Month 12 Post Treatment | An Adverse event (AE) is any untoward medical occurrence in a patient or a participant using an investigational drug, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. A TEAE is an AE that occurred after receiving the first dose of study device or study injection or an AE present prior to first dose but increased in severity during the Treatment Period. |
| Procedural Pain Score | Up to 30 days after initial treatment with JUVÉDERM® VOLBELLA® XC with Lidocaine | Procedural pain (pain during injection) was evaluated by the participant using an 11-point scale, where: 0=No pain to 10=Worst pain imaginable. Participants recorded procedural pain in safety diary for 30 days after initial treatment. Number analyzed is the number of participants with safety diary data available for analysis. |
Countries
China
Participant flow
Pre-assignment details
Three participants were randomized to the no-treatment control group but were treated in error on the day of randomization and were included in the treatment group for the Modified-intent-to-treat (mITT) population and the Safety population for analysis.
Participants by arm
| Arm | Count |
|---|---|
| No-treatment Control No-treatment was administered during control period. After 3 months, participants were eligible to receive treatment with JUVÉDERM® VOLBELLA® XC with lidocaine if applicable followed by an optional touch-up retreatment one month following initial treatment. | 33 |
| JUVÉDERM® VOLBELLA® XC With Lidocaine JUVÉDERM® VOLBELLA® XC with lidocaine injected into lips at Day 1. Participants were eligible to receive optional touch-up retreatment one month following initial treatment if applicable. | 130 |
| Total | 163 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 3 | 8 |
| Overall Study | Other Miscellaneous Reasons | 1 | 0 |
| Overall Study | Withdrawal by Subject | 9 | 7 |
Baseline characteristics
| Characteristic | No-treatment Control | JUVÉDERM® VOLBELLA® XC With Lidocaine | Total |
|---|---|---|---|
| Age, Continuous | 35.0 years STANDARD_DEVIATION 8.4 | 35.0 years STANDARD_DEVIATION 9.83 | 35.0 years STANDARD_DEVIATION 9.53 |
| Lip Fullness Scale (LFS) Score as Assessed by Evaluating Investigator (EI) Marked | 0 Participants | 1 Participants | 1 Participants |
| Lip Fullness Scale (LFS) Score as Assessed by Evaluating Investigator (EI) Mild | 16 Participants | 59 Participants | 75 Participants |
| Lip Fullness Scale (LFS) Score as Assessed by Evaluating Investigator (EI) Minimal | 1 Participants | 7 Participants | 8 Participants |
| Lip Fullness Scale (LFS) Score as Assessed by Evaluating Investigator (EI) Moderate | 16 Participants | 63 Participants | 79 Participants |
| Lip Fullness Scale (LFS) Score as Assessed by Evaluating Investigator (EI) Very Marked | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Asian | 33 Participants | 130 Participants | 163 Participants |
| Race/Ethnicity, Customized Chinese | 33 Participants | 130 Participants | 163 Participants |
| Sex: Female, Male Female | 31 Participants | 127 Participants | 158 Participants |
| Sex: Female, Male Male | 2 Participants | 3 Participants | 5 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 40 | 0 / 165 |
| other Total, other adverse events | 1 / 40 | 40 / 165 |
| serious Total, serious adverse events | 0 / 40 | 5 / 165 |
Outcome results
Percentage of Participants With a ≥1-point Increase (Improvement) on the Evaluating Investigator's (EI's) Assessed 5-point Lip Fullness Scale (LFS)
The investigator assessed the participant's lip fullness using the 5-point LFS where: 0=Minimal (Flat or nearly flat contour, minimal red lip show), 1=Mild (Some red lip show; no lower lip pout), 2=Moderate (Moderate red lip show with slight lower lip pout), 3=Marked (Significant red lip show and lower lip pout), and 4=Very Marked (Very significant red lip show, lower lip pout, and upper lip pout). Improvement was defined as a ≥1-point increase in fullness from Baseline. Number analyzed is the number of participants with data available for analysis at Baseline and Month 3.
Time frame: Baseline to Month 3 Post Last Treatment (JUVÉDERM® VOLBELLA® XC with Lidocaine arm) or Month 3 Post Randomization (No-treatment Control arm)
Population: mITT population included all participants who were randomized to study treatment (treatment group), received at least 1 study device treatment, and had baseline and at least 1 posttreatment assessment of primary variable, and who were randomized to no-treatment control group had baseline and at least 1 follow-up assessment of primary variable.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| No-treatment Control | Percentage of Participants With a ≥1-point Increase (Improvement) on the Evaluating Investigator's (EI's) Assessed 5-point Lip Fullness Scale (LFS) | 0 percentage of participants |
| JUVÉDERM® VOLBELLA® XC With Lidocaine | Percentage of Participants With a ≥1-point Increase (Improvement) on the Evaluating Investigator's (EI's) Assessed 5-point Lip Fullness Scale (LFS) | 84.7 percentage of participants |
Change From Baseline in Overall Lip Volume
Overall lip volume was measured by 3-dimensional (3D) photography images. A positive change from Baseline indicates improvement. Number analyzed is the number of participants with data available for analysis at Baseline and Month 3.
Time frame: Baseline to Month 3 Post Treatment ( JUVÉDERM® VOLBELLA® XC with Lidocaine arm) or Month 3 Post Randomization (No-treatment Control arm)
Population: mITT population included all participants who were randomized to study treatment (treatment group), received at least 1 study device treatment, and had baseline and at least 1 posttreatment assessment of primary variable, and who were randomized to no-treatment control group had baseline and at least 1 follow-up assessment of primary variable.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| No-treatment Control | Change From Baseline in Overall Lip Volume | 0.03990 cubic centimeters (cc) |
| JUVÉDERM® VOLBELLA® XC With Lidocaine | Change From Baseline in Overall Lip Volume | 0.45150 cubic centimeters (cc) |
Number of Participants With Injection Site Responses (ISRs)
ISRs were recorded by the participant in a safety diary for 30 days after each treatment and were summarized by treatment (initial and touch-up). ISRs were defined as redness, pain after injection, tenderness to touch, firmness, swelling, lumps/bumps, bruising, itching and discoloration. Number analyzed is the number of participants with safety diary data available for analysis.
Time frame: Up to 30 days after each treatment with JUVÉDERM® VOLBELLA® XC with Lidocaine
Population: Safety population included all participants randomized to the treatment group who received at least 1 study treatment and all participants randomized to the control group, as treated. Analysis excludes 11 participants in the No-treatment Control group who did not receive JUVÉDERM® VOLBELLA® XC with Lidocaine.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| No-treatment Control | Number of Participants With Injection Site Responses (ISRs) | Initial Treatment | 26 Participants |
| No-treatment Control | Number of Participants With Injection Site Responses (ISRs) | Touch-up Treatment | 6 Participants |
| JUVÉDERM® VOLBELLA® XC With Lidocaine | Number of Participants With Injection Site Responses (ISRs) | Initial Treatment | 123 Participants |
| JUVÉDERM® VOLBELLA® XC With Lidocaine | Number of Participants With Injection Site Responses (ISRs) | Touch-up Treatment | 26 Participants |
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
An Adverse event (AE) is any untoward medical occurrence in a patient or a participant using an investigational drug, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. A TEAE is an AE that occurred after receiving the first dose of study device or study injection or an AE present prior to first dose but increased in severity during the Treatment Period.
Time frame: Baseline to Month 12 Post Treatment
Population: Safety population included all participants randomized to the treatment group who received at least 1 study treatment and all participants randomized to the control group, as treated.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| No-treatment Control | Number of Participants With Treatment-emergent Adverse Events (TEAEs) | 3 Participants |
| JUVÉDERM® VOLBELLA® XC With Lidocaine | Number of Participants With Treatment-emergent Adverse Events (TEAEs) | 74 Participants |
Percentage Change From Baseline in Lip Surface Area
Lips surface area was measured by 3D photography images. A positive percentage change from Baseline indicates improvement. Number analyzed is the number of participants with data available for analysis at Baseline and Month 3.
Time frame: Baseline to Month 3 Post Treatment ( JUVÉDERM® VOLBELLA® XC with Lidocaine arm) or Month 3 Post Randomization (No-treatment Control arm)
Population: mITT population included all participants who were randomized to study treatment (treatment group), received at least 1 study device treatment, and had baseline and at least 1 posttreatment assessment of primary variable, and who were randomized to no-treatment control group had baseline and at least 1 follow-up assessment of primary variable.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| No-treatment Control | Percentage Change From Baseline in Lip Surface Area | -0.11 percentage change in lip surface area |
| JUVÉDERM® VOLBELLA® XC With Lidocaine | Percentage Change From Baseline in Lip Surface Area | 12.16 percentage change in lip surface area |
Percentage of Participants With a ≥1-point Increase (Improvement) Based on the Participant's Assessed 5-point LFS
Lip fullness was assessed by the participant using the 5-point LFS where: 0=Minimal (Flat or nearly flat contour, minimal red lip show), 1=Mild (Some red lip show; no lower lip pout), 2=Moderate (Moderate red lip show with slight lower lip pout), 3=Marked (Significant red lip show and lower lip pout), and 4=Very Marked (Very significant red lip show, lower lip pout, and upper lip pout). Improvement was defined as a ≥1-point increase in fullness from Baseline. Number analyzed is the number of participants with data available for analysis at Baseline and Month 3.
Time frame: Baseline to Month 3 Post Treatment
Population: mITT population included all participants who were randomized to study treatment (treatment group), received at least 1 study device treatment, and had baseline and at least 1 posttreatment assessment of the primary variable. As per protocol, analysis for this Outcome Measure was for the Treatment arm only.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| No-treatment Control | Percentage of Participants With a ≥1-point Increase (Improvement) Based on the Participant's Assessed 5-point LFS | 65.0 percentage of participants |
Procedural Pain Score
Procedural pain (pain during injection) was evaluated by the participant using an 11-point scale, where: 0=No pain to 10=Worst pain imaginable. Participants recorded procedural pain in safety diary for 30 days after initial treatment. Number analyzed is the number of participants with safety diary data available for analysis.
Time frame: Up to 30 days after initial treatment with JUVÉDERM® VOLBELLA® XC with Lidocaine
Population: Safety population included all participants randomized to the treatment group who received at least 1 study treatment and all participants randomized to the control group, as treated. Analysis excludes 11 participants in the No-treatment Control group who did not receive JUVÉDERM® VOLBELLA®.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No-treatment Control | Procedural Pain Score | 2.6 score on a scale | Standard Deviation 1.86 |
| JUVÉDERM® VOLBELLA® XC With Lidocaine | Procedural Pain Score | 2.6 score on a scale | Standard Deviation 1.69 |