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International CoolSculpting: Study to Evaluate Patient Satisfaction for Non-Invasive Fat Reduction in Abdomen and/or Flanks (iCOOL)

International CoolSculpting: Prospective, Multi-Country, Study to Evaluate Patient Satisfaction for Non-Invasive Fat Reduction in Abdomen and/or Flanks (iCOOL)

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03909100
Enrollment
120
Registered
2019-04-09
Start date
2019-07-29
Completion date
2020-02-28
Last updated
2023-06-27

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

Conditions

Non-invasive Fat Reduction

Brief summary

This study aims to generate data that conveys participant's experiences such as their overall satisfaction with the CoolSculpting® treatment for their belly and love handles. By doing this, the study will provide insights for doctors to better inform participants about the expected outcomes.

Interventions

A treatment session is comprised of timed segments of cooling (treatment cycles) followed by 2 minutes of manual massage.

Sponsors

Allergan
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
22 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Participant has clearly visible fat in the flanks and/or abdomen, which in the investigator's opinion, may benefit from the treatment. * Participant has not had weight change fluctuations exceeding 4.5 kg (or 5% of body weight) in the preceding month. * Participant has a body mass index (BMI) of 18.5 to 30. A BMI is defined as weight in kilograms divided by height in meters squared (kg/m2). * Participant agrees to maintain weight (ie, within 5% of body weight) by not making any changes in diet or exercise routine during the course of the study. * Participant agrees to have photographs taken of the treatment area(s) during the scheduled time periods.

Exclusion criteria

* Participant has had liposuction, or another surgical procedure(s) or mesotherapy in area of intended treatment. * Participant has had a non-invasive fat reduction and/or body contouring procedure in the area(s) of intended treatment within the past 12 months. * Participant needs to administer, or has a known history of subcutaneous injections into the area(s) of intended treatment (eg, cortisone, heparin, insulin) within the past 6 months. * Participant is pregnant or intending to become pregnant. * Participant is lactating or has been lactating in the past 6-9 months. * Participant is unable or unwilling to comply with study requirements. * Participant is currently enrolled in a clinical study of any unapproved investigational device, investigational product or any other type of medical research judged not to be scientifically or medically compatible with this study. * Participant has an active implanted device such as a pacemaker, defibrillator, or drug delivery system or any other metal containing implant. * Participant with known history of cryoglobulinemia, cold agglutinin disease, or paroxysmal cold hemoglobinuria. * Participant with known sensitivity to cold or has any condition with a known response to cold exposure that limits blood flow to the skin such as cold urticaria or Raynaud's disease, or Chilblains (pernio). * Participant with known sensitivity or allergy to fructose, glycerin, isopropyl alcohol, or propylene glycol. * Participant with impaired peripheral circulation in the area to be treated * Participant with neuropathic disorders such as post-herpetic neuralgia or diabetic neuropathy. * Participant with impaired skin sensation. * Participant with open or infected wounds. * Participant with bleeding disorders, or concomitant use of blood thinners, or is taking any medication that in the investigator's opinion may increase the participant's risk of bruising. * Participant with recent surgery or scar tissue in the area to be treated. * Participant has history of hernia in or adjacent to the treatment area(s) site. * Participant with skin conditions such as eczema, dermatitis, or rashes in the area to be treated. * Participant has any dermatological conditions, such as moderate to excessive skin laxity, or scars in the location of the treatment sites that may interfere with the treatment or evaluation (stretch marks is not an exclusion). * Participant is taking or has taken diet pills or supplements within the past 6 months. * Any other condition or laboratory value that would, in the professional opinion of the investigator, potentially affect the participant's response or the integrity of the data or would pose an unacceptable risk to the participant. * Participant diagnosed with fibrosis.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Who Reported Satisfied or Very Satisfied on Cryolipolysis Satisfaction Questionnaire (CSQ) Item #1 Overall12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1=Rate your overall satisfaction with the fat reduction procedure on the treated area using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied.

Secondary

MeasureTime frameDescription
Percentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1=Rate your overall satisfaction with the fat reduction procedure on the treated area using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied.
Percentage of Participants by Body Mass Index (BMI) Categories Who Reported Satisfied or Very Satisfied on CSQ Item #112 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1=Rate your overall satisfaction with the fat reduction procedure on the treated area using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied. Participants were analyzed based on BMI ranges from 18.5 to \< 25.0 and 25.0 to \< 30.0. BMI was defined as weight in kilograms divided by height in meters squared (kg/m\^2).
Percentage of Participants Who Reported Satisfied or Very Satisfied on CSQ Item #1 in Treated Area(s)12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1=Rate your overall satisfaction with the fat reduction procedure on the treated area using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied.
Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)First treatment to Follow-up/Exit Visit (Week 12 +/- 14 days for those participants who received 1 treatment and Week 20 +/- 14 days for those participants who received 2 treatments)An AE was defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in participants, users, or other persons, if related to the investigational medical device. A SAE is any AE, that is fatal, life threatening, requires hospitalization or results in prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. A TEAE is defined as any new adverse event or worsening of an existing condition after initiation of treatment.
Percentage of Participants With Adverse Device Effects (ADEs) and Serious Adverse Device Effects (SADEs)First treatment to Follow-up/Exit Visit (Week 12 +/- 14 days for those participants who received 1 treatment and Week 20 +/- 14 days for those participants who received 2 treatments)An ADE was defined in accordance with ISO 14155 as an AE related to the use of an investigational medical device or defined as AE with a reasonable possibility (Possible, Probable, or Causal relationship) that the device caused the event. SADE is an ADE that might have led to any SAE consequences if a suitable action had not been taken or intervention had not been made.
Change From Baseline in Volume of Fat as Measured by 3 Dimensional (3D) PhotographyBaseline to 8 Weeks post-Treatment 1 and 12 Weeks post-Final Treatment 2Change in the volume of fat was assessed by a 3D stereoscopic camera which was used to generate a 3D image of the body, allowing quantification of the abdomen and flank areas. A 2-step 3D matching algorithm process was used, to identify the change of volume in milliliters (mL).

Countries

Australia, Canada, Singapore, United Kingdom

Participant flow

Participants by arm

ArmCount
CoolSculpting® System
Participants received up to two CoolSculpting® treatment sessions for the abdomen, flanks or both 8 weeks apart. A treatment session was comprised of timed segments of cooling (treatment cycles) followed by 2 minutes of manual massage. Up to 12 cycles per treatment session were performed at the investigator's discretion.
112
Total112

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyLost to Follow-up1
Overall StudyProtocol Deviation2
Overall StudyReason not Specified4
Overall StudyTechnical Problems4
Overall StudyWithdrawal by Subject4

Baseline characteristics

CharacteristicCoolSculpting® System
Age, Continuous42.5 years
STANDARD_DEVIATION 9.86
Race/Ethnicity, Customized
Arab/Middle Eastern
1 Participants
Race/Ethnicity, Customized
Asian - Chinese
51 Participants
Race/Ethnicity, Customized
Asian - Korean
1 Participants
Race/Ethnicity, Customized
Asian, Other
9 Participants
Race/Ethnicity, Customized
Black
1 Participants
Race/Ethnicity, Customized
Other
1 Participants
Race/Ethnicity, Customized
White
48 Participants
Sex: Female, Male
Female
83 Participants
Sex: Female, Male
Male
29 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1120 / 107
other
Total, other adverse events
10 / 1121 / 107
serious
Total, serious adverse events
0 / 1121 / 107

Outcome results

Primary

Percentage of Participants Who Reported Satisfied or Very Satisfied on Cryolipolysis Satisfaction Questionnaire (CSQ) Item #1 Overall

The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1=Rate your overall satisfaction with the fat reduction procedure on the treated area using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied.

Time frame: 12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)

Population: Evaluable Population included all participants who signed the ICF, had at least 1 of the procedures conducted, and also reported the CSQ Item 1 at 12 weeks after the final treatment (measured at Week 12 for participants who received 1 treatment session and at Week 20 for participants who received 2 treatment sessions).

ArmMeasureValue (NUMBER)
CoolSculpting® SystemPercentage of Participants Who Reported Satisfied or Very Satisfied on Cryolipolysis Satisfaction Questionnaire (CSQ) Item #1 Overall89.6 percentage of participants
Secondary

Change From Baseline in Volume of Fat as Measured by 3 Dimensional (3D) Photography

Change in the volume of fat was assessed by a 3D stereoscopic camera which was used to generate a 3D image of the body, allowing quantification of the abdomen and flank areas. A 2-step 3D matching algorithm process was used, to identify the change of volume in milliliters (mL).

Time frame: Baseline to 8 Weeks post-Treatment 1 and 12 Weeks post-Final Treatment 2

Population: Evaluable Population included all participants who signed the ICF, had at least 1 of the procedures conducted, and also reported the CSQ Item 1 at 12 weeks after the final treatment (measured at Week 12 for participants who received 1 treatment session and at Week 20 for participants who received 2 treatment sessions). Number analyzed are the number of participants with evaluable data for given category.

ArmMeasureGroupValue (MEAN)Dispersion
CoolSculpting® SystemChange From Baseline in Volume of Fat as Measured by 3 Dimensional (3D) PhotographyChange from Baseline at 8 Weeks Post-Treatment Session 1-149.1 mLStandard Deviation 280.61
CoolSculpting® SystemChange From Baseline in Volume of Fat as Measured by 3 Dimensional (3D) PhotographyChange from Baseline at 12 Weeks Post-Final Treatment-264.8 mLStandard Deviation 411.36
Secondary

Percentage of Participants by Body Mass Index (BMI) Categories Who Reported Satisfied or Very Satisfied on CSQ Item #1

The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1=Rate your overall satisfaction with the fat reduction procedure on the treated area using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied. Participants were analyzed based on BMI ranges from 18.5 to \< 25.0 and 25.0 to \< 30.0. BMI was defined as weight in kilograms divided by height in meters squared (kg/m\^2).

Time frame: 12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)

Population: Evaluable Population included all participants who signed the ICF, had at least 1 of the procedures conducted, and also reported the CSQ Item 1 at 12 weeks after the final treatment (measured at Week 12 for participants who received 1 treatment session and at Week 20 for participants who received 2 treatment sessions). Number analyzed are the number of participants with evaluable data for given category.

ArmMeasureGroupValue (NUMBER)
CoolSculpting® SystemPercentage of Participants by Body Mass Index (BMI) Categories Who Reported Satisfied or Very Satisfied on CSQ Item #1BMI 18.5 - < 2588.5 percentage of participants
CoolSculpting® SystemPercentage of Participants by Body Mass Index (BMI) Categories Who Reported Satisfied or Very Satisfied on CSQ Item #1BMI 25 - ≤ 3090.7 percentage of participants
Secondary

Percentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles

The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1=Rate your overall satisfaction with the fat reduction procedure on the treated area using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied.

Time frame: 12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)

Population: Evaluable Population included all participants who signed the ICF, had at least 1 of the procedures conducted, and also reported the CSQ Item 1 at 12 weeks after the final treatment (measured at Week 12 for participants who received 1 treatment session and at Week 20 for participants who received 2 treatment sessions). Number analyzed are the number of participants with evaluable data for given category.

ArmMeasureGroupValue (NUMBER)
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles20 Treatment Cycles100.0 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles24 Treatment Cycles92.2 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles22 Treatment Cycles100.0 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles21 Treatment Cycles100.0 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles18 Treatment Cycles80.0 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles17 Treatment Cycles100.0 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles16 Treatment Cycles92.3 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles15 Treatment Cycles100.0 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles14 Treatment Cycles66.7 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles13 Treatment Cycles100.0 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles12 Treatment Cycles80.0 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles11 Treatment Cycles100.0 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles10 Treatment Cycles100.0 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles9 Treatment Cycles100.0 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles7 Treatment Cycles0 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles6 Treatment Cycles100.0 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles5 Treatment Cycles100.0 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Received 1 or 2 Treatments Who Reported Satisfied or Very Satisfied on CSQ Item #1 by Number of Treatment Cycles2 Treatment Cycles100.0 percentage of participants
Secondary

Percentage of Participants Who Reported Satisfied or Very Satisfied on CSQ Item #1 in Treated Area(s)

The CSQ is a 4-item Patient-reported Outcome (PRO) instrument that measures the participant's satisfaction with CoolSculpting® treatment of the flank, abdomen or both. Participants rated their satisfaction by answering CSQ Item 1=Rate your overall satisfaction with the fat reduction procedure on the treated area using the following scale: Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied or Very dissatisfied.

Time frame: 12 weeks after the final treatment session (measured at Week 12 for participants who received 1 treatment session or Week 20 for 2 treatment sessions)

Population: Evaluable Population included all participants who signed the ICF, had at least 1 of the procedures conducted, and also reported the CSQ Item 1 at 12 weeks after the final treatment (measured at Week 12 for participants who received 1 treatment session and at Week 20 for participants who received 2 treatment sessions). Number analyzed are the number of participants with evaluable data for given category.

ArmMeasureGroupValue (NUMBER)
CoolSculpting® SystemPercentage of Participants Who Reported Satisfied or Very Satisfied on CSQ Item #1 in Treated Area(s)Abdomen87.1 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Reported Satisfied or Very Satisfied on CSQ Item #1 in Treated Area(s)Flanks93.1 percentage of participants
CoolSculpting® SystemPercentage of Participants Who Reported Satisfied or Very Satisfied on CSQ Item #1 in Treated Area(s)Abdomen and Flanks89.6 percentage of participants
Secondary

Percentage of Participants With Adverse Device Effects (ADEs) and Serious Adverse Device Effects (SADEs)

An ADE was defined in accordance with ISO 14155 as an AE related to the use of an investigational medical device or defined as AE with a reasonable possibility (Possible, Probable, or Causal relationship) that the device caused the event. SADE is an ADE that might have led to any SAE consequences if a suitable action had not been taken or intervention had not been made.

Time frame: First treatment to Follow-up/Exit Visit (Week 12 +/- 14 days for those participants who received 1 treatment and Week 20 +/- 14 days for those participants who received 2 treatments)

Population: Safety Population included all participants who had at least 1 of the treatment procedures conducted.

ArmMeasureGroupValue (NUMBER)
CoolSculpting® SystemPercentage of Participants With Adverse Device Effects (ADEs) and Serious Adverse Device Effects (SADEs)ADE14.3 percentage of participants
CoolSculpting® SystemPercentage of Participants With Adverse Device Effects (ADEs) and Serious Adverse Device Effects (SADEs)SADE0 percentage of participants
CoolSculpting®: Treatment Session 2Percentage of Participants With Adverse Device Effects (ADEs) and Serious Adverse Device Effects (SADEs)ADE9.3 percentage of participants
CoolSculpting®: Treatment Session 2Percentage of Participants With Adverse Device Effects (ADEs) and Serious Adverse Device Effects (SADEs)SADE0 percentage of participants
Secondary

Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

An AE was defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in participants, users, or other persons, if related to the investigational medical device. A SAE is any AE, that is fatal, life threatening, requires hospitalization or results in prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. A TEAE is defined as any new adverse event or worsening of an existing condition after initiation of treatment.

Time frame: First treatment to Follow-up/Exit Visit (Week 12 +/- 14 days for those participants who received 1 treatment and Week 20 +/- 14 days for those participants who received 2 treatments)

Population: Safety Population included all participants who had at least 1 of the treatment procedures conducted.

ArmMeasureGroupValue (NUMBER)
CoolSculpting® SystemPercentage of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)TEAE14.3 percentage of participants
CoolSculpting® SystemPercentage of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)SAE0.0 percentage of participants
CoolSculpting®: Treatment Session 2Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)TEAE10.3 percentage of participants
CoolSculpting®: Treatment Session 2Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)SAE0.9 percentage of participants

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