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RHA® 3 Versus Restylane-L® for Lip Augmentation

A Controlled, Randomized, Double-blinded, Between-subject, Multicenter, Prospective Clinical Study to Evaluate Safety and Effectiveness of RHA® 3 Versus Restylane-L® for Lip Augmentation

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04540913
Enrollment
202
Registered
2020-09-07
Start date
2020-10-22
Completion date
2022-09-07
Last updated
2025-02-03

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

Conditions

Lip, Lip Augmentation

Keywords

Dermal Filler, Hyaluronic acid, Lip, Lip Augmentation

Brief summary

This is a multicenter, double-blinded, randomized, prospective, controlled clinical study to identify whether RHA® 3 is non-inferior to Restylane-L® for lip augmentation at Week 12 after the last treatment (initial or touch-up). At screening, the treating investigator (TI) will evaluate the subject's lip fullness using the validated Teoxane Lip Fullness Scale (5-grade) for eligibility of the subject for the study. At screening, the blinded live evaluator (BLE) will evaluate the subject's lip fullness using the TLFS to confirm eligibility and to establish a pre-treatment score for assessment of effectiveness. Enrolled subjects will be randomly assigned in a 3:1 ratio to either the RHA® 3 or the Restylane-L® treatment group. Subjects will be blinded to the study treatment. The TI will administer the fillers, and if necessary, subjects will receive a touch-up treatment 4 weeks after the initial treatment to optimize the results. If the touch-up treatment is administered, the subject will be asked to come to the site for an additional visit 4 weeks after the touch-up injection. The study duration was extended from 36 to 52 weeks once all subjects had already been enrolled. Nearly 60% of the subjects consented to extend the study to 52 weeks before being eligible for repeat treatment. All data are presented up to 52 weeks (as well as 4 more weeks follow-up after retreatment at 36 or 52 weeks). Subjects will be followed for 36 to 52 weeks after their last treatment (initial treatment or touch-up), at which point, they will be offered re-treatment with RHA® 3, regardless of their original treatment, provided that the TI deems the treatment to be appropriate and the subject agrees. Reasons for not administering the re-treatment will be documented. The subject will then be followed for an additional 4 weeks before exiting the study. If the subject or the TI declines re-treatment, this visit (36 or 52 weeks after the last treatment) will be considered the study Exit visit. For subjects with re-treatment, the Exit visit will be 4 weeks after the re-treatment. The TI will conduct safety and effectiveness evaluations at each study visit (up to 36 weeks or 52 (if applicable) weeks after the last treatment, and 4 weeks after re treatment) or until all treatment-related ongoing adverse events (AEs) have resolved or resolved with sequelae as per TI judgment or if follow-up is no longer possible.

Interventions

DEVICERHA 3

Investigational Product, RHA® 3 is a viscoelastic, sterile, non-pyrogenic, clear, colorless, homogenous, and biodegradable gel implant. It is formulated with sodium hyaluronic acid (NaHA) at a concentration of 23 mg/g obtained from bacterial fermentation using the Streptococcus equi bacterial strained, crosslinked with 1,4 butanediol diglycidyl ether (BDDE) and reconstituted in a physiological buffer (pH 7.3). RHA® 3 also contains 0.3% lidocaine hydrochloride to reduce pain on injection.

Comparator Product, Restylane-L is a gel of hyaluronic acid generated by Streptococcus species of bacteria, chemically crosslinked with BDDE, stabilized and suspended in phosphate buffered saline at pH=7 and concentration of 20 mg/mL with 0.3% lidocaine.

Sponsors

Teoxane SA
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
22 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Outpatient, male or female of any race, 22 years of age or older * Lip fullness of grade 1 to 3 on the TLFS (ranging from 1 to 5) who desire at least 1 point of correction for upper and/or lower lips OR has Fitzpatrick skin type V or VI and has lip fullness grade 4 or 5 on the TLFS who desire treatment to the vermillion body for upper and/or lower lips. The BLE and TI must independently assess and agree that this criterion is met; however, concordance of fullness is not required. If the assessments of the TI and the BLE are the same or differ by exactly 1 point on the scale, this difference is considered acceptable. If the assessments differ by 2 points or more on the scale, the subject will not be eligible. * Willing to abstain from facial aesthetic procedures/therapies that could interfere with study evaluations * Able to follow study instructions and complete all required visits. * Sign the IRB-approved ICF, Photographic Release Form and the Authorization for Use and release of Health and Research Study Information (HIPAA) form prior to any study- related procedures being performed.

Exclusion criteria

* Female subjects that are pregnant, breast-feeding or of childbearing potential and not practicing reliable birth control * Known hypersensitivity/allergy to any component of the study devices * Clinically significant active skin disease within 6 months * Has a history of or currently has an auto-immune disease.

Design outcomes

Primary

MeasureTime frameDescription
Change in TLFS Score (Teoxane Lip Fullness Scale) Between Baseline and Week 12 After Last Treatment of RHA®3 Versus Control Device, as Assessed by the BLEWeek 12 after last treatmentA change in the TLFS ≥1 grade compared to pre-treatment will be considered clinically meaningful. The TLFS is a validated 5-point scale for assessing lip augmentation. Possible scores range from 1 (Very Thin) to 5 (Very Full). Change = (Week 12 - Baseline score).

Secondary

MeasureTime frameDescription
Responder Rate Calculated Using TLFS Assessed by the BLEWeeks 12, 36, 52 after last treatment, week 4 after re-treatmentA responder will be defined as a subject who has a ≥1 grade improvement on the TLFS. The TLFS is a validated 5-point static scale for assessing lip augmentation. Possible scores range from 1 (Very Thin) to 5 (Very Full).
Number of Subjects Satisfied or Very Satisfied With Study Treatment Using the Subject Satisfaction Scale at Weeks 12, 36, 52 After Last Treatment and 4 Weeks After Re-treatment.Weeks 12, 36, 52 after last treatment and 4 week after re-treatment.The Subject Satisfaction Scale is a subjective, balanced, 5-point scale assessing subject satisfaction with study treatment. Possible scores range from with 1 (very satisfied) to 5 (very dissatisfied).
Change From Baseline in TLFS Score as Assessed by the BLE at Visit 5 (Weeks 24 After Last Treatment), 6 (Weeks 36 After Last Treatment), 7 (Week 52 After Last Treatment) if Applicable, and Re-treatment (4 Weeks After Re-treatment)Weeks 36 and 52 after last treatment, week 4 after re-treatmentA change in the TLFS ≥1 grade compared to pre-treatment will be considered clinically meaningful. The TLFS is a validated 5-point static scale for assessing lip augmentation. Possible scores range from 1 (Very Thin) to 5 (Very Full).
Subject's Perception of Treatment Effectiveness as Per the Satisfaction With Outcome FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Weeks 12, 36, 52 after last treatment and 4 week after re-treatment.The FACE-Q measures the experience and outcomes of aesthetic facial procedures from the patient's perspective. The FACE-Q questionnaire is composed of 6 questions with a score linked to answers (1 being Definitely disagree and 4 being Definitely agree). The subject will be instructed as follows: We would like to know how you feel about your most recent procedure. For each question, select only one answer. Please indicate how much you agree or disagree with each statement:, and will provide response. To calculate the FACE-Q, outcomes from all 16questions were pooled, data were transformed so that higher scores reflected a superior (positive) outcome, and adapted to a scale of 100 units (i.e. worst/lowest score = 0, best/highest score = 100).
Number of Subjects Scored Either Much Improved or Improved on Global Aesthetic Improvement (GAI) Scale by the BLE.Weeks 12, 36, 52 after last treatment, and 4 weeks after re-treatmentThe Global Aesthetic Improvement (GAI) is a subjective, balanced, 5-point dynamic scale assessing cosmetic improvement. Possible scores range from much improved, improved, no change, worse, to much worse. The GAI will be assessed using the baseline photograph.
Subject's Perception of Treatment Effectiveness as Per the Satisfaction With Lips FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Change from Baseline at Weeks 12, 36, 52 after last treatment and 4 week after re-treatment.The FACE-Q measures the experience and outcomes of aesthetic facial procedures from the patient's perspective. The FACE-Q questionnaire is composed of 10 questions with a score linked to answers (1 being Very Dissatisfied and 4 being Very Satisfied). The subject will be instructed as follows: These questions ask about how you look right now. For each question, circle only one answer. With your lips in mind, in the past week, how satisfied or dissatisfied have been with:, and will provide response. To calculate the FACE-Q, outcomes from all 10 questions were pooled, data were transformed so that higher scores reflected a superior (positive) outcome, and adapted to a scale of 100 units (i.e. worst/lowest score = 0, best/highest score = 100).

Countries

United States

Participant flow

Participants by arm

ArmCount
RHA 3
Injection of RHA 3 into into the vermillion body, vermillion border, and oral commissures of the lips (up to 3 ml with a max of 1.5 ml per lip), injected into the lip mucosa and/or mid to deep dermis as appropriate for lip augmentation. Optional touch up treatment provided at 4 Weeks, retreatment at 36 or 52 Weeks. RHA 3: Investigational Product, RHA® 3 is a viscoelastic, sterile, non-pyrogenic, clear, colorless, homogenous, and biodegradable gel implant. It is formulated with sodium hyaluronic acid (NaHA) at a concentration of 23 mg/g obtained from bacterial fermentation using the Streptococcus equi bacterial strained, crosslinked with 1,4 butanediol diglycidyl ether (BDDE) and reconstituted in a physiological buffer (pH 7.3). RHA® 3 also contains 0.3% lidocaine hydrochloride to reduce pain on injection.
153
Restylane- L
Injection of Restylane- L into into the vermillion body, vermillion border, and oral commissures of the lips (up to 3 ml with a max of 1.5 ml per lip), injected into the lip mucosa and/or mid to deep dermis as appropriate for lip augmentation. Optional touch up treatment provided at 4 Weeks. Restylane-L: Comparator Product, Restylane-L is a gel of hyaluronic acid generated by Streptococcus species of bacteria, chemically crosslinked with BDDE, stabilized and suspended in phosphate buffered saline at pH=7 and concentration of 20 mg/mL with 0.3% lidocaine.
49
Total202

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyWithdrawal by Subject143

Baseline characteristics

CharacteristicRestylane- LTotalRHA 3
Age, Continuous48.5 years
STANDARD_DEVIATION 11.69
48.7 years
STANDARD_DEVIATION 12.82
48.8 years
STANDARD_DEVIATION 13.19
Fitzpatrick Skin Type [1]
Type I-III
35 Participants149 Participants114 Participants
Fitzpatrick Skin Type [1]
Type IV-VI
14 Participants53 Participants39 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants3 Participants2 Participants
Race (NIH/OMB)
Asian
1 Participants5 Participants4 Participants
Race (NIH/OMB)
Black or African American
2 Participants17 Participants15 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants2 Participants2 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
45 Participants175 Participants130 Participants
Region of Enrollment
United States
49 participants202 participants153 participants
Sex: Female, Male
Female
48 Participants199 Participants151 Participants
Sex: Female, Male
Male
1 Participants3 Participants2 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1530 / 49
other
Total, other adverse events
75 / 15322 / 49
serious
Total, serious adverse events
0 / 1531 / 49

Outcome results

Primary

Change in TLFS Score (Teoxane Lip Fullness Scale) Between Baseline and Week 12 After Last Treatment of RHA®3 Versus Control Device, as Assessed by the BLE

A change in the TLFS ≥1 grade compared to pre-treatment will be considered clinically meaningful. The TLFS is a validated 5-point scale for assessing lip augmentation. Possible scores range from 1 (Very Thin) to 5 (Very Full). Change = (Week 12 - Baseline score).

Time frame: Week 12 after last treatment

Population: Primary endpoint on the mITT population

ArmMeasureValue (MEAN)Dispersion
RHA 3Change in TLFS Score (Teoxane Lip Fullness Scale) Between Baseline and Week 12 After Last Treatment of RHA®3 Versus Control Device, as Assessed by the BLE1.0 score on a scaleStandard Deviation 0.65
Control DeviceChange in TLFS Score (Teoxane Lip Fullness Scale) Between Baseline and Week 12 After Last Treatment of RHA®3 Versus Control Device, as Assessed by the BLE0.8 score on a scaleStandard Deviation 0.7
Secondary

Change From Baseline in TLFS Score as Assessed by the BLE at Visit 5 (Weeks 24 After Last Treatment), 6 (Weeks 36 After Last Treatment), 7 (Week 52 After Last Treatment) if Applicable, and Re-treatment (4 Weeks After Re-treatment)

A change in the TLFS ≥1 grade compared to pre-treatment will be considered clinically meaningful. The TLFS is a validated 5-point static scale for assessing lip augmentation. Possible scores range from 1 (Very Thin) to 5 (Very Full).

Time frame: Weeks 36 and 52 after last treatment, week 4 after re-treatment

Population: mITT population

ArmMeasureGroupValue (MEAN)Dispersion
RHA 3Change From Baseline in TLFS Score as Assessed by the BLE at Visit 5 (Weeks 24 After Last Treatment), 6 (Weeks 36 After Last Treatment), 7 (Week 52 After Last Treatment) if Applicable, and Re-treatment (4 Weeks After Re-treatment)Week 36 after last treatment0.7 score on a scaleStandard Deviation 0.65
RHA 3Change From Baseline in TLFS Score as Assessed by the BLE at Visit 5 (Weeks 24 After Last Treatment), 6 (Weeks 36 After Last Treatment), 7 (Week 52 After Last Treatment) if Applicable, and Re-treatment (4 Weeks After Re-treatment)Week 52 after last treatment0.5 score on a scaleStandard Deviation 0.64
RHA 3Change From Baseline in TLFS Score as Assessed by the BLE at Visit 5 (Weeks 24 After Last Treatment), 6 (Weeks 36 After Last Treatment), 7 (Week 52 After Last Treatment) if Applicable, and Re-treatment (4 Weeks After Re-treatment)Re-treatment: 4weeks post re-treatment at week 361.0 score on a scaleStandard Deviation 0.82
RHA 3Change From Baseline in TLFS Score as Assessed by the BLE at Visit 5 (Weeks 24 After Last Treatment), 6 (Weeks 36 After Last Treatment), 7 (Week 52 After Last Treatment) if Applicable, and Re-treatment (4 Weeks After Re-treatment)Re-treatment: 4 weeks post re-treatment at week 521.1 score on a scaleStandard Deviation 0.74
Control DeviceChange From Baseline in TLFS Score as Assessed by the BLE at Visit 5 (Weeks 24 After Last Treatment), 6 (Weeks 36 After Last Treatment), 7 (Week 52 After Last Treatment) if Applicable, and Re-treatment (4 Weeks After Re-treatment)Re-treatment: 4 weeks post re-treatment at week 520.9 score on a scaleStandard Deviation 0.66
Control DeviceChange From Baseline in TLFS Score as Assessed by the BLE at Visit 5 (Weeks 24 After Last Treatment), 6 (Weeks 36 After Last Treatment), 7 (Week 52 After Last Treatment) if Applicable, and Re-treatment (4 Weeks After Re-treatment)Week 36 after last treatment0.5 score on a scaleStandard Deviation 0.63
Control DeviceChange From Baseline in TLFS Score as Assessed by the BLE at Visit 5 (Weeks 24 After Last Treatment), 6 (Weeks 36 After Last Treatment), 7 (Week 52 After Last Treatment) if Applicable, and Re-treatment (4 Weeks After Re-treatment)Re-treatment: 4weeks post re-treatment at week 360.9 score on a scaleStandard Deviation 0.74
Control DeviceChange From Baseline in TLFS Score as Assessed by the BLE at Visit 5 (Weeks 24 After Last Treatment), 6 (Weeks 36 After Last Treatment), 7 (Week 52 After Last Treatment) if Applicable, and Re-treatment (4 Weeks After Re-treatment)Week 52 after last treatment0.1 score on a scaleStandard Deviation 0.63
Secondary

Number of Subjects Satisfied or Very Satisfied With Study Treatment Using the Subject Satisfaction Scale at Weeks 12, 36, 52 After Last Treatment and 4 Weeks After Re-treatment.

The Subject Satisfaction Scale is a subjective, balanced, 5-point scale assessing subject satisfaction with study treatment. Possible scores range from with 1 (very satisfied) to 5 (very dissatisfied).

Time frame: Weeks 12, 36, 52 after last treatment and 4 week after re-treatment.

Population: mITT population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RHA 3Number of Subjects Satisfied or Very Satisfied With Study Treatment Using the Subject Satisfaction Scale at Weeks 12, 36, 52 After Last Treatment and 4 Weeks After Re-treatment.Week 36 after last treatment108 Participants
RHA 3Number of Subjects Satisfied or Very Satisfied With Study Treatment Using the Subject Satisfaction Scale at Weeks 12, 36, 52 After Last Treatment and 4 Weeks After Re-treatment.Re-treatment: 4 weeks post re-treatment at week 3622 Participants
RHA 3Number of Subjects Satisfied or Very Satisfied With Study Treatment Using the Subject Satisfaction Scale at Weeks 12, 36, 52 After Last Treatment and 4 Weeks After Re-treatment.Week 52 after last treatment67 Participants
RHA 3Number of Subjects Satisfied or Very Satisfied With Study Treatment Using the Subject Satisfaction Scale at Weeks 12, 36, 52 After Last Treatment and 4 Weeks After Re-treatment.Re-treatment: 4 weeks post re-treatment at week 5254 Participants
RHA 3Number of Subjects Satisfied or Very Satisfied With Study Treatment Using the Subject Satisfaction Scale at Weeks 12, 36, 52 After Last Treatment and 4 Weeks After Re-treatment.Week 12 after last treatment113 Participants
Control DeviceNumber of Subjects Satisfied or Very Satisfied With Study Treatment Using the Subject Satisfaction Scale at Weeks 12, 36, 52 After Last Treatment and 4 Weeks After Re-treatment.Re-treatment: 4 weeks post re-treatment at week 5215 Participants
Control DeviceNumber of Subjects Satisfied or Very Satisfied With Study Treatment Using the Subject Satisfaction Scale at Weeks 12, 36, 52 After Last Treatment and 4 Weeks After Re-treatment.Week 12 after last treatment33 Participants
Control DeviceNumber of Subjects Satisfied or Very Satisfied With Study Treatment Using the Subject Satisfaction Scale at Weeks 12, 36, 52 After Last Treatment and 4 Weeks After Re-treatment.Week 36 after last treatment27 Participants
Control DeviceNumber of Subjects Satisfied or Very Satisfied With Study Treatment Using the Subject Satisfaction Scale at Weeks 12, 36, 52 After Last Treatment and 4 Weeks After Re-treatment.Week 52 after last treatment16 Participants
Control DeviceNumber of Subjects Satisfied or Very Satisfied With Study Treatment Using the Subject Satisfaction Scale at Weeks 12, 36, 52 After Last Treatment and 4 Weeks After Re-treatment.Re-treatment: 4 weeks post re-treatment at week 369 Participants
Secondary

Number of Subjects Scored Either Much Improved or Improved on Global Aesthetic Improvement (GAI) Scale by the BLE.

The Global Aesthetic Improvement (GAI) is a subjective, balanced, 5-point dynamic scale assessing cosmetic improvement. Possible scores range from much improved, improved, no change, worse, to much worse. The GAI will be assessed using the baseline photograph.

Time frame: Weeks 12, 36, 52 after last treatment, and 4 weeks after re-treatment

Population: mITT population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RHA 3Number of Subjects Scored Either Much Improved or Improved on Global Aesthetic Improvement (GAI) Scale by the BLE.Week 36 after last treatment113 Participants
RHA 3Number of Subjects Scored Either Much Improved or Improved on Global Aesthetic Improvement (GAI) Scale by the BLE.Re-treatment: 4weeks post re-treatment at week 3621 Participants
RHA 3Number of Subjects Scored Either Much Improved or Improved on Global Aesthetic Improvement (GAI) Scale by the BLE.Week 52 after last treatment58 Participants
RHA 3Number of Subjects Scored Either Much Improved or Improved on Global Aesthetic Improvement (GAI) Scale by the BLE.Re-treatment: 4weeks post re-treatment at week 5258 Participants
RHA 3Number of Subjects Scored Either Much Improved or Improved on Global Aesthetic Improvement (GAI) Scale by the BLE.Week 12 after last treatment134 Participants
Control DeviceNumber of Subjects Scored Either Much Improved or Improved on Global Aesthetic Improvement (GAI) Scale by the BLE.Re-treatment: 4weeks post re-treatment at week 5217 Participants
Control DeviceNumber of Subjects Scored Either Much Improved or Improved on Global Aesthetic Improvement (GAI) Scale by the BLE.Week 12 after last treatment41 Participants
Control DeviceNumber of Subjects Scored Either Much Improved or Improved on Global Aesthetic Improvement (GAI) Scale by the BLE.Week 36 after last treatment29 Participants
Control DeviceNumber of Subjects Scored Either Much Improved or Improved on Global Aesthetic Improvement (GAI) Scale by the BLE.Week 52 after last treatment11 Participants
Control DeviceNumber of Subjects Scored Either Much Improved or Improved on Global Aesthetic Improvement (GAI) Scale by the BLE.Re-treatment: 4weeks post re-treatment at week 368 Participants
Secondary

Responder Rate Calculated Using TLFS Assessed by the BLE

A responder will be defined as a subject who has a ≥1 grade improvement on the TLFS. The TLFS is a validated 5-point static scale for assessing lip augmentation. Possible scores range from 1 (Very Thin) to 5 (Very Full).

Time frame: Weeks 12, 36, 52 after last treatment, week 4 after re-treatment

Population: mITT population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
RHA 3Responder Rate Calculated Using TLFS Assessed by the BLEWeek 52 after last treatment38 Participants
RHA 3Responder Rate Calculated Using TLFS Assessed by the BLEWeek 36 after last treatment81 Participants
RHA 3Responder Rate Calculated Using TLFS Assessed by the BLERe-treatment: 4weeks post re-treatment at week 3618 Participants
RHA 3Responder Rate Calculated Using TLFS Assessed by the BLERe-treatment: 4weeks post re-treatment at week 5249 Participants
RHA 3Responder Rate Calculated Using TLFS Assessed by the BLEWeek 12 after last treatment105 Participants
Control DeviceResponder Rate Calculated Using TLFS Assessed by the BLERe-treatment: 4weeks post re-treatment at week 5213 Participants
Control DeviceResponder Rate Calculated Using TLFS Assessed by the BLEWeek 12 after last treatment29 Participants
Control DeviceResponder Rate Calculated Using TLFS Assessed by the BLEWeek 36 after last treatment22 Participants
Control DeviceResponder Rate Calculated Using TLFS Assessed by the BLEWeek 52 after last treatment6 Participants
Control DeviceResponder Rate Calculated Using TLFS Assessed by the BLERe-treatment: 4weeks post re-treatment at week 367 Participants
Secondary

Subject's Perception of Treatment Effectiveness as Per the Satisfaction With Lips FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.

The FACE-Q measures the experience and outcomes of aesthetic facial procedures from the patient's perspective. The FACE-Q questionnaire is composed of 10 questions with a score linked to answers (1 being Very Dissatisfied and 4 being Very Satisfied). The subject will be instructed as follows: These questions ask about how you look right now. For each question, circle only one answer. With your lips in mind, in the past week, how satisfied or dissatisfied have been with:, and will provide response. To calculate the FACE-Q, outcomes from all 10 questions were pooled, data were transformed so that higher scores reflected a superior (positive) outcome, and adapted to a scale of 100 units (i.e. worst/lowest score = 0, best/highest score = 100).

Time frame: Change from Baseline at Weeks 12, 36, 52 after last treatment and 4 week after re-treatment.

Population: mITT population

ArmMeasureGroupValue (MEAN)Dispersion
RHA 3Subject's Perception of Treatment Effectiveness as Per the Satisfaction With Lips FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Week 36 after last treatment40.9 score on a scaleStandard Deviation 29.11
RHA 3Subject's Perception of Treatment Effectiveness as Per the Satisfaction With Lips FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Re-treatment: 4weeks post re-treatment at week 3657.4 score on a scaleStandard Deviation 24.42
RHA 3Subject's Perception of Treatment Effectiveness as Per the Satisfaction With Lips FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Week 52 after last treatment36.2 score on a scaleStandard Deviation 27.56
RHA 3Subject's Perception of Treatment Effectiveness as Per the Satisfaction With Lips FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Re-treatment: 4weeks post re-treatment at week 5256.0 score on a scaleStandard Deviation 23.8
RHA 3Subject's Perception of Treatment Effectiveness as Per the Satisfaction With Lips FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Week 12 after last treatment50.6 score on a scaleStandard Deviation 25.58
Control DeviceSubject's Perception of Treatment Effectiveness as Per the Satisfaction With Lips FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Re-treatment: 4weeks post re-treatment at week 5251.9 score on a scaleStandard Deviation 20.45
Control DeviceSubject's Perception of Treatment Effectiveness as Per the Satisfaction With Lips FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Week 12 after last treatment46.1 score on a scaleStandard Deviation 26.71
Control DeviceSubject's Perception of Treatment Effectiveness as Per the Satisfaction With Lips FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Week 36 after last treatment31.8 score on a scaleStandard Deviation 30.76
Control DeviceSubject's Perception of Treatment Effectiveness as Per the Satisfaction With Lips FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Week 52 after last treatment25.1 score on a scaleStandard Deviation 30.6
Control DeviceSubject's Perception of Treatment Effectiveness as Per the Satisfaction With Lips FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Re-treatment: 4weeks post re-treatment at week 3655.7 score on a scaleStandard Deviation 19.7
Secondary

Subject's Perception of Treatment Effectiveness as Per the Satisfaction With Outcome FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.

The FACE-Q measures the experience and outcomes of aesthetic facial procedures from the patient's perspective. The FACE-Q questionnaire is composed of 6 questions with a score linked to answers (1 being Definitely disagree and 4 being Definitely agree). The subject will be instructed as follows: We would like to know how you feel about your most recent procedure. For each question, select only one answer. Please indicate how much you agree or disagree with each statement:, and will provide response. To calculate the FACE-Q, outcomes from all 16questions were pooled, data were transformed so that higher scores reflected a superior (positive) outcome, and adapted to a scale of 100 units (i.e. worst/lowest score = 0, best/highest score = 100).

Time frame: Weeks 12, 36, 52 after last treatment and 4 week after re-treatment.

Population: mITT population

ArmMeasureGroupValue (MEAN)Dispersion
RHA 3Subject's Perception of Treatment Effectiveness as Per the Satisfaction With Outcome FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Week 36 after last treatment73.8 score on a scaleStandard Deviation 26.03
RHA 3Subject's Perception of Treatment Effectiveness as Per the Satisfaction With Outcome FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Re-treatment: 4weeks post re-treatment at week 3681.0 score on a scaleStandard Deviation 19.43
RHA 3Subject's Perception of Treatment Effectiveness as Per the Satisfaction With Outcome FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Week 52 after last treatment75.6 score on a scaleStandard Deviation 24.08
RHA 3Subject's Perception of Treatment Effectiveness as Per the Satisfaction With Outcome FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Re-treatment: 4weeks post re-treatment at week 5282.4 score on a scaleStandard Deviation 20.61
RHA 3Subject's Perception of Treatment Effectiveness as Per the Satisfaction With Outcome FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Week 12 after last treatment77.2 score on a scaleStandard Deviation 22.65
Control DeviceSubject's Perception of Treatment Effectiveness as Per the Satisfaction With Outcome FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Re-treatment: 4weeks post re-treatment at week 5275.6 score on a scaleStandard Deviation 27.5
Control DeviceSubject's Perception of Treatment Effectiveness as Per the Satisfaction With Outcome FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Week 12 after last treatment71.1 score on a scaleStandard Deviation 29.64
Control DeviceSubject's Perception of Treatment Effectiveness as Per the Satisfaction With Outcome FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Week 36 after last treatment61.9 score on a scaleStandard Deviation 33.62
Control DeviceSubject's Perception of Treatment Effectiveness as Per the Satisfaction With Outcome FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Week 52 after last treatment61.6 score on a scaleStandard Deviation 30.65
Control DeviceSubject's Perception of Treatment Effectiveness as Per the Satisfaction With Outcome FACE-Q | Aesthetics© Scale Questionnaire at Weeks 12, 36, 52 After Last Treatment and 4 Week After Re-treatment.Re-treatment: 4weeks post re-treatment at week 3676.8 score on a scaleStandard Deviation 22.84

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