Skin Ageing
Conditions
Brief summary
this is a Post market, prospective, single arm, clinical investigation. Foliage Hydrofil is a CE marked, class III, resorbable medical device (sterile, non-pyrogenic and physiological gel) to be used for the hydration of the skin and for the correction of superficial skin imperfections of the face and body and in the process of repairing the dermal tissue. The main component of Foliage Hydrofil is HA sodium salt of non-animal origin, produced by bacterial fermentation. Each subject will receive three treatments, one vial 2mL (1.6% HA formulation) each, with Foliage Hydrofil, 3 weeks apart. Foliage Hydrofil will be injected with needles 30G 4mm only. The area treated with the study treatment will be the face. The device administration could be done after an anesthetic cream application, according to Investigator's judgement. Primary objective * To evaluate the clinical performance of Foliage Hydrofil in the improvement of the skin hydration in the treated area (face) at Day 98, from baseline. Secondary objectives * To evaluate the clinical performance of Foliage Hydrofil in the improvement of the skin hydration in the treated area at Day 21 and 42, from baseline; * To evaluate the improvement of the skin texture, skin tone, smoothing of fine lines and wrinkles in the treated area at Day 21, 42 and 98, from baseline; * To evaluate the aesthetic change from baseline as judged by the Investigator at Day 21, 42 and 98; * To evaluate the aesthetic change from baseline as judged by the subject at Day 21, 42 and 98; * To evaluate the subject's satisfaction at Day 21, 42 and 98 Safety objectives * To assess the local safety at injection site (pain, erythema, edema, bruising) of the treatment with Foliage Hydrofil; * To assess the systemic safety of the treatment with Foliage Hydrofil.
Detailed description
Study Visits and Assessments Visit 1 screening - baseline- treatment start (day 1): Subjects will be evaluated with regard to the inclusion and exclusion criteria that will allow their participation into the study. Before any study specific evaluation is carried out, subjects will receive all the information about the study by the Investigator and will sign an informed consent form. The following activities will be performed at first visit: * Collection of demographic information * Medical and surgical history * Physical examination (focused on the skin) * Previous (in the 30 days before) and concomitant medications / treatments recording * Urine pregnancy test (where applicable) * Inclusion/exclusion criteria assessment * Photos of the treated area (before injections) * Corneometer examination of treated area (before injections) * Skin surface characteristics, texture, tone, fine lines and wrinkles (before injections) * First treatment * Local and systemic adverse events after the first treatment. The following treatment session will be scheduled three weeks later, with a window of ± 4 days. The subject will be solicited to contact the Investigator for any problem between visits. Visit 2 (Day 21 ± 4) and Visit 3 (Day 42 ± 4): The following activities will be done at Visit 2, and 3: * Physical examination (focused on the skin) * Change in concomitant medications / treatments recording * Photos of the treated area (before second/third injection session) * Corneometer examination of treated area (before second/third injection session) * Skin surface characteristics, texture, tone, fine lines and wrinkles (before second/third injection session) * PAIS Subject * GAIS Investigator * Second/third treatment * Adverse events (occurred since previous visit) recording * Local and systemic adverse events after the second/third treatment. The second and third treatment sessions will be scheduled three weeks apart from each other, with a window of ± 4 days. The subject will be solicited to contact the Investigator for any problem between visits. The final visit will be scheduled about 2 months after last treatment session. Visit 4 - End of study (Day 98 ±7): The following activities will be done at Visit 4: * Physical examination (focused on the skin) * Change in concomitant medications / treatments recording * Photos of the treated area * Corneometer examination of treated area * Skin surface characteristics, texture, tone, fine lines and wrinkles * PAIS Subject * GAIS Investigator * Overall satisfaction by subject * Adverse events (occurred since previous visit) recording. Should the subject interrupt or conclude in advance the clinical study, for any reason, a Visit 4 will be completed
Interventions
Among treatments today available, bio-revitalization is a process which triggers the skin's own, natural collagen production and cell rejuvenation through the injection of hyaluronic acid serums. This substance is hydrophilic, drawing many times its weight in water. As we age, we have less naturally produced HA in our tissues and skin dehydration becomes a telltale sign of aging. The HA owns a great hydrating power, due to this property is widely used in the biorevitalization treatments. Its use results in supple, younger-looking skin with reduced wrinkles and improved elasticity.In bio-revitalization procedures that involve intradermal micro-injections of natural HA, with a molecular weight close to the endogenous one, carried out in correspondence with the imperfections, the viscoelastic properties of HA allow to rehydrate the tissues, allowing to prevent and contrast the aging process skin and promote their remodeling.
Sponsors
Study design
Eligibility
Inclusion criteria
Subjects presenting all the following inclusion criteria will be eligible to enter the study: 1. Generally healthy man and women, aged between 30 and 55 years (inclusive), looking for aesthetic procedures to improve the aspect of their face. 2. Caucasian race (skin type from I to IV as per Fitzpatrick Skin Type scale) 3. Visible signs of skin aging in the face (e.g. reduced skin elasticity, reduced turgor, actinic elastosis, smaller and larger wrinkles) according to the Investigators opinion; 4. Corneometer Capacitance of the area treated \< 80 5. Subjects wishing not to modify their lifestyle during the study period; 6. Subjects with cooperative attitude, able to comprehend the full nature and the purpose of the investigation, including possible risks, side effects and discomforts and willing to adhere to the study schedule (including attendance to the planned visits) and study prescriptions; 7. Written informed consent release prior to any study-related procedures. -
Exclusion criteria
Subjects presenting one or more of the following
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate the clinical performance of Foliage Hydrofil in the improvement of the skin hydration in the treated area (face) at Day 98, from baseline | day 98 | The primary endpoint of the study is the change in skin hydration from baseline to Day 98, evaluated through corneometer skin examination. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| subject overall satisfaction | Day 21, 42 and 98 | The subject will be asked Please express your degree of satisfaction with the treatment received through a 5-points scale (1 very much satisfied, 2 satisfied,3 not satisfied nor unsatisfied, 4 unsatisfied, 5 very unsatisfied). |
| skin texture changement | Day 21, 42 and 98 | the investigator will evaluate in his or her own judgment the skin texture as follows: poor-good-very good |
| Investigator's assessment | Day 21, 42 and 98 | the Investigator's aesthetic change assessment using the Global Aesthetic Improvement Scale (GAIS) as follows: 1. worse tha before treatment 2. no change 3. minimal improvement 4. good improvement 5. optimal improvement |
| clinical performance of Foliage Hydrofil in the change of the skin hydration in the treated area at Day 21 42, from baseline | day 21 - day 42 | the evaluation of the change in skin hydration from baseline to Day 21 and 42, through corneometer examination. |
| Smoothing of fine lines | Day 21, 42 and 98 | the investigator will evaluate in his or her own judgment the smoothing of fine lines as follows: poor-good-very good |
| skin tone changement | Day 21, 42 and 98 | the investigator will evaluate in his or her own judgment the skin tone as follows: poor-sufficient-middle-good |
| Wrinkles modification | Day 21, 42 and 98 | the investigator will evaluate in his or her own judgment the wrinkles modification as follows: 1. absent 2. slight 3. Moderate 4. Severe 5. Extreme |
| subject's assessment | Day 21, 42 and 98 | the subject's aesthetic change assessment using the Patient's Aesthetic Improvement Scale (PAIS) as follows: 1. worse 2. no change 3. somewhat improved 4. moderately improved 5. very much improved |
Countries
Italy