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The purpose of this study is to evaluate the safety and efficacy of the ZELTIQ System and the CoolCurve+ applicator for non-invasive fat reduction in flanks for a patient population with sharp body curvature.
The Zeltiq System with the CoolCurve+ applicator will be evaluated for safety and effectiveness in subjects with subcutaneous fat on the flanks and who have sharp body curvatures. The curvature of interest is typical of individuals who are relatively thin with a small body frame.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Zeltiq System Treatment Group | Experimental | Individuals with sharp flank curvatures were treated on one (1) flank with the Zeltiq CoolSculpting System and the CoolCurve+ applicator at protocol-defined temperatures and durations. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The Zeltiq System | Device | Non-invasive cooling is applied to the treatment area with a defined cooling rate and duration. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety of the Zeltiq System for Non-invasive Fat Reduction in Subjects With Greater Flank Curvature. | Safety will be assessed by determination of the number of Unanticipated Adverse Device Effects (UADE) at the 8-week and 16-week post-treatment visits. | 8 weeks and 16 weeks post final treatment |
| Change in Fat Layer Thickness When Compared to Untreated Control | Change in the fat layer thickness will be calculated by comparison of pre-treatment and 16 week post-treatment ultrasound measurements taken in the area treated with the device, and in the contralateral untreated control area. The Sponsor's standardized techniques for obtaining ultrasound imaging will be used. Overall fat layer thickness changes were normalized for each subject by subtracting the change in the untreated control from the change in treated area to remove the influence of weight variations. Results indicate the mm of fat layer reduction in the treated area. | 16 weeks post final treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Pre-treatment Images Correctly Identified | Change in the treated vs. untreated areas will be assessed by observation of changes in surface contour and/or fat volume by an independent photo review of pre-treatment and post-treatment images of the treated areas. Reviewers will be practicing dermatologists or plastic surgeons. All reviewers will be blinded to post-treatment vs. baseline untreated area. The order in which images will be presented will be randomized; for each subject placement of the baseline, pre-treatment image will be randomized for each pair of subject images. Reviewers will be asked to select the baseline photos for each subject photo series and record selections on a data collection form. Results reflect the proportion of correctly identified images. |
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Inclusion Criteria
Exclusion Criteria
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| Name | Affiliation | Role |
|---|---|---|
| Eric Bachelor, MD | Innovation Research Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Innovation Research Center | Pleasanton | California | 94588 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Zeltiq System Treatment Group | All subjects treated with the Zeltiq System are included in the treatment arm. The Zeltiq System: Non-invasive cooling is applied to the treatment area with a defined cooling rate and duration. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Zeltiq System Treatment Group | All subjects treated with the Zeltiq System are included in the treatment arm. The Zeltiq System: Non-invasive cooling is applied to the treatment area with a defined cooling rate and duration. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Safety of the Zeltiq System for Non-invasive Fat Reduction in Subjects With Greater Flank Curvature. | Safety will be assessed by determination of the number of Unanticipated Adverse Device Effects (UADE) at the 8-week and 16-week post-treatment visits. | All subjects treated with the Zeltiq System were included in the analysis population. | Posted | Number | UADEs | 8 weeks and 16 weeks post final treatment |
|
Adverse event data was collected from the time of enrollment through the 16 week post-final follow-up visit.
An adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device. Averse Device Effect is defined as any sign, symptom, or disease in a study subject that occurs during the course of a clinical trial that is determined by the investigator to have a causal relationship or possible causal relationship with the device under investigation.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Zeltiq System Treatment Group | All subjects treated with the Zeltiq System are included in the treatment arm. The Zeltiq System: Non-invasive cooling is applied to the treatment area with a defined cooling rate and duration. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Prolonged numbness | Skin and subcutaneous tissue disorders | Non-systematic Assessment | Both events considered related to the investigational device and were mild in severity. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Kerrie Jiang, Executive Director Regulatory, Clinical and Medical Affairs | Zeltiq Aesthetics | (925) 621-7462 | kerrie.jiang@allergan.com |
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| ID | Term |
|---|---|
| D015187 | Lipectomy |
| ID | Term |
|---|---|
| D003357 | Cosmetic Techniques |
| D013812 | Therapeutics |
| D050110 | Bariatric Surgery |
| D049088 | Bariatrics |
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| 16 weeks post final treatment |
| Subject Satisfaction Questionnaire | Subject satisfaction with the Zeltiq procedure as determined by the results of a subjects satisfaction questionnaire at the 16 week follow up visit. | 16 weeks post final treatment |
| Additional Safety Evaluation | The number of device or procedure-related adverse events will be evaluated. The investigator determines if the Zeltiq CoolSculpting System (device) or the treatment (procedure) are related to all reported adverse events. | Enrollment though 16 weeks post final treatment |
| Participants |
|
| Age, Continuous | Mean | Full Range | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Units |
|---|
| Counts |
|---|
| Participants |
|
|
| Primary | Change in Fat Layer Thickness When Compared to Untreated Control | Change in the fat layer thickness will be calculated by comparison of pre-treatment and 16 week post-treatment ultrasound measurements taken in the area treated with the device, and in the contralateral untreated control area. The Sponsor's standardized techniques for obtaining ultrasound imaging will be used. Overall fat layer thickness changes were normalized for each subject by subtracting the change in the untreated control from the change in treated area to remove the influence of weight variations. Results indicate the mm of fat layer reduction in the treated area. | All subjects treated with the Zeltiq System were included in the analysis population. | Posted | Mean | Standard Error | mm | 16 weeks post final treatment |
|
|
|
|
| Secondary | Proportion of Pre-treatment Images Correctly Identified | Change in the treated vs. untreated areas will be assessed by observation of changes in surface contour and/or fat volume by an independent photo review of pre-treatment and post-treatment images of the treated areas. Reviewers will be practicing dermatologists or plastic surgeons. All reviewers will be blinded to post-treatment vs. baseline untreated area. The order in which images will be presented will be randomized; for each subject placement of the baseline, pre-treatment image will be randomized for each pair of subject images. Reviewers will be asked to select the baseline photos for each subject photo series and record selections on a data collection form. Results reflect the proportion of correctly identified images. | All eligible subjects treated with the Zeltiq System and who maintained weight within protocol requirements were included in the analysis population. Paired photos of each subject were reviewed by 3 independent reviewers to properly identify pre-treatment images. | Posted | Count of Units | photos | 16 weeks post final treatment | photos | photos |
|
|
|
|
| Secondary | Subject Satisfaction Questionnaire | Subject satisfaction with the Zeltiq procedure as determined by the results of a subjects satisfaction questionnaire at the 16 week follow up visit. | Posted | Number | percentage of participants | 16 weeks post final treatment |
|
|
|
| Secondary | Additional Safety Evaluation | The number of device or procedure-related adverse events will be evaluated. The investigator determines if the Zeltiq CoolSculpting System (device) or the treatment (procedure) are related to all reported adverse events. | All subjects treated with the Zeltiq System were included in the analysis population. | Posted | Number | Device/ procedure-related AE's | Enrollment though 16 weeks post final treatment |
|
|
|
| 0 |
| 25 |
| 0 |
| 25 |
| 3 |
| 25 |
|
| Kidney infection | Infections and infestations | Non-systematic Assessment | Not related to device or procedure |
|
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| D000073319 |
| Obesity Management |
| D013514 | Surgical Procedures, Operative |
| D019651 | Plastic Surgery Procedures |
| Title | Measurements |
|---|---|
|
| Overall effect was more than or about was expected |
|
| Overall satisfaction with procedure |
|
| Would have area re-treated again |
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| Would repeat procedure |
|
| Would have additional areas treated |
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| Would recommend procedure to a friend |
|