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Evaluate the safety and feasibility of non-invasive fat reduction in the outer thigh with a belt applicator. Applicator design and treatment parameters will be evaluated.
The Zeltiq CoolSculpting System technology for cold-assisted lipolysis will be used with a modified belt applicator for the reduction of fat on the outer thigh. This is an open label, interventional, non-randomized feasibility study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Outer Thigh CoolSculpting Treatment | Experimental | Treatment with the CoolSculpting System and a modified belt applicator will be performed on one outer thigh; the remaining thigh is considered the untreated control. Subjects will receive one cooling cycle applied to the thigh area intended for treatment with a protocol-defined cooling rate and duration of 120 minutes. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The Zeltiq System with Modified Belt Applicator | Device | Non-invasive cooling is applied to the treatment area with a defined cooling rate and duration. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in the Fat Layer of the Treated Area as Measured by Ultrasound The Change in Fat Layer Thickness in the Treated Outer Thigh | For each subject, ultrasound measurements will be obtained from the treated area and the contralateral untreated control area. The change in fat layer thickness in the untreated control thigh between baseline and 16 weeks will be used to account for variation in subject body weight during the study. The fat layer thickness change in the treated area will be normalized by subtracting the change in the untreated control thigh to remove the influence of subject weight variations. The normalized value will be used to evaluate success. The result is considered the treatment effect, an absolute change, and is reported as a mean change for the study population in centimeters of fat layer reduction. | Baseline to 16 weeks post-final treatment |
| Safety of the Zeltiq System and Procedure | The number of device- and/or procedure related adverse events will be tabulated. Adverse event reports are collected throughout the study from the time of enrollment through the final 16 week follow-up visit. Investigators will determine whether an adverse event has a relationship to the study device or procedure. | Study enrollment through 16 weeks post-treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Percent of Correct Identification of Pre-treatment Photos | 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 (pre-treatment) photos for each subject photo series and record selections on a data collection form. Criteria for evaluable photos for the purposes of the independent review: subject completed treatment regimen; subject has complete set of baseline photos; subject has a complete set of post-treatment photos; photos were taken using Zeltiq standard procedure. |
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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 |
|---|---|---|---|---|---|---|
| Marina Plastic Surgery | Marina del Rey | California | 90292 | United States | ||
| Innovation Research Center |
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| Label | URL |
|---|---|
| Cryolipolysis Conformable-Surface Applicator for Nonsurgical Fat Reduction in Lateral Thighs | View source |
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Screening of all subjects was completed to ensure each subject met all inclusion criteria and none of the exclusion criteria. A brief medical history and exam was performed at the screening visit. All female subjects of child bearing potential were given a pregnancy test.
Subjects with clearly visible fat in the treatment area (outer thigh) were recruited from two clinical research sites.
| ID | Title | Description |
|---|---|---|
| FG000 | Lateral Thigh Treatment Group | Treatment with the CoolSculpting System and a modified belt applicator will be performed. Non-invasive cooling is applied to one outer thigh with a protocol-defined cooling rate and duration of 120 minutes. Only one cooling cycle will be performed per subject. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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Each subject in the baseline analysis population had a unilateral CoolSculpting treatment on one outer thigh. The contralateral thigh was untreated.
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| ID | Title | Description |
|---|---|---|
| BG000 | Fat Reduction of the Lateral Thigh | Treatment with the CoolSculpting System and a modified belt applicator will be performed; non-invasive cooling is applied to the treatment area with a defined cooling rate and duration. Treatment will be applied to one (1) outer thigh. The Zeltiq System with Modified Belt Applicator: 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 | Change in the Fat Layer of the Treated Area as Measured by Ultrasound The Change in Fat Layer Thickness in the Treated Outer Thigh | For each subject, ultrasound measurements will be obtained from the treated area and the contralateral untreated control area. The change in fat layer thickness in the untreated control thigh between baseline and 16 weeks will be used to account for variation in subject body weight during the study. The fat layer thickness change in the treated area will be normalized by subtracting the change in the untreated control thigh to remove the influence of subject weight variations. The normalized value will be used to evaluate success. The result is considered the treatment effect, an absolute change, and is reported as a mean change for the study population in centimeters of fat layer reduction. | The per-protocol population included all treated subjects who completed all follow-up visits and who maintained their body weight as directed by the study protocol. Six (6) subjects out of the 37 who completed the study, were excluded from the ultrasound measurement analysis because they had weight change greater than 5 pounds. | Posted | Mean | Standard Deviation | cm | Baseline to 16 weeks post-final treatment |
Adverse event data were collected from enrollment until the 16-week follow-up visit.
The following definition was described in the study protocol:
Adverse events (AE) will be assessed continuously throughout the study. An adverse event is defined as any untoward medical occurrence in a subject, regardless of whether the event is related to the device or the treatment.
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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 | Fat Reduction of the Lateral Thigh | Treatment with the CoolSculpting System and a modified belt applicator will be performed; non-invasive cooling is applied to the treatment area with a defined cooling rate and duration. The Zeltiq System with Modified Belt Applicator: 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 |
|---|---|---|---|---|---|
| Seasonal cold symptoms | Infections and infestations | Non-systematic Assessment |
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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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|
| Baseline and 16 weeks post-final treatment |
| Percentage of Participants With Satisfaction on Questionnaire Questions | Subject satisfaction as assessed by questionnaires administered at 16 weeks post-treatment. The questionnaire was composed of 5-point Likert scale questions, as well as free text responses. Each question offered five choices, ranging from very favorable, somewhat favorable, neutral/not sure, unfavorable and very unfavorable responses. | 16 weeks post-treatment |
| Pleasanton |
| California |
| 94588 |
| United States |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
| Body Mass Index | Mean | Full Range | kg/m^2 |
|
| ID | Title | Description |
|---|
| OG000 | Fat Reduction of the Lateral Thigh | Treatment with the CoolSculpting System and a modified belt applicator will be performed; non-invasive cooling is applied to the treatment area with a defined cooling rate and duration. The Zeltiq System with Modified Belt Applicator: Non-invasive cooling is applied to the treatment area with a defined cooling rate and duration. |
|
|
| Primary | Safety of the Zeltiq System and Procedure | The number of device- and/or procedure related adverse events will be tabulated. Adverse event reports are collected throughout the study from the time of enrollment through the final 16 week follow-up visit. Investigators will determine whether an adverse event has a relationship to the study device or procedure. | The as-treated (safety) analysis population consists of all subjects treated in the study wherein a safety evaluation was completed. Three (3) subjects were lost to follow-up. | Posted | Number | Device/procedure-related AE | Study enrollment through 16 weeks post-treatment |
|
|
|
| Secondary | Percent of Correct Identification of Pre-treatment Photos | 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 (pre-treatment) photos for each subject photo series and record selections on a data collection form. Criteria for evaluable photos for the purposes of the independent review: subject completed treatment regimen; subject has complete set of baseline photos; subject has a complete set of post-treatment photos; photos were taken using Zeltiq standard procedure. | Excluded from analysis are 6 subjects who did not maintain weight within protocol requirements and 3 subjects lost to follow-up. | Posted | Count of Units | Photos | Baseline and 16 weeks post-final treatment | Photos | Photos |
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| Secondary | Percentage of Participants With Satisfaction on Questionnaire Questions | Subject satisfaction as assessed by questionnaires administered at 16 weeks post-treatment. The questionnaire was composed of 5-point Likert scale questions, as well as free text responses. Each question offered five choices, ranging from very favorable, somewhat favorable, neutral/not sure, unfavorable and very unfavorable responses. | Of the forty enrolled subjects, three (3) were lost to follow-up and satisfaction questionnaires were not obtained. | Posted | Number | Percent of subjects expressing satis fac | 16 weeks post-treatment |
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|
|
| 0 |
| 40 |
| 0 |
| 40 |
| 7 |
| 40 |
| Injured hip | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
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| Runny and stuffy nose | General disorders | Non-systematic Assessment | Subject reported symptoms of runny and stuffy nose 111 days after treatment. Condition resolved 4 days after report |
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| Flu symptoms | Infections and infestations | Non-systematic Assessment |
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| Ear pain and sore throat | Infections and infestations | Non-systematic Assessment |
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| Pain/discomfort | General disorders | Non-systematic Assessment |
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| Numbness in treatment area | Skin and subcutaneous tissue disorders | Non-systematic Assessment | Mild numbness in the treatment area persisted for 8 week post-treatment. Symptoms resolved on day 63 post-treatment. |
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| Title | Measurements |
|---|---|
|
| Very to somewhat satisfied with procedure |
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| Somewhat to very different fit of clothing |
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| Very likely to somewhat likely to have another tx |
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| Very to somewhat likely to retreat the same area |
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| Would recommend CoolSculpting to a friend |
|