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Evaluate the safety and efficacy of non-invasive subcutaneous fat layer reduction in the flank using an applicator with and without the Crown Cooling Insert.
This study will evaluate the Zeltiq CoolSculpting System when used with the standard CoolCore applicator and the CoolCore Applicator and the Crown Cooling Insert accessory.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| All Study Participants | Experimental | This is a split body study in which all subjects will receive bilateral flank treatment with CoolSculpting. The investigator will determine one flank for treatment using the CoolCore applicator without an accessory for a duration of 60 minutes at a protocol-defined temperature. The contralateral flank will be treated with the standard CoolCore Applicator using an applicator accessory, the Crown Cooling Insert (CCI) at a protocol-defined temperature for a duration of up to 45 minutes. All enrolled subjects receive identical treatments; the investigator will use alternate subject numbers to balance which flank to treat with and without the CoolCore applicator accessory, such that all even subject numbers will receive treatment using the Standard CoolCore on the right flank and odd subject numbers will receive the same treatment on the left flank. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The ZELTIQ CoolSculpting System | Device | The CoolSculpting device and CoolCore applicator with and without the Crown Cooling Insert will be used to perform the treatments. |
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| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Correctly Identified Pre-treatment Photos by a Panel of Blinded Independent Reviewers | 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. Success will be defined as at least 70% correct identification of the pre-treatment images for flanks treated with each treatment parameter by at least 2 of 3 reviewers. | 12 weeks post-treatment |
| Safety of the Zeltiq CoolSculpting System Using the CoolCore Applicator With and Without the Crown Cooling Insert | The safety endpoint is the number of unanticipated adverse device effects (UADE) as well as the number of device and/or procedure-related adverse events. Adverse events are collected from the time of enrollment through the 12 week final follow-up visit. | Enrollment through the 12 week post-treatment follow-up visit |
| Measure | Description | Time Frame |
|---|---|---|
| Subject Satisfaction | Subject satisfaction as assessed by questionnaire administered at 12 weeks post-treatment. The questionnaire will consist of a 5-point Likert scale with the following selections options: 1) very unsatisfied; 2) somewhat unsatisfied; 3) neither satisfied nor unsatisfied; 4) somewhat satisfied; 5) very satisfied. jIn addition, free-text fields provided options for subjects responses. |
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Inclusion Criteria:
Exclusion Criteria
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| Name | Affiliation | Role |
|---|---|---|
| Suzanne Kilmer, MD | Laser and Skin Surgery Center of Northern California | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Laser and Skin Surgery of Northern California | Sacramento | California | 95816 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27327898 | Result | Kilmer SL. Prototype CoolCup cryolipolysis applicator with over 40% reduced treatment time demonstrates equivalent safety and efficacy with greater patient preference. Lasers Surg Med. 2017 Jan;49(1):63-68. doi: 10.1002/lsm.22550. Epub 2016 Jun 21. |
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Subjects seeking a reduction in fat in the flank area were recruited from the general population.
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| ID | Title | Description |
|---|---|---|
| FG000 | Left Side With Crown Cooling Insert, Right Side Std CoolCore | Crown Cooling Insert (CCI) used for treatment on left flank at protocol-defined temperature and duration. Right flank treated using standard CoolCore applicator at protocol-defined temperature and duration. |
| FG001 | Left Side Std CoolCore, Right Side With Crown Cooling Insert | Left flank treated with standard CoolCore applicator at protocol-defined temperature and duration. Right side treated with Crown Cooling Insert at protocol-defined temperature and duration. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | CoolSculpting Treatment | The ZELTIQ CoolSculpting System: The CoolSculpting device and CoolCore applicator will be used to perform the treatments. |
| Units | Counts |
|---|---|
| Participants |
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| 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 | Percentage of Correctly Identified Pre-treatment Photos by a Panel of Blinded Independent Reviewers | 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. Success will be defined as at least 70% correct identification of the pre-treatment images for flanks treated with each treatment parameter by at least 2 of 3 reviewers. | All subjects received bilateral flank treatments. | Posted | Count of Units | photos | 12 weeks post-treatment | photos | photos |
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Adverse event data were collected from enrollment through the 12-week post-treatment follow-up visit.
There were no adverse events reported over the course of the study..
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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 | CoolSculpting Using Standard CoolCore | The CoolSculpting device using standard CoolCore applicator |
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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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| 12 weeks post-treatment |
| Participants |
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| Age, Continuous | Mean | Full Range | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Body Mass Index | Mean | Full Range | kg/m^2 |
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| OG000 |
| CoolSculpting Treatment With Standard CoolCore Applicator |
19 subjects received treatment for 60 minutes in duration at a protocol-defined temperature on one flank. |
| OG001 | CoolSculpting Treatment/ CoolCore Applicator Plus CCI | 19 subjects received treatment for a duration of 35 minutes at a protocol-defined temperature on the contralateral flank. |
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| Primary | Safety of the Zeltiq CoolSculpting System Using the CoolCore Applicator With and Without the Crown Cooling Insert | The safety endpoint is the number of unanticipated adverse device effects (UADE) as well as the number of device and/or procedure-related adverse events. Adverse events are collected from the time of enrollment through the 12 week final follow-up visit. | All 19 subjects were in the analysis group. Had there been any adverse events reported in the study period, each event would be categorized per intervention. However, there were zero adverse events reported for either of the two interventions and none reported for the study, therefore the arms were combined for the analysis. | Posted | Number | UADEs /device or procedure events | Enrollment through the 12 week post-treatment follow-up visit |
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| Secondary | Subject Satisfaction | Subject satisfaction as assessed by questionnaire administered at 12 weeks post-treatment. The questionnaire will consist of a 5-point Likert scale with the following selections options: 1) very unsatisfied; 2) somewhat unsatisfied; 3) neither satisfied nor unsatisfied; 4) somewhat satisfied; 5) very satisfied. jIn addition, free-text fields provided options for subjects responses. | The per-protocol population (19 subjects) was included in the analysis. Each subject received treatment on each flank; the standard CoolCore applicator was used on one flank and the contralateral flank was treated with the CoolCore with the Crown Cooling Insert. | Posted | Count of Participants | Participants | 12 weeks post-treatment |
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| 0 |
| 19 |
| 0 |
| 19 |
| 0 |
| 19 |
| EG001 | CoolSculpting Device Using Crown Cooling Insert | The CoolSculpting device using applicator and Crown Cooling Insert | 0 | 19 | 0 | 19 | 0 | 19 |
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| Satisfied to very satisfied with procedure |
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