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The purpose of this study is to further evaluate the safety and efficacy of non-invasive reduction of subcutaneous fat in the submental and submandibular area using Cryolipolysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CoolSculpting with CoolMini | Experimental | The treatments are designed to see if fat in the submandibular/submental area (chin), can be reduced using cryolipolysis. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The ZELTIQ CoolSculpting System | Device | The CoolSculpting device will be used to perform the treatments. |
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| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Accurately 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 is defined as 70% correct identification of pre-treatment images by at least 70% correct identification of pre-treatment images by two out of three reviewers. | Baseline (pre-treatment) and 12 weeks post treatment |
| The Number of Unanticipated Adverse Device Effects (UADE) Reported | The primary safety endpoint is the count of unanticipated adverse device effects (UADEs) reported in the study period. It is expected there will be zero UADEs. | Enrollment through the 12 week final follow-up visit |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Fat Layer Thickness of the Submental Area as Measured by Caliper | Caliper measurements will be collected prior to treatment (pre-treatment) and at the 12-week follow-up visit. The caliper measurement process involves pinching the tissue within the treatment area in order to obtain the measurement, thereby folding the tissue and doubling the fat layer thickness. Measurements were taken with subjects standing in a neutral position. Measured values (mm) will be halved to reflect single fat layer change and will not take into account the fold of tissue during the measurement process. The fat layer measured pre-treatment will be compared to the 12-week post-treatment measurement. |
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Inclusion Criteria
Exclusion Criteria
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| Name | Affiliation | Role |
|---|---|---|
| Eric Bernstein, MD | Main Line Center for Laser Surgery | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Main Line Center for Laser Surgery | Ardmore | Pennsylvania | 19003 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28426847 | Background | Bernstein EF, Bloom JD. Safety and Efficacy of Bilateral Submental Cryolipolysis With Quantified 3-Dimensional Imaging of Fat Reduction and Skin Tightening. JAMA Facial Plast Surg. 2017 Sep 1;19(5):350-357. doi: 10.1001/jamafacial.2017.0102. |
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Subjects seeking reduction of fat in the submental and submandibular area were recruited from the general population.
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| ID | Title | Description |
|---|---|---|
| FG000 | CoolSculpting With CoolMini Applicator for Fat Reduction in the Chin | Per protocol, subjects were permitted to receive up to 3 CoolSculpting treatments on the submental and submandibular area at each of two treatment sessions spaced 6 weeks apart. At each treatment session, subjects were treated with the CoolSculpting device programmed for a specified protocol-defined time and temperature. All subjects received 2 cooling cycles at the first treatment session. At the second treatment visit, 12 subjects received 2 cooling cycles and 2 received 1 cycle. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | CoolSculpting With CoolMini Applicator | ZELTIQ CoolSculpting System Treatment Group |
| 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 | Proportion of Accurately 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 is defined as 70% correct identification of pre-treatment images by at least 70% correct identification of pre-treatment images by two out of three reviewers. | All subjects were included in the analysis population. | Posted | Count of Units | photos | Baseline (pre-treatment) and 12 weeks post treatment | photos | photos |
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Adverse event data was collected from enrollment through the 12 week final follow-up visit.
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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 With CoolMini Applicator | The ZELTIQ CoolSculpting System Treatment Group |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hip Replacement | Musculoskeletal and connective tissue disorders | Non-systematic Assessment | Hip replacement performed during study period. Unrelated to study device or procedure. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Rash on face and neck | Skin and subcutaneous tissue disorders | Non-systematic Assessment | Mild rash. Not related to device or procedure. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Kerrie Jiang, Exective Director, Regulatory, Clinical and Medical Affairs | Zeltiq Aesthetics | (925) 621-7462 | Kerrie.Jiang@allergan.com |
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| Baseline and 12 week post-treatment |
| Subject Satisfaction | Subject satisfaction as assessed by questionnaires administered at 12 weeks. Subjects will be asked to determine overall satisfaction with the treatment using a 5-point scale and free-text response options on a questionnaire. The choice options will be 1 = very dissatisfied, 2- dissatisfied, 3 - not sure, 4- satisfied and 5- very satisfied. Positive responses to questionnaire statements (score 4 or 5) will be used to assess satisfaction with the CoolSculpting procedure. | 12 weeks post-treatment |
| Participants |
|
| 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 | Count of Participants | Participants |
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| Body Mass Index | Mean | Full Range | kg/m^2 |
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| OG000 | CoolSculpting With CoolMini Applicator | ZELTIQ CoolSculpting System Treatment Group |
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| Primary | The Number of Unanticipated Adverse Device Effects (UADE) Reported | The primary safety endpoint is the count of unanticipated adverse device effects (UADEs) reported in the study period. It is expected there will be zero UADEs. | The per-protocol population of 14 subjects was analyzed. | Posted | Number | UADEs | Enrollment through the 12 week final follow-up visit |
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| Secondary | Change in Fat Layer Thickness of the Submental Area as Measured by Caliper | Caliper measurements will be collected prior to treatment (pre-treatment) and at the 12-week follow-up visit. The caliper measurement process involves pinching the tissue within the treatment area in order to obtain the measurement, thereby folding the tissue and doubling the fat layer thickness. Measurements were taken with subjects standing in a neutral position. Measured values (mm) will be halved to reflect single fat layer change and will not take into account the fold of tissue during the measurement process. The fat layer measured pre-treatment will be compared to the 12-week post-treatment measurement. | Posted | Mean | Standard Deviation | millimeters fat layer change | Baseline and 12 week post-treatment |
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| Secondary | Subject Satisfaction | Subject satisfaction as assessed by questionnaires administered at 12 weeks. Subjects will be asked to determine overall satisfaction with the treatment using a 5-point scale and free-text response options on a questionnaire. The choice options will be 1 = very dissatisfied, 2- dissatisfied, 3 - not sure, 4- satisfied and 5- very satisfied. Positive responses to questionnaire statements (score 4 or 5) will be used to assess satisfaction with the CoolSculpting procedure. | The per-protocol population of 14 subjects was included the analysis group. | Posted | Count of Participants | Participants | 12 weeks post-treatment |
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| 0 |
| 14 |
| 1 |
| 14 |
| 3 |
| 14 |
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| Ear pain | Surgical and medical procedures | Non-systematic Assessment | Mild ear pain beginning day of treatment; resolved in 5 days. Possibly related to device or procedure. |
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| Tongue tingling | General disorders | Non-systematic Assessment | Mild tongue tingling resolved within 7 days. Possibly related to device or procedure. |
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| Agree/strongly agree appearance more youthful |
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| Agree/strongly agree chin looked more toned |
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| Agree/strongly agree less self-conscious of chin |
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| Agree/strongly agree appearance improved |
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| Agree/strongly agree result was as expected |
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| Satisfied/very satisfied with CoolSculpting |
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| Would recommend procedure to a friend |
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