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Twenty-Eight (28) subjects (12 for cohort 1 and 16 for cohort 2 ) will be included in the study. Subjects in each cohort will be injected with a different dose of RZL-012. The total of 28 subjects will be enrolled in 2 clinical sites.
This is a single blinded, randomized, placebo-controlled, 2-cohort clinical study in healthy volunteers. Cohort 1 will be comprised of 8 active (RZL-012) and 4 placebo subjects. Cohort 2 will be comprised of 16 subjects wuth at least 4 placebo subjects. All subjects will receive a single dose of RZL-012 or vehicle into the submental area, after which they will be monitored for safety and efficacy during 84 days of follow-up.
Subjects will be blinded to study treatment while physicians will not be blinded.
The study will be composed of 2 treatment cohorts, 12 in cohort 1 and 16 in cohort 2.
The study will be conducted in 2 clinical sites. Per each study cohort, subjects will be randomized to receive active or placebo treatment according to a randomization program that will be prepared prior to study initiation. Each clinical site will have at least one active and one placebo treatment subject per each study cohorts. In case of slow enrollment in one of the sites, other sites may complete the enrollment of subjects in each cohort.
Cohort 1 (N=12) - Each subject will be dosed with up to 120 mg RZL-012 (depending on submental fat area) or vehicle.
Cohort 2 (N=16) - Each subject will be dosed with up to 240 mg RZL-012 (depending on submental fat area) or vehicle.
Treatment of cohort 2 will start following cohort 1 day 28 data. An independent Data Safety Monitoring Board (DSMB) will review safety and tolerability data for cohort 1 subjects, 28 days after injection, and decide whether it is safe to increase the dose for the next study cohort. The decision to proceed to the cohort 2 will be made within 30 days (28 days + 2 days) after injection of the last dosed subject in cohort 1.
The DSMB will be comprised of two independent MDs with expertise in the aesthetic area and in conduction of clinical trials.
In case of serious safety concerns (e.g. prolonged severe swelling or severe pain following injection) among cohort 1 subjects receiving the 120mg dose, sponsor and DSMB may decide to reduce or stay with the 120mg/subject dose level for cohort 2 subjects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RZL-012 | Active Comparator | A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.05/0.1mL per site):
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| Vehicle | Placebo Comparator | Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.05/0.1mL per site) into the submental fat. Up to a total of 2.4 mL will be injected for placebo subjects enrolled during cohort 1. Up to a total of 4.8 mL will be injected for placebo subjects enrolled during cohort 2. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RZL-012 | Drug | Subcutaneous injection to the submental fat area |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Safety: Adverse Events Follow up | To evaluate the safety of RZL-012 subcutaneous injections in the submental area, relative to placebo, as assessed by spontaneous adverse event reports and post injection evaluation of subjects. Specifically, Pain, Induration, Bruising, Erythema and Edema will be closely followed up following treatment. | 0-84 days |
| Measure | Description | Time Frame |
|---|---|---|
| Physician's Global Assessment | Evaluation of treatment efficacy by using Physician's global assessment questionnaire for active vs. placebo subjects, on study Day 84 | 0-84 days |
| Efficacy: MRI Volume Reduction |
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Inclusion Criteria:
Exclusion Criteria:
Subjects meeting any of the following criteria will be excluded from study participation:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| DeNova Research | Chicago | Illinois | 60611 | United States |
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The safety and efficacy of exposed subjects to RZL-012 were compared to exposed subjects with placebo
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| ID | Title | Description |
|---|---|---|
| FG000 | RZL-012 Cohort 1 | A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.05mL per site): 1. Up to 120mg administered at 48 sites in a volume of 0.05 ml at each injection site (total injected volume 2.4mL) |
| FG001 | Vehicle Cohort 1 |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Apr 6, 2020 |
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| Placebo |
| Drug |
Placebo |
|
Reduction from baseline in submental fat volume, as measured with MRI, in RZL-012 treated subjects vs. placebo treated subjects on Day 84 following injection.
| 0-84 days |
| Efficacy: Improvement in Face Satisfaction Questionnaire - A Score From 0 (Worst) to 100 (Best) Marks the Subject's Satisfaction | Improvement from baseline in the Faceq satisfaction questionnaire rating score in RZL-012 treated subjects vs. placebo treated subjects on day 84. | 0-84 days |
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.05mL per site) into the submental fat. Up to a total of 2.4 mL will be injected for placebo subjects enrolled during cohort 1. Placebo: Placebo |
| FG002 | RZL-012 Cohort 2 | A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.1mL per site): Up to 240 mg administered at 48 sites in a volume of 1 ml at each injection site (total volume injected 4.8mL) RZL-012: Subcutaneous injection to the submental fat area |
| FG003 | Vehicle Cohort 2 | Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.1mL per site) into the submental fat. Up to a total of 4.8 mL will be injected for placebo subjects enrolled during cohort 2. |
| COMPLETED |
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| NOT COMPLETED |
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Baseline is defined as the last available and evaluable parameter value before and closest to the injection.
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| ID | Title | Description |
|---|---|---|
| BG000 | RZL-012 Cohort 1 | A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.05mL per site): Up to 120mg administered at 48 sites in a volume of 0.05 ml at each injection site (total injected volume 2.4mL) RZL-012: Subcutaneous injection to the submental fat area |
| BG001 | Vehicle Cohort 1 | Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.05mL per site) into the submental fat. Up to a total .of 2.4 mL will be injected for placebo subjects enrolled during cohort 2. Placebo: Placebo |
| BG002 | RZL-012 Cohort 2 | A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.1mL per site): Up to 240 mg administered at 48 sites in a volume of 1 ml at each injection site (total volume injected 4.8mL) RZL-012: Subcutaneous injection to the submental fat area |
| BG003 | Vehicle Cohort 2 | Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.1mL per site) into the submental fat. Up to a total of 4.8 mL will be injected for placebo subjects enrolled during cohort 2. Placebo: Placebo |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Count of Participants | Participants |
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| 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: Adverse Events Follow up | To evaluate the safety of RZL-012 subcutaneous injections in the submental area, relative to placebo, as assessed by spontaneous adverse event reports and post injection evaluation of subjects. Specifically, Pain, Induration, Bruising, Erythema and Edema will be closely followed up following treatment. | Safety Analysis consist of all enrolled subjects who received the study treatment, (exposed population), vs. placebo treated subjects. | Posted | Count of Participants | Participants | 0-84 days |
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| Secondary | Physician's Global Assessment | Evaluation of treatment efficacy by using Physician's global assessment questionnaire for active vs. placebo subjects, on study Day 84 | Subjects were analysed according to the treatment received. | Posted | Count of Participants | Participants | 0-84 days |
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| Secondary | Efficacy: MRI Volume Reduction | Reduction from baseline in submental fat volume, as measured with MRI, in RZL-012 treated subjects vs. placebo treated subjects on Day 84 following injection. | The efficacy in the MRI was divided to per treated doses cohorts | Posted | Mean | Standard Deviation | percentage of volume reduction high dose | 0-84 days |
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| Secondary | Efficacy: Improvement in Face Satisfaction Questionnaire - A Score From 0 (Worst) to 100 (Best) Marks the Subject's Satisfaction | Improvement from baseline in the Faceq satisfaction questionnaire rating score in RZL-012 treated subjects vs. placebo treated subjects on day 84. | The questionnaire efficacy included all exposed population to RZL-012 vs. all treated subjects by placebo | Posted | Mean | Standard Deviation | change in scores on a scale | 0-84 days |
|
84 days
All reported adverse events were related to injection site condition.
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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 | RZL-012 Cohort 1 | A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.05mL per site): Up to 120mg administered at 48 sites in a volume of 0.05 ml at each injection site (total injected volume 2.4mL) RZL-012: Subcutaneous injection to the submental fat area | 0 | 8 | 0 | 8 | 8 | 8 |
| EG001 | Vehicle Cohort 1 | Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.05mL per site) into the submental fat. Up to a total of 2.4 mL will be injected for placebo subjects enrolled during cohort 1. Placebo: Placebo | 0 | 4 | 0 | 4 | 4 | 4 |
| EG002 | RZL-012 Cohort 2 | A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.1mL per site): Up to 240 mg administered at 48 sites in a volume of 1 ml at each injection site (total volume injected 4.8mL) | 0 | 10 | 0 | 10 | 10 | 10 |
| EG003 | Vehicle Cohort 2 | Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.1mL per site) into the submental fat. Up to a total of 4.8 mL will be injected for placebo subjects enrolled during cohort 2. | 0 | 6 | 0 | 6 | 6 | 6 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Edema | General disorders | MedDra 23 | Non-systematic Assessment | General disorders and administration site condition |
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| Induration | General disorders | MedDra 23 | Non-systematic Assessment | General disorders and administration site condition |
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| Injection site bruising | General disorders | MedDra 23 | Non-systematic Assessment | General disorders and administration site condition |
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| Injection site erythema | General disorders | MedDra 23 | Non-systematic Assessment | General disorders and administration site condition |
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| Injection site edema | General disorders | MedDra 23 | Non-systematic Assessment | General disorders and administration site condition |
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| Injection site pain | General disorders | MedDra 23 | Non-systematic Assessment | General disorders and administration site condition |
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| Bruising sensation | Nervous system disorders | MedDra 23 | Non-systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDra 23 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Racheli Gueta , Director of Clinical trials | Raziel Therapeutics | 97289124670 | racheli@raziel-therapy.com |
| Jun 26, 2023 |
| Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| C000720429 | RZL-012 |
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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| OG003 | Vehicle Cohort 2 | Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.1mL per site) into the submental fat. Up to a total of 4.8 mL will be injected for placebo subjects enrolled during cohort 2. |
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| Counts |
|---|
| Participants |
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| OG003 | Vehicle Cohort 2 | Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.1mL per site) into the submental fat. Up to a total of 4.8 mL will be injected for placebo subjects enrolled during cohort 2. |
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