Title

Ultherapy™ Treatment Following Sculptra® Treatment
Evaluation of the Ulthera® System for Lifting and Tightening the Face and Neck Following Sculptra® Treatment
  • Phase

    N/A
  • Study Type

    Interventional
  • Intervention/Treatment

    polylactic acid ...
  • Study Participants

    30
This clinical trial will evaluate clinical outcomes associated with the non-invasive Ultherapy™ treatment to improve skin laxity and tightening following a Sculptra® treatment.
This study is a prospective,single-center, randomized clinical trial. Up to thirty (30) subjects will be treated. Enrolled subjects will be assigned to one of three (3) groups. Up to 10 subjects per group.
Study Started
May 31
2011
Primary Completion
Jun 30
2012
Study Completion
Sep 30
2012
Results Posted
Aug 27
2013
Estimate
Last Update
Dec 13
2017

Device Ulthera® System

Focused ultrasound energy delivered below the surface of the skin on the lower face.

  • Other names: Ultherapy™

Drug Sculptra®

Injectable filler reconstituted prior to use. Injections are administered to the lower face in a combination of cross-hatching and fanning techniques. The Sculptra is injected in two treatment sessions 6 weeks apart.

  • Other names: Poly-L-Lactic acid fillers

Other Sculptra® treatment followed by Ultherapy™ treatment

Sculptra® administered in 2 injection sessions 6 weeks apart, then Ultherapy™ treatment 4 months following Sculptra.

Group A Active Comparator

Subjects will receive Ulthera® System alone.

Group B Active Comparator

Sculptra® only

Group C Active Comparator

Sculptra® treatment followed by Ultherapy™ treatment

Criteria

Inclusion Criteria:

Male or female, aged 35 to 60 years.
Subject in good health.
Skin laxity in the lower face and neck.
Grade 1 and 2 on the Knize Scale

Exclusion Criteria:

Presence of an active systemic or local skin disease that may affect wound healing.
Severe solar elastosis.
Excessive subcutaneous fat in the face and neck.
Excessive skin laxity on the face and neck.
No scarring in areas to be treated.
Any open facial wounds or lesions.
Acne on the face.
Patients who have a history with keloid formation or hypertropic scarring
Patients who have a hypersensitivity to injectable poly-L-lactic acid
Presence of a metal stent or implant in the facial area to be treated.

Summary

Group A

Group B

Group C

All Events

Event Type Organ System Event Term

Lifting and Tightening of Skin as Determined by Masked Assessment of Pre- and Post-treatment Photographs.

Three masked assessors reviewed pre- and 90 days post-treatment photos from 29 subjects who returned for their 90-day follow-up visit, assessing for improvement in skin laxity at 90 days post-treatment compared to baseline, i.e., lifted and tightened skin in the areas treated with the assigned study treatment based on the assigned study arm.

Group A

40.0
percentage of participants improved

Group B

30.0
percentage of participants improved

Group C

33.0
percentage of participants improved

Overall Aesthetic Improvement at 90 Days Post-treatment

At 90 days post-treatment, each site investigator and each subject completed a Global Aesthetic Improvement Scale (GAIS) (Physician GAIS - PGAIS; Subject GAIS - SGAIS), comparing to pre-treatment photos. The GAIS is 5-point scale (1-5) describing an overall assessment as follows: = Very Much Improved = Much Improved = Improved = No Change = Worse "Any Improvement" includes subjects assessed in categories 1-3.

Group A

PGAIS - Improved to Very Much Improved

50.0
percentage of participants improved

SGAIS - Improved to Very Much Improved

70.0
percentage of participants improved

Group B

PGAIS - Improved to Very Much Improved

60.0
percentage of participants improved

SGAIS - Improved to Very Much Improved

60.0
percentage of participants improved

Group C

PGAIS - Improved to Very Much Improved

67.0
percentage of participants improved

SGAIS - Improved to Very Much Improved

56.0
percentage of participants improved

Overall Aesthetic Improvement at 180 Days Post-treatment

At 180 days post-treatment, each site investigator and each subject completed a Global Aesthetic Improvement Scale (GAIS) (Physician GAIS - PGAIS; Subject GAIS - SGAIS), comparing to pre-treatment photos. The GAIS is 5-point scale (1-5) describing an overall assessment as follows: = Very Much Improved = Much Improved = Improved = No Change = Worse "Any Improvement" includes subjects assessed in categories 1-3.

Group A

PGAIS - Improved to Very Much Improved

30.0
percentage of participants improved

SGAIS - Improved to Very Much Improved

70.0
percentage of participants improved

Group B

PGAIS - Improved to Very Much Improved

33.0
percentage of participants improved

SGAIS - Improved to Very Much Improved

44.0
percentage of participants improved

Group C

PGAIS - Improved to Very Much Improved

43.0
percentage of participants improved

SGAIS - Improved to Very Much Improved

43.0
percentage of participants improved

Subject Satisfaction at 90 Days Post-treatment

Subjects rated their satisfaction as Very Satisfied, Satisfied, Dissatisfied or Very Dissatisfied using a Patient Satisfaction Questionnaire (PSQ). Responses at 90 days post-treatment Responses were tabulated.

Group A

70.0
percentage of participants Satisfied

Group B

60.0
percentage of participants Satisfied

Group C

78.0
percentage of participants Satisfied

Subject Satisfaction at 180 Days Post-treatment

Subjects rated their satisfaction as Very Satisfied, Satisfied, Dissatisfied or Very Dissatisfied using a Patient Satisfaction Questionnaire (PSQ). Responses at 180 days post-treatment Responses were tabulated.

Group A

70.0
percentage of participants Satisfied

Group B

63.0
percentage of participants Satisfied

Group C

38.0
percentage of participants Satisfied

Subject's Assessment of Pain

Subjects' sensory response to the Ulthera treatment exposures were recorded for each anatomical region treated using a validated Numeric Rating Scale (0-10), with 1 representing no pain and 10 representing the worst pain possible. Pain assessment data were obtained from Group A and Group C subjects only.

Group A

Cheek

4.5
units on a scale (Mean)
Full Range: 2.0 to 8.0

Submandibular

3.9
units on a scale (Mean)
Full Range: 1.0 to 7.0

Submental

2.9
units on a scale (Mean)
Full Range: 1.0 to 5.0

Group C

Cheek

4.5
units on a scale (Mean)
Full Range: 0.0 to 8.0

Submandibular

3.3
units on a scale (Mean)
Full Range: 0.0 to 6.0

Submental

2.9
units on a scale (Mean)
Full Range: 0.0 to 6.0

Total

30
Participants

Age, Continuous

48
years (Mean)
Full Range: 37.0 to 58.0

Fitzpatrick Skin Type

Race/Ethnicity, Customized

Region of Enrollment

Sex: Female, Male

Overall Study

Group A

Group B

Group C

Drop/Withdrawal Reasons

Group B

Group C