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CTRI Number  CTRI/2019/09/021257 [Registered on: 16/09/2019] Trial Registered Prospectively
Last Modified On: 16/09/2019
Post Graduate Thesis  No 
Type of Trial  PMS 
Type of Study   Medical Device 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   To assess the safety and performance of Cross-linked Hyaluronic Acid- Dermal filler in people with all skin types, who need Lip Enhancement, Cheek bone Augmentation and Nasolabial fold improvement 
Scientific Title of Study   A prospective, randomized, comparative, clinical study to assess the safety and performance of Cross-linked Hyaluronic Acid- Dermal filler in people with all skin types, who need Lip Enhancement, Cheek bone Augmentation and Nasolabial fold improvement 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
CROSSLINKED_HA/11-Jul-19/Version 1.0  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Debraj Shome 
Designation  Principal Investigator 
Affiliation  Esthetic Centers International Pvt Ltd 
Address  Esthetic Centers International Pvt Ltd 3B and 4 Shradha building no 03 Off 90 feet road Thakur complex Kandiwali (East) Mumbai

Mumbai
MAHARASHTRA
400101
India 
Phone    
Fax    
Email  debraj.shome@theestheticclinic.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Debraj Shome 
Designation  Principal Investigator 
Affiliation  Esthetic Centers International Pvt Ltd 
Address  Esthetic Centers International Pvt Ltd 3B and 4 Shradha building no 03 Off 90 feet road Thakur complex Kandiwali (East) Mumbai

Mumbai
MAHARASHTRA
400101
India 
Phone    
Fax    
Email  debraj.shome@theestheticclinic.com  
 
Details of Contact Person
Public Query
 
Name  Girish Hirpara 
Designation  Sr Manager Clinical Affairs 
Affiliation  Biotech Vision Care Pvt Ltd 
Address  Block 1 Abhishree Corporate Park Opp Swagat Bunglow BRTS Stop Bopal Ambli Road Ahmedabad

Ahmadabad
GUJARAT
380 058
India 
Phone  917966823000   
Fax    
Email  girish.hirpara@biotechhealthcare.com  
 
Source of Monetary or Material Support  
Biotech Vision Care Pvt Ltd Block 1, Abhishree Corporate Park, Opp. Swagat Bunglow BRTS Stop Bopal - Ambli Road, Ahmedabad - 380 058, Gujarat India 
 
Primary Sponsor  
Name  Biotech Vision Care Pvt Ltd 
Address  Block 1 Abhishree Corporate Park Opp Swagat Bunglow BRTS Stop Bopal Ambli Road Ahmedabad 380 058 Gujarat India 
Type of Sponsor  Other [Medical Device Company] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Debraj Shome  Esthetic Centers International Pvt Ltd  3B and 4 Shradha building no 03 Off 90 feet road Thakur complex Kandiwali (East) Mumbai 400101
Mumbai
MAHARASHTRA 
9987398578

debraj.shome@theestheticclinic.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee IEC The Esthetic Clinics  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L988||Other specified disorders of the skin and subcutaneous tissue,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Jeunesso 30L cross-linked Sodium Hyaluronate  Dermal Filler 
Comparator Agent  Juvederm Ultra Plus  Dermal Filler 
Comparator Agent  Juvederm Volift  Dermal Filler 
Comparator Agent  Juvederm VolumaTM XC  Dermal Filler 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. The patient must be ≥ 18 and ≤ 75 years of age.
2. The patient is willing and able to comply with the study protocol.
3. The patient is seeking soft tissue augmentation treatment on the face.
4. The patient needing Cheek bone Augmentation will be enrolled in arm 1 of the
trial.
5. The patient with deep depression of the Nasolabial folds will be enrolled in arm
2 of the trial.
6. The patient needing Lip Enhancement will be enrolled in arm 3 of the trial.
7. The patient agrees to follow-up examinations out to 6 months post final
treatment.
8. The patient has a pre-treatment Wrinkle Severity Score (WSS) ≥ 2 for bilateral
NLF to be treated 
 
ExclusionCriteria 
Details  1. At risk in term of precautions, warnings and contra-indication referred in the
package insert of the study dermal fillers,
2. Who underwent previous injection of permanent filler in the injected area.
3. Pregnant/lactating women
4. Participation in any other Clinical trial.
5. Subjects who have an allergy to lidocaine, prilocaine or other amide-type
anesthetic
6. Had a chemical peel at the NLF area within 4 weeks prior to study entry. In
addition, subjects were restricted from undergoing chemical peels at the NLF
area for the duration of the study.
7. Had any treatment with Botox® injections:
a) In the upper 1/3 of the face within 2 weeks prior to entry into the study, or
b) In the lower 2/3 of the face within 24 weeks prior to entry. In addition,
subjects were restricted from receiving Botox injections in the face for the
duration of the study.
8. Had a history of hypo- or hyperpigmentation of the skin.
9. Tolerance to antibiotics or corticosteroids.
10. Had any infection, unhealed wound, or active inflammatory process (e.g., skin
eruptions such as cysts, pimples, rashes, or hives) at the injection site(s).
11. A known history of keloids or bleeding disorders.
12. Leukoderma (Vitiligo) or a family history of leukoderma or other pigmentary
disorders.
13. Patient on Medication with blood thinners.
14. Severe physical, neurological or mental disease.
15. Excessive facial hair that might interfere with the study of the wrinkle
assessments. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
The primary efficacy endpoint is responder rate in GAIS Score from Day 0 to 12 Months and
study of the safety and severity of adverse events (AEs). 
Day 0 to 12 Months 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the Cheek bone Augmentation, the improvement in the Nasolabial
fold and Evaluate Lip Enhancement from Day 0 to 3, 6 and 12 Months


To access Global Aesthetic Improvement scale from Day 0 to 3, 6 and 12
Months
To access the frequency and severity of adverse events (AEs) documented at
each study visit 
Day 0 to 3, 6, & 12 months 
 
Target Sample Size   Total Sample Size="186"
Sample Size from India="186" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   Post Marketing Surveillance 
Date of First Enrollment (India)   16/09/2019 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   This is a prospective, randomized, comparative, clinical study to assess the safety and performance of Cross-linked Hyaluronic Acid- Dermal filler in people with all skin types, who need Lip Enhancement, Cheek bone Augmentation and Nasolabial fold improvement. 

Primary objective of this study 
1) To Assess and compare the safety and performance of
Crosslinked HA (Biotech’s Dermal filler compared to
Juvederm Voluma XC for cheekbone Augmentation,
Juvederm Ultra Plus XC for nasolabial fold treatment and
Juvederm Volift for Lip Enhancement) for subjects with
a) Cheek bone Augmentation
b) Nasolabial fold improvement
c) Lip Enhancement

2) Incidence of all adverse events at 6 and 12 months and any
systemic adverse events

and Secondary Objectives of this study
1) Assess dermal filler success in overall face improvement.

2) Evaluate and compare efficacy of Cross-linked HA
(Biotech’s dermal filler and Juvederm Voluma XC in Cheek
Bone Augmentation, Juvederm Ultra plus XC in treatment of
nasolabial folds and Juvederm Volift in Lip Enhancement).

3) Evaluate proportion of population reporting with dermal
filler’s adverse effect and during the course of the study.

4) Evaluate and compare long-term safety of Crosslinked HA
(Biotech’s Dermal filler and Juvederm Voluma XC,
Juvederm Ultra Plus XC and Juvederm Volift) up to 12
Months
 
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