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CTRI Number  CTRI/2021/12/039025 [Registered on: 29/12/2021] Trial Registered Prospectively
Last Modified On: 25/12/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   A study in people who require facial enhancement through dermal filler (JEUNESSO 30L). 
Scientific Title of Study   A prospective, single arm, investigator initiated clinical study to assess the safety and performance of Cross-linked Hyaluronic Acid- Dermal filler (JEUNESSO 30L) 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 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Debraj Shome 
Designation  Plastic Surgeon 
Affiliation  Esthetic Centers International Pvt. Ltd. 
Address  Esthetic Centers International Pvt. Ltd. 3B & 4, Shradha building no 03, Off 90 feet road Thakur complex, Kandiwali (East) Mumbai, Maharashtra- 400101
Same as Address 1
Mumbai (Suburban)
MAHARASHTRA
400101
India 
Phone  7400250158  
Fax    
Email  debraj.shome@theestheticclinic.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Debraj Shome 
Designation  Plastic Surgeon 
Affiliation  Esthetic Centers International Pvt. Ltd. 
Address  Esthetic Centers International Pvt. Ltd. 3B & 4, Shradha building no 03, Off 90 feet road Thakur complex, Kandiwali (East) Mumbai, Maharashtra- 400101
Same as Address 1
Mumbai (Suburban)
MAHARASHTRA
400101
India 
Phone  7400250158  
Fax    
Email  debraj.shome@theestheticclinic.com  
 
Details of Contact Person
Public Query
 
Name  Dr Debraj Shome 
Designation  Plastic Surgeon 
Affiliation  Esthetic Centers International Pvt. Ltd. 
Address  Esthetic Centers International Pvt. Ltd. 3B & 4, Shradha building no 03, Off 90 feet road Thakur complex, Kandiwali (East) Mumbai, Maharashtra- 400101
Same as Address 1
Mumbai (Suburban)
MAHARASHTRA
400101
India 
Phone  7400250158  
Fax    
Email  debraj.shome@theestheticclinic.com  
 
Source of Monetary or Material Support  
Esthetic Centers International Pvt. Ltd. 3B & 4, Shradha building no 03, Off 90 feet road Thakur complex, Kandiwali (East) Mumbai, Maharashtra- 400101 
 
Primary Sponsor  
Name  Dr Debraj Shome 
Address  Esthetic Centers International Pvt. Ltd. 3B & 4, Shradha building no 03, Off 90 feet road Thakur complex, Kandiwali (East) Mumbai, Maharashtra- 400101 
Type of Sponsor  Other [self] 
 
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 & 4, Shradha building no 03, Off 90 feet road Thakur complex, Kandiwali (East) Mumbai, Maharashtra- 400101
Mumbai (Suburban)
MAHARASHTRA 
7400250158

debraj.shome@theestheticclinic.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
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 (0.5 ml / 0.8 ml / 1.0 ml) Cross-Linked Sodium Hyaluronate Solution 3% W/V Composition: Each ml contains: Cross-Linked Sodium Hyaluronate……..30mg  Dose: Not applicable as this will depend upon type of patient Frequency: Depends upon requirement during surgery Route of administration: Intradermal Treatment Duration: day 1 on which treatment is done JEUNESSO 30L is dermal filler made from a highly purified form of Hyaluronic Acid from non-animal origin that mimics the effects of natural Hyaluronic Acid. When injected just below the surface of the Skin, JEUNESSO 30L adds volume to the Skin, smoothing unwanted lines and wrinkles.JEUNESSO 30L consists of cross-linked or non-crosslinked Hyaluronic Acid formulated to a concentration of 30 mg/ml suspended in a physiological buffer.  
Comparator Agent  NIL  NIL 
 
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 agrees to follow-up examinations out to 12 months post final treatment.

5. 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 filler

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:

8. In the upper 1/3 of the face within 2 weeks prior to entry into the study, or

9. 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.

10. Had a history of hypo- or hyperpigmentation of the skin.

11. Tolerance to antibiotics or corticosteroids.

12. 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).

13. A known history of keloids or bleeding disorders.

14. Leukoderma (Vitiligo) or a family history of leukoderma or other pigmentary disorders.

15. Patient on Medication with blood thinners.

16. Severe physical, neurological or mental disease.

17. Excessive facial hair that might interfere with the study of the wrinkle assessments 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
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).
Time points:(Pre-operative, Day-0, 3 Month, 6 Month & 12 Months Post-Operative Follow-up) 
Pre-operative, Day-0, 3 Month, 6 Month & 12 Months Post-Operative Follow-up 
 
Secondary Outcome  
Outcome  TimePoints 
1.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

2. To access Global Aesthetic Improvement scale from Day 0 to 3, 6 and 12 Months

3. To access the frequency and severity of adverse events (AEs) documented at each study visit 
Pre-operative, Day-0, 3 Month, 6 Month & 12 Months Post-Operative Follow-up 
 
Target Sample Size   Total Sample Size="122"
Sample Size from India="122" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   31/12/2021 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
This is a prospective, single arminvestigator initiated clinical study to assess the safety and performance of Cross-linked Hyaluronic Acid- Dermal filler (JEUNESSO 30L) in people with all skin types, who need Lip Enhancement, Cheek bone Augmentation and Nasolabial fold improvement. 
Investigational product to be used is Juenesso 30L is a transparent gel made up of novel cross-linked hyaluronic acid with concentration of 30 mg/ml which is already approved in INDIA. 
Primary objective: 
1. To assess the safety and performance of Crosslinked HA for cheekbone Augmentation, nasolabial fold treatment and Lip Enhancement  
 2. Incidence of all adverse events at 6 and 12 months and any systemic adverse events

Secondary objective: 
1.Assess dermal filler success in overall face improvement. 
2.Evaluate efficacy of Cross-linked HA in Cheek Bone Augmentation, nasolabial folds and Lip Enhancement
3.Evaluate proportion of population reporting with dermal filler’s adverse effect and during the course of the study. 
4. Evaluate long-term safety up to 12 Months

Following endpoints will measured during the trial:

Primary Endpoint:

1. 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)

Secondary Endpoint:
1.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 
2. To access Global Aesthetic Improvement scale from Day 0  to 3, 6 and 12 Months 
3.To access the frequency and severity of adverse events (AEs) documented at each study visit. 


 
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