This study aims to assess efficacy and safety of Sculptra in the treatment of skin flaccidity in selected areas - arms, anteromedial region, and gluteal regions. To assess the efficacy of Sculptra®, via adapted Global Aesthetic Improvement Scale -GAIS- score determined by blind evaluator, in the treatment of skin flaccidity on the anteromedial region of arm and gluteal region, 4 months after initiating the treatment, based on the assessment of the corporal side randomized to be the first to receive treatment . Considering as an alternative hypothesis of interest a 70% value of the subjects the treated side would have higher GAIS than the untreated side.
Ethical and General considerations regarding the study conduction: This study protocol will be reviewed and approved by appropriate IEC/IRB prior to the initiation of the study. Clinical monitoring: Study conduction will be closely monitored by Galderma representatives, following GCP regulations, applicable standard operating procedures, guides and local regulations. Data Management: Data may be audited by Galderma Quality Assurance Department and/or CRO prior to or after results of the first statistical analysis on the primary discretion. Quality assurance, auditing and Inspection: The study will be carried out under the sponsorship of Galderma in accordance with all local and federal regulations, as well as ICH guidelines. Audits and inspections at the research site may be conducted by Galderma representatives or local authorities. All aspects in any study step can be audited by Galderma Quality Assurance / CRO and, as a result, a certificate stating this will be provided.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
70
Participants using Sculptra - Poly-L-lactic acid 3 sessions in the first side and 3 sessions on the second side
Centro Brasileiro de Estudos em Dermatologia
Porto Alegre, Rio Grande do Sul, Brazil
Fundação do ABC
São Paulo, São Paulo, Brazil
Hospital Israelita Albert Einstin
São Paulo, São Paulo, Brazil
Universidade Federal de São Paulo - UNIFESP - UNICCO
São Paulo, Brazil
Assess the aesthetic effect through photographs via GAIS score determined by blind evaluator
To see the percentage of research subjects, to which the blind evaluator assigned a Global Aesthetic Improvement Scale score (GAIS) score higher to Side 1 than the corporal side which will be the second to receive treatment (Side 2), 4 months after starting Side 1 treatment.
Time frame: 4 months after starting Side 1 treatment
Assess the frequency with which the blind evaluators identified correctly Side 1, 4 months after initiating treatment on Side 1 through photographs.
1\. Percentage of evaluators identifying correctly the first treated side, 4 months after initiating treatment on Side 1.
Time frame: 4 months after starting Side 1 treatment
Assess efficacy of Sculptra in the treatment of skin flaccidity via GAIS score determined by the investigator.
3.1. Mean GAIS score assigned by the investigator to Side 1, 4 months after initiating treatment. 3.2. Mean GAIS score assigned by the investigator to Side 1, 6 months after initiating treatment. 3.3. Mean GAIS score assigned by the investigator to Side 1, 12 months after initiating treatment. 3.4. Mean GAIS score assigned by the investigator to Side 2, 6 months after initiating treatment. 3.5. Mean GAIS score assigned by the investigator to Side 2, 8 months after initiating treatment.
Time frame: 4, 6 and 12 months after starting side 1 treatment and 6 and 8 months after starting side 2
To assess the aesthetic effect of Sculptra in the skin flaccidity treatment, treatment, via GAIS score determined by the research subject.
4.1. Mean GAIS score assigned by the research subject to Side1, 4 months after initiating treatment. 4.2. Mean GAIS score assigned by the female subject to Side1, 6 months after initiating treatment. 4.3. Mean GAIS score assigned by the female subject to Side1, 12 months after initiating treatment. 4.4. Mean GAIS score assigned by the female subject to Side2, 6 months after initiating treatment. 4.5. Mean GAIS score assigned by the female subject to Side2, 8 months after initiating treatment.
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Time frame: 4, 6 and 12 months after initiating side 1 as well as 6 and 8 months after initiating side 2 treatment
To assess aesthetic effect of Sculptra on skin flaccidity via GAIS score determined by the investigator
Percentage of research subjects to which the investigator assigned a GAIS score to Side 1, 4 months after initiating treatment, indicating aesthetic improvement (GAIS score between 3 and 5) in relation to pre-treatment condition.
Time frame: 4 months after initiating side 1 treatment
Evaluate aesthetic effect of Sculptra on skin flaccidity by comparing Side1 to Side2 by the investigator.
Percentage of research subjects to which the investigator determined that the treated side (Side1) is aesthetically better than the non-treated side, 4 months after initiating Side1 treatment.
Time frame: 4 months after initiating Side 1 treatment
Assess the aesthetic effect of Sculptra on skin flaccidity, by comparing S1 to S2 by the research subject.
Percentage of research subjects evaluating the treated side (Side1) as aesthetically better than the non-treated side (Side2), 4 months after initiating Side1 treatment.
Time frame: 4 months after initiating side 1 treatment
Assess the effect of Sculptra on dermal thickness, via high-frequency ultrasound.
8.1. Variation of Side1 dermal thickness between baseline visit and 4 months after initiating treatment. 8.2. Variation of Side1 dermal thickness between baseline visit and 6 months after initiating treatment. 8.3. Variation of Side1 dermal thickness between baseline visit and 12 months after initiating treatment. 8.4. Variation of Side2 dermal thickness between baseline visit and 2 months after initiating treatment. 8.5. Variation of Side2 dermal thickness between baseline visit and 8 months after initiating treatment.
Time frame: 4, 6 and 12 months after initiating side 1 treatment as well as 2 and 8 months after initiating Side 2 treatment
Assess the subject s discomfort with Sculptra application.
Mean score of subject s discomfort with Sculptra application during treatment period.
Time frame: 1 year
Evaluate Sculptra effect on arm circumference, 4, and 12 months after initiating Side 1 treatment
10.1. Variation of Side1 arm circumference between baseline visit and 4 months after initiating treatment. 10.2. Variation of Side1 arm circumference between baseline visit and 12 months after initiating treatment.
Time frame: 4 and 12 months after initiating side 1 treatment
Assess investigator s satisfaction and perception of aesthetic result obtained with Sculptra.
11.1.Descriptive statistics of the satisfaction questionnaire and aesthetic result perception, completed by the investigator 4 months after initiating Side1 treatment. 11.2. Descriptive statistics of the satisfaction questionnaire and aesthetic result perception, completed by the investigator 6 months after initiating Side1 treatment. 11.3. Descriptive statistics of the satisfaction questionnaire and aesthetic result perception, completed by the investigator 12 months after initiating Side1 treatment. 11.4. Descriptive statistics of the satisfaction questionnaire and aesthetic result perception, completed by the investigator 6 months after initiating Side2 treatment. 11.5. Descriptive statistics of the satisfaction questionnaire and aesthetic result perception, completed by the investigator 8 months after initiating Side2 treatment.
Time frame: 4, 6 and 12 months after initiating side 1 treatment as well as 6 and 8 months after initiating side 2 treatment
Assess subject s satisfaction and aesthetic result perception obtained with Sculptra
12.1. Descriptive statistics of satisfaction questionnaire and aesthetic result perception, completed by the subject 4 months after initiating Side1 treatment. 12.2. Descriptive statistics of satisfaction questionnaire and aesthetic result perception, completed by the subject 6 months after initiating Side1 treatment. 12.3. Descriptive statistics of satisfaction questionnaire and aesthetic result perception, completed by the subject 12 months after initiating Side1 treatment. 12.4. Descriptive statistics of satisfaction questionnaire and aesthetic result perception, completed by the subject 6 months after initiating Side2 treatment. 12.5. Descriptive statistics of satisfaction questionnaire and aesthetic result perception, completed by the subject 8 months after initiating Side2 treatment.
Time frame: 4, 6 and 12 months after initiating Side 1 treatment, as well as 6 and 8 months after initiating Side2 treatment
Incidence, seriousness, severity and relationship of adverse events with the treatment with Sculptra
13.1. Incidence, seriousness, severity and relationship with management of adverse events reported during study period. 13.2. Incidence, seriousness, severity and relationship with management of adverse events of interest reported during study period. 13.3. Incidence of treatment discontinuations due to adverse events reported during study period
Time frame: An average of 1 year