A Prospective Clinical Investigation Evaluating the Safety and Effectiveness of FASY L Hyaluronic Acid Gel for the Treatment of Lip Deformity
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lip, Cleft
- Sponsor
- Symatese
- Enrollment
- 20
- Locations
- 2
- Primary Endpoint
- Proportion of subjects with at least one Adverse Device Event (ADE) at the visit at 30 days after the initial injection
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
Early postnatal repair of cleft lip and palate aims at the development of the child through reconstruction of the face soon after birth. Cleft lip is the result of a defect in the fusion of the buds of the face by default of cell apoptosis of the embryonic neural crest constituting the skin and the labial mucosa. Lip surgery or cheiloplasty primary of unilateral and bilateral cleft lip and palate is carried out from the age of 6 weeks. At the end of the surgical treatment, we often observe small unsightly residual volumetric asymmetries. The choice is then either to surgically reduce a muscular part too voluminous by reducing locally the volume of the lip, or to increase the volume of the thinnest portion this second solution is made possible either by injecting fat or by injection of hyaluronic acid. By adulthood, patients with cleft lip have often undergone 10 or more defect-related surgeries and many desire less invasive options to improve any residual cosmetic imperfections. The first use of a temporary alloplastic injectable soft tissue filler, hyaluronic acid (HA), for upper lip augmentation in a patient with asymmetry after surgical cleft lip repair was reported in 2008. There are few publications on the use hyaluronic acid in complement to the surgical treatment of cleft lip and palate, but all reported promising results.
Detailed Description
The study is a pilot, prospective, multicenter, proof-of-concept clinical trial that aims to evaluate the safety and efficacy of FASY L for the treatment of lip deformity.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Sex: male or female.
- •Age: 18 years and older.
- •Women of childbearing age must have a negative urine pregnancy test before each injection.
- •Patient seeking an enhancement of the lip deformity with FASY L after having undergone cleft lip and palate surgical treatment.
- •Patient, having given freely and expressly his/her informed consent.
- •Patient who is able to comply with the study requirements, as defined in the present CIP, at the Investigator's appreciation.
- •Patient being affiliated to a health social security system.
Exclusion Criteria
- •Pregnant and breastfeeding women
- •Subject who is deprived of their freedom by administrative or legal decision.
- •Subject living in a social or sanitary establishment.
- •Major subject who is under guardianship or who is not able to express his consent.
- •Subject being in an exclusion period for a previous study or with a current or recent (\<3 months) participation in another investigational study involving a drug or combined device with drug.
- •Subject suffering from a severe or progressive disease or any other pathology that may interfere with the evaluation of the study results: diabetes, autoimmune pathology, cardiac pathologies, hepatic deficiency, epilepsy, porphyria.
- •Subject who has a known history of severe multiple allergies, angioedema or anaphylactic shock.
- •Subject with a known allergy or hypersensitivity to Hyaluronic Acid or local anesthesia (Lidocaine or anesthetics of the amide type or any of the excipients).
- •Subject with an acute inflammatory process or active skin disease, or related conditions, such as infection, psoriasis, rosacea, acne, blotches or other pathology near or on the injection sites with the potential to interfere with the study results or increase the risk of Adverse Events at the Investigator appreciation.
- •Subject with a past history of severe streptococcal disease or an active streptococcus infection.
Outcomes
Primary Outcomes
Proportion of subjects with at least one Adverse Device Event (ADE) at the visit at 30 days after the initial injection
Time Frame: 30 days visit after the first injection
Recording of the occurrence of Adverse Event related to the use of the investigational medical device. Assessed by investigators.
Secondary Outcomes
- Evaluation of the scar by the patients(Before the first injection (baseline) and Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection)
- Improvement of the patient's quality of life(Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection.)
- Injection Site Reactions present immediatly after injections(Day 0 and potentially at each visits (Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection))
- Patient's quality of life(Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection.)
- Evaluation of the scar by the investigators(Before the first injection (baseline) and Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection)
- Incidence of Treatment-Emergent Adverse Events(Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection.)
- Patient Global aesthetic improvement(Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection.)
- Investigator Global aesthetic improvement(Day 30, Month 3, Month 6, Month 9 and Month 12 after the first injection.)
- Visual analogic scale pain assessment(Immediately after the injection (for initial injection only))