Clinical study of the safety and effectiveness of the use of two hyaluronic acid injectable products (MaiLi Precise® and MaiLi Define®) in the treatment of facial skin depressions of the mid-face

ISRCTN ISRCTN10761529
DOI https://doi.org/10.1186/ISRCTN10761529
Secondary identifying numbers 21E1104
Submission date
09/02/2022
Registration date
16/02/2022
Last edited
09/07/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Skin and Connective Tissue Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Tissue filling by means of injection of dermal fillers has been used for over 20 years. Dermal fillers are substances injected below the surface of the skin to generate volume by filling the injected area, thereby improving lines, wrinkles and folds to give the skin a smoother appearance. The increase in skin depressions on the face is also a known sign of the ageing process; treatment with dermal fillers can help correct this deficit. The aim of this study is to evaluate the effectiveness and safety of two of these products, MaiLi Precise® and MaiLi Define®, for the treatment of facial volume depressions.

Who can participate?
People aged 25-65 years seeking an improvement/filling of her/his nasolabial folds and/or tear trough and/or marionette lines

What does the study involve?
Participants receive a single injection of MaiLi Precise® or MaiLi Define®. Several follow-up visits at Day 14, 1 month, 6 months and 12 months after treatment will be carried out to assess the safety and effectiveness of the injection.

What are the possible benefits and risks of participating?
The possible benefits are an aesthetic improvement by filling treated area(s). Potential adverse events can occur. In most cases, those adverse events are naturally resolved within 1 week. In case of an adverse event persisting for more than 1 week, the investigator should assess and define the best course of action.

Where is the study run from?
1. Clinica Universidad de Navarra (Spain)
2. Clinica Dermomedic (Spain)
3. Instituto médico Ricart (Spain)

When is the study starting and how long is it expected to run for?
August 2021 to July 2023

Who is funding the study?
Sinclair Pharmaceuticals Limited (UK)

Who is the main contact?
John Meadows
JMeadows@sinclairpharma.com

Contact information

Mr John Meadows
Scientific

Sinclair Pharmaceuticals Limited
Eden House
Lakeside Chester Business Park
Chester
CH4 9QZ
United Kingdom

Phone +44 (0)20 7467 6920
Email info@sinclairpharma.com

Study information

Study designProspective open-label multicentre interventional intra-individual study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleClinical study of the safety and effectiveness of MaiLi Precise® and MaiLi Define® in the treatment of facial skin depressions
Study hypothesisMaiLi Precise® and MaiLi Define® induce a global aesthetic improvement of the treated area(s)
Ethics approval(s)Approved 03/02/2022, CEIm of Navarra (C/ Irunlarrea, 3, Recinto Hospitalario, Pabellón de Docencia, 31008 Pamplona – Navarra, Spain; +34 (0)848 422495; comite.etico.investigacion.clinica@navarra.es) ref: PI_2021/151
ConditionFor MaiLi Precise® treatment: mild to moderate nasolabial folds and/or subjects with mild to moderate tear trough. For MaiLi Define® treatment: moderate to severe nasolabial folds and/or moderate to severe marionette lines.
InterventionParticipants receive a single injection of MaiLi Precise® or MaiLi Define®.

34 will be included in group 1 and treated with MaiLi Precise®:
1. At least 15 will be treated on the nasolabial folds
2. At least 15 will be treated on the tear trough

34 will be included in group 2 and treated with MaiLi Define®:
1. At least 15 will be treated on the nasolabial folds
2. At least 15 will be treated on the marionette lines

Subjects may be treated and assessed in more than one facial area amongst its inclusion group if they meet the required inclusion criteria.

Several follow-up visits at Day 14, 1 month, 6 months and 12 months after treatment will be carried out to assess the safety and effectiveness of the injection.
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)MaiLi Precise®, MaiLi Define®
Primary outcome measureAesthetic improvement measured using the Global Aesthetic Improvement Scale (GAIS) evaluated by an independent live assessor 6 months after treatment (M6).
Secondary outcome measures1. Aesthetic improvement measured using the Global Aesthetic Improvement Scale (GAIS) evaluated by a live assessor 1 month (M1) and 12 months (M12) after treatment
2. Aesthetic Improvement measured using the Global Aesthetic Improvement Scale (GAIS) evaluated by the subjects at M1, M6 and M12
3. Subject's satisfaction measured using an in-house questionnaire at M1, M6 and M12
4. Injector satisfaction measured using an in-house questionnaire at M1
5. Improvement of treated areas measured using WSRS, and/or Barton and/or MLGS scales evaluated by an assessor on photographs at M1, M6 and M12
6. Safety measured using Injection Site Reactions (ISR) rated by a live assessor and by the subjects and by the collection of adverse events after treatment, at M1, M6 and M12
Overall study start date06/08/2021
Overall study end date30/07/2023

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit25 Years
Upper age limit65 Years
SexBoth
Target number of participants68
Total final enrolment68
Participant inclusion criteria1. Sex: female or male
2. Age: between 25 and 65 years
3. Subject seeking an improvement of her/his face aspect with hyaluronic acid filler product
4.1. For group 1: subject with mild to moderate nasolabial folds (score 2 to 3 on the Wrinkle Severity Rating Scale [WSRS]) and/or subjects with mild to moderate tear trough (score 1 to 2 on the Barton scale)
4.2. For group 2: subject with moderate to severe nasolabial folds (score 3 to 4 on the WSRS scale) and/or subjects with moderate to severe marionette lines (score 2 and 3 on the Marionette Lines Grading Scale (MLGS)
5. Subject having given freely and expressly his/her informed consent
6. Subject willing to have photographs of the face taken and who are willing provide approval for the use of their study data and photographs in published literature
7. Subject willing and able to comply with study follow-up procedures and schedule
8. Female of childbearing potential should use a medically accepted contraceptive regimen since at least 12 weeks prior to study entry and during all the study
9. Subjects willing to commit to having no further facial aesthetic treatments below the level of the eyes for the duration of the study period, including follow-up
Participant exclusion criteria1. Pregnant or nursing woman or planning a pregnancy during the study
2. Subject in a social or sanitary establishment
3. Subject suspected to be non-compliant according to the investigator’s judgment
4. Subject is an employee of the investigational site, the CRO or study sponsor
5. Subject with scar(s), mole(s) or anything on the studied zones which might interfere with the evaluation
6. Subject suffering from a severe or progressive disease or any other pathology that may interfere with the evaluation of the study result and/or subject safety
7. Subject with a known history of or suffering from autoimmune disease and/or immune deficiency
8. Subject with porphyria
9. Subject with a known history of streptococcal disease (recurrent throat infections, acute rheumatic fever with or without cardiac involvement)
10. Subject suffering from active disease such as inflammation, infection, tumours, inflammatory and/or infectious cutaneous disorders (herpes, acne, rosacea) on the face within 6 months of the study entry
11. Subject predisposed to keloids or hypertrophic scarring
12. Subject with a known bleeding disorder or is receiving medication that will likely increase the risk of bleeding during treatment
13. Subject with a known history of precancerous lesions/skin malignancies
14. Subject with hypersensitivity or with known allergy to: hyaluronic acid, lidocaine, amide-type local anaesthetics or to one of the components of the tested devices or antiseptic solution
15. Subject with a known history of severe allergy or anaphylactic shock
16. Any medication which may interfere, at the interpretation of the investigator, with the study objectives in term of efficacy and safety
17. Subject having received treatment with a laser or UV, dermabrasion, surgery, deep chemical peeling or any other procedure based on active dermal below the level of the eyes within the past 6 months
18. Subject having received within the past 12 months hyaluronic acid injections (not including this study) below the level of the eyes
19. Subject having received at any time permanent filler (e.g. polylactic acid, PMMA, silicone) below the level of the eyes
20. Subject having received at any time threading surgery
21. Subject using medication such as aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), antiplatelet agents, thrombolytics or anticoagulants within one week prior to injection visit and 1 month after treatment
22. Subject having started or changed his/her oral contraceptive or any other hormonal treatment during 12 weeks prior to study entry
Recruitment start date01/03/2022
Recruitment end date01/07/2022

Locations

Countries of recruitment

  • Spain

Study participating centres

Clinica Universidad de Navarra
Av. de Pío XII, 36
Pamplona
31008
Spain
Clinica Dermomedic
Calle de Jorge Juan, 36
Madrid
28001
Spain
Instituto médico Ricart
Carrer de les Arts Gràfiques, Nº 5
València
46010
Spain

Sponsor information

Sinclair Pharma
Industry

Eden House
Lakeside Chester Business Park
Chester
CH4 9QZ
England
United Kingdom

Phone +44 (0)20 7467 6920
Email info@sinclairpharma.com
Website http://www.sinclairpharma.co.uk/
ROR logo "ROR" https://ror.org/00ab7gt92

Funders

Funder type

Industry

Sinclair Pharmaceuticals Limited

No information available

Results and Publications

Intention to publish date01/07/2025
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planAs sponsor, Sinclair have no wish or requirement for the participant-level dataset to be made available. They will only establish a global database with all participant data. Data will be kept by the study sites for 1 year after the end of the study, then data will be archived for 15 years by the CRO’s subcontractor.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results 08/07/2024 08/07/2024 No No

Additional files

ISRCTN10761529_BasicResults_08Jul24.pdf

Editorial Notes

09/07/2024: The intention to publish date was changed from 01/07/2024 to 01/07/2025.
08/07/2024: Basic results and total final enrolment added.
16/02/2022: Trial's existence confirmed by the CEIm of Navarra.