Trial Outcomes & Findings for Phase 3 Study of Deoxycholic Acid Injection (ATX-101) Versus Placebo for the Reduction of Localized Subcutaneous Fat in the Submental Area (NCT NCT01542034)

NCT ID: NCT01542034

Last Updated: 2015-06-15

Results Overview

A composite 1-grade response is defined as at least a 1-grade improvement from Baseline on both the Clinician-Reported Submental Fat Rating Scale (CR-SMFRS) and Patient-Reported Submental Fat Rating Scale (PR-SMFRS) 12 weeks after the last treatment. The CR-SMFRS score is based on the investigator's clinical evaluation of the participant, where submental fullness is scored on a 5-point ordinal scale (0-4) with 0 = absent, 1 = mild, 2 = moderate, 3 = severe, and 4 = extreme. The PR-SMFRS is based on the participant's response to the question "How much fat do you have under your chin right now?" answered on a 5-point ordinal scale (0-4) with 0 = no chin fat at all, 1 = a slight amount of chin fat, 2 = a moderate amount of chin fat, 3 = a large amount of chin fat, and 4 = a very large amount of chin fat.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

506 participants

Primary outcome timeframe

Baseline and 12 weeks after last treatment (up to 32 weeks after first treatment)

Results posted on

2015-06-15

Participant Flow

The study was performed at 35 investigational centers in the United States (US) and Canada.

Participant milestones

Participant milestones
Measure
Deoxycholic Acid Injection
Participants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Placebo
Participants received placebo administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Overall Study
STARTED
256
250
Overall Study
Received Treatment
256
249
Overall Study
COMPLETED
226
227
Overall Study
NOT COMPLETED
30
23

Reasons for withdrawal

Reasons for withdrawal
Measure
Deoxycholic Acid Injection
Participants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Placebo
Participants received placebo administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Overall Study
Consent Withdrawn (Subject Convenience)
20
12
Overall Study
Administrative decision
0
3
Overall Study
Subject Noncompliance
1
0
Overall Study
Adverse Event
2
2
Overall Study
Lost to Follow-up
7
6

Baseline Characteristics

Phase 3 Study of Deoxycholic Acid Injection (ATX-101) Versus Placebo for the Reduction of Localized Subcutaneous Fat in the Submental Area

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Deoxycholic Acid Injection
n=256 Participants
Participants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Placebo
n=250 Participants
Participants received placebo administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Total
n=506 Participants
Total of all reporting groups
Age, Continuous
49.5 years
STANDARD_DEVIATION 9.30 • n=99 Participants
49.4 years
STANDARD_DEVIATION 9.33 • n=107 Participants
49.5 years
STANDARD_DEVIATION 9.30 • n=206 Participants
Age, Customized
18 - 50 years
122 participants
n=99 Participants
121 participants
n=107 Participants
243 participants
n=206 Participants
Age, Customized
51 - 65 years
134 participants
n=99 Participants
129 participants
n=107 Participants
263 participants
n=206 Participants
Sex: Female, Male
Female
213 Participants
n=99 Participants
208 Participants
n=107 Participants
421 Participants
n=206 Participants
Sex: Female, Male
Male
43 Participants
n=99 Participants
42 Participants
n=107 Participants
85 Participants
n=206 Participants
Race/Ethnicity, Customized
White
218 participants
n=99 Participants
227 participants
n=107 Participants
445 participants
n=206 Participants
Race/Ethnicity, Customized
Black or African American
24 participants
n=99 Participants
13 participants
n=107 Participants
37 participants
n=206 Participants
Race/Ethnicity, Customized
Asian
7 participants
n=99 Participants
5 participants
n=107 Participants
12 participants
n=206 Participants
Race/Ethnicity, Customized
American Indian or Alaskan Native
0 participants
n=99 Participants
2 participants
n=107 Participants
2 participants
n=206 Participants
Race/Ethnicity, Customized
Native Hawaiian or Pacific Islander
0 participants
n=99 Participants
1 participants
n=107 Participants
1 participants
n=206 Participants
Race/Ethnicity, Customized
Multiple
2 participants
n=99 Participants
0 participants
n=107 Participants
2 participants
n=206 Participants
Race/Ethnicity, Customized
Other
5 participants
n=99 Participants
2 participants
n=107 Participants
7 participants
n=206 Participants
Race/Ethnicity, Customized
Hispanic or Latino
28 participants
n=99 Participants
17 participants
n=107 Participants
45 participants
n=206 Participants
Race/Ethnicity, Customized
Non-Hispanic or Latino
228 participants
n=99 Participants
233 participants
n=107 Participants
461 participants
n=206 Participants
Weight
81.15 kg
STANDARD_DEVIATION 14.549 • n=99 Participants
80.98 kg
STANDARD_DEVIATION 14.296 • n=107 Participants
81.07 kg
STANDARD_DEVIATION 14.411 • n=206 Participants
Body Mass Index (BMI)
29.23 kg/m²
STANDARD_DEVIATION 4.406 • n=99 Participants
29.26 kg/m²
STANDARD_DEVIATION 4.281 • n=107 Participants
29.25 kg/m²
STANDARD_DEVIATION 4.340 • n=206 Participants
Fitzpatrick Skin Type
I - III
180 participants
n=99 Participants
187 participants
n=107 Participants
367 participants
n=206 Participants
Fitzpatrick Skin Type
IV - VI
76 participants
n=99 Participants
63 participants
n=107 Participants
139 participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline and 12 weeks after last treatment (up to 32 weeks after first treatment)

Population: Intent-to-treat (ITT) population; missing values were imputed using a multiple imputation process.

A composite 1-grade response is defined as at least a 1-grade improvement from Baseline on both the Clinician-Reported Submental Fat Rating Scale (CR-SMFRS) and Patient-Reported Submental Fat Rating Scale (PR-SMFRS) 12 weeks after the last treatment. The CR-SMFRS score is based on the investigator's clinical evaluation of the participant, where submental fullness is scored on a 5-point ordinal scale (0-4) with 0 = absent, 1 = mild, 2 = moderate, 3 = severe, and 4 = extreme. The PR-SMFRS is based on the participant's response to the question "How much fat do you have under your chin right now?" answered on a 5-point ordinal scale (0-4) with 0 = no chin fat at all, 1 = a slight amount of chin fat, 2 = a moderate amount of chin fat, 3 = a large amount of chin fat, and 4 = a very large amount of chin fat.

Outcome measures

Outcome measures
Measure
Deoxycholic Acid Injection
n=256 Participants
Participants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Placebo
n=250 Participants
Participants received placebo administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Percentage of Participants Who Achieved a Composite 1-grade Response
70.0 percentage of participants
18.6 percentage of participants

PRIMARY outcome

Timeframe: Baseline and 12 weeks after last treatment (up to 32 weeks after first treatment)

Population: Intent-to-treat population; missing values were imputed using a multiple imputation process.

A composite 2-grade response is defined as at least a 2-grade improvement from Baseline on both the Clinician-Reported Submental Fat Rating Scale (CR-SMFRS) and Patient-Reported Submental Fat Rating Scale (PR-SMFRS) 12 weeks after the last treatment. The CR-SMFRS score is based on the investigator's clinical evaluation of the participant, where submental fullness is scored on a 5-point ordinal scale (0-4) with 0 = absent, 1 = mild, 2 = moderate, 3 = severe, and 4 = extreme. The PR-SMFRS is based on the participant's response to the question "How much fat do you have under your chin right now?" answered on a 5-point ordinal scale (0-4) with 0 = no chin fat at all, 1 = a slight amount of chin fat, 2 = a moderate amount of chin fat, 3 = a large amount of chin fat, and 4 = a very large amount of chin fat.

Outcome measures

Outcome measures
Measure
Deoxycholic Acid Injection
n=256 Participants
Participants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Placebo
n=250 Participants
Participants received placebo administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Percentage of Participants Who Achieved a Composite 2-grade Response
13.4 percentage of participants
0.0 percentage of participants

SECONDARY outcome

Timeframe: Baseline and 12 weeks after last treatment (up to 32 weeks after first treatment)

Population: The ITT-MRI population consisted of all randomized participants who participated in the MRI cohort and had evaluable Baseline MRI data. A multiple imputation process was used.

An MRI responder is a participant who exhibited at least a 10% reduction in submental fat volume as measured by MRI from Baseline to 12 weeks after last treatment. Magnetic resonance imaging was evaluated in a subset of participants at selected centers.

Outcome measures

Outcome measures
Measure
Deoxycholic Acid Injection
n=113 Participants
Participants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Placebo
n=111 Participants
Participants received placebo administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Percentage of Participants With a Magnetic Resonance Imaging (MRI) Response
46.3 percentage of participants
5.3 percentage of participants

SECONDARY outcome

Timeframe: Baseline and 12 weeks after last treatment (up to 32 weeks after first treatment)

Population: Intent-to-treat population; missing values were imputed using a multiple imputation process.

The PR-SMFIS assesses the impact of submental fat on self-perception of 6 emotional and visual characteristics related to the appearance of submental fullness (unhappy, bothered, self-conscious, embarrassed, look older, and look overweight) as evaluated by the participant. Each item is rated on an 11-point numeric scale from 0 to 10. Scores for the 6 items were averaged to generate a PR-SMFIS total scale score ranging from 0 to 10 where 0 is a positive outcome and 10 is a negative outcome. A negative change from Baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Deoxycholic Acid Injection
n=256 Participants
Participants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Placebo
n=250 Participants
Participants received placebo administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Change From Baseline in Patient-Reported Submental Fat Impact Scale (PR-SMFIS)
-3.56 units on a scale
Standard Deviation 2.793
-1.16 units on a scale
Standard Deviation 2.064

Adverse Events

Deoxycholic Acid Injection

Serious events: 6 serious events
Other events: 246 other events
Deaths: 0 deaths

Placebo

Serious events: 12 serious events
Other events: 196 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Deoxycholic Acid Injection
n=257 participants at risk
Participants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Placebo
n=248 participants at risk
Participants received placebo administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.39%
1/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.00%
0/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Musculoskeletal and connective tissue disorders
Spinal column stenosis
0.39%
1/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.00%
0/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Gastrointestinal disorders
Colitis microscopic
0.39%
1/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.00%
0/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.00%
0/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Gastrointestinal disorders
Hiatus hernia
0.00%
0/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Infections and infestations
Abdominal abscess
0.39%
1/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.00%
0/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Infections and infestations
Abscess oral
0.00%
0/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Infections and infestations
Diverticulitis
0.00%
0/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Injury, poisoning and procedural complications
Concussion
0.39%
1/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.00%
0/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Injury, poisoning and procedural complications
Contusion
0.39%
1/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.00%
0/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Injury, poisoning and procedural complications
Head injury
0.39%
1/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.00%
0/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Injury, poisoning and procedural complications
Humerus fracture
0.00%
0/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Injury, poisoning and procedural complications
Skull fracture
0.39%
1/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.00%
0/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.00%
0/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Multiple myeloma
0.00%
0/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Respiratory, thoracic and mediastinal disorders
Respiratory distress
0.00%
0/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.39%
1/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.00%
0/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Cardiac disorders
Cardiac arrest
0.00%
0/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Metabolism and nutrition disorders
Dehydration
0.00%
0/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Nervous system disorders
Meningism
0.39%
1/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.00%
0/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Renal and urinary disorders
Urethral disorder
0.00%
0/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Surgical and medical procedures
Hip arthroplasty
0.00%
0/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.40%
1/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.

Other adverse events

Other adverse events
Measure
Deoxycholic Acid Injection
n=257 participants at risk
Participants received deoxycholic acid 2 mg/cm² administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
Placebo
n=248 participants at risk
Participants received placebo administered in 0.2 mL injections, up to 10 mL per treatment session at intervals of approximately 1 month for up to a maximum of 6 treatments.
General disorders
Injection site haematoma
70.0%
180/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
67.3%
167/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
General disorders
Injection site pain
65.4%
168/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
23.4%
58/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
General disorders
Injection site oedema
52.9%
136/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
21.8%
54/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
General disorders
Injection site anaesthesia
66.9%
172/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
4.4%
11/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
General disorders
Injection site swelling
37.4%
96/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
15.7%
39/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
General disorders
Injection site erythema
17.9%
46/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
10.1%
25/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
General disorders
Injection site induration
18.3%
47/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
1.6%
4/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
General disorders
Injection site paraesthesia
12.8%
33/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
3.2%
8/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
General disorders
Injection site nodule
12.5%
32/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
0.81%
2/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
General disorders
Injection site pruritus
8.6%
22/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
3.6%
9/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Infections and infestations
Nasopharyngitis
8.9%
23/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
10.5%
26/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
Nervous system disorders
Headache
7.4%
19/257 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.
4.4%
11/248 • From the first dose of study drug until 24 weeks after the last dose (up to 44 weeks after first treatment).
The safety population consisted of all participants who received at least 1 injection of study drug. One participant was randomized to placebo, received deoxycholic acid injection at Visit 4 (Week 8), and was included in the deoxycholic acid injection arm for safety analyses.

Additional Information

Clinical Trial Disclosure

Kythera

Results disclosure agreements

  • Principal investigator is a sponsor employee The Clinical Study Agreement requires that the investigator or institution obtain written consent from Kythera prior to presenting and/or publishing results of this study.
  • Publication restrictions are in place

Restriction type: OTHER