Trial Outcomes & Findings for Kybella With Triamcinolone (NCT NCT03361176)

NCT ID: NCT03361176

Last Updated: 2019-05-09

Results Overview

Change in efficacy will be measured from Baseline to 90 days post final treatment using a 5-point Clinician-Reported Submental Fat Rating Scale ranging from Absent (score of 0) to Extreme submental convexity (score of 4)

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

30 participants

Primary outcome timeframe

90 Days from Baseline

Results posted on

2019-05-09

Participant Flow

Participant milestones

Participant milestones
Measure
Control
Control Group (5 patients per site): Kybella(TM) alone: 2 mg/cm2 of Kybella(TM) with 0.2 mL of 1% lidocaine with no epinephrine plus 0.2cc saline delivered in up to 50 injections per treatment session. Injectable sodium deoxycholate: Kybella(TM) alone: 2 mg/cm2 of Kybella(TM) with 0.2 mL of 1% lidocaine with no epinephrine plus 0.2cc saline to the non-TMC group to maintain equal concentrations in each injection so that the final Kybella concentration per vial will be 10mg/1.2mls or 1.6mg per 0.2 cc injection point will be delivered in up to 50 injections spaced 1.0 cm apart at 0.2 mL/injection for a total maximal dose of up to 100 mg of SDOC.
w/ Triamcinolone
Experimental Group (10 patients per site): Kybella(TM)+TMC at 1.0 mg/mL: 2.0 mL of 2 mg/cm2 of Kybella(TM) will be mixed with 0.2 mL of 10 mg/mL of triamcinolone acetate and 0.2 mL of 1% lidocaine with no epinephrine delivered in up to 50 injections per treatment session. Injectable sodium deoxycholate with Triamcinolone acetate: Kybella(TM)+TMC at 1.0 mg/mL: 2.0 mL of 2 mg/cm2 of Kybella(TM) will be mixed with 0.2 mL of 10 mg/mL of triamcinolone acetate, 0.2 mL of 1% lidocaine with no epinephrine and then delivered in up to 50 injections spaced 1.0 cm apart at 0.2 mL/injection for a total dose of up to 100 mg of SDOC using a 30 gauge (or smaller) 0.5-inch needle. The final Kybella concentration per vial will be 10mg/1.2mls or 1.6mg per 0.2 cc injection point
Overall Study
STARTED
10
20
Overall Study
COMPLETED
9
15
Overall Study
NOT COMPLETED
1
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Control
Control Group (5 patients per site): Kybella(TM) alone: 2 mg/cm2 of Kybella(TM) with 0.2 mL of 1% lidocaine with no epinephrine plus 0.2cc saline delivered in up to 50 injections per treatment session. Injectable sodium deoxycholate: Kybella(TM) alone: 2 mg/cm2 of Kybella(TM) with 0.2 mL of 1% lidocaine with no epinephrine plus 0.2cc saline to the non-TMC group to maintain equal concentrations in each injection so that the final Kybella concentration per vial will be 10mg/1.2mls or 1.6mg per 0.2 cc injection point will be delivered in up to 50 injections spaced 1.0 cm apart at 0.2 mL/injection for a total maximal dose of up to 100 mg of SDOC.
w/ Triamcinolone
Experimental Group (10 patients per site): Kybella(TM)+TMC at 1.0 mg/mL: 2.0 mL of 2 mg/cm2 of Kybella(TM) will be mixed with 0.2 mL of 10 mg/mL of triamcinolone acetate and 0.2 mL of 1% lidocaine with no epinephrine delivered in up to 50 injections per treatment session. Injectable sodium deoxycholate with Triamcinolone acetate: Kybella(TM)+TMC at 1.0 mg/mL: 2.0 mL of 2 mg/cm2 of Kybella(TM) will be mixed with 0.2 mL of 10 mg/mL of triamcinolone acetate, 0.2 mL of 1% lidocaine with no epinephrine and then delivered in up to 50 injections spaced 1.0 cm apart at 0.2 mL/injection for a total dose of up to 100 mg of SDOC using a 30 gauge (or smaller) 0.5-inch needle. The final Kybella concentration per vial will be 10mg/1.2mls or 1.6mg per 0.2 cc injection point
Overall Study
Lost to Follow-up
1
2
Overall Study
Adverse Event
0
2
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

Kybella With Triamcinolone

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=10 Participants
Control Group (5 patients per site): Kybella(TM) alone: 2 mg/cm2 of Kybella(TM) with 0.2 mL of 1% lidocaine with no epinephrine plus 0.2cc saline delivered in up to 50 injections per treatment session. Injectable sodium deoxycholate: Kybella(TM) alone: 2 mg/cm2 of Kybella(TM) with 0.2 mL of 1% lidocaine with no epinephrine plus 0.2cc saline to the non-TMC group to maintain equal concentrations in each injection so that the final Kybella concentration per vial will be 10mg/1.2mls or 1.6mg per 0.2 cc injection point will be delivered in up to 50 injections spaced 1.0 cm apart at 0.2 mL/injection for a total maximal dose of up to 100 mg of SDOC.
w/ Triamcinolone
n=20 Participants
Experimental Group (10 patients per site): Kybella(TM)+TMC at 1.0 mg/mL: 2.0 mL of 2 mg/cm2 of Kybella(TM) will be mixed with 0.2 mL of 10 mg/mL of triamcinolone acetate and 0.2 mL of 1% lidocaine with no epinephrine delivered in up to 50 injections per treatment session. Injectable sodium deoxycholate with Triamcinolone acetate: Kybella(TM)+TMC at 1.0 mg/mL: 2.0 mL of 2 mg/cm2 of Kybella(TM) will be mixed with 0.2 mL of 10 mg/mL of triamcinolone acetate, 0.2 mL of 1% lidocaine with no epinephrine and then delivered in up to 50 injections spaced 1.0 cm apart at 0.2 mL/injection for a total dose of up to 100 mg of SDOC using a 30 gauge (or smaller) 0.5-inch needle. The final Kybella concentration per vial will be 10mg/1.2mls or 1.6mg per 0.2 cc injection point
Total
n=30 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=99 Participants
20 Participants
n=107 Participants
30 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Continuous
46.2 years
n=99 Participants
46.55 years
n=107 Participants
46.38 years
n=206 Participants
Sex: Female, Male
Female
10 Participants
n=99 Participants
18 Participants
n=107 Participants
28 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
White
10 Participants
n=99 Participants
19 Participants
n=107 Participants
29 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
10 participants
n=99 Participants
20 participants
n=107 Participants
30 participants
n=206 Participants

PRIMARY outcome

Timeframe: 90 Days from Baseline

Change in efficacy will be measured from Baseline to 90 days post final treatment using a 5-point Clinician-Reported Submental Fat Rating Scale ranging from Absent (score of 0) to Extreme submental convexity (score of 4)

Outcome measures

Outcome measures
Measure
Control
n=10 Participants
Control Group (5 patients per site): Kybella(TM) alone: 2 mg/cm2 of Kybella(TM) with 0.2 mL of 1% lidocaine with no epinephrine plus 0.2cc saline delivered in up to 50 injections per treatment session. Injectable sodium deoxycholate: Kybella(TM) alone: 2 mg/cm2 of Kybella(TM) with 0.2 mL of 1% lidocaine with no epinephrine plus 0.2cc saline to the non-TMC group to maintain equal concentrations in each injection so that the final Kybella concentration per vial will be 10mg/1.2mls or 1.6mg per 0.2 cc injection point will be delivered in up to 50 injections spaced 1.0 cm apart at 0.2 mL/injection for a total maximal dose of up to 100 mg of SDOC.
w/ Triamcinolone
n=20 Participants
Experimental Group (10 patients per site): Kybella(TM)+TMC at 1.0 mg/mL: 2.0 mL of 2 mg/cm2 of Kybella(TM) will be mixed with 0.2 mL of 10 mg/mL of triamcinolone acetate and 0.2 mL of 1% lidocaine with no epinephrine delivered in up to 50 injections per treatment session. Injectable sodium deoxycholate with Triamcinolone acetate: Kybella(TM)+TMC at 1.0 mg/mL: 2.0 mL of 2 mg/cm2 of Kybella(TM) will be mixed with 0.2 mL of 10 mg/mL of triamcinolone acetate, 0.2 mL of 1% lidocaine with no epinephrine and then delivered in up to 50 injections spaced 1.0 cm apart at 0.2 mL/injection for a total dose of up to 100 mg of SDOC using a 30 gauge (or smaller) 0.5-inch needle. The final Kybella concentration per vial will be 10mg/1.2mls or 1.6mg per 0.2 cc injection point
Change in Clinician-Reported Submental Fat Rating Scale
2-point improvement
5 Participants
4 Participants
Change in Clinician-Reported Submental Fat Rating Scale
1-point improvement
5 Participants
6 Participants
Change in Clinician-Reported Submental Fat Rating Scale
no improvement
0 Participants
5 Participants
Change in Clinician-Reported Submental Fat Rating Scale
lost to follow up/withdrew from study
0 Participants
5 Participants

SECONDARY outcome

Timeframe: 90 days from baseline

Laxity will be compared between treatment groups at each post-treatment time point through Day 90 using a 5-Point Clinician Evaluation of Side Effects Scale ranging from None (score of 0) to Severe (score of 4).

Outcome measures

Outcome measures
Measure
Control
n=10 Participants
Control Group (5 patients per site): Kybella(TM) alone: 2 mg/cm2 of Kybella(TM) with 0.2 mL of 1% lidocaine with no epinephrine plus 0.2cc saline delivered in up to 50 injections per treatment session. Injectable sodium deoxycholate: Kybella(TM) alone: 2 mg/cm2 of Kybella(TM) with 0.2 mL of 1% lidocaine with no epinephrine plus 0.2cc saline to the non-TMC group to maintain equal concentrations in each injection so that the final Kybella concentration per vial will be 10mg/1.2mls or 1.6mg per 0.2 cc injection point will be delivered in up to 50 injections spaced 1.0 cm apart at 0.2 mL/injection for a total maximal dose of up to 100 mg of SDOC.
w/ Triamcinolone
n=20 Participants
Experimental Group (10 patients per site): Kybella(TM)+TMC at 1.0 mg/mL: 2.0 mL of 2 mg/cm2 of Kybella(TM) will be mixed with 0.2 mL of 10 mg/mL of triamcinolone acetate and 0.2 mL of 1% lidocaine with no epinephrine delivered in up to 50 injections per treatment session. Injectable sodium deoxycholate with Triamcinolone acetate: Kybella(TM)+TMC at 1.0 mg/mL: 2.0 mL of 2 mg/cm2 of Kybella(TM) will be mixed with 0.2 mL of 10 mg/mL of triamcinolone acetate, 0.2 mL of 1% lidocaine with no epinephrine and then delivered in up to 50 injections spaced 1.0 cm apart at 0.2 mL/injection for a total dose of up to 100 mg of SDOC using a 30 gauge (or smaller) 0.5-inch needle. The final Kybella concentration per vial will be 10mg/1.2mls or 1.6mg per 0.2 cc injection point
Change in Clinician-Reported Submental Laxity Rating Scale
2-point improvement
3 Participants
2 Participants
Change in Clinician-Reported Submental Laxity Rating Scale
1-point improvement
2 Participants
4 Participants
Change in Clinician-Reported Submental Laxity Rating Scale
no improvement
5 Participants
9 Participants
Change in Clinician-Reported Submental Laxity Rating Scale
lost to follow up/withdrew from study
0 Participants
5 Participants

SECONDARY outcome

Timeframe: Post-treatment to Day 180

Satisfaction will be compared between treatment groups at each post-treatment time point through Day 180 using a 7-point satisfaction scale rating from extremely dissatisfied (score of 0) to extremely satisfied (score of 6).

Outcome measures

Outcome measures
Measure
Control
n=10 Participants
Control Group (5 patients per site): Kybella(TM) alone: 2 mg/cm2 of Kybella(TM) with 0.2 mL of 1% lidocaine with no epinephrine plus 0.2cc saline delivered in up to 50 injections per treatment session. Injectable sodium deoxycholate: Kybella(TM) alone: 2 mg/cm2 of Kybella(TM) with 0.2 mL of 1% lidocaine with no epinephrine plus 0.2cc saline to the non-TMC group to maintain equal concentrations in each injection so that the final Kybella concentration per vial will be 10mg/1.2mls or 1.6mg per 0.2 cc injection point will be delivered in up to 50 injections spaced 1.0 cm apart at 0.2 mL/injection for a total maximal dose of up to 100 mg of SDOC.
w/ Triamcinolone
n=20 Participants
Experimental Group (10 patients per site): Kybella(TM)+TMC at 1.0 mg/mL: 2.0 mL of 2 mg/cm2 of Kybella(TM) will be mixed with 0.2 mL of 10 mg/mL of triamcinolone acetate and 0.2 mL of 1% lidocaine with no epinephrine delivered in up to 50 injections per treatment session. Injectable sodium deoxycholate with Triamcinolone acetate: Kybella(TM)+TMC at 1.0 mg/mL: 2.0 mL of 2 mg/cm2 of Kybella(TM) will be mixed with 0.2 mL of 10 mg/mL of triamcinolone acetate, 0.2 mL of 1% lidocaine with no epinephrine and then delivered in up to 50 injections spaced 1.0 cm apart at 0.2 mL/injection for a total dose of up to 100 mg of SDOC using a 30 gauge (or smaller) 0.5-inch needle. The final Kybella concentration per vial will be 10mg/1.2mls or 1.6mg per 0.2 cc injection point
Subject Satisfaction Rating Scale
extremely dissatisfied
0 Participants
0 Participants
Subject Satisfaction Rating Scale
extremely satisfied
1 Participants
7 Participants
Subject Satisfaction Rating Scale
satisfied
7 Participants
1 Participants
Subject Satisfaction Rating Scale
slightly satisfied
0 Participants
1 Participants
Subject Satisfaction Rating Scale
neither satisfied nor dissatisfied
0 Participants
3 Participants
Subject Satisfaction Rating Scale
slightly dissatisfied
0 Participants
3 Participants
Subject Satisfaction Rating Scale
dissatisfied
1 Participants
0 Participants
Subject Satisfaction Rating Scale
lost to follow up/withdrew from study
1 Participants
5 Participants

Adverse Events

w/ Triamcinolone

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Control

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
w/ Triamcinolone
n=20 participants at risk
Adverse events related to Triamcinolone Group
Control
n=10 participants at risk
Adverse events related to Control Group
Skin and subcutaneous tissue disorders
Erosion
5.0%
1/20 • Number of events 1 • Adverse event data were collected over 180 days.
Kybella is non-significant risk when injected submental by the package insert. This study is a phase 4 trial. Product safety has been demonstrated in prior studies.
0.00%
0/10 • Adverse event data were collected over 180 days.
Kybella is non-significant risk when injected submental by the package insert. This study is a phase 4 trial. Product safety has been demonstrated in prior studies.
Musculoskeletal and connective tissue disorders
Neck pain secondary to motor vehicle accident
5.0%
1/20 • Number of events 1 • Adverse event data were collected over 180 days.
Kybella is non-significant risk when injected submental by the package insert. This study is a phase 4 trial. Product safety has been demonstrated in prior studies.
0.00%
0/10 • Adverse event data were collected over 180 days.
Kybella is non-significant risk when injected submental by the package insert. This study is a phase 4 trial. Product safety has been demonstrated in prior studies.

Additional Information

Robert A. Weiss, MD

Maryland Laser Skin and Vein

Phone: 4106662839

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place