Trial Outcomes & Findings for A Single Blind, Randomized, Placebo-controlled, Phase 2a, 2-cohort Study for the Evaluation of Safety and Efficacy of RZL-012 for Submental Fat Reduction in Healthy Volunteers. (NCT NCT04086823)

NCT ID: NCT04086823

Last Updated: 2023-11-18

Results Overview

To evaluate the safety of RZL-012 subcutaneous injections in the submental area, relative to placebo, as assessed by spontaneous adverse event reports and post injection evaluation of subjects. Specifically, Pain, Induration, Bruising, Erythema and Edema will be closely followed up following treatment.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

28 participants

Primary outcome timeframe

0-84 days

Results posted on

2023-11-18

Participant Flow

The safety and efficacy of exposed subjects to RZL-012 were compared to exposed subjects with placebo

Participant milestones

Participant milestones
Measure
RZL-012 Cohort 1
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.05mL per site): 1\. Up to 120mg administered at 48 sites in a volume of 0.05 ml at each injection site (total injected volume 2.4mL)
Vehicle Cohort 1
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.05mL per site) into the submental fat. Up to a total of 2.4 mL will be injected for placebo subjects enrolled during cohort 1. Placebo: Placebo
RZL-012 Cohort 2
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.1mL per site): Up to 240 mg administered at 48 sites in a volume of 1 ml at each injection site (total volume injected 4.8mL) RZL-012: Subcutaneous injection to the submental fat area
Vehicle Cohort 2
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.1mL per site) into the submental fat. Up to a total of 4.8 mL will be injected for placebo subjects enrolled during cohort 2.
Overall Study
STARTED
8
4
10
6
Overall Study
COMPLETED
8
4
10
6
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Single Blind, Randomized, Placebo-controlled, Phase 2a, 2-cohort Study for the Evaluation of Safety and Efficacy of RZL-012 for Submental Fat Reduction in Healthy Volunteers.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RZL-012 Cohort 1
n=8 Participants
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.05mL per site): Up to 120mg administered at 48 sites in a volume of 0.05 ml at each injection site (total injected volume 2.4mL) RZL-012: Subcutaneous injection to the submental fat area
Vehicle Cohort 1
n=4 Participants
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.05mL per site) into the submental fat. Up to a total .of 2.4 mL will be injected for placebo subjects enrolled during cohort 2. Placebo: Placebo
RZL-012 Cohort 2
n=10 Participants
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.1mL per site): Up to 240 mg administered at 48 sites in a volume of 1 ml at each injection site (total volume injected 4.8mL) RZL-012: Subcutaneous injection to the submental fat area
Vehicle Cohort 2
n=6 Participants
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.1mL per site) into the submental fat. Up to a total of 4.8 mL will be injected for placebo subjects enrolled during cohort 2. Placebo: Placebo
Total
n=28 Participants
Total of all reporting groups
Age, Continuous
51.6 years
STANDARD_DEVIATION 6.8 • n=99 Participants
57.5 years
STANDARD_DEVIATION 8.2 • n=107 Participants
43.3 years
STANDARD_DEVIATION 9.5 • n=206 Participants
48.8 years
STANDARD_DEVIATION 10.2 • n=7 Participants
49.65 years
STANDARD_DEVIATION 9.6 • n=31 Participants
Sex: Female, Male
Female
6 Participants
n=99 Participants
3 Participants
n=107 Participants
9 Participants
n=206 Participants
6 Participants
n=7 Participants
24 Participants
n=31 Participants
Sex: Female, Male
Male
2 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
0 Participants
n=7 Participants
4 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
1 Participants
n=7 Participants
2 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=99 Participants
4 Participants
n=107 Participants
9 Participants
n=206 Participants
5 Participants
n=7 Participants
26 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 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
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
0 Participants
n=7 Participants
1 Participants
n=31 Participants
Race (NIH/OMB)
White
8 Participants
n=99 Participants
4 Participants
n=107 Participants
9 Participants
n=206 Participants
6 Participants
n=7 Participants
27 Participants
n=31 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Region of Enrollment
United States
8 Participants
n=99 Participants
4 Participants
n=107 Participants
10 Participants
n=206 Participants
6 Participants
n=7 Participants
28 Participants
n=31 Participants

PRIMARY outcome

Timeframe: 0-84 days

Population: Safety Analysis consist of all enrolled subjects who received the study treatment, (exposed population), vs. placebo treated subjects.

To evaluate the safety of RZL-012 subcutaneous injections in the submental area, relative to placebo, as assessed by spontaneous adverse event reports and post injection evaluation of subjects. Specifically, Pain, Induration, Bruising, Erythema and Edema will be closely followed up following treatment.

Outcome measures

Outcome measures
Measure
RZL-012 Cohort 1
n=8 Participants
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.05mL per site): Up to 120mg administered at 48 sites in a volume of 0.05 ml at each injection site (total injected volume 2.4mL) RZL-012: Subcutaneous injection to the submental fat area
Vehicle
n=4 Participants
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.05mL per site) into the submental fat. Up to a total of 2.4 mL will be injected for placebo subjects enrolled during cohort 1. Placebo: Placebo
RZL-012 Cohort 2
n=10 Participants
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.1mL per site): Up to 240 mg administered at 48 sites in a volume of 1 ml at each injection site (total volume injected 4.8mL)
Vehicle Cohort 2
n=6 Participants
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.1mL per site) into the submental fat. Up to a total of 4.8 mL will be injected for placebo subjects enrolled during cohort 2.
Safety: Adverse Events Follow up
8 Participants
4 Participants
10 Participants
6 Participants

SECONDARY outcome

Timeframe: 0-84 days

Population: Subjects were analysed according to the treatment received.

Evaluation of treatment efficacy by using Physician's global assessment questionnaire for active vs. placebo subjects, on study Day 84

Outcome measures

Outcome measures
Measure
RZL-012 Cohort 1
n=8 Participants
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.05mL per site): Up to 120mg administered at 48 sites in a volume of 0.05 ml at each injection site (total injected volume 2.4mL) RZL-012: Subcutaneous injection to the submental fat area
Vehicle
n=4 Participants
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.05mL per site) into the submental fat. Up to a total of 2.4 mL will be injected for placebo subjects enrolled during cohort 1. Placebo: Placebo
RZL-012 Cohort 2
n=10 Participants
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.1mL per site): Up to 240 mg administered at 48 sites in a volume of 1 ml at each injection site (total volume injected 4.8mL)
Vehicle Cohort 2
n=6 Participants
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.1mL per site) into the submental fat. Up to a total of 4.8 mL will be injected for placebo subjects enrolled during cohort 2.
Physician's Global Assessment
Subjects experienced improvement (Score =0 (completely clear) , 1, 2, 3, Score=4(slight improvement)
7 Participants
0 Participants
10 Participants
0 Participants
Physician's Global Assessment
Subjects that experienced no improvement = Score 5 (no Change)
1 Participants
4 Participants
0 Participants
6 Participants

SECONDARY outcome

Timeframe: 0-84 days

Population: The efficacy in the MRI was divided to per treated doses cohorts

Reduction from baseline in submental fat volume, as measured with MRI, in RZL-012 treated subjects vs. placebo treated subjects on Day 84 following injection.

Outcome measures

Outcome measures
Measure
RZL-012 Cohort 1
n=18 Participants
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.05mL per site): Up to 120mg administered at 48 sites in a volume of 0.05 ml at each injection site (total injected volume 2.4mL) RZL-012: Subcutaneous injection to the submental fat area
Vehicle
n=10 Participants
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.05mL per site) into the submental fat. Up to a total of 2.4 mL will be injected for placebo subjects enrolled during cohort 1. Placebo: Placebo
RZL-012 Cohort 2
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.1mL per site): Up to 240 mg administered at 48 sites in a volume of 1 ml at each injection site (total volume injected 4.8mL)
Vehicle Cohort 2
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.1mL per site) into the submental fat. Up to a total of 4.8 mL will be injected for placebo subjects enrolled during cohort 2.
Efficacy: MRI Volume Reduction
Cohort 2 High Dose (BioClinica Analysis)
-12.5 percentage of volume reduction high dose
Standard Deviation 8
0.7 percentage of volume reduction high dose
Standard Deviation 8.5
Efficacy: MRI Volume Reduction
Cohort 1 Low Dose (Bioclinica Analysis)
-6.4 percentage of volume reduction high dose
Standard Deviation 11
-5.7 percentage of volume reduction high dose
Standard Deviation 3

SECONDARY outcome

Timeframe: 0-84 days

Population: The questionnaire efficacy included all exposed population to RZL-012 vs. all treated subjects by placebo

Improvement from baseline in the Faceq satisfaction questionnaire rating score in RZL-012 treated subjects vs. placebo treated subjects on day 84.

Outcome measures

Outcome measures
Measure
RZL-012 Cohort 1
n=8 Participants
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.05mL per site): Up to 120mg administered at 48 sites in a volume of 0.05 ml at each injection site (total injected volume 2.4mL) RZL-012: Subcutaneous injection to the submental fat area
Vehicle
n=4 Participants
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.05mL per site) into the submental fat. Up to a total of 2.4 mL will be injected for placebo subjects enrolled during cohort 1. Placebo: Placebo
RZL-012 Cohort 2
n=10 Participants
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.1mL per site): Up to 240 mg administered at 48 sites in a volume of 1 ml at each injection site (total volume injected 4.8mL)
Vehicle Cohort 2
n=6 Participants
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.1mL per site) into the submental fat. Up to a total of 4.8 mL will be injected for placebo subjects enrolled during cohort 2.
Efficacy: Improvement in Face Satisfaction Questionnaire - A Score From 0 (Worst) to 100 (Best) Marks the Subject's Satisfaction
34.8 change in scores on a scale
Standard Deviation 10
-3.8 change in scores on a scale
Standard Deviation 29.2
38.5 change in scores on a scale
Standard Deviation 25
-1.2 change in scores on a scale
Standard Deviation 16.3

Adverse Events

RZL-012 Cohort 1

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Vehicle Cohort 1

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

RZL-012 Cohort 2

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Vehicle Cohort 2

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
RZL-012 Cohort 1
n=8 participants at risk
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.05mL per site): Up to 120mg administered at 48 sites in a volume of 0.05 ml at each injection site (total injected volume 2.4mL) RZL-012: Subcutaneous injection to the submental fat area
Vehicle Cohort 1
n=4 participants at risk
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.05mL per site) into the submental fat. Up to a total of 2.4 mL will be injected for placebo subjects enrolled during cohort 1. Placebo: Placebo
RZL-012 Cohort 2
n=10 participants at risk
A single-treatment injection, multiple subcutaneous injections of RZL-012 administered into 48 sites in the submental fat (0.1mL per site): Up to 240 mg administered at 48 sites in a volume of 1 ml at each injection site (total volume injected 4.8mL)
Vehicle Cohort 2
n=6 participants at risk
Subject receive a single-treatment injection. Multiple injections of the Placebo are administered at 48 sites (0.1mL per site) into the submental fat. Up to a total of 4.8 mL will be injected for placebo subjects enrolled during cohort 2.
General disorders
Edema
50.0%
4/8 • 84 days
All reported adverse events were related to injection site condition.
50.0%
2/4 • 84 days
All reported adverse events were related to injection site condition.
60.0%
6/10 • 84 days
All reported adverse events were related to injection site condition.
50.0%
3/6 • 84 days
All reported adverse events were related to injection site condition.
General disorders
Induration
50.0%
4/8 • 84 days
All reported adverse events were related to injection site condition.
50.0%
2/4 • 84 days
All reported adverse events were related to injection site condition.
60.0%
6/10 • 84 days
All reported adverse events were related to injection site condition.
50.0%
3/6 • 84 days
All reported adverse events were related to injection site condition.
General disorders
Injection site bruising
62.5%
5/8 • 84 days
All reported adverse events were related to injection site condition.
75.0%
3/4 • 84 days
All reported adverse events were related to injection site condition.
70.0%
7/10 • 84 days
All reported adverse events were related to injection site condition.
50.0%
3/6 • 84 days
All reported adverse events were related to injection site condition.
General disorders
Injection site erythema
50.0%
4/8 • 84 days
All reported adverse events were related to injection site condition.
50.0%
2/4 • 84 days
All reported adverse events were related to injection site condition.
30.0%
3/10 • 84 days
All reported adverse events were related to injection site condition.
16.7%
1/6 • 84 days
All reported adverse events were related to injection site condition.
General disorders
Injection site edema
0.00%
0/8 • 84 days
All reported adverse events were related to injection site condition.
0.00%
0/4 • 84 days
All reported adverse events were related to injection site condition.
10.0%
1/10 • 84 days
All reported adverse events were related to injection site condition.
0.00%
0/6 • 84 days
All reported adverse events were related to injection site condition.
General disorders
Injection site pain
50.0%
4/8 • 84 days
All reported adverse events were related to injection site condition.
50.0%
2/4 • 84 days
All reported adverse events were related to injection site condition.
40.0%
4/10 • 84 days
All reported adverse events were related to injection site condition.
33.3%
2/6 • 84 days
All reported adverse events were related to injection site condition.
Nervous system disorders
Bruising sensation
25.0%
2/8 • 84 days
All reported adverse events were related to injection site condition.
25.0%
1/4 • 84 days
All reported adverse events were related to injection site condition.
0.00%
0/10 • 84 days
All reported adverse events were related to injection site condition.
0.00%
0/6 • 84 days
All reported adverse events were related to injection site condition.
Skin and subcutaneous tissue disorders
Pruritus
12.5%
1/8 • 84 days
All reported adverse events were related to injection site condition.
0.00%
0/4 • 84 days
All reported adverse events were related to injection site condition.
0.00%
0/10 • 84 days
All reported adverse events were related to injection site condition.
0.00%
0/6 • 84 days
All reported adverse events were related to injection site condition.

Additional Information

Racheli Gueta , Director of Clinical trials

Raziel Therapeutics

Phone: 97289124670

Results disclosure agreements

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