Trial Outcomes & Findings for Saypha® VOLUME Lidocaine for Midface Augmentation (NCT NCT05386030)

NCT ID: NCT05386030

Last Updated: 2026-04-09

Results Overview

The percentage of responders on the 5-point MVDSS (Mid-Face Volume Deficit Severity Scale where 0 means no deficit and 4 means Extreme Deficit) based on the blinded evaluator´s live assessment at Week 24 after last injection of initial treatment phase compared to the pre-treatment score at Baseline visit. Subjects are defined as responders if they are showing an \>=1 point improvement in MVDSS at Week 24 relative to baseline.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

562 participants

Primary outcome timeframe

Week 24

Results posted on

2026-04-09

Participant Flow

Of 562 enrolled participants, 486 met inclusion criteria and were randomized to treatment.

Participant milestones

Participant milestones
Measure
Saypha® VOLUME Lidocaine
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine - Open Label Extension
All participants who complete Arms 1 or 2 may optionally enroll and receive the experimental treatment. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Blinded Treatment Phase
STARTED
324
162
0
Blinded Treatment Phase
Received Treatment
322
161
0
Blinded Treatment Phase
COMPLETED
280
143
0
Blinded Treatment Phase
NOT COMPLETED
44
19
0
Open Label Extension Phase
STARTED
0
0
192
Open Label Extension Phase
COMPLETED
0
0
178
Open Label Extension Phase
NOT COMPLETED
0
0
14

Reasons for withdrawal

Reasons for withdrawal
Measure
Saypha® VOLUME Lidocaine
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine - Open Label Extension
All participants who complete Arms 1 or 2 may optionally enroll and receive the experimental treatment. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Blinded Treatment Phase
Death
1
0
0
Blinded Treatment Phase
Physician Decision
2
1
0
Blinded Treatment Phase
Lost to Follow-up
19
7
0
Blinded Treatment Phase
Withdrawal by Subject
20
10
0
Blinded Treatment Phase
Eligibility criteria violation
1
1
0
Blinded Treatment Phase
Personal Reasons
1
0
0
Open Label Extension Phase
Adverse Event
0
0
1
Open Label Extension Phase
Physician Decision
0
0
1
Open Label Extension Phase
Lost to Follow-up
0
0
7
Open Label Extension Phase
Withdrawal by Subject
0
0
5

Baseline Characteristics

Saypha® VOLUME Lidocaine for Midface Augmentation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Total
n=483 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=36 Participants
0 Participants
n=78 Participants
0 Participants
n=23 Participants
Age, Categorical
Between 18 and 65 years
263 Participants
n=36 Participants
132 Participants
n=78 Participants
395 Participants
n=23 Participants
Age, Categorical
>=65 years
59 Participants
n=36 Participants
29 Participants
n=78 Participants
88 Participants
n=23 Participants
Age, Continuous
54.6 years
STANDARD_DEVIATION 10.7 • n=36 Participants
56.0 years
STANDARD_DEVIATION 9.5 • n=78 Participants
55.1 years
STANDARD_DEVIATION 10.3 • n=23 Participants
Sex: Female, Male
Female
303 Participants
n=36 Participants
154 Participants
n=78 Participants
457 Participants
n=23 Participants
Sex: Female, Male
Male
19 Participants
n=36 Participants
7 Participants
n=78 Participants
26 Participants
n=23 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
68 Participants
n=36 Participants
28 Participants
n=78 Participants
96 Participants
n=23 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
254 Participants
n=36 Participants
133 Participants
n=78 Participants
387 Participants
n=23 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=36 Participants
0 Participants
n=78 Participants
0 Participants
n=23 Participants
Race (NIH/OMB)
American Indian or Alaska Native
9 Participants
n=36 Participants
7 Participants
n=78 Participants
16 Participants
n=23 Participants
Race (NIH/OMB)
Asian
5 Participants
n=36 Participants
7 Participants
n=78 Participants
12 Participants
n=23 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants
n=36 Participants
0 Participants
n=78 Participants
2 Participants
n=23 Participants
Race (NIH/OMB)
Black or African American
20 Participants
n=36 Participants
7 Participants
n=78 Participants
27 Participants
n=23 Participants
Race (NIH/OMB)
White
283 Participants
n=36 Participants
140 Participants
n=78 Participants
423 Participants
n=23 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=36 Participants
0 Participants
n=78 Participants
2 Participants
n=23 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=36 Participants
0 Participants
n=78 Participants
1 Participants
n=23 Participants
Region of Enrollment
United States
322 participants
n=36 Participants
161 participants
n=78 Participants
483 participants
n=23 Participants
Midface Volume Deficit Severity Scale (MVDSS) by the Blinded Evaluator
0 (none/minimal)
0 Participants
n=36 Participants
0 Participants
n=78 Participants
0 Participants
n=23 Participants
Midface Volume Deficit Severity Scale (MVDSS) by the Blinded Evaluator
1 (mild)
0 Participants
n=36 Participants
0 Participants
n=78 Participants
0 Participants
n=23 Participants
Midface Volume Deficit Severity Scale (MVDSS) by the Blinded Evaluator
2 (moderate)
189 Participants
n=36 Participants
99 Participants
n=78 Participants
288 Participants
n=23 Participants
Midface Volume Deficit Severity Scale (MVDSS) by the Blinded Evaluator
3 (severe)
133 Participants
n=36 Participants
62 Participants
n=78 Participants
195 Participants
n=23 Participants
Midface Volume Deficit Severity Scale (MVDSS) by the Blinded Evaluator
4 (very severe)
0 Participants
n=36 Participants
0 Participants
n=78 Participants
0 Participants
n=23 Participants

PRIMARY outcome

Timeframe: Week 24

Population: The population used consists of all randomized subjects, who received at least one administration of the test device or the comparator device and who did not have any major protocol deviation affecting the primary effectiveness endpoint. Subjects with missing baseline Mid-Face Volume Deficit Severity Scale (MVDSS) score and / or missing MVDSS score at Week 24 after last injection of the initial treatment phase were not included in the analysis.

The percentage of responders on the 5-point MVDSS (Mid-Face Volume Deficit Severity Scale where 0 means no deficit and 4 means Extreme Deficit) based on the blinded evaluator´s live assessment at Week 24 after last injection of initial treatment phase compared to the pre-treatment score at Baseline visit. Subjects are defined as responders if they are showing an \>=1 point improvement in MVDSS at Week 24 relative to baseline.

Outcome measures

Outcome measures
Measure
Juvéderm® Voluma™ XC
n=139 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine
n=275 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Week 24 - Per Protocol Dataset
124 Participants
268 Participants

PRIMARY outcome

Timeframe: Week 24

Population: The population used consists of all randomized subjects, who received at least one administration of the test device or the comparator device. Participants were analyzed as randomized.

The percentage of responders on the 5-point MVDSS (Mid-Face Volume Deficit Severity Scale where 0 means no deficit and 4 means Extreme Deficit) based on the blinded evaluator´s live assessment at Week 24 after last injection of initial treatment phase compared to the pre-treatment score at Baseline visit. Subjects are defined as responders if they are showing an \>=1 point improvement in MVDSS at Week 24 relative to baseline. Subjects with missing baseline MVDSS score and / or missing MVDSS score at Week 24 after last injection of the initial treatment phase were imputed as non-responders.

Outcome measures

Outcome measures
Measure
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Week 24 - Full Analysis Dataset
135 Participants
283 Participants

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 36, and 48

Population: The population used consists of all randomized subjects, who received at least one administration of the test device or the comparator device and have data available for the respective visit. Participants were analyzed as randomized.

The percentage of responders on the 5-point MVDSS (Mid-Face Volume Deficit Severity Scale where 0 means no deficit and 4 means Extreme Deficit), based on the blinded evaluator´s live assessment at Weeks 4, 8, 16, 36, and 48 after last injection of initial treatment compared to the score at Baseline. Subjects are defined as responders if they are showing an \>=1 point improvement in MVDSS at the respective visit relative to baseline.

Outcome measures

Outcome measures
Measure
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 36, and 48 as Rated by the Blinded Evaluator
Week 48
90 Participants
203 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 36, and 48 as Rated by the Blinded Evaluator
Week 4
149 Participants
291 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 36, and 48 as Rated by the Blinded Evaluator
Week 8
147 Participants
294 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 36, and 48 as Rated by the Blinded Evaluator
Week 16
147 Participants
286 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 36, and 48 as Rated by the Blinded Evaluator
Week 36
115 Participants
254 Participants

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects, who received at least one administration of the test device or the comparator device and who have data available for the respective visit. Participants were analyzed as randomized.

The percentage of responders on the 5-point MVDSS (Mid-Face Volume Deficit Severity Scale where 0 means no deficit and 4 means Extreme Deficit), based on the independent blinded photographic reviewer´s assessment by using photographs at Weeks 4, 8, 16, 24, 36, and 48 after last injection of initial treatment compared to the score at Baseline. The median of all assessments for the same photograph were taken into account.

Outcome measures

Outcome measures
Measure
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 24, 36, and 48 as Rated by the Independent Blinded Photographic Reviewer
Week 4
78 Participants
162 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 24, 36, and 48 as Rated by the Independent Blinded Photographic Reviewer
Week 8
83 Participants
173 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 24, 36, and 48 as Rated by the Independent Blinded Photographic Reviewer
Week 16
85 Participants
170 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 24, 36, and 48 as Rated by the Independent Blinded Photographic Reviewer
Week 24
77 Participants
163 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 24, 36, and 48 as Rated by the Independent Blinded Photographic Reviewer
Week 36
67 Participants
156 Participants
The Percentage of Responders on the 5-point Mid-Face Volume Deficit Severity Scale (MVDSS) at Weeks 4, 8, 16, 24, 36, and 48 as Rated by the Independent Blinded Photographic Reviewer
Week 48
67 Participants
147 Participants

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects, who received at least one administration of the test device or the comparator device and who have data available for the respective visit. Participants were analyzed as randomized.

Mean change in midface volume deficit measured on the 5-point MVDSS (Mid-Face Volume Deficit Severity Scale where 0 means no deficit and 4 means Extreme Deficit), and based on the blinded evaluator´s live assessment at Weeks 4, 8, 16, 24, 36, and 48 after last injection of initial treatment compared to the score at Baseline.

Outcome measures

Outcome measures
Measure
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Mean Change in Midface Volume Deficit
Week 4 - Change from Baseline
-1.6 score on a scale
Standard Deviation 0.8
-1.8 score on a scale
Standard Deviation 0.7
Mean Change in Midface Volume Deficit
Week 8 - Change from Baseline
-1.6 score on a scale
Standard Deviation 0.8
-1.8 score on a scale
Standard Deviation 0.7
Mean Change in Midface Volume Deficit
Week 16 - Change from Baseline
-1.5 score on a scale
Standard Deviation 0.7
-1.7 score on a scale
Standard Deviation 0.7
Mean Change in Midface Volume Deficit
Week 24 - Change from Baseline
-1.4 score on a scale
Standard Deviation 0.8
-1.6 score on a scale
Standard Deviation 0.7
Mean Change in Midface Volume Deficit
Week 36 - Change from Baseline
-1.2 score on a scale
Standard Deviation 0.8
-1.4 score on a scale
Standard Deviation 0.8
Mean Change in Midface Volume Deficit
Week 48 - Change from Baseline
-0.9 score on a scale
Standard Deviation 0.8
-1.0 score on a scale
Standard Deviation 0.8

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects, who received at least one administration of the test device or the comparator device and who have data available at the respective visit. Participants were analyzed as randomized.

Mean change in midface volume deficit as measured by volumetric change measurement by using 3D digital photographic images at Weeks 4, 8, 16, 24, 36, and 48 after last injection of initial treatment compared to Baseline.

Outcome measures

Outcome measures
Measure
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Mean Change in Midface Volume Deficit as Measured by Volumetric Change Measurement
Week 24 - Change from Baseline [cm^3]
5.767 cm^3
Standard Deviation 4.793
7.315 cm^3
Standard Deviation 4.654
Mean Change in Midface Volume Deficit as Measured by Volumetric Change Measurement
Week 4 - Change from Baseline [cm^3]
6.536 cm^3
Standard Deviation 4.163
8.538 cm^3
Standard Deviation 4.572
Mean Change in Midface Volume Deficit as Measured by Volumetric Change Measurement
Week 8 - Change from Baseline [cm^3]
6.711 cm^3
Standard Deviation 4.341
8.236 cm^3
Standard Deviation 4.561
Mean Change in Midface Volume Deficit as Measured by Volumetric Change Measurement
Week 16 - Change from Baseline [cm^3]
6.115 cm^3
Standard Deviation 4.900
7.627 cm^3
Standard Deviation 4.612
Mean Change in Midface Volume Deficit as Measured by Volumetric Change Measurement
Week 36 - Change from Baseline [cm^3]
4.739 cm^3
Standard Deviation 5.106
6.781 cm^3
Standard Deviation 4.575
Mean Change in Midface Volume Deficit as Measured by Volumetric Change Measurement
Week 48 - Change from Baseline [cm^3]
4.690 cm^3
Standard Deviation 5.426
6.383 cm^3
Standard Deviation 4.836

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects, who received at least one administration of the test device or the comparator device and who have data available at the respective visit. Participants were analyzed as randomized.

Shift from baseline in nasolabial folds measured by the 5-point validated NLF-SRS (Nasolabial Folds Severity Rating Scale, where 0 means no NLF and 4 means Extreme Nasolabial fold) based on the blinded evaluator´s live assessment at Weeks 4, 8, 16, 24, 36, and 48 after last injection of initial treatment.

Outcome measures

Outcome measures
Measure
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Change in Nasolabial Folds Measurements
Week 48 - Change from Baseline - Right side of the face
-0.2 units on a scale
Standard Deviation 0.8
-0.3 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 4 - Change from Baseline - Left side of the face
-0.5 units on a scale
Standard Deviation 0.7
-0.5 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 4 - Change from Baseline - Right side of the face
-0.5 units on a scale
Standard Deviation 0.7
-0.5 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 8 - Change from Baseline - Left side of the face
-0.5 units on a scale
Standard Deviation 0.7
-0.5 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 8 - Change from Baseline - Right side of the face
-0.5 units on a scale
Standard Deviation 0.7
-0.5 units on a scale
Standard Deviation 0.9
Change in Nasolabial Folds Measurements
Week 16 - Change from Baseline - Left side of the face
-0.5 units on a scale
Standard Deviation 0.8
-0.5 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 16 - Change from Baseline - Right side of the face
-0.5 units on a scale
Standard Deviation 0.8
-0.4 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 24 - Change from Baseline - Left side of the face
-0.5 units on a scale
Standard Deviation 0.8
-0.5 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 24 - Change from Baseline - Right side of the face
-0.5 units on a scale
Standard Deviation 0.8
-0.4 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 36 - Change from Baseline - Left side of the face
-0.4 units on a scale
Standard Deviation 0.8
-0.4 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 36 - Change from Baseline - Right side of the face
-0.4 units on a scale
Standard Deviation 0.8
-0.3 units on a scale
Standard Deviation 0.8
Change in Nasolabial Folds Measurements
Week 48 - Change from Baseline - Left side of the face
-0.3 units on a scale
Standard Deviation 0.8
-0.4 units on a scale
Standard Deviation 0.7

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects who received at least one injection with study medication and for whom data are available at the respective timepoint. Participants were analyzed as randomized.

The percentage of subjects with a global aesthetic improvement over baseline (subjects who have been rated as "much improved" or "improved"), based on the blinded evaluator's assessment at Weeks 4, 8, 16, 24, 36, and 48, after last injection of initial treatment phase using the 5-point modified Global Aesthetic Improvement Scale (GAIS). The blinded evaluators assess aesthetic improvement via photographs comparing baseline photos against the respective study visit week photo with the following possible 5 outcomes: "Much worse", "Worse", "No change", "Improved", "Much improved".

Outcome measures

Outcome measures
Measure
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Blinded Evaluator
Week 4
150 Participants
292 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Blinded Evaluator
Week 8
149 Participants
298 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Blinded Evaluator
Week 16
149 Participants
287 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Blinded Evaluator
Week 24
135 Participants
283 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Blinded Evaluator
Week 36
126 Participants
261 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Blinded Evaluator
Week 48
105 Participants
237 Participants

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects who received at least one injection with study medication and for whom data are available at the respective timepoint. Participants were analyzed as randomized.

The percentage of subjects with a global aesthetic improvement over baseline (subjects who have been rated as "much improved" or "improved"), based on the subject's assessment at Weeks 4, 8, 16, 24, 36, and 48, after last injection of initial treatment phase using the 5-point modified Global Aesthetic Improvement Scale (GAIS). The subjects assess aesthetic improvement via photographs comparing baseline photos against the respective study visit week photo with the following possible 5 outcomes: "Much worse", "Worse", "No change", "Improved", "Much improved".

Outcome measures

Outcome measures
Measure
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Subject
Week 4
146 Participants
283 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Subject
Week 8
142 Participants
281 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Subject
Week 16
137 Participants
269 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Subject
Week 24
125 Participants
255 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Subject
Week 36
120 Participants
219 Participants
Proportion of Subjects With Global Aesthetic Improvement Based on Modified Global Aesthetic Improvement Scale (GAIS) as Rated by Subject
Week 48
99 Participants
213 Participants

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects who received at least one injection with study medication and for whom data are available at the respective timepoint. Participants were analyzed as randomized.

The extent of subject's satisfaction with overall treatment outcome at Weeks 4, 8, 16, 24, 36, and 48 after last injection of initial treatment phase as assessed by the subject using the Face-Q(TM) Questionnaire "Satisfaction with Outcome". This validated patient reported outcome is based on subject's answers to pre-specified questions with answers ranging as 1="Definitely disagree", 2="Somewhat disagree", 3="Somewhat agree", 4="Definitely agree". The answers are mathematically transferred to one single numerical result between 100 and 0, where 100 reflects the highest possible satisfaction and 0 means the lowest possible satisfaction.

Outcome measures

Outcome measures
Measure
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Satisfaction With Outcome Based on FACE-Q(TM) Assessed by Subjects
Week 4
72.6 score on a scale
Standard Deviation 21.1
73.2 score on a scale
Standard Deviation 20.6
Satisfaction With Outcome Based on FACE-Q(TM) Assessed by Subjects
Week 8
70.5 score on a scale
Standard Deviation 22.7
72.1 score on a scale
Standard Deviation 23.0
Satisfaction With Outcome Based on FACE-Q(TM) Assessed by Subjects
Week 16
68.7 score on a scale
Standard Deviation 21.6
68.6 score on a scale
Standard Deviation 23.1
Satisfaction With Outcome Based on FACE-Q(TM) Assessed by Subjects
Week 24
68.4 score on a scale
Standard Deviation 22.6
68.2 score on a scale
Standard Deviation 23.4
Satisfaction With Outcome Based on FACE-Q(TM) Assessed by Subjects
Week 36
64.5 score on a scale
Standard Deviation 24.7
63.7 score on a scale
Standard Deviation 24.5
Satisfaction With Outcome Based on FACE-Q(TM) Assessed by Subjects
Week 48
62.1 score on a scale
Standard Deviation 24.6
63.5 score on a scale
Standard Deviation 24.3

SECONDARY outcome

Timeframe: Weeks 4, 8, 16, 24, 36, and 48

Population: The population used consists of all randomized subjects who received at least one injection with study medication and for whom data are available at the respective timepoint. Participants were analyzed as randomized.

The extent of subject's appearance appraisal at Weeks 4, 8, 16, 24, 36, and 48 after last injection of initial treatment phase as assessed by the FACE-Q(TM) questionnaire "Satisfaction with Cheeks" compared to Baseline visit (i.e., change from baseline). This validated patient reported outcome is based on subject's answers to pre-specified questions with answers ranging as 1="Very Dissatisfied", 2="Somewhat Dissatisfied", 3="Somewhat Satisfied", 4="Very Satisfied". The answers are mathematically transferred to one single numerical result between 100 and 0, where 100 reflects the highest possible satisfaction and 0 means the lowest possible satisfaction.

Outcome measures

Outcome measures
Measure
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Appearance Appraisal Based on FACE-Q(TM) Assessed by Subjects
Week 4 - Change from Baseline
44.5 score on a scale
Standard Deviation 30.0
47.7 score on a scale
Standard Deviation 29.5
Appearance Appraisal Based on FACE-Q(TM) Assessed by Subjects
Week 8 - Change from Baseline
40.4 score on a scale
Standard Deviation 31.3
46.9 score on a scale
Standard Deviation 28.3
Appearance Appraisal Based on FACE-Q(TM) Assessed by Subjects
Week 16 - Change from Baseline
39.1 score on a scale
Standard Deviation 30.1
42.5 score on a scale
Standard Deviation 30.4
Appearance Appraisal Based on FACE-Q(TM) Assessed by Subjects
Week 24 - Change from Baseline
36.8 score on a scale
Standard Deviation 31.4
40.2 score on a scale
Standard Deviation 30.3
Appearance Appraisal Based on FACE-Q(TM) Assessed by Subjects
Week 36 - Change from Baseline
32.8 score on a scale
Standard Deviation 30.3
35.4 score on a scale
Standard Deviation 30.1
Appearance Appraisal Based on FACE-Q(TM) Assessed by Subjects
Week 48 - Change from Baseline
28.7 score on a scale
Standard Deviation 30.2
34.7 score on a scale
Standard Deviation 29.3

SECONDARY outcome

Timeframe: Baseline - Immediately after end of treatment and 15, 30, 45, 60 minutes after end of treatment; Week 2 - Immediately after end of treatment and 15, 30, 45, 60 minutes after end of treatment

Population: The population used consists of all randomized subjects who received at least one injection with study medication and for whom data are available at the respective timepoint and side of face. Participants were analyzed as randomized. Participants who received Lidocaine before the assessment were excluded from the analysis for the respective visit.

Assessment of pain associated with the procedure by subjects immediately after injection and about 15, 30, 45 and 60 minutes thereafter for initial treatment at baseline and for touch-up treatment at week 2 (if applicable). Subjects quantified the pain associated with the procedure using a semi-quantitative 11-point Numeric Pain Rating Scale (NPRS): 0 is no pain and 10 is the worst pain you can imagine. Left and right side of the face was assessed separately.

Outcome measures

Outcome measures
Measure
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Pain Assessment by Subjects
Pain assessment 60 minutes after end of treatment - Week 2 - Left
0.1 score on a scale
Standard Deviation 0.5
0.1 score on a scale
Standard Deviation 0.7
Pain Assessment by Subjects
Pain assessment immediately after end of treatment - Baseline - Left
2.3 score on a scale
Standard Deviation 2.2
2.5 score on a scale
Standard Deviation 2.3
Pain Assessment by Subjects
Pain assessment immediately after end of treatment - Baseline - Right
2.3 score on a scale
Standard Deviation 2.3
2.5 score on a scale
Standard Deviation 2.2
Pain Assessment by Subjects
Pain assessment 15 minutes after end of treatment - Baseline - Left
0.8 score on a scale
Standard Deviation 1.3
0.7 score on a scale
Standard Deviation 1.2
Pain Assessment by Subjects
Pain assessment 15 minutes after end of treatment - Baseline - Right
0.8 score on a scale
Standard Deviation 1.4
0.8 score on a scale
Standard Deviation 1.3
Pain Assessment by Subjects
Pain assessment 30 minutes after end of treatment - Baseline - Left
0.6 score on a scale
Standard Deviation 1.0
0.4 score on a scale
Standard Deviation 0.8
Pain Assessment by Subjects
Pain assessment 30 minutes after end of treatment - Baseline - Right
0.6 score on a scale
Standard Deviation 1.0
0.4 score on a scale
Standard Deviation 0.8
Pain Assessment by Subjects
Pain assessment 45 minutes after end of treatment - Baseline - Left
0.4 score on a scale
Standard Deviation 0.9
0.2 score on a scale
Standard Deviation 0.6
Pain Assessment by Subjects
Pain assessment 45 minutes after end of treatment - Baseline - Right
0.4 score on a scale
Standard Deviation 0.9
0.2 score on a scale
Standard Deviation 0.6
Pain Assessment by Subjects
Pain assessment 60 minutes after end of treatment - Baseline - Left
0.2 score on a scale
Standard Deviation 0.6
0.1 score on a scale
Standard Deviation 0.4
Pain Assessment by Subjects
Pain assessment 60 minutes after end of treatment - Baseline - Right
0.2 score on a scale
Standard Deviation 0.5
0.1 score on a scale
Standard Deviation 0.4
Pain Assessment by Subjects
Pain assessment immediately after end of treatment - Week 2 - Left
1.8 score on a scale
Standard Deviation 2.1
2.0 score on a scale
Standard Deviation 2.5
Pain Assessment by Subjects
Pain assessment immediately after end of treatment - Week 2 - Right
1.9 score on a scale
Standard Deviation 2.1
1.9 score on a scale
Standard Deviation 2.4
Pain Assessment by Subjects
Pain assessment 15 minutes after end of treatment - Week 2 - Left
0.6 score on a scale
Standard Deviation 1.2
0.7 score on a scale
Standard Deviation 1.4
Pain Assessment by Subjects
Pain assessment 15 minutes after end of treatment - Week 2 - Right
0.7 score on a scale
Standard Deviation 1.2
0.6 score on a scale
Standard Deviation 1.4
Pain Assessment by Subjects
Pain assessment 30 minutes after end of treatment - Week 2 - Left
0.3 score on a scale
Standard Deviation 0.8
0.4 score on a scale
Standard Deviation 1.0
Pain Assessment by Subjects
Pain assessment 30 minutes after end of treatment - Week 2 - Right
0.3 score on a scale
Standard Deviation 0.8
0.4 score on a scale
Standard Deviation 1.0
Pain Assessment by Subjects
Pain assessment 45 minutes after end of treatment - Week 2 - Left
0.2 score on a scale
Standard Deviation 0.6
0.2 score on a scale
Standard Deviation 0.8
Pain Assessment by Subjects
Pain assessment 45 minutes after end of treatment - Week 2 - Right
0.2 score on a scale
Standard Deviation 0.6
0.2 score on a scale
Standard Deviation 0.8
Pain Assessment by Subjects
Pain assessment 60 minutes after end of treatment - Week 2 - Right
0.1 score on a scale
Standard Deviation 0.5
0.1 score on a scale
Standard Deviation 0.7

SECONDARY outcome

Timeframe: Baseline and Week 2

Population: The population used consists of all randomized subjects who received at least one injection with study medication and for whom data are available at the respective timepoint. Participants were analyzed as randomized.

Injection volume required to achieve optimal aesthetic result at each treatment (baseline and touch-up treatment together) measured in mL.

Outcome measures

Outcome measures
Measure
Juvéderm® Voluma™ XC
n=161 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine
n=322 Participants
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Evaluation of Injection Volume
4.975 mL
Standard Deviation 2.251
5.163 mL
Standard Deviation 2.306

Adverse Events

Saypha® VOLUME Lidocaine

Serious events: 4 serious events
Other events: 86 other events
Deaths: 1 deaths

Juvéderm® Voluma™ XC

Serious events: 2 serious events
Other events: 41 other events
Deaths: 0 deaths

Saypha® VOLUME Lidocaine - Open Label Extension

Serious events: 2 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Saypha® VOLUME Lidocaine
n=322 participants at risk
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 participants at risk
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine - Open Label Extension
n=192 participants at risk
All participants who complete Arms 1 or 2 may optionally enroll and receive the experimental treatment. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Pregnancy, puerperium and perinatal conditions
Ectopic pregnancy
0.00%
0/322 • Up to 90 weeks post first treatment
0.62%
1/161 • Number of events 1 • Up to 90 weeks post first treatment
0.00%
0/192 • Up to 90 weeks post first treatment
Psychiatric disorders
Mental disorder
0.31%
1/322 • Number of events 1 • Up to 90 weeks post first treatment
0.00%
0/161 • Up to 90 weeks post first treatment
0.00%
0/192 • Up to 90 weeks post first treatment
Skin and subcutaneous tissue disorders
Vascular skin disorder
0.31%
1/322 • Number of events 1 • Up to 90 weeks post first treatment
0.00%
0/161 • Up to 90 weeks post first treatment
0.00%
0/192 • Up to 90 weeks post first treatment
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.00%
0/322 • Up to 90 weeks post first treatment
0.00%
0/161 • Up to 90 weeks post first treatment
0.52%
1/192 • Number of events 1 • Up to 90 weeks post first treatment
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Meningioma
0.00%
0/322 • Up to 90 weeks post first treatment
0.00%
0/161 • Up to 90 weeks post first treatment
0.52%
1/192 • Number of events 1 • Up to 90 weeks post first treatment
Injury, poisoning and procedural complications
Humerus fracture
0.00%
0/322 • Up to 90 weeks post first treatment
0.62%
1/161 • Number of events 1 • Up to 90 weeks post first treatment
0.00%
0/192 • Up to 90 weeks post first treatment
Injury, poisoning and procedural complications
Overdose
0.31%
1/322 • Number of events 1 • Up to 90 weeks post first treatment
0.00%
0/161 • Up to 90 weeks post first treatment
0.00%
0/192 • Up to 90 weeks post first treatment
Nervous system disorders
Cerebrovascular accident
0.31%
1/322 • Number of events 1 • Up to 90 weeks post first treatment
0.00%
0/161 • Up to 90 weeks post first treatment
0.00%
0/192 • Up to 90 weeks post first treatment

Other adverse events

Other adverse events
Measure
Saypha® VOLUME Lidocaine
n=322 participants at risk
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Juvéderm® Voluma™ XC
n=161 participants at risk
For injection, either a needle (27G ½'') or cannula (25G 1½") may be used. Randomization will be stratified by injection equipment in a 1:1 ratio. The volume administered is at the discretion of the treating investigator and depends on the severity of the midface volume deficit to be corrected. However, the maximum volume (left and right side of the midface together) must not exceed 10 mL in total per treatment (initial and repeat-treatment) or 20 mL per 60 kg (130 lbs) body mass per year. Juvéderm® Voluma™ XC: Crosslinked HA 20 mg/mL + 0.3% lidocaine hydrochloride
Saypha® VOLUME Lidocaine - Open Label Extension
n=192 participants at risk
All participants who complete Arms 1 or 2 may optionally enroll and receive the experimental treatment. saypha® VOLUME Lidocaine: Crosslinked hyaluronic acid (HA) 23 mg/mL + 0.3% lidocaine hydrochloride.
Nervous system disorders
Dizziness
0.62%
2/322 • Number of events 2 • Up to 90 weeks post first treatment
3.7%
6/161 • Number of events 7 • Up to 90 weeks post first treatment
0.52%
1/192 • Number of events 1 • Up to 90 weeks post first treatment
Nervous system disorders
Headache
14.3%
46/322 • Number of events 62 • Up to 90 weeks post first treatment
11.2%
18/161 • Number of events 22 • Up to 90 weeks post first treatment
4.2%
8/192 • Number of events 10 • Up to 90 weeks post first treatment
Psychiatric disorders
Anxiety
0.62%
2/322 • Number of events 2 • Up to 90 weeks post first treatment
2.5%
4/161 • Number of events 4 • Up to 90 weeks post first treatment
0.00%
0/192 • Up to 90 weeks post first treatment
Eye disorders
Vision blurred
2.5%
8/322 • Number of events 8 • Up to 90 weeks post first treatment
0.62%
1/161 • Number of events 1 • Up to 90 weeks post first treatment
0.00%
0/192 • Up to 90 weeks post first treatment
General disorders
Injection site bruising
1.9%
6/322 • Number of events 6 • Up to 90 weeks post first treatment
3.1%
5/161 • Number of events 6 • Up to 90 weeks post first treatment
0.00%
0/192 • Up to 90 weeks post first treatment
General disorders
Injection site pain
2.5%
8/322 • Number of events 10 • Up to 90 weeks post first treatment
0.62%
1/161 • Number of events 1 • Up to 90 weeks post first treatment
1.6%
3/192 • Number of events 3 • Up to 90 weeks post first treatment
Infections and infestations
COVID-19
5.0%
16/322 • Number of events 16 • Up to 90 weeks post first treatment
3.1%
5/161 • Number of events 5 • Up to 90 weeks post first treatment
2.1%
4/192 • Number of events 4 • Up to 90 weeks post first treatment
Infections and infestations
Nasopharyngitis
2.5%
8/322 • Number of events 8 • Up to 90 weeks post first treatment
3.7%
6/161 • Number of events 7 • Up to 90 weeks post first treatment
0.52%
1/192 • Number of events 1 • Up to 90 weeks post first treatment
Infections and infestations
Sinusitis
2.5%
8/322 • Number of events 9 • Up to 90 weeks post first treatment
0.62%
1/161 • Number of events 1 • Up to 90 weeks post first treatment
0.52%
1/192 • Number of events 1 • Up to 90 weeks post first treatment
Investigations
Palpatory finding abnormal
3.4%
11/322 • Number of events 12 • Up to 90 weeks post first treatment
6.2%
10/161 • Number of events 11 • Up to 90 weeks post first treatment
0.52%
1/192 • Number of events 1 • Up to 90 weeks post first treatment
Investigations
Weight increased
0.62%
2/322 • Number of events 2 • Up to 90 weeks post first treatment
2.5%
4/161 • Number of events 4 • Up to 90 weeks post first treatment
0.00%
0/192 • Up to 90 weeks post first treatment
Musculoskeletal and connective tissue disorders
Mastication disorder
1.2%
4/322 • Number of events 5 • Up to 90 weeks post first treatment
2.5%
4/161 • Number of events 4 • Up to 90 weeks post first treatment
0.00%
0/192 • Up to 90 weeks post first treatment

Additional Information

Clinical Development - Head of Clinical Operations

Croma Pharma

Phone: +432262684680

Results disclosure agreements

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