Trial Outcomes & Findings for Evaluation the Effects of Various Treatments on RZL-012-Induced Adverse Events (NCT NCT05476679)

NCT ID: NCT05476679

Last Updated: 2024-01-30

Results Overview

Number of subjects with severe swelling in each subgroup

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

48 participants

Primary outcome timeframe

84 days

Results posted on

2024-01-30

Participant Flow

Participant milestones

Participant milestones
Measure
RZL-012 50mg/ml
RZL-012: 50mg/ml drug formulation
RZL-012+Lidacaine
RZL-012+Lidacaine injection prior treatment: 5ml lidocaine will be injected 10 minutes before RZL-012 treatment
RZL-012+Medrol
RZL-012+Medrol: oral Medrol dose pack (8 mg (2 tablets) on Day 1 before treatment followed by 16 mg after treatment (as per Instructions for Use)). From Day 2, a daily tapering off by 4 mg until Day 6 will be administered per Rx Instructions for use
RZL-012+Celecoxib+Zyrtec
RZL-012+Celecoxib+Zyrtec: 200 mg Celecoxib BID and 10 mg Zyrtec BID on Days 1, 2, 3, 4, 5 and 6
RZL-012+Facial and Neck Wrap
RZL-012+facial and neck wrap: Universal Facial Band
Overall Study
STARTED
8
10
9
11
10
Overall Study
COMPLETED
8
10
9
9
10
Overall Study
NOT COMPLETED
0
0
0
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
RZL-012 50mg/ml
RZL-012: 50mg/ml drug formulation
RZL-012+Lidacaine
RZL-012+Lidacaine injection prior treatment: 5ml lidocaine will be injected 10 minutes before RZL-012 treatment
RZL-012+Medrol
RZL-012+Medrol: oral Medrol dose pack (8 mg (2 tablets) on Day 1 before treatment followed by 16 mg after treatment (as per Instructions for Use)). From Day 2, a daily tapering off by 4 mg until Day 6 will be administered per Rx Instructions for use
RZL-012+Celecoxib+Zyrtec
RZL-012+Celecoxib+Zyrtec: 200 mg Celecoxib BID and 10 mg Zyrtec BID on Days 1, 2, 3, 4, 5 and 6
RZL-012+Facial and Neck Wrap
RZL-012+facial and neck wrap: Universal Facial Band
Overall Study
Withdrawal by Subject
0
0
0
1
0
Overall Study
Lost to Follow-up
0
0
0
1
0

Baseline Characteristics

Evaluation the Effects of Various Treatments on RZL-012-Induced Adverse Events

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RZL-012 50mg/ml
n=8 Participants
RZL-012: 50mg/ml drug formulation
RZL-012+Lidacaine
n=10 Participants
RZL-012+Lidacaine injection prior treatment: 5ml lidocaine will be injected 10 minutes before RZL-012 treatment
RZL-012+Medrol
n=9 Participants
RZL-012+Medrol: oral Medrol dose pack (8 mg (2 tablets) on Day 1 before treatment followed by 16 mg after treatment (as per Instructions for Use)). From Day 2, a daily tapering off by 4 mg until Day 6 will be administered per Rx Instructions for use
RZL-012+Celecoxib+Zyrtec
n=11 Participants
RZL-012+Celecoxib+Zyrtec: 200 mg Celecoxib BID and 10 mg Zyrtec BID on Days 1, 2, 3, 4, 5 and 6
RZL-012+Facial and Neck Wrap
n=10 Participants
RZL-012+facial and neck wrap: Universal Facial Band
Total
n=48 Participants
Total of all reporting groups
Age, Continuous
48.9 Years
STANDARD_DEVIATION 7.2 • n=39 Participants
51.1 Years
STANDARD_DEVIATION 8.6 • n=41 Participants
49.8 Years
STANDARD_DEVIATION 6.5 • n=35 Participants
44 Years
STANDARD_DEVIATION 9.5 • n=31 Participants
36.8 Years
STANDARD_DEVIATION 5.7 • n=146 Participants
45.9 Years
STANDARD_DEVIATION 9.1 • n=19 Participants
Sex: Female, Male
Female
8 Participants
n=39 Participants
9 Participants
n=41 Participants
8 Participants
n=35 Participants
9 Participants
n=31 Participants
8 Participants
n=146 Participants
42 Participants
n=19 Participants
Sex: Female, Male
Male
0 Participants
n=39 Participants
1 Participants
n=41 Participants
1 Participants
n=35 Participants
2 Participants
n=31 Participants
2 Participants
n=146 Participants
6 Participants
n=19 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=39 Participants
1 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
1 Participants
n=19 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=39 Participants
9 Participants
n=41 Participants
9 Participants
n=35 Participants
11 Participants
n=31 Participants
10 Participants
n=146 Participants
47 Participants
n=19 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
0 Participants
n=19 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
0 Participants
n=19 Participants
Race (NIH/OMB)
Asian
1 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
1 Participants
n=31 Participants
0 Participants
n=146 Participants
2 Participants
n=19 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
1 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
1 Participants
n=19 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=39 Participants
2 Participants
n=41 Participants
1 Participants
n=35 Participants
2 Participants
n=31 Participants
4 Participants
n=146 Participants
11 Participants
n=19 Participants
Race (NIH/OMB)
White
5 Participants
n=39 Participants
7 Participants
n=41 Participants
8 Participants
n=35 Participants
8 Participants
n=31 Participants
6 Participants
n=146 Participants
34 Participants
n=19 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
0 Participants
n=19 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
0 Participants
n=19 Participants
Region of Enrollment
United States
8 participants
n=39 Participants
10 participants
n=41 Participants
9 participants
n=35 Participants
11 participants
n=31 Participants
10 participants
n=146 Participants
48 participants
n=19 Participants

PRIMARY outcome

Timeframe: 84 days

Number of subjects with severe swelling in each subgroup

Outcome measures

Outcome measures
Measure
RZL-012 50mg/ml
n=8 Participants
RZL-012: 50mg/ml drug formulation
RZL-012+Lidacaine Injection Prior Treatment
n=10 Participants
RZL-012+Lidacaine injection prior treatment: 5ml lidocaine will be injected 10 minutes before RZL-012 treatment
RZL-012+Methylprednisolone (Medrol)
n=9 Participants
RZL-012+methylprednisolone (Medrol): oral Medrol dose pack (8 mg (2 tablets) on Day 1 before treatment followed by 16 mg after treatment (as per Instructions for Use)). From Day 2, a daily tapering off by 4 mg until Day 6 will be administered per Rx Instructions for use
RZL-012+Celecoxib+Zyrtec
n=11 Participants
RZL-012+Celecoxib+Zyrtec: 200 mg Celecoxib BID and 10 mg Zyrtec BID on Days 1, 2, 3, 4, 5 and 6
RZL-012+Facial and Neck Wrap
n=10 Participants
RZL-012+facial and neck wrap: Universal Facial Band
Safety - Adverse Events Follow up
1 Participants
2 Participants
3 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 84 days

Number of subjects who has at least 1 grade improvement in C-CAT. The CAT is composed of 5 points where 0 represents no fat and 4 represent very noticeable bulge and fat that extends beyond the neck

Outcome measures

Outcome measures
Measure
RZL-012 50mg/ml
n=8 Participants
RZL-012: 50mg/ml drug formulation
RZL-012+Lidacaine Injection Prior Treatment
n=10 Participants
RZL-012+Lidacaine injection prior treatment: 5ml lidocaine will be injected 10 minutes before RZL-012 treatment
RZL-012+Methylprednisolone (Medrol)
n=9 Participants
RZL-012+methylprednisolone (Medrol): oral Medrol dose pack (8 mg (2 tablets) on Day 1 before treatment followed by 16 mg after treatment (as per Instructions for Use)). From Day 2, a daily tapering off by 4 mg until Day 6 will be administered per Rx Instructions for use
RZL-012+Celecoxib+Zyrtec
n=9 Participants
RZL-012+Celecoxib+Zyrtec: 200 mg Celecoxib BID and 10 mg Zyrtec BID on Days 1, 2, 3, 4, 5 and 6
RZL-012+Facial and Neck Wrap
n=10 Participants
RZL-012+facial and neck wrap: Universal Facial Band
Efficacy -Reduction in Score According to Clinician Chin Assessment Tool (C-CAT)
6 Participants
10 Participants
9 Participants
8 Participants
9 Participants

SECONDARY outcome

Timeframe: 84 days

To determine the efficacy of RZL-012 vs. RZL-012 with additional treatments on Day 84 versus baseline using the Subject Chin Assessment Tool (S-CAT). The CAT is composed of 5 points where 0 represents no fat and 4 represent very noticeable bulge and fat that extends beyond the neck

Outcome measures

Outcome measures
Measure
RZL-012 50mg/ml
n=8 Participants
RZL-012: 50mg/ml drug formulation
RZL-012+Lidacaine Injection Prior Treatment
n=10 Participants
RZL-012+Lidacaine injection prior treatment: 5ml lidocaine will be injected 10 minutes before RZL-012 treatment
RZL-012+Methylprednisolone (Medrol)
n=9 Participants
RZL-012+methylprednisolone (Medrol): oral Medrol dose pack (8 mg (2 tablets) on Day 1 before treatment followed by 16 mg after treatment (as per Instructions for Use)). From Day 2, a daily tapering off by 4 mg until Day 6 will be administered per Rx Instructions for use
RZL-012+Celecoxib+Zyrtec
n=9 Participants
RZL-012+Celecoxib+Zyrtec: 200 mg Celecoxib BID and 10 mg Zyrtec BID on Days 1, 2, 3, 4, 5 and 6
RZL-012+Facial and Neck Wrap
n=10 Participants
RZL-012+facial and neck wrap: Universal Facial Band
Efficacy - Number of Participants With 1 Grade Improvement According to the Subject Chin Assessment Tool (S-CAT)
4 Participants
3 Participants
6 Participants
6 Participants
5 Participants

SECONDARY outcome

Timeframe: 84 days

Population: There were only 33/46 subjects that had an MRI scan.

Percentage of change from baseline in submental fat volume , as measured with MRI in RZL-012 vs. RZL+other treatments treated subjects vs. placebo treated subjects on Day 84 following injection.

Outcome measures

Outcome measures
Measure
RZL-012 50mg/ml
n=6 Participants
RZL-012: 50mg/ml drug formulation
RZL-012+Lidacaine Injection Prior Treatment
n=6 Participants
RZL-012+Lidacaine injection prior treatment: 5ml lidocaine will be injected 10 minutes before RZL-012 treatment
RZL-012+Methylprednisolone (Medrol)
n=7 Participants
RZL-012+methylprednisolone (Medrol): oral Medrol dose pack (8 mg (2 tablets) on Day 1 before treatment followed by 16 mg after treatment (as per Instructions for Use)). From Day 2, a daily tapering off by 4 mg until Day 6 will be administered per Rx Instructions for use
RZL-012+Celecoxib+Zyrtec
n=8 Participants
RZL-012+Celecoxib+Zyrtec: 200 mg Celecoxib BID and 10 mg Zyrtec BID on Days 1, 2, 3, 4, 5 and 6
RZL-012+Facial and Neck Wrap
n=6 Participants
RZL-012+facial and neck wrap: Universal Facial Band
Efficacy - Percentage of Change From Baseline in Submental Fat Volume
-7.1 percentage of change from baseline
Standard Deviation 6.0
-15.4 percentage of change from baseline
Standard Deviation 10.2
-17.0 percentage of change from baseline
Standard Deviation 12.9
-10.8 percentage of change from baseline
Standard Deviation 9.8
-14.8 percentage of change from baseline
Standard Deviation 7.6

Adverse Events

RZL-012 50mg/ml

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

RZL-012+Lidacaine Injection Prior Treatment

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

RZL-012+Methylprednisolone (Medrol)

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

RZL-012+Celecoxib+Zyrtec

Serious events: 1 serious events
Other events: 11 other events
Deaths: 0 deaths

RZL-012+Facial and Neck Wrap

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

Serious adverse events

Serious adverse events
Measure
RZL-012 50mg/ml
n=8 participants at risk
RZL-012: 50mg/ml drug formulation
RZL-012+Lidacaine Injection Prior Treatment
n=10 participants at risk
RZL-012+Lidacaine injection prior treatment: 5ml lidocaine will be injected 10 minutes before RZL-012 treatment
RZL-012+Methylprednisolone (Medrol)
n=9 participants at risk
RZL-012+methylprednisolone (Medrol): oral Medrol dose pack (8 mg (2 tablets) on Day 1 before treatment followed by 16 mg after treatment (as per Instructions for Use)). From Day 2, a daily tapering off by 4 mg until Day 6 will be administered per Rx Instructions for use
RZL-012+Celecoxib+Zyrtec
n=11 participants at risk
RZL-012+Celecoxib+Zyrtec: 200 mg Celecoxib BID and 10 mg Zyrtec BID on Days 1, 2, 3, 4, 5 and 6
RZL-012+Facial and Neck Wrap
n=10 participants at risk
RZL-012+facial and neck wrap: Universal Facial Band
Investigations
Hepatic mass, Liver function test increase
0.00%
0/8 • 3 months
0.00%
0/10 • 3 months
0.00%
0/9 • 3 months
9.1%
1/11 • Number of events 2 • 3 months
0.00%
0/10 • 3 months

Other adverse events

Other adverse events
Measure
RZL-012 50mg/ml
n=8 participants at risk
RZL-012: 50mg/ml drug formulation
RZL-012+Lidacaine Injection Prior Treatment
n=10 participants at risk
RZL-012+Lidacaine injection prior treatment: 5ml lidocaine will be injected 10 minutes before RZL-012 treatment
RZL-012+Methylprednisolone (Medrol)
n=9 participants at risk
RZL-012+methylprednisolone (Medrol): oral Medrol dose pack (8 mg (2 tablets) on Day 1 before treatment followed by 16 mg after treatment (as per Instructions for Use)). From Day 2, a daily tapering off by 4 mg until Day 6 will be administered per Rx Instructions for use
RZL-012+Celecoxib+Zyrtec
n=11 participants at risk
RZL-012+Celecoxib+Zyrtec: 200 mg Celecoxib BID and 10 mg Zyrtec BID on Days 1, 2, 3, 4, 5 and 6
RZL-012+Facial and Neck Wrap
n=10 participants at risk
RZL-012+facial and neck wrap: Universal Facial Band
Gastrointestinal disorders
Odynophagia
0.00%
0/8 • 3 months
10.0%
1/10 • 3 months
0.00%
0/9 • 3 months
0.00%
0/11 • 3 months
0.00%
0/10 • 3 months
General disorders
Injection site bruising
12.5%
1/8 • 3 months
30.0%
3/10 • 3 months
22.2%
2/9 • 3 months
9.1%
1/11 • 3 months
20.0%
2/10 • 3 months
General disorders
Injection site discomfort
12.5%
1/8 • 3 months
10.0%
1/10 • 3 months
33.3%
3/9 • 3 months
9.1%
1/11 • 3 months
0.00%
0/10 • 3 months
General disorders
Injection site hemorrhage
37.5%
3/8 • 3 months
10.0%
1/10 • 3 months
33.3%
3/9 • 3 months
27.3%
3/11 • 3 months
10.0%
1/10 • 3 months
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/8 • 3 months
0.00%
0/10 • 3 months
0.00%
0/9 • 3 months
0.00%
0/11 • 3 months
10.0%
1/10 • 3 months
Blood and lymphatic system disorders
Increased tendency to bruise
0.00%
0/8 • 3 months
0.00%
0/10 • 3 months
0.00%
0/9 • 3 months
0.00%
0/11 • 3 months
10.0%
1/10 • 3 months
Gastrointestinal disorders
Dysphagia
0.00%
0/8 • 3 months
20.0%
2/10 • 3 months
22.2%
2/9 • 3 months
54.5%
6/11 • 3 months
40.0%
4/10 • 3 months
General disorders
Injection site hypoesthesia
12.5%
1/8 • 3 months
40.0%
4/10 • 3 months
22.2%
2/9 • 3 months
18.2%
2/11 • 3 months
20.0%
2/10 • 3 months
General disorders
Injection site induration
0.00%
0/8 • 3 months
10.0%
1/10 • 3 months
0.00%
0/9 • 3 months
9.1%
1/11 • 3 months
0.00%
0/10 • 3 months
General disorders
Injection site oedema
50.0%
4/8 • 3 months
70.0%
7/10 • 3 months
55.6%
5/9 • 3 months
54.5%
6/11 • 3 months
80.0%
8/10 • 3 months
General disorders
Injection site pain
75.0%
6/8 • 3 months
70.0%
7/10 • 3 months
55.6%
5/9 • 3 months
63.6%
7/11 • 3 months
80.0%
8/10 • 3 months
General disorders
Injection site pruritus
0.00%
0/8 • 3 months
20.0%
2/10 • 3 months
0.00%
0/9 • 3 months
9.1%
1/11 • 3 months
10.0%
1/10 • 3 months
General disorders
Oedema
0.00%
0/8 • 3 months
0.00%
0/10 • 3 months
0.00%
0/9 • 3 months
0.00%
0/11 • 3 months
20.0%
2/10 • 3 months
Nervous system disorders
Dysaesthesia
0.00%
0/8 • 3 months
0.00%
0/10 • 3 months
0.00%
0/9 • 3 months
0.00%
0/11 • 3 months
10.0%
1/10 • 3 months
General disorders
Facial Paresis
0.00%
0/8 • 3 months
0.00%
0/10 • 3 months
0.00%
0/9 • 3 months
18.2%
2/11 • 3 months
0.00%
0/10 • 3 months
Nervous system disorders
Hypoaesthesia
0.00%
0/8 • 3 months
0.00%
0/10 • 3 months
0.00%
0/9 • 3 months
27.3%
3/11 • 3 months
0.00%
0/10 • 3 months
Nervous system disorders
Paraesthesia
0.00%
0/8 • 3 months
0.00%
0/10 • 3 months
0.00%
0/9 • 3 months
0.00%
0/11 • 3 months
10.0%
1/10 • 3 months
Respiratory, thoracic and mediastinal disorders
Dysphonia
0.00%
0/8 • 3 months
20.0%
2/10 • 3 months
0.00%
0/9 • 3 months
0.00%
0/11 • 3 months
20.0%
2/10 • 3 months
Skin and subcutaneous tissue disorders
Pruritus
25.0%
2/8 • 3 months
0.00%
0/10 • 3 months
11.1%
1/9 • 3 months
0.00%
0/11 • 3 months
10.0%
1/10 • 3 months

Additional Information

Racheli Gueta, Director of Clinical Trials

Raziel Therapeutics

Phone: 972-8-9126941

Results disclosure agreements

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