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NCT04389866

Jowl Improvement With Injectable Fillers

Completed NA Results posted Last updated 15 February 2024
What this trial tests

NA trial testing JUVÉDERM VOLUMA™ XC in Jowls in 16 participants. Completed in 5 October 2022.

Timeline
25 September 2020
Primary endpoint
5 October 2022
5 October 2022

Quick facts

Lead sponsorAdvanced Dermatology
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment16
Start date25 September 2020
Primary completion5 October 2022
Estimated completion5 October 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Advanced Dermatology — full company profile →

Who can join

Adults 35 to 75, female only, with Jowls. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Blinded Physician Jawline Rating Scale (JRS) Assessment on Scale of 0 to 4 at Baseline Versus 4 Weeks After Last Injection. Primary · Baseline to 4 weeks after last injection.

The primary outcome is a reduction of 1 or more points of the Jawline Rating Scale (JRS) Assessment (on a scale of 0 to 4) at baseline versus that at 4 weeks from the last injection (whether initial or touch-up) based on one blinded dermatologist rating. (A lower number will mean a better outcome) All subject data in respective groups were averaged into a single value at each time point. To clarify the Time Point "4 Weeks from last injection" it means 8 to 12 weeks after baseline as subjects were eligible for treatment 4 weeks after baseline and possible retreatment 8 weeks after baseline. Th

Mean Jawline Rating Scores at baseline
GroupValue95% CI
Jawline Injections2.214± .699
Both Jawline and Lateral (Zygomatic) Cheek Area Injections2.071± .616
Mean Jawline Rating Scores at 4 weeks after last injection
GroupValue95% CI
Jawline Injections1.857± 0.864
Both Jawline and Lateral (Zygomatic) Cheek Area Injections1.857± 0.864
Reduction in Jawline rating score Baseline vs 4 Weeks after last injection
GroupValue95% CI
Jawline Injections.357± .864
Both Jawline and Lateral (Zygomatic) Cheek Area Injections.214± .864
Unblinded Physician Jawline Rating Scale (JRS) Assessment on Scale of 0 to 4 at Baseline Versus 4 Weeks After Last Injection. Secondary · Baseline to 4 weeks after last injection.

One of the secondary outcomes is a reduction of 1 or more points of the Jawline Rating Scale (JRS) Assessment (on a scale of 0 to 4) at baseline versus that at 4 weeks from the last injection (whether initial or touch-up) based on one unblinded dermatologist rating. (A lower number will mean a better outcome). To clarify the Time Point "4 Weeks from last injection" it means 8 to 12 weeks after baseline as subjects were eligible for treatment 4 weeks after baseline and possible retreatment 8 weeks after baseline. The study wanted to capture results 4 weeks after last injection. Scale Range De

Mean Jawline Rating Scores at Baseline
GroupValue95% CI
Jawline Injections2.357± 0.497
Both Jawline and Lateral (Zygomatic) Cheek Area Injections2.357± 0.497
Mean Jawline Rating Scores at 4 weeks after last injection
GroupValue95% CI
Jawline Injections1.357± 0.497
Both Jawline and Lateral (Zygomatic) Cheek Area Injections1.643± 0.497
Mean Reduction in Jawline Rating Score Baseline vs 4 Weeks after last injection
GroupValue95% CI
Jawline Injections1.0± 0.497
Both Jawline and Lateral (Zygomatic) Cheek Area Injections.714± 0.497
Subject Jawline Rating Scale (JRS) Assessment on Scale of 0 to 4 at Baseline Versus 4 Weeks After Last Injection. Secondary · Baseline to 4 weeks after last injection.

One of the secondary outcomes is a reduction of 1 or more points of the Jawline Rating Scale (JRS) Assessment (on a scale of 0 to 4) at baseline versus that at 4 weeks from the last injection (whether initial or touch-up) based on each subjects' ratings. (A lower number will mean a better outcome) To clarify the Time Point "4 Weeks from last injection" it means 8 to 12 weeks after baseline as subjects were eligible for treatment 4 weeks after baseline and possible retreatment 8 weeks after baseline. The study wanted to capture results 4 weeks after last injection. Scale Range Description 0 =

Mean Jawling Rating Scores at Baseline
GroupValue95% CI
Jawline Injections2.286± 0.469
Both Jawline and Lateral (Zygomatic) Cheek Area Injections2.429± 0.514
Mean Jawline Rating Scores at 4 weeks after last injection
GroupValue95% CI
Jawline Injections1.714± 0.611
Both Jawline and Lateral (Zygomatic) Cheek Area Injections1.714± 0.726
Mean Reduction in Jawline Rating Score Baseline vs 4 Weeks after last injection
GroupValue95% CI
Jawline Injections.571± .545
Both Jawline and Lateral (Zygomatic) Cheek Area Injections.714± .629
Number of Participants With Abnormal Confrontational Visual Fields Exam Findings Secondary · From initial treatment visit until12 weeks post last injection

-Ophthalmologic exams that include Confrontational Visual Fields Exam will be performed prior to any treatment, 30 minutes after treatment, and at all follow up in-person visits.

GroupValue95% CI
Jawline Injections0
Both Jawline and Lateral (Zygomatic) Cheek Area Injections0
Number of Participants With Abnormal Eye Exam Findings Secondary · From initial treatment visit until12 weeks post last injection

-Ophthalmologic exams that include Snellen Eye Exam will be performed prior to any treatment, 30 minutes after treatment, and at all follow up in-person visits. The Snellen Eye Exam measures visual acuity, by reading a Snellen chart from 20 feet away. The farther down the chart the patient can read, the better their visual acuity is.

GroupValue95% CI
Jawline Injections0
Both Jawline and Lateral (Zygomatic) Cheek Area Injections0
Number of Participants With Abnormal Ocular Motility Exam Findings Secondary · From initial treatment visit until 12 weeks post final injection

-Ophthalmologic exams that include Ocular Motility Exam will be performed prior to any treatment, 30 minutes after treatment, and at all follow up in-person visits. Ocular motility examination is a binocular exam without the patient's glasses. Each eye of the subject is assessed for abnormalities in six positions of gaze: elevation upper lateral, elevation upper medial, elevation central, depression inferior lateral, depression inferior medial, and depression central.

GroupValue95% CI
Jawline Injections0
Both Jawline and Lateral (Zygomatic) Cheek Area Injections0
Number of Participants With Abnormal Cranial Nerves II, III, IV and VII Assessments Findings Secondary · From initial treatment visit until 12 weeks post last injection

To further assess vision and oculomotor function, cranial nerves II, III, IV, and VII will be assessed (left and right sides separately). To assess lower face function, cranial nerves V, VII, IX, X and XII will be assessed. Individual tests will be rated (normal, abnormal that is not clinically significant, and abnormal that is clinically significant) assessing the function of the cranial nerves. These exams will be performed prior to any treatment, 30 minutes after treatment, and at all follow up visits.

GroupValue95% CI
Jawline Injections1
Both Jawline and Lateral (Zygomatic) Cheek Area Injections0
Number of Participants With Adverse Events Secondary · From initial treatment visit until 12 months after last injection treatment

Adverse events will be recorded until 12 months after last treatment. All study visits will assess Adverse Events: Treatment visits, 72 hr post Treatments, Week 2, Week 4, Week 8, Week 12/16, 6 Month and 12 Month follow-up visits.

Mild Bruising
GroupValue95% CI
Jawline Injections2
Both Jawline and Lateral (Zygomatic) Cheek Area Injections6
Mild Discomfort With Chewing
GroupValue95% CI
Jawline Injections6
Both Jawline and Lateral (Zygomatic) Cheek Area Injections3
Mild Jaw Ache
GroupValue95% CI
Jawline Injections4
Both Jawline and Lateral (Zygomatic) Cheek Area Injections5
Moderate Jaw Ache
GroupValue95% CI
Jawline Injections1
Both Jawline and Lateral (Zygomatic) Cheek Area Injections0
Moderate Discomfort With Chewing
GroupValue95% CI
Jawline Injections1
Both Jawline and Lateral (Zygomatic) Cheek Area Injections0
Swelling
GroupValue95% CI
Jawline Injections0
Both Jawline and Lateral (Zygomatic) Cheek Area Injections2
Lumps/Bumps
GroupValue95% CI
Jawline Injections1
Both Jawline and Lateral (Zygomatic) Cheek Area Injections2
Redness
GroupValue95% CI
Jawline Injections0
Both Jawline and Lateral (Zygomatic) Cheek Area Injections1
Blinded Physician Jawline Rating Scale (JRS) Assessment on Scale of 0 to 4 for Group 1 (Jawline Injections) Versus Group 2 (Jawline and Lateral Zygomatic Cheek Area Injections) at 4 Weeks After Last Injection. Secondary · From Baseline to 4 weeks after last injection

One of the secondary outcomes is a statistically significant difference of the Jawline Rating Scale (JRS) Assessment (on a scale of 0 to 4) when comparing group 1 (Jawline Injections) and group 2 (Jawline and Lateral Zygomatic Cheek Area Injections) 4 weeks from the last injection (whether initial or touch-up) based on one blinded dermatologist rating. (A lower number will mean a better outcome). Photos will be taken at Baseline and 4 weeks after last injection treatment

GroupValue95% CI
Jawline Injections1.857± .8644
Both Jawline and Lateral (Zygomatic) Cheek Area Injections1.857± .8644
Unblinded Physician Jawline Rating Scale (JRS) Assessment on Scale of 0 to 4 for Group 1 (Jawline Injections) Versus Group 2 (Jawline and Lateral Zygomatic Cheek Area Injections) at 4 Weeks After Last Injection. Secondary · From Baseline until 4 weeks after last injection

One of the secondary outcomes is a statistically significant difference of the Jawline Rating Scale (JRS) Assessment (on a scale of 0 to 4) when comparing group 1 (Jawline Injections) and group 2 (Jawline and Lateral Zygomatic Cheek Area Injections) 4 weeks from the last injection (whether initial or touch-up) based on one unblinded dermatologist rating. (A lower number will mean a better outcome)

GroupValue95% CI
Jawline Injections1.357± .497
Both Jawline and Lateral (Zygomatic) Cheek Area Injections1.643± .497
Subject Jawline Rating Scale (JRS) Assessment on Scale of 0 to 4 for Group 1 (Jawline Injections) Versus Group 2 (Jawline and Lateral Zygomatic Cheek Area Injections) at 4 Weeks After Last Injection. Secondary · From Baseline until 4 weeks after last injection

One of the secondary outcomes is a statistically significant difference of the Jawline Rating Scale (JRS) Assessment (on a scale of 0 to 4) when comparing group 1 (Jawline Injections) and group 2 (Jawline and Lateral Zygomatic Cheek Area Injections) 4 weeks from the last injection (whether initial or touch-up) based on subjects' ratings. (A lower number will mean a better outcome)

GroupValue95% CI
Jawline Injections1.714± .611
Both Jawline and Lateral (Zygomatic) Cheek Area Injections1.714± .726

Adverse events — posted to ClinicalTrials.gov

Time frame: 12 months after last treatment. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Jawline Injections
Serious: 0/7 (0%)
Deaths: 0/7
Both Jawline and Lateral (Zygomatic) Cheek Area Injections
Serious: 0/7 (0%)
Deaths: 0/7
Other adverse events (17 terms — click to expand)

ReactionSystemJawline InjectionsBoth Jawline and Lateral (…
Mild bruisingSkin and subcutaneous tissue disorders
mild discomfort with chewingSkin and subcutaneous tissue disorders
Mild jaw acheSkin and subcutaneous tissue disorders
FirmnessSkin and subcutaneous tissue disorders
Cheek painSkin and subcutaneous tissue disorders
SwellingSkin and subcutaneous tissue disorders
Lumps/bumps mass or noduleSkin and subcutaneous tissue disorders
Basal Cell CarcinomaSkin and subcutaneous tissue disorders
Moderate jaw acheSkin and subcutaneous tissue disorders
Moderate discomfort with chewingSkin and subcutaneous tissue disorders
RednessSkin and subcutaneous tissue disorders
HeadacheNervous system disorders
Ear acheEar and labyrinth disorders
Inability to fully extend jawSkin and subcutaneous tissue disorders
Bilateral eyelid droopSkin and subcutaneous tissue disorders
Moderate bruisingSkin and subcutaneous tissue disorders
arm or leg numbnessSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT04389866 adverse events section.

Sponsor's own description

This is a prospective clinical study to demonstrate a reduction in jowling and laxity of the jawline that can be achieved following facial volume enhancement using JUVÉDERM VOLUMA™ XC (0.3% w/w lidocaine). The secondary measure will be if this can be achieved with Jawline injection only, or if a superior result can be obtained with both cheek and jowl injection.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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