A Randomized, Double-Blind, Placebo-Controlled, Multicentered Study to Evaluate the Efficacy and Safety of MEI005 in Reducing Submental Fat in Chinese Adults.

IF 3 2区 医学 Q1 SURGERY
Wenyun Ting, Junxian Wen, Zhijin Li, Jiaming Sun, Jiaping Zhang, Maoguo Shu, Hongwei Liu, Li He, Bo Yu, Nan Jiang, Chunyu Xue, Qian Tan, Xuewen Xu, Sufan Wu, Dan Jian, Hongyi Zhao, Lei Wang, Nanze Yu, Xiaojun Wang
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引用次数: 0

Abstract

Background: Submental fat (SMF) is a common aesthetic concern traditionally treated with liposuction. Nonsurgical alternatives, like injectable deoxycholic acid, are gaining popularity. However, no related products have been clinically approved in China.

Objectives: This study evaluated the efficacy and safety of MEI005, a deoxycholic acid-based injectable formulation, in reducing SMF in Chinese adults.

Methods: This multicenter, randomized, double-blind, placebo-controlled Phase III trial included 325 Chinese adults with moderate-to-severe SMF. Participants received MEI005 or a placebo injection every 28 days for up to 6 sessions. Primary endpoints were ≥2-grade improvements in Clinician and Patient-Reported Submental Fat Rating Scales (CR-SMFRS and PR-SMFRS). Secondary endpoints included SMF volume reductions measured by MRI; patient-reported outcomes on the Patient-Reported Submental Fat Impact Scale (PR-SMFIS) and Subject Self-Rating Scale (SSRS); and SMF thickness reductions measured by caliper. Adverse events (AEs), self-reports, clinical examinations, and checks for skin laxity were monitored.

Results: At 12 weeks posttreatment, 18.9% of MEI005 recipients demonstrated simultaneously ≥2-grade CR-SMFRS and PR-SMFRS improvement vs 1.8% for placebo (P < .001). Additionally, 68.9% of MEI005 group participants achieved simultaneously ≥1-grade improvement in CR-SMFRS and PR-SMFRS, compared with 21.6% of placebo (P < .001). MRI revealed ≥10% SMF volume reduction in 50% of MEI005 patients vs 15.2% of placebo (P < .001). Scores on the PR-SMFIS and SSRSs showed greater psychological improvement and satisfaction among MEI005 recipients. Vernier caliper measurements showed a 21.42% thickness reduction vs 6.32% (P < .001). AEs were mostly mild to moderate.

Conclusions: MEI005 effectively reduces SMF, offering a safe, minimally invasive option for Chinese adults.

Level of evidence: 2:

一项随机、双盲、安慰剂对照、多中心研究评估MEI005降低中国成人精神下脂肪的有效性和安全性。
背景:颏下脂肪(SMF)是一种常见的审美问题,传统上采用吸脂治疗。像注射脱氧胆酸这样的非手术替代品正越来越受欢迎。然而,尚无相关产品在中国获得临床批准。目的:本研究评估了MEI005(一种以脱氧胆酸为基础的注射制剂)降低中国成人SMF的有效性和安全性。方法:这项多中心、随机、双盲、安慰剂对照的III期试验纳入了325名患有中度至重度精神分裂症的中国成年人。参与者每28天接受一次MEI005或安慰剂注射,共6次。主要终点是临床医生和患者报告的精神下脂肪评定量表(CR-SMFRS)改善≥2级;PR-SMFRS)。次要终点包括MRI测量的SMF体积减少;患者报告的心理脂肪影响量表(PR-SMFIS)和受试者满意度评定量表(SSRS)的结果;用卡尺测量SMF厚度减小量。监测不良事件、自我报告、临床检查和皮肤松弛检查。结果:在治疗后12周,18.9%的MEI005患者同时表现出≥2级的CR-SMFRS和PR-SMFRS改善,而安慰剂组为1.8%(结论:MEI005有效降低SMF,为中国成年人提供了一种安全、微创的选择)。
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来源期刊
CiteScore
6.20
自引率
20.70%
发文量
309
审稿时长
6-12 weeks
期刊介绍: Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.
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