A study to assess the safety and efficacy of poly-L-lactic acid dermal filler in the enhancement of buttocks and treatment of cellulite

ISRCTN ISRCTN14093985
DOI https://doi.org/10.1186/ISRCTN14093985
Secondary identifying numbers CS-21-05
Submission date
12/03/2025
Registration date
12/03/2025
Last edited
12/03/2025
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Skin and Connective Tissue Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
The purpose of the clinical investigation is to assess the safety and effectiveness of poly-L-lactic acid dermal fillers in buttock augmentation and the treatment of buttock/thigh cellulite. Poly-L-lactic acid dermal fillers are designed to restore skin volume and improve skin texture and are used to reshape contours and reduce flaccidity.

Who can participate?
Men and women aged between 25 and 50 years old

What does the study involve?
Participants receive poly-L-lactic acid injections. The study consists of a screening visit which can take place up to 14 days before treatment on Day 0 or alternatively, the screening visit and baseline treatment can both take place on day 0. Treatment will also be performed at the month 2 visit and an optional third treatment at month 4. There will be six visits to assess effectiveness and safety at months 2, 4, 6, 12, 18, and 25. A safety check of participant diaries is performed in week 2.

What are the possible benefits and risks of participating?
There are risks related to the administration procedure per se (irrespective of the filler), including but not limited to bruising, swelling, redness, and infection. On rare occasions participants may experience hypersensitivity to Lanluma X. The study will help to accumulate data on the long-term safety and effectiveness of Lanluma X.

Where is the study run from?
1. Dr. Kai O. Kaye (Spain)
2. Dr. Pilar de Frutos (Spain)

When is the study starting and how long is it expected to run for?
October 2021 to November 2025

Who is funding the study?
Sinclair Ltd (UK)

Who is the main contact?
Dr Stuart Boothman, sboothman@sinclair.com

Contact information

Dr Stuart Boothman
Scientific

Sinclair Pharmaceuticals Ltd
Eden House
Lakeside
Chester Business Park
Chester
CH4 9QT
United Kingdom

Phone +44 (0)1244 625127
Email sboothman@sinclair.com
Dr Kai Kaye
Principal Investigator

Av. Ramón y Cajal 7
Marbella
29601
Spain

Phone +34 (0)951775518
Email dr.kaye@oceanclinic.net
Dr Salvinia Mletzko
Public

RQM+ (Germany) GmbH
von-Geismar-Strasse 2
Ahlen
59229
Germany

Phone +49 (0)1702062568
Email smletzko@rqmplus.com

Study information

Study designMulticentre prospective open-label (non-randomized) interventional post-market clinical follow-up (PMCF) study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Other therapist office
Study typeTreatment
Participant information sheet Not available in web format
Scientific titleA post-market follow-up study to assess the safety and efficacy of Lanluma X in the enhancement of buttocks and treatment of cellulite
Study objectivesThe primary hypothesis is that the efficacy of Lanluma X will be evident at 6 months post-treatment, while the secondary hypothesis is that Lanluma X will be efficacious and safe over the entire study period.
Ethics approval(s)

Approved 15/12/2022, Consejería De Salud Y Consumo (Avenida De La Innovación, Edificio Arena 1, Sevilla, 41020, Spain; +34 (0)955 00 63 00; consejera.csc@juntadeandalucia.es), ref: 202599900769088

Health condition(s) or problem(s) studiedEnhancement of the volume of the buttocks and correction of skin depressions such as cellulite
InterventionPoly-L-lactic acid dermal filler (Lanluma X) is a CE-marked medical device and is injected at baseline and 2 months (following assessment of efficacy and safety). There is an optional retreatment of Lanluma X at 4 months. There are seven follow-up visits to assess efficacy and safety: at week 2 (only safety), month 2 (prior to the second treatment), month 4 (prior to optional third treatment), months 6, 12, 18, and 25. At these visits, the effect of the treatment will be assessed and documented using live GAIS evaluations, and standardised photography. Satisfaction questionnaires for subjects and study physicians are an integral part of this aesthetic study.
Intervention typeDevice
Pharmaceutical study type(s)Not Applicable
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Poly-L-lactic acid
Primary outcome measureThe proportion of participants (%) with an improvement (i.e., improved, much improved or very much improved) over baseline at 6 months in Global Aesthetic Improvement Scale (GAIS) assessments of buttocks augmentation and/or cellulite appearance in buttocks/thighs, as assessed by an on-site independent evaluator
Secondary outcome measures1. The proportion of participants (%) with an improvement (i.e., improved, much improved or very much improved) over baseline at 6 months in Global Aesthetic Improvement Scale (GAIS) assessments of buttocks augmentation and/or cellulite appearance in buttocks/thighs at 2, 4, 12, 18 and 25 months, as assessed by an on-site independent evaluator and self-assessed by participants
2. The proportion of participants (%) exhibiting a reduction of ≥1 point from baseline in Clinician Reported Photonumeric Cellulite Severity Scale (CR-PCSS) for cellulite appearance in buttocks and/or thighs at 2, 4, 6, 12, 18 and 25 months as assessed by a blinded remote independent evaluator
3. Participant and Investigator treatment satisfaction based on questionnaires completed by the participants (at 2, 4, 6, 12, 18 and 25 months post-treatment) and the investigators (after treatment)
Overall study start date01/10/2021
Completion date15/11/2025

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit25 Years
Upper age limit50 Years
SexBoth
Target number of participants72
Total final enrolment73
Key inclusion criteria1. Subjects who:
1.1 Are seeking buttock augmentation
And/or
1.2. Are seeking treatment for reduction of mild to moderate (2-3) cellulite in the region of the buttocks and/or the back of the thighs when assessed using the Clinician Reported Photonumeric Cellulite Severity Scale (CR-PCSS)
2. Female and male subjects aged 25-50 years of age
3. Body mass index ≤30 kg/m²
4. Subjects who are willing to provide written informed consent including approval of the use of their data and photographs in this study and any subsequent publications or presentations
5. Subjects willing to commit to having no further aesthetic treatments in the buttocks and thighs, such as body contouring procedures, for the duration of the study period
6. Subjects willing to commit to having no further tattoos on the buttocks and thighs for the duration of the study period
7. Females of childbearing potential should use a medically accepted contraceptive regimen since at least 12 weeks prior to study entry and during the entire study
Key exclusion criteria1. Subjects meeting any of the following criteria will be excluded from the study: subjects who, in the months prior to their enrollment assessment, have undergone any of the following treatments in the buttocks and thighs:
3 months prior:
- Mesotherapy
- Resurfacing (e.g., laser, radio frequency, dermabrasion, or chemical peel)
6 months prior:
- Temporary filler (e.g., Ha, CaHA, PCL)
- Neuromodulator injections
12 months prior:
- Cosmetic plastic surgery in the area to be treated
- Tissue grafting (e.g., fat injections)
- Tissue lifting implants (e.g., threads, barbs) or other implants
- Augmentation with semi-permanent filler (e.g., PLLA)
2. Previous augmentation with any permanent filler in the region of the buttocks or thighs
3. Subjects who have received any other aesthetic procedures in the region of the buttocks or thighs at any time during the study period
4. Subject who had been deprived of their freedom by administrative or legal decision or who is under guardianship
5. Subject is an employee of the aesthetic surgery department on the investigational site, the Contract Research Organisation (CRO) or study sponsor
6. Subjects who in the opinion of the investigator are unsuitable to take part in the study for scientific or medical reasons
7. Subjects currently enrolled in other clinical trials
8. Excessive subcutaneous fat in the region of the buttocks and thighs
9. Excessive skin laxity in the region of the buttocks and thighs
10. Subjects who, if female, are pregnant or plan to become pregnant during the study period
11. Subjects with known allergies to the product ingredients (i.e. Poly-L-lactic Acid (PLLA), sodium carboxymethyl cellulose (CMC), Mannitol)
12. Subjects must avoid receiving a Coronavirus Disease (COVID) -19 vaccination for the 14 days before and following the injection.
13. Subjects with a cutaneous disorder, inflammation, infection, significant scarring, open wounds, lesions or tattoos in the region of the buttocks and thighs
14. Subjects taking thrombolytics or anticoagulants
15. Subjects with bleeding disorders
16. Subjects with a history of severe allergy or anaphylactic shock
17. Subjects with active (or a history of) autoimmune disease
18. Subjects with porphyria
19. Subjects with a tendency to form keloids, hypertrophic scars or any other healing disorders
Date of first enrolment13/01/2023
Date of final enrolment08/05/2023

Locations

Countries of recruitment

  • Spain

Study participating centres

Dr. Kai O. Kaye
Av. Ramón y Cajal 7
Marbella
29601
Spain
Dr. Pilar de Frutos
Paseo del Gral. Martínez Campos, 53
Madrid
28010
Spain

Sponsor information

Sinclair Pharmaceuticals Ltd
Industry

Eden House Lakeside
Chester Business Park
Chester
CH4 9QT
England
United Kingdom

Phone +44 (0)1244 625127
Email sboothman@sinclair.com
Website https://sinclair.com/

Funders

Funder type

Industry

Sinclair Ltd

No information available

Results and Publications

Intention to publish date15/01/2027
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThere are no plans to make available the raw data to the scientific community.

Editorial Notes

12/03/2025: Study's existence confirmed by Comité de Ética de la Investigación Provincial de Málaga.