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NCT Number: NCT06993558

Analysis of Safety and Tissue Interaction of Injectable Biosmulators

The goal of this clinical trial is to analyse tissue changes in the pre-auricular region after injectable (Poly-L-Lactic-Acid/Calcium-Hydroxylapatit) biostimulatory interventions in healthy volunteers. The main questions it aims to answer are:

How is the Safety Profile of injectable Biostimulatory Treatments? How are the Tissue Interactions after injectable Biostiomulatory Treatments?

Participants will:

* Recieve one of 2 possible biostumulatory treatments (PLLA/CAHA/ * Attend 4 follow-up appointments after treatment for checkups, surveillance and examinations.

Recruiting

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Key information

Age range

30 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

About this study

Regular outclinic patients undergoing biostimulatory treatments will be invited to participate in this study involving photographic evaluations and ultrasound imaging. Following detailed oral and written explanations, patients will provide informed consent.

Participants will be assigned to one of 2 treatment groups:

  • PLLA (Sculptra®, Sinclair Pharmaceuticals)
  • CaHA (Radiesse®, Merz Pharma)

Treatment Protocols:

  • PLLA: 1-3 sessions at intervals of 4-6 weeks
  • CaHA: Single session

These interventions will follow routine clinical protocols, with more frequent follow-ups involving photography and ultrasound imaging as part of the study.

Follow-Up Assessments

Patients will undergo follow-up evaluations at 3 defined time points after treatment:

  • 6 weeks
  • 6 months
  • 12 months

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

-Inclusion Criteria:

Men and women aged 30 years and older

Good general health, no relevant pre-existing conditions

Patients planning to undergo PLLA or CAHA treatment as part of routine care due to skin laxity or volume loss

Cognitive ability and willingness to provide informed consent

Willingness and ability to attend follow-up visits

-Exclusion Criteria:

Age under 30 years

Pregnant or breastfeeding individuals

Significant open wounds or lesions in the treatment area

Metallic implants in the treatment area

Psychiatric disorders (psychosis, body dysmorphic disorders)

Missing informed consent and/or data privacy declarations

Treatment and study plan

Poly-L-Lactic Acid (Sculptra) injection

Procedure

1 to 2 sessions at intervals of 4 to 6 weeks are planned with PLLA (Sculptra®, Galderma Laboratories). PLLA will be injected into the face or neck region using a blunt cannula. For reconstitution, 7 ml of saline solution and 1 ml of 1 % lidocaine will be used. 5 minutes of massaging for 5 times a day are recommended.

Calcium Hydroxyapatite

Procedure

For CaHA treatment (Radiesse®, Merz Pharma; HarmonyCa®, Allergan), 1 session is planned. The face (cheeks, jawline) or neck will be augmented using a blunt cannula, either diluted (Radiesse® 1:0.2 - 1:2) or undiluted (HarmonyCA®) depending on the product and the region being treated.

Primary outcomes

  1. Inflammatory Reaction

    Time frame: From enrollment to the end of treatment at 6-8 week

    The effectiveness of biostimulatory treatments relies on inducing a localized inflammatory response. Ultrasound can be used to assess vascular dynamics and edema, serving as objective markers of inflammation.

  2. Analysis of Injected Biostimulator-Deposits

    Time frame: From enrollment to the end of treatment at 6 -8 week

    Injected deposits: In the CaHa and PLLA treatment groups, deposits will be visualized via sonographic imaging, a 3-distance Volume measurement will be performed

  3. Tissue Interaction

    Time frame: From enrollment to the end of treatment at 6-8 weeks

    Characterized through ultrasound, focusing on the visualization of the epidermis, dermis, superficial fat layer, fibrous layer (fascia/superficial musculoaponeurotic system), deep fat layer, and periosteum.

  4. Adverse Events

    Time frame: From enrollment to the end of treatment at 6-8 week

    If AEs occur, they will be documented with photos and ultrasound, with appropriate treatment provided.

Secondary outcomes

  1. Clinical Outcome

    Time frame: From enrollment to the end of treatment at 6-8 week

    Assessed using the Physician and Subject Global Aesthetic Improvement Scale (PGAIS, SGAIS) based on standardized 3D photo documentation.

  2. Patient Satisfaction

    Time frame: From enrollment to the end of treatment at 6-8 week

    Measured using a five-point Likert scale.

Study contacts

Contact information is provided by the study sponsor or research team.

Katarina Herberger, MD. PHD.

CONTACT

[email protected]

+49 40 7410 - 54289

Lynhda Nguyen, M.D.

CONTACT

[email protected]

+49 40 7410 - 54289

Sponsors and collaborators

Lead sponsor

Universitätsklinikum Hamburg-Eppendorf

Other

Registry information

Official study title

Analysis of Safety and Tissue Interaction of Injectable Biosmulators.

Acronym: Biostimulation

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
May 29, 2025
Registry last updated
Jul 15, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.