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一种创新的基于聚左旋乳酸的可注射胶原蛋白刺激剂(Lanluma®)的安全性和有效性结果——上市后研究9个月时的临床结果

Safety and effectiveness results of an innovative injectable poly-L-lactic acid-based collagen stimulator (Lanluma®)-Clinical outcomes at 9 months in a post-market study.

作者信息

Amselem Moises, Fatsea Dolly, Forte Riccardo, Hasenöhrl Carlo, Haus Ariel, Saalabian Ali

机构信息

Private practice, Madrid, Spain.

Private practice, Athens, Greece.

出版信息

J Cosmet Dermatol. 2024 Dec;23(12):3893-3902. doi: 10.1111/jocd.16527. Epub 2024 Sep 4.

DOI:10.1111/jocd.16527
PMID:39228358
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11626332/
Abstract

BACKGROUND

Injectable fillers for soft tissue augmentation stand out as one of the most favored procedures in the field of aesthetic medicine, especially in addressing the clinical signs of skin aging. Among soft tissue fillers, non-permanent fillers have been safely used in numerous medical applications for several decades.

AIMS

The aim of this post-market observational, open-label, uncontrolled, multicentered, prospective study (PMS) was to evaluate the effects of an injectable poly-L-lactic acid-based collagen stimulator (Lanluma®, the study product).

PARTICIPANTS/METHODS: This analysis is based on the clinical outcomes data (safety and effectiveness) collected from investigators and participants between the first injection (T0, September 2022) and 9 months thereafter (T3, June 2023) in the treatment of five body-contouring areas.

RESULTS

Overall, 70 participants had 99 treatment sessions of the neck (31%), upper arm (20%), hand (17%), thigh (16%) and décolleté (15%). Lumps (neck, upper arm, hand) and nodules (neck, hand, thigh) were the most frequent adverse events (AEs) reported by investigators. All were treatment related. None were serious, severe or fatal. No AEs were reported following treatment of the décolleté. Both investigators and participants reported high levels of satisfaction during the nine-month follow-up period with the treatments in five body areas.

CONCLUSIONS

These positive clinical outcomes can be attributed to a proper implementation of best practices and recommendations, and the rheological properties of the study product. This 9-month follow-up analysis should be reconsidered in light of the study's objectives for the final analysis at the 25-month follow-up.

摘要

背景

用于软组织填充的可注射填充剂是美容医学领域最受欢迎的手术之一,尤其适用于解决皮肤衰老的临床症状。在软组织填充剂中,非永久性填充剂已在众多医疗应用中安全使用了数十年。

目的

这项上市后观察性、开放标签、非对照、多中心前瞻性研究(PMS)的目的是评估一种基于聚-L-乳酸的可注射胶原蛋白刺激剂(Lanluma®,研究产品)的效果。

参与者/方法:本分析基于从2022年9月首次注射(T0)至此后9个月(2023年6月,T3)期间,研究者和参与者在五个身体塑形部位治疗中收集的临床结果数据(安全性和有效性)。

结果

总体而言,70名参与者在颈部(31%)、上臂(20%)、手部(17%)、大腿(16%)和胸部(15%)进行了99次治疗。研究者报告的最常见不良事件(AE)是肿块(颈部、上臂、手部)和结节(颈部、手部、大腿)。所有这些都与治疗相关。没有严重、重度或致命的不良事件。胸部治疗后未报告不良事件。研究者和参与者均报告在九个月的随访期内,对五个身体部位的治疗满意度很高。

结论

这些积极的临床结果可归因于最佳实践和建议的正确实施以及研究产品的流变学特性。鉴于该研究在25个月随访时进行最终分析的目标,应重新考虑这一为期9个月的随访分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffb/11626332/46cfd0c0aea0/JOCD-23--g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffb/11626332/d78a7476fc41/JOCD-23--g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffb/11626332/9d7c7db541a6/JOCD-23--g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffb/11626332/46cfd0c0aea0/JOCD-23--g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffb/11626332/d78a7476fc41/JOCD-23--g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffb/11626332/9d7c7db541a6/JOCD-23--g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffb/11626332/46cfd0c0aea0/JOCD-23--g001.jpg

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Clin Cosmet Investig Dermatol. 2022 Jun 21;15:997-1019. doi: 10.2147/CCID.S359813. eCollection 2022.
2
Biochemistry, Physiology, and Tissue Interactions of Contemporary Biodegradable Injectable Dermal Fillers.当代可生物降解注射用真皮填充剂的生物化学、生理学及组织相互作用
Dermatol Surg. 2018 Nov;44 Suppl 1:S19-S31. doi: 10.1097/DSS.0000000000001582.
3
Treatment of Soft Tissue Filler Complications: Expert Consensus Recommendations.
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Aesthetic Plast Surg. 2018 Apr;42(2):498-510. doi: 10.1007/s00266-017-1063-0. Epub 2018 Jan 5.
4
Dermal fillers: pathophysiology, prevention and treatment of complications.真皮填充剂:病理生理学、并发症的预防与治疗
J Eur Acad Dermatol Venereol. 2017 Mar;31(3):405-413. doi: 10.1111/jdv.13977. Epub 2016 Oct 28.
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European expert recommendations on the use of injectable poly-L-lactic acid for facial rejuvenation.欧洲关于使用注射用聚左旋乳酸进行面部年轻化的专家建议。
J Drugs Dermatol. 2014 Sep;13(9):1057-66.
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