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比较含利多卡因的新型透明质酸(HA)填充剂与现有HA填充剂治疗鼻唇沟皱纹的疗效和安全性的非劣效性研究:一项随机、双盲、半脸试验。

Noninferiority Study Comparing the Efficacy and Safety of a New Hyaluronic Acid (HA) Filler Containing Lidocaine With an Existing HA Filler for the Treatment of Nasolabial Fold Wrinkles: A Randomized, Double-Blind, Split-Face Trial.

作者信息

Cho Ji Young, Kim Seung Hyeon, Cho Hyesoo, Park Yoonjae, Yang Hee Joo, An Jee Soo, Won Chong Hyun, Lee Jong Hun

机构信息

Department of Dermatology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Department of Plastic and Reconstructive Surgery, Nowon Eulji Medical Center, School of Medicine, Eulji University, Seoul, Korea.

出版信息

J Cosmet Dermatol. 2025 Jul;24(7):e70309. doi: 10.1111/jocd.70309.

Abstract

BACKGROUND

The aesthetic use of hyaluronic acid (HA) has led to the development of various commercial HA fillers. Crosslinked HA dermal fillers are commonly used to treat facial wrinkles. This study demonstrated the non-inferiority of the newly developed hyaluronic acid filler by comparing its efficacy and safety to that of the existing hyaluronic acid filler.

METHODS

This 48-week study was designed as a randomized, double-blind, split-face trial. Subjects who met the inclusion and exclusion criteria had a total of four follow-up visits after receiving a dermal filler in the nasolabial folds. Efficacy was assessed using the Wrinkle Severity Rating Score (WSRS) and the Global Aesthetic Improvement Scale (GAIS). Safety was determined through the evaluation of laboratory tests, monitoring adverse events, and verifying vital signs.

RESULTS

WSRS measured at week 24 of the follow-up visit showed no statistically significant difference, with scores of 2.02 ± 0.71 in the new filler group and 2.27 ± 0.68 in the existing filler group. Even at the 48-week follow-up visit, the improvement rate in the Wrinkle Severity Rating Scale (WSRS) of more than 1 point did not show a statistically significant difference between the new filler group and the existing filler group. The GAIS scores at each follow-up visit showed no statistically significant differences between the two groups. The most frequently reported symptoms related to the test device during the 48-week trial were pain and swelling. However, these symptoms were not statistically significant when compared to the control group from a treatment perspective.

CONCLUSIONS

In a 48-week clinical trial aimed at treating nasolabial fold (NLF) wrinkles, the new hyaluronic acid (HA) filler demonstrated efficacy and safety comparable to that of existing control filler. As a result, the new HA filler is both an effective and safe option for improving NLF wrinkles.

TRIAL REGISTRATION

This study was registered with ClinicalTrials.gov under the registration number NCT06310863.

摘要

背景

透明质酸(HA)的美容用途促使了各种商用HA填充剂的研发。交联HA真皮填充剂常用于治疗面部皱纹。本研究通过比较新开发的透明质酸填充剂与现有透明质酸填充剂的疗效和安全性,证明了其非劣效性。

方法

这项为期48周的研究设计为随机、双盲、半脸试验。符合纳入和排除标准的受试者在鼻唇沟接受真皮填充剂后共进行了4次随访。使用皱纹严重程度评分(WSRS)和整体美学改善量表(GAIS)评估疗效。通过实验室检查评估、监测不良事件和核实生命体征来确定安全性。

结果

随访第24周时测量的WSRS显示无统计学显著差异,新填充剂组得分为2.02±0.71,现有填充剂组为2.27±0.68。即使在48周随访时,新填充剂组和现有填充剂组之间皱纹严重程度评分量表(WSRS)提高超过1分的改善率也未显示出统计学显著差异。每次随访时的GAIS评分在两组之间均无统计学显著差异。在48周试验期间,与测试装置相关的最常报告症状为疼痛和肿胀。然而,从治疗角度与对照组相比,这些症状无统计学显著差异。

结论

在一项旨在治疗鼻唇沟(NLF)皱纹的48周临床试验中,新型透明质酸(HA)填充剂显示出与现有对照填充剂相当的疗效和安全性。因此,新型HA填充剂是改善NLF皱纹的有效且安全的选择。

试验注册

本研究已在ClinicalTrials.gov注册,注册号为NCT06310863。

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