Evidence map›Paper›PMID 30829779›Full record

Trial reportDermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]2019

Collagenase Clostridium Histolyticum for the Treatment of Edematous Fibrosclerotic Panniculopathy (Cellulite): A Randomized Trial.

Neil S Sadick, Mitchel P Goldman, Genzhou Liu, Neil H Shusterman, Michael P McLane, David Hurley, V Leroy Young

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Cellulite: Current Understanding and Treatment.Aesthetic surgery journal. Open forum · 2023
    Review
  8. Article
  9. Article
  10. CollagenaseAesthetic surgery journal. Open forum · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Development and Validation Clinician and Patient Reported Photonumeric Scales to Assess Buttocks Cellulite Severity.Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2020
    Article
  16. Insights Into the Pathophysiology of Cellulite: A Review.Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Neil S SadickDepartment of Dermatology, Weill Cornell Medical College, Cornell University, New York, New York.
Mitchel P GoldmanCosmetic Laser Dermatology, San Diego, California.
Genzhou LiuBiostatistics, Endo Pharmaceuticals Inc., Malvern, Pennsylvania.
Neil H ShustermanResearch and Development, Endo Pharmaceuticals Inc., Malvern, Pennsylvania.
Michael P McLaneClinical Development, Endo Pharmaceuticals Inc., Malvern, Pennsylvania.
David HurleyMedical Affairs, Endo Pharmaceuticals Inc., Malvern, Pennsylvania.
V Leroy YoungMercy Research, Washington, Missouri.
Endo Pharmaceuticals (United States) · USCornell University · USCosmetic Laser Dermatology · USMercy Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEdematous fibrosclerotic panniculopathy (EFP; cellulite) is associated with thickening and contraction of collagen-rich subdermal septae. Collagenase clostridium histolyticum (CCH) may disrupt collagen-rich septae.

objectiveTo evaluate the safety and efficacy of CCH for treatment of EFP. MATERIALS AND

methodsIn a randomized, double-blind study, women with moderate or severe EFP of the buttocks or posterolateral thighs (i.e., Clinician Reported Photonumeric Cellulite Severity Scale [CR-PCSS] and Patient Reported Photonumeric Cellulite Severity Scale [PR-PCSS] ratings of 3 to 4, and Hexsel Cellulite Severity Scale score ≤13) received up to 3 treatment sessions (Days 1, 22, and 43) of subcutaneous CCH 0.84 mg or placebo injections. End points included the percentage of 2-level and 1-level composite responders (i.e., had ≥2-level or ≥1-level improvement in CR-PCSS and PR-PCSS) at Day 71.

resultsThree hundred seventy-five women (mean age, 46.5 years; 86.4% white) were randomly assigned to CCH (n = 189) or placebo (n = 186). At Day 71, the percentages of 2-level and 1-level composite responders were greater with CCH (10.6% and 44.6%, respectively) versus placebo (1.6% and 17.9%; p < .001 for both). The most common adverse events were injection-site related.

conclusionCCH significantly improved EFP appearance versus placebo; further evaluation of CCH for EFP (cellulite) is warranted.

Indexed as

ButtocksCelluliteDouble-Blind MethodEdemaFemaleHumansInjections, IntralesionalMicrobial CollagenaseMiddle AgedSeverity of Illness IndexThighMicrobial Collagenase

Identifiers

PMID30829779
PMCPMC6693937
OpenAlexW2944226302

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.