| Eligibility |
Inclusion Criteria:
1. Is a male or female subject between the ages of 18 and 65 years, inclusive.
2. Has body mass index (BMI) between >22 kg/m2 and <40 kg/m2.
3. Has SMF bulge that is contiguous and fits to 32±4 injections sites according to a grid
with 1 centimeter (cm) distance between injection points.
4. Has grade 3 to 4 of SMF as rated by both the C-CAT and S-CAT.
5. Has stable weight, with no fluctuation of >5 kg in the past 12 months.
6. If female, is not pregnant or breastfeeding based on the following:
1. agree to the use of highly effective contraceptive methods for at least 2 weeks
before baseline until 4 weeks after the last day of study drug and a negative
serum pregnancy test (ß-hCG) at screening and negative urine pregnancy test at
baseline; or
2. is of nonchildbearing potential defined as clinically infertile as the result of
surgical sterilization (hysterectomy, bilateral tubal ligation, and/or bilateral
oophorectomy); or
3. is confirmed postmenopausal status (defined as either having amenorrhea for = 12
consecutive months without another cause and documented serum
follicle-stimulating hormone (FSH) level > 40 mIU/mL or another documented
medical condition (e.g., was born without a uterus)) NOTE: The following are
considered highly effective contraceptive methods: hormonal oral contraceptives,
injectables, and patches; intrauterine devices; double-barrier methods (synthetic
condom, diaphragm, or cervical cap used with spermicidal foam, cream, or gel);
and male partner sterilization.
7. If male (with or without vasectomy), agree to the use of highly effective
contraceptive methods as listed above in criteria 7 as well as to use a barrier
method, e.g. condom , from study check-in until 7 days after drug injection.
8. Is willing to avoid strenuous exercise for seven (7) days post treatment.
9. Is able to adhere to the visit schedule and protocol requirements and be available to
complete the study.
10. Is willing and able to sign an Institutional Review Board (IRB) approved informed
consent form (ICF) indicating that they are aware of the investigational nature of the
study.
Exclusion Criteria:
1. Is unable to tolerate subcutaneous injections.
2. Has dysfunctional gallbladder activity (e.g., underwent cholecystectomy or
cholecystitis).
3. Has any systemic disease including but not limited to gastritis or ulcers, renal
dysfunction, hypertension, liver disease, glaucoma, diabetes and/or cardiovascular
disease.
4. Has any contraindications to oral corticosteroids (prednisone), NSAIDs (e.g.,
Celecoxib) or non-sedative antihistamines (e.g. Zyrtec)
5. Has skin laxity (i.e., elastosis, skin crepiness, skin redundancy, skin draping,
vertical and/or horizontal skin bands and folds, blunting of cervical mental angle,
loss of opposition of skin to underlying neck structures due to skin laxity) that
could obscure the evaluation and treatment of SMF.
6. Has any scars, unshaven hair, tattoos, facial hair or jewelry on or near the proposed
treatment area.
7. Has presence of structures or confounding factors that may interfere with assessing
SMF such as but not limited to enlarged submandibular salivary and/or parotid glands,
micrognanthia, chin implant, soft tissue volume augmentation of chin and/or jawline,
pronounced platysmal bands and deep necklace lines or presence of facial jowls that
could obscure the evaluation of SMF.
8. Has a fat bulge under the chin that is too large to be adequately treated by 32±4
contiguous injections on a 1cm grid .
9. Has a fat bulge under the chin that is of an insufficient volume to allow 32±4
injections within a contiguous 1 cm grid.
10. Has significant history or current evidence of a medical, psychological or other
disorder that, in the Investigator's opinion, would preclude enrollment in the study.
11. Has an active bacterial, fungal, or viral infection in the proposed treatment area.
12. Has a pre-existing skin condition in the submental region that, at the Investigator's
discretion, may confound evaluation or analysis.
13. Has previously had treatments or surgery in the submentum, such as but not limited to,
focused ultrasound, radiofrequency, cryolipolysis, liposuction, sodium deoxycholate,
or neck lift.
14. Has pre-existing neurological or gastrointestinal condition leading to dysphagia,
dysphonia, or facial nerve palsy.
15. Has Dercum's Disease.
16. Has allergic reactions to injectables
17. Has allergic reactions to Zyrtec or Celecoxib.
18. Has any pre-existing medical condition other than increased SMF that, at the
Investigator's discretion, may result in increased submental fullness, such as but not
limited to, thyroid enlargement, goiter, cervical lymphadenopathy, etc.
19. Has a planned fat reduction procedure of any variety to the submental region for the
duration of the study.
20. Has medication or a history of coagulopathy.
21. Has a history or family history of venous thrombotic disease.
22. Has been treated chronically at least three (3) months prior to study entry with
systemic steroids or immunosuppressive drugs.
23. Has been treated chronically at least one (1) week prior to study entry with
non-steroidal anti-inflammatory drugs (NSAIDs)
24. Has used anticoagulation therapies that may increase bleeding or bruising (i.e.,
aspirin, ibuprofen/Celecoxib, warfarin, vitamins, and herbal preparations) for seven
(7) days prior to treatment.
25. .Has had treatment with botulinum toxin injections in the neck or chin area within
nine (9) months prior to screening.
26. Current participation or participation within three (3) months prior to the start of
this study in a drug or other investigational research study.
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