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Efficacy and Safety of Tapencarium (RZL-012) in Submental Fat Reduction
Aesthetic Surgery Journal
|June 22, 2023
Summary
Tapencarium (RZL-012) effectively reduces submental fat volume. This novel injectable molecule demonstrated significant improvements in appearance and fat reduction with a favorable safety profile in a phase 2b study.
Area of Science:
- Aesthetics
- Dermatology
- Pharmacology
Background:
- Tapencarium (RZL-012) is a novel synthetic molecule with cytolytic properties designed for subcutaneous fat reduction.
- Its injectable form targets and reduces localized fat deposits.
Purpose of the Study:
- To evaluate the safety and efficacy of low- and high-dose RZL-012 compared to placebo for submental fat (SMF) reduction.
- To assess the impact of RZL-012 on submental appearance and fat volume.
Main Methods:
- A 3-armed, randomized, double-blind, placebo-controlled phase 2b study involving 151 patients with excess SMF.
- Single treatment session with RZL-012 or placebo, followed by 84 days of monitoring.
- Assessment of SMF using the Clinician Chin Assessment Tool (C-CAT), Subject Chin Assessment Tool (S-CAT), and MRI.
Main Results:
- High-dose RZL-012 showed significantly higher rates of 1- or 2-grade improvement in C-CAT/S-CAT scores compared to placebo (P < .002).
- A significantly greater relative percentage reduction in MRI-measured SMF volume was observed with high-dose RZL-012 versus low-dose or placebo (P < .0001).
- Local injection site reactions were the most frequent adverse events.
Conclusions:
- Single administration of RZL-012 into SMF led to significant improvements in submental appearance, confirmed by clinicians, patients, and MRI.
- The treatment exhibited a favorable safety profile, with no serious adverse events or clinically significant changes in vital signs or laboratory tests.

