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Sofwave® Study in Weight Loss Patients

Are you a woman aged 30 to 50 considering weight management using glucagon-like peptide-1 agonist (GLP-1) injections?

You may qualify to participate in a clinical trial exploring how medication-assisted weight loss can impact skin. The study will assess whether Sofwave® (the study device), a non-invasive skin tightening treatment, can help prevent the appearance of facial hollowing (commonly known as “Ozempic® Face”) associated with weight loss.

Participants:

  • Will initiate GLP-1 under the medical supervision of a physician. They may incur out-of-pocket costs if the GLP-1 medication is not fully covered by their third-party prescription drug insurance or if they lack access to drug coverage.
  • Will receive non-invasive skin treatments (Sofwave®) at no cost
  • Will receive $150 of compensation per approved ICF for travel and parking (4 office visits, located in the Fairview neighborhood, Vancouver)
  • May receive $1,000 of compensation for providing small skin biopsies under the chin for a select group of participants

About the Study:

How long does the study last?
Participants will be in the study for approximately 6–9 months, depending on how long they remain on GLP-1 treatment.
How many visits are required, and where will they take place?

There will be 4 office visits at the study site at Dr. Carruthers office in the Fairview neighborhood of Vancouver. Some participants may be asked to attend an additional visit for a skin biopsy. Costs relating to attending visits such as parking are reimbursed $150 per ICF.

In addition, there will be several medical visits for the GLP-1 medication. Most of these can be done virtually.

What is expected of me as a participant?

You are expected to:

  • Attend all scheduled study visits
  • Follow your GLP-1 treatment plan as prescribed
  • Complete any required assessments, photographs, and questionnaires

About Sofwave®

What is Sofwave®?

Sofwave® is a non-invasive medical device that uses ultrasound technology to deliver heat to specific layers of the skin. The purpose of this treatment is to stimulate the body’s natural production of collagen, which may help improve skin firmness and reduce the appearance of wrinkles. Unlike surgical procedures, Sofwave® does not require incisions or injections. It takes about 45 minutes for the full face treatment.

In this study, Sofwave® is being used under controlled conditions to better understand its safety, effectiveness, and participant experience. It is Health Canada–approved, considered safe, and generally well-tolerated. There is no downtime required after Sofwave® treatment, and participants can return to everyday activities immediately, however it has not been specifically used to address lax tissue due to weight loss for Tirzepatide and therefore its use in this study is experimental.

Does Sofwave® hurt?

Most people describe the treatment as producing a sensation of warmth or tingling on the skin. Some participants may feel brief discomfort during the pulses of energy, but this is usually well-tolerated. Participants will be offered topical numbing cream before the procedure, and additional measures are in place to keep you comfortable. If you experience pain beyond mild or temporary discomfort, let the study team know immediately so adjustments can be made.

About GLP-1 Medication

Which GLP-1 medication will be used?

Participants will be prescribed a GLP-1 receptor agonist medication (most likely tirzepatide, but this will be confirmed before the study begins).

Who will prescribe the GLP-1 medication?

The doctors at the Obesity Medicine and Diabetes Institute will prescribe and oversee your GLP-1 treatment. They are internal medicine physicians with specialized training in obesity management. They will order any required blood tests, prescribe the medication at gradually increasing doses, and monitor your progress to ensure the medication is being taken safely.

What if I have side effects from GLP-1 medication?

Common side effects can include nausea, vomiting, diarrhea, or constipation. These are usually mild and tend to improve over time. If you experience side effects that are severe or persistent, the study doctors will help adjust your treatment as needed.

These medical visits are no cost and covered under MSP. However, a referral from another physician (such as your family doctor or a walk-in clinic) is required before your first consultation.

Do I need to wait until I have begun the study to start my weight loss injection treatments?

Yes. We need to complete all baseline assessments and photographs of participants before they begin GLP-1 medication. You will be instructed to have your first injection soon after your initial visit to the study site (Dr. Carruthers’ office). If you have already started taking a GLP-1 medication, you are not eligible to participate in this study.

How will the cost of the GLP-1 medication be covered?

You will need to apply for reimbursement through your third-party drug insurance. Some private drug plans offered by employers may cover GLP-1 medication if you meet their eligibility criteria.

Please note: coverage varies by insurance provider, and participants may be responsible for any costs not covered by insurance.

About Skin Biopsies

Do I need to have biopsies taken?

No. Biopsies are not required for participation in the study. They are optional for those who are interested.

What is a skin biopsy?

A skin biopsy is a very small sample of skin, about 3 millimeters in diameter, that is examined under a microscope by a pathologist. These samples help researchers study changes in collagen, elastin, and other skin structures.

Where and when are biopsies taken?

Biopsies in this study are taken from underneath the chin, where any small scars will not be visible from the front. Participants who opt in will provide two biopsies at the first visit (Month 0) and two more at the 6-month visit.

What does the biopsy procedure involve?

The procedure is quick (about 5 minutes):

  • The skin is cleaned and numbed with a local anesthetic injection.
  • A specialized tool is used to remove two small 3 mm skin samples.
  • Each site is closed with an absorbable stitch and covered with a small bandage.

Risks such as minor pain, bleeding, or infection are rare. Participants can return to normal activities immediately. Stitches should dissolve on their own but may be removed after 7 days if needed. A virtual follow-up with photos is done 2 weeks later to confirm proper healing.

Participants who provide biopsies will be compensated $1,000 at the end of the study, once all four biopsies have been received.

Risks, Benefits, and Rights

What are the risks of participating in this study?
  • GLP-1 medication: May cause nausea, vomiting, diarrhea, or constipation; in rare cases, serious risks such as pancreatitis or gallbladder problems.
  • Sofwave® treatment: May cause temporary redness, swelling, or mild discomfort.
  • Skin biopsy (optional): May cause temporary pain, bruising, scarring, or infection.
What are the potential benefits?

You may notice improvements in your skin appearance from Sofwave® treatment. However, benefits cannot be guaranteed. The study may provide valuable information to help improve care for future patients.

All subjects will receive two Sofwave treatments. You will be randomised to receive your first Sofwave treatment either at Month 0 or at Month 6.

Will my personal health information be kept confidential?

Yes. Your records will be kept confidential as required by law. Any published results will not identify you personally.

Can I withdraw from the study?

Yes. Participation is voluntary. You may withdraw at any time without penalty or impact on your medical care.

Who do I contact if I have questions or concerns?

You will be given the contact information of the study coordinator and physician. You may also contact the Research Ethics Board overseeing this study if you have questions about your rights as a participant.

If you have additional questions, please fill out the contact form and the study coordinator will be in touch to answer your questions.

Eligibility Screening:

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