A Randomized, Comparator-Controlled Study of HARC for Cheek Augmentation and Correction of Midface Contour Deficiencies

Derek Jones, Leslie Baumann, Amir Moradi, Sachin Shridharani, Melanie Palm, Craig Teller, Mark Taylor, Theda C. Kontis, Anne Chapas, Michael S. Kaminer, David Bank, Kenneth Beer, Deirdre Hooper

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Background: HARC is a soft and flexible hyaluronic acid filler containing lidocaine, manufactured using XpresHAn® technology, restoring natural-looking volume and soft contours. Objectives: To evaluate safety and effectiveness of Do HARC for Not cheekCopy augmentation and correction of midface contour deficiencies compared to a control product HAJV (hereafter referred Penalties to as Control).Apply Primary objective was to demonstrate non-inferiority of HARC compared to the Control, by blinded evaluation of change from baseline in midface fullness 12 weeks after last injection, using a 4 grade midface volume scale (MMVS). Materials and Methods: Subjects over the age of 21 with loss of fullness in the midface area (MMVS score 2, 3, or 4) were randomized 2:1 to treatment with HARC (n=142) or Control (n=68). Optional touch-up was allowed after 4 weeks. Study assessments included MMVS, aesthetic improvement, subject satisfaction, and safety. Subjects were followed for 48 weeks. Results: Overall, most subjects were female (89%) and mean age was 53 years (range 24-80). Total mean volume injected was 4.3 mL for HARC and 4.9 mL for Control. Primary objective was met; mean change from baseline in MMVS score at week 12: -1.4 (HARC), -1.3 (Control), 95% CI: -0.22, 0.06. HARC effectiveness was supported by a high degree of aesthetic improvement and subject satisfaction throughout 48 weeks. Related adverse events were generally mild and transient. Conclusions: HARC was well tolerated and non-inferior to Control for correction of midface fullness at 12 weeks after last injection. Aesthetic improvement and subject satisfaction were high and lasted through week 48.

Original languageEnglish
Pages (from-to)949-956
Number of pages8
JournalJournal of Drugs in Dermatology
Issue number9
StatePublished - Sep 2021
Externally publishedYes


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