Page last updated: 2024-10-30

mepivacaine and Skin Aging

mepivacaine has been researched along with Skin Aging in 2 studies

Mepivacaine: A local anesthetic that is chemically related to BUPIVACAINE but pharmacologically related to LIDOCAINE. It is indicated for infiltration, nerve block, and epidural anesthesia. Mepivacaine is effective topically only in large doses and therefore should not be used by this route. (From AMA Drug Evaluations, 1994, p168)
mepivacaine : A piperidinecarboxamide in which N-methylpipecolic acid and 2,6-dimethylaniline have combined to form the amide bond. It is used as a local amide-type anaesthetic.

Skin Aging: The process of aging due to changes in the structure and elasticity of the skin over time. It may be a part of physiological aging or it may be due to the effects of ultraviolet radiation, usually through exposure to sunlight.

Research Excerpts

ExcerptRelevanceReference
"Two randomized, double-blinded, split-face trials aimed to demonstrate noninferiority of specific hyaluronic acid fillers incorporating mepivacaine (RHA-M) versus their lidocaine controls, at providing pain relief."5.51Patient Comfort, Safety, and Effectiveness of Resilient Hyaluronic Acid Fillers Formulated With Different Local Anesthetics. ( Dayan, SH; Eaton, L; Joseph, JH; Kaufman-Janette, J; Maffert, P; Smith, S, 2022)

Research

Studies (2)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (50.00)24.3611
2020's1 (50.00)2.80

Authors

AuthorsStudies
Kaufman-Janette, J1
Joseph, JH1
Dayan, SH1
Smith, S1
Eaton, L1
Maffert, P1
Iannitti, T1
Capone, S1
Palmieri, B1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized, Controlled, Double-blinded, Within-subject (Split-face), Multicenter, Prospective Clinical Study to Compare the Level of Pain Using the Dermal Filler RHA® Redensity Formulated With Two Different Anesthetics in the Treatment of Perioral Rhyti[NCT04069585]30 participants (Actual)Interventional2019-10-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Non-inferiority of RHA® Redensity With New Anesthetic Agent Versus RHA® Redensity With Lidocaine in Terms of Reducing Pain During Device Injection Into the Upper Perioral Rhytids.

"Injection pain during injection was measured on the 100 mm Visual Analog Scale (VAS), as assessed by subjects immediately after injection of each upper perioral quadrant.~VAS is a 100 mm Visual Analog Scale with 0 meaning no pain and 100 meaning intolerable pain" (NCT04069585)
Timeframe: Visit 1 - During Injection

Interventionmm (Mean)
RHA® Redensity With Lidocaine22.4
RHA® Redensity With New Anesthetic Agent25.0

"Number of Global Aesthetic Improvement (GAI) Responders (i.e., Scoring Either Much Improved or Improved) on GAI Scale According to Subject's Self-assessment"

"Global Aesthetic Improvement (GAI) is a subjective 5-grade scale comprised of much improved, improved, no change, worse, and much worse.~GAI was assessed using the baseline photograph. Subjects were instructed as follows: Use a mirror to compare your face to the photograph provided to you and rate the degree of aesthetic improvement by using the following scale.~Each side of the face was assessed independently." (NCT04069585)
Timeframe: Visit 1 (post-injection) and Visit 2 (Day 30)

,
InterventionParticipants (Count of Participants)
Visit 1 (post-injection)Visit 2 (Day 30)
RHA® Redensity With Lidocaine3030
RHA® Redensity With New Anesthetic Agent3030

"Number of Subjects Scored Either Much Improved or Improved on Global Aesthetic Improvement (GAI) by the Treating Investigator (TI)"

"Global Aesthetic Improvement (GAI) is a subjective 5-grade scale comprised of much improved, improved, no change, worse, and much worse.~GAI will bewas assessed using the baseline photograph. Each side of the mouth were assessed independently." (NCT04069585)
Timeframe: Visit 1 (post-injection) and Visit 2 (Day 30)

,
InterventionParticipants (Count of Participants)
Visit 1 (post-injection)Visit 2 (Day30)
RHA® Redensity With Lidocaine3030
RHA® Redensity With New Anesthetic Agent3030

Change From Baseline of PR-SRS Score for RHA® Redensity With New Anesthetic Agent Vs RHA® Redensity With Lidocaine for the Correction of Perioral Rhytids as Assessed by the Treating Investigator (TI)

"PR-SRS (Perioral Rhytids Severity Rating Scale) is a validated 4-grade scale with 0 being Absent and 3 being Severe" (NCT04069585)
Timeframe: Visit 1 (Baseline, pre-injection) - Visit 1 (post-injection), Visit 2 (Day 30)

,
Interventionunits on a scale (Mean)
Visit 1 (Post-injection)Visit 2 (Day 30)
RHA® Redensity With Lidocaine-1.5-1.4
RHA® Redensity With New Anesthetic Agent-1.5-1.4

Difference Between RHA® Redensity With New Anesthetic Agent Versus RHA® Redensity With Lidocaine in Term of Reducing Pain at 15, 30, 45 and 60 Minutes Post-injection in Each Side of the Mouth.

"Injection pain was measured on the 100 mm Visual Analog Scale (VAS), as assessed by subjects in each side of the mouth.~VAS is a 100 mm Visual Analog Scale with 0 meaning no pain and 100 meaning intolerable pain" (NCT04069585)
Timeframe: Visit 1 - 15, 30, 45 and 60 minutes post-injection

,
Interventionmm (Mean)
15 Min30 Min45 Min60 Min
RHA® Redensity With Lidocaine6.31.00.30.0
RHA® Redensity With New Anesthetic Agent6.81.00.40.0

Number of Subjects With Post Injection Treatment Responses (From Common Treatment Responses (CTR) Diary) for Safety Evaluation of RHA® Redensity With New Anesthetic Agent Versus RHA® Redensity With Lidocaine

"The subjects will receive a diary booklet and instructions for recording his/her observations of the Common Treatment Responses to the study treatments within 30 days following the treatment. The diary will be discussed during follow-up phone-call and visit. Subjects were instructed to complete the diary at approximately the same time each day (i.e., am or pm).~The subject diary captured the following Common Treatment Responses (CTR) that occur following the injection of a dermal filler; specifically, redness, pain, tenderness, firmness, swelling, lumps/bumps, bruising, itching, discoloration, and other.~The 30-day patient CTR diary included a detailed glossary describing all signs/symptoms listed in the diary; an option was provided to report other reactions if the subject experienced a sign/symptom that was not listed." (NCT04069585)
Timeframe: During 30 days after injection

,
InterventionParticipants (Count of Participants)
BruisingDiscolorationFirmnessItchingLumps/BumpsPainRednessSwellingTendernessNeedle track marksInjection Site Soreness
RHA® Redensity With Lidocaine161019217415191211
RHA® Redensity With New Anesthetic Agent121014415316211311

Subject's Perception of Treatment Effectiveness as Per the FACE-Q (Perioral Rhytids Domain) Questionnaire.

"The FACE-Q measures the experience and outcomes of aesthetic facial procedures from the patient's perspective.~FACE-Q questionnaire is composed of 6 questions with a score linked to answers (1 being 'Not at all' and 4 being 'Extremely').~The subject will be instructed as follows: These questions ask about how you look right now. For each question, circle only one answer. With the area around your lips in mind, in the past week, how much have you been bothered by:, and will provide response.~To calculate the FACE-Q, outcomes from all 6 questions were pooled, data were transformed so that higher scores reflected a superior outcome, and adapted to a scale of 100 units (i.e. lowest score = 0, highest score = 100)." (NCT04069585)
Timeframe: Visit 1 (Baseline) and Visit 2 (Day 30)

,
Interventionscore on a scale (Mean)
Baseline Face-Q ScoreDay 30 Face-Q ScoreFace-Q Change from Baseline to Day 30
RHA® Redensity With Lidocaine13.073.960.9
RHA® Redensity With New Anesthetic Agent12.577.264.7

"Number of Both Satisfied or Very Satisfied Subjects With Study Treatment Using the Subject's Satisfaction Scale"

"The Subject Satisfaction Scale is a subjective, balanced, 5-point scale assessing subject satisfaction with study treatment. Possible scores range from with 1 (very satisfied) to 5 (very dissatisfied).~Proportion of subjects who were Satisfied (i.e., 1-Very Satisfied + 2-Satisfied) was compared to the proportion of subjects who were Not Satisfied (i.e., 3-Neither Satisfied nor dissatisfied + 4-Dissatisfied + 5-Very Dissatisfied)" (NCT04069585)
Timeframe: Visit 1 (post-injection) and Visit 2 (Day 30)

InterventionParticipants (Count of Participants)
Visit 1 (post-injection)72557804Visit 1 (post-injection)72557805Visit 2 (Day 30)72557804Visit 2 (Day 30)72557805
Satisfied (i.e., 1-Very Satisfied + 2-Satisfied)Not Satisfied (i.e., 3-Neither Satisfied nor dissa
RHA® Redensity With Lidocaine29
RHA® Redensity With New Anesthetic Agent29
RHA® Redensity With Lidocaine1
RHA® Redensity With New Anesthetic Agent1

Percentage of Responders Based on the Intra-individual Improvement of at Least One Grade on the Perioral Rhytids Severity Rating Scale (PR-SRS) Compared to Baseline, as Assessed by the TI

A responder corresponds to a subject with an intra-individual improvement of at least one grade on the PR-SRS compared to Baseline (NCT04069585)
Timeframe: Visit 1 - Baseline (pre-injection), Visit 1 (post-injection), Visit 2 (Day 30)

InterventionParticipants (Count of Participants)
Visit 1 - post-injection72557804Visit 1 - post-injection72557805Visit 2 - day 3072557804Visit 2 - day 3072557805
ResponderNot responder
RHA® Redensity With Lidocaine29
RHA® Redensity With New Anesthetic Agent28
RHA® Redensity With Lidocaine1
RHA® Redensity With New Anesthetic Agent2
RHA® Redensity With New Anesthetic Agent29
RHA® Redensity With New Anesthetic Agent1

Trials

2 trials available for mepivacaine and Skin Aging

ArticleYear
Patient Comfort, Safety, and Effectiveness of Resilient Hyaluronic Acid Fillers Formulated With Different Local Anesthetics.
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 2022, 10-01, Volume: 48, Issue:10

    Topics: Anesthetics, Local; Cosmetic Techniques; Dermal Fillers; Double-Blind Method; Humans; Hyaluronic Aci

2022
Short review on face rejuvenation procedures: focus on preoperative antiseptic and anesthetic delivery by JetPeel™-3 (a high pressure oxygen delivery device).
    Minerva chirurgica, 2011, Volume: 66, Issue:3 Suppl 1

    Topics: Administration, Cutaneous; Adult; Aged; Anesthesia, Local; Anesthetics, Local; Chemexfoliation; Chlo

2011