Anti-Aging Proof of Concept Study: Results and Summary
September 2014 | Volume 13 | Issue 9 | Original Article | 1074 | Copyright © September 2014
Suzanne Bruce MD,a Jwala Karnik MD,b Laurence Dryer PhD,c and David Burkholder PhDd
aThe Center for Skin Research, Suzanne Bruce and Associates, Houston, TX
bSuneva Medical, Inc., Santa Barbara, CA
cValeant Pharmaceuticals, Long Beach, CA
dPD Pharmaceutical Consulting, Guilford, CT
Abstract
BACKGROUND AND OBJECTIVES: The etiology of aging human skin includes intrinsic physiologic changes greatly accelerated by photoaging,
predominantly through exposure to UV light. Consumer interest and demand for anti-aging skin care products is extremely high especially
in light of aging populations. Prenatal (fetal) tissue has been shown to possess healing characteristics and regenerative effects.
A proprietary tissue engineering technology has been developed to produce a soluble human extracellular matrix material with growth
factors and proteins. Neonatal cells are cultured on microbeads under conditions of low oxygen tension. This human cell-conditioned
media (hCCM) contains a variety of growth factors and cytokines similar to those found in fetal cells and has been incorporated into a
topical preparation for use in facial wound healing (after laser resurfacing procedures) and improving the appearance of aging skin. The
objective of this study was to observe the effects of an MRCxTM-containing topical skincare regimen on subjects with demonstrated
aging skin damage (photodamage) when used consistently over a 3 month time period.
METHODS: Female subjects age 35-65 with Fitzpatrick Skin Type I-IV and mild to moderate amounts of photodamage, fine lines, and
wrinkles used Regenica® Replenishing Crème and Regenica® Renew SPF 15 for 3 months. At each visit, photos were taken of subjects
while investigators completed skin grading assessments and subjects completed self-assessments. Investigator assessments
included evaluation of tactile roughness, visual texture, wrinkles, blotchiness, skin tone evenness, radiance, and translucence on a
5-point scale. Subjects’ self-assessments included assessment of fine lines and wrinkles, firmness, evenness of skin tone, brightness,
resilience, clarity, and radiance. Changes from baseline were evaluated for each parameter and P values for changes from baseline to
each study visit for investigator’s assessments and to end-of-study for self-assessments were calculated.
RESULTS: Eighteen of 21 enrolled female subjects completed the study. Three subjects chose to drop from the study. Statistically significant
improvements in investigator assessments of tactile roughness, visual texture, wrinkles, blotchiness, skin tone evenness, radiance
and translucency compared to baseline were observed at weeks 4, 8, and 12 after initiating treatments. Progressive improvement
was seen through the last study visit (visit 5, week 12). Similar statistically significant improvements in subjects’ self-assessments
were seen comparing the first post-baseline visit (visit 2, week 2) to subsequent visits. 93.5 % subjects agreed (somewhat or strongly)
with all of the positive subject assessment statements at week 12. Importantly, 100 % of subjects indicated at the end of the study
that they would recommend the product to a friend and would want to purchase the product. No treatment-related adverse events
were recorded during the study.
CONCLUSIONS: Regenica was safe and clinically effective in reducing anti-aging effects in this group of female subjects aged 35-65 years
as measured by both investigator assessments and subjects’ self-assessments.
J Drugs Dermatol. 2014;13(9):1074-1081.
introduction
The function and appearance of human skin degenerates
as part of the intrinsic (chronological) aging process.
The effects of environmental factors (sun, heat, pollution,
smoking) and most importantly, solar ultraviolet light (UV)
contribute to the superimposed photoaging process.1,2 Aging
and photodamaged skin are characterized by fine and course
wrinkles, dyspigmentation, sallow color, dry texture, and lossoftone.1,3 Consumer interest and demand for anti-aging treatments
including medical, surgical, and cosmetic approaches is
extremely high, in part because of the aging population.2,4
Prenatal (fetal) tissue has been shown to possess healing
characteristics and regenerative effects.5 A proprietary tissue
engineering technology has been developed to mimic conditions
of the embryonic environment that triggers neonatal
cells to produce a soluble human extracellular matrix material
along with a variety of growth factors and cytokines.6
Neonatal cells are grown on microbeads under conditions of
low oxygen tension. They subsequently produce growth factors
and cytokines in types and quantities similar to those of
fetal cells. The resulting media is known as human cell-condi