Trial Outcomes & Findings for Study of BOTOX and JUVEDERM for Treatment of Moderate to Severe Facial Wrinkles and Folds (NCT NCT01269801)

NCT ID: NCT01269801

Last Updated: 2014-12-16

Results Overview

Assessments at Visits 3,5,6+7 (weeks 4,8,12,24) include: -Physician Global Aesthetic Improvement Scale (PGAIS). Ratings include no change, improved, much improved, very much improved. Number of subjects with improvement score for the 5 point PGAIS from baseline to Visit 7. -Objective Observer Global Aesthetic Improvement Scale Number of subjects with improvement score for the from baseline to Visit 7. Ratings include no change, some improvement, definite improvement, substantial improvement, and complete improvement.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

156 participants

Primary outcome timeframe

Week 4, 8, 12, 24

Results posted on

2014-12-16

Participant Flow

Subjects were randomized to two groups: Juvederm first, then Botox (Juvederm group) or Botox first, then Juvederm (Botox group). For the Juvederm group, Day 1 involved juvederm treatment. Week 4 involved botox administration. For the Botox group, Day 1 involved botox treatment. Week 4 involved juvederm administration.

Participant milestones

Participant milestones
Measure
JUVÉDERM
JUVÉDERM® Ultra XC and JUVÉDERM® Ultra Plus XC Injectable Gel Juvederm group will initially receive JUVÉDERM® Ultra Plus XC or JUVÉDERM® Ultra 3 (for severe facial lines or folds) injections to the affected facial regions at Day 1. At Week 4, patients who initially received JUVÉDERM® treatment will be crossed over to receive BOTOX® Cosmetic or VISTABEL® treatment.
Botox Cosmetic
Botox group will initially receive BOTOX® Cosmetic injections to the affected facial regions at Day 1. At Week 4, patients who initially received BOTOX® Cosmetic treatment will be crossed over to receive JUVÉDERM® Ultra XC and JUVÉDERM® Ultra Plus XC Injectable Gel treatment.
Overall Study
STARTED
74
80
Overall Study
COMPLETED
74
77
Overall Study
NOT COMPLETED
0
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of BOTOX and JUVEDERM for Treatment of Moderate to Severe Facial Wrinkles and Folds

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Botox Cosmetic
n=80 Participants
Botox group will initially receive BOTOX® Cosmetic injections to the affected facial regions at Day 1. At Week 4, patients who initially received BOTOX® Cosmetic treatment will be crossed over to receive JUVÉDERM® Ultra XC and JUVÉDERM® Ultra Plus XC Injectable Gel treatment.
JUVÉDERM
n=74 Participants
JUVÉDERM® Ultra XC and JUVÉDERM® Ultra Plus XC Injectable Gel Juvederm group will initially receive JUVÉDERM® Ultra Plus XC or JUVÉDERM® Ultra 3 (for severe facial lines or folds) injections to the affected facial regions at Day 1. At Week 4, patients who initially received JUVÉDERM® treatment will be crossed over to receive BOTOX® Cosmetic or VISTABEL® treatment.
Total
n=154 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
80 Participants
n=5 Participants
74 Participants
n=7 Participants
154 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
49.83 years
STANDARD_DEVIATION 7.42 • n=5 Participants
51.12 years
STANDARD_DEVIATION 7.78 • n=7 Participants
50.54 years
STANDARD_DEVIATION 7.6 • n=5 Participants
Sex: Female, Male
Female
76 Participants
n=5 Participants
66 Participants
n=7 Participants
142 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
8 Participants
n=7 Participants
12 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 4, 8, 12, 24

Population: Analysis is based on the randomization group to account for the order in which the products were administered.

Assessments at Visits 3,5,6+7 (weeks 4,8,12,24) include: -Physician Global Aesthetic Improvement Scale (PGAIS). Ratings include no change, improved, much improved, very much improved. Number of subjects with improvement score for the 5 point PGAIS from baseline to Visit 7. -Objective Observer Global Aesthetic Improvement Scale Number of subjects with improvement score for the from baseline to Visit 7. Ratings include no change, some improvement, definite improvement, substantial improvement, and complete improvement.

Outcome measures

Outcome measures
Measure
Botox Cosmetic
n=77 Participants
Botox group will initially receive BOTOX® Cosmetic injections to the affected facial regions at Day 1. At Week 4, patients who initially received BOTOX® Cosmetic treatment will be crossed over to receive JUVÉDERM® Ultra XC and JUVÉDERM® Ultra Plus XC Injectable Gel treatment.
JUVÉDERM
n=74 Participants
JUVÉDERM® Ultra XC and JUVÉDERM® Ultra Plus XC Injectable Gel Juvederm group will initially receive JUVÉDERM® Ultra Plus XC or JUVÉDERM® Ultra 3 (for severe facial lines or folds) injections to the affected facial regions at Day 1. At Week 4, patients who initially received JUVÉDERM® treatment will be crossed over to receive BOTOX® Cosmetic or VISTABEL® treatment.
Efficacy
PGAIS Week 24
77 participantes rated improved and higher
74 participantes rated improved and higher
Efficacy
Objective Observer global assessment Week 24
73 participantes rated improved and higher
72 participantes rated improved and higher
Efficacy
PGAIS Week 12
77 participantes rated improved and higher
74 participantes rated improved and higher
Efficacy
Objective Observer global assessment Week 12
77 participantes rated improved and higher
74 participantes rated improved and higher
Efficacy
PGAIS Week 8
78 participantes rated improved and higher
73 participantes rated improved and higher
Efficacy
Objective Observer global assessment Week 8
78 participantes rated improved and higher
73 participantes rated improved and higher
Efficacy
PGAIS Week 4
75 participantes rated improved and higher
74 participantes rated improved and higher
Efficacy
Objective Observer global assessment Week 4
72 participantes rated improved and higher
74 participantes rated improved and higher

Adverse Events

Botox Cosmetic

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

JUVÉDERM

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Botox Cosmetic
n=154 participants at risk
Botox group will initially receive BOTOX® Cosmetic injections to the affected facial regions at Day 1. At Week 4, patients who initially received BOTOX® Cosmetic treatment will be crossed over to receive JUVÉDERM® Ultra XC and JUVÉDERM® Ultra Plus XC Injectable Gel treatment.
JUVÉDERM
n=152 participants at risk
JUVÉDERM® Ultra XC and JUVÉDERM® Ultra Plus XC Injectable Gel Juvederm group will initially receive JUVÉDERM® Ultra Plus XC or JUVÉDERM® Ultra 3 (for severe facial lines or folds) injections to the affected facial regions at Day 1. At Week 4, patients who initially received JUVÉDERM® treatment will be crossed over to receive BOTOX® Cosmetic or VISTABEL® treatment.
Vascular disorders
death due to hypertensive cardiovascular disease
0.65%
1/154 • Number of events 1 • Week 4, 8, 12, 24
Adverse Events assessed based on treatment received before the adverse event onset.
0.00%
0/152 • Week 4, 8, 12, 24
Adverse Events assessed based on treatment received before the adverse event onset.

Other adverse events

Other adverse events
Measure
Botox Cosmetic
n=154 participants at risk
Botox group will initially receive BOTOX® Cosmetic injections to the affected facial regions at Day 1. At Week 4, patients who initially received BOTOX® Cosmetic treatment will be crossed over to receive JUVÉDERM® Ultra XC and JUVÉDERM® Ultra Plus XC Injectable Gel treatment.
JUVÉDERM
n=152 participants at risk
JUVÉDERM® Ultra XC and JUVÉDERM® Ultra Plus XC Injectable Gel Juvederm group will initially receive JUVÉDERM® Ultra Plus XC or JUVÉDERM® Ultra 3 (for severe facial lines or folds) injections to the affected facial regions at Day 1. At Week 4, patients who initially received JUVÉDERM® treatment will be crossed over to receive BOTOX® Cosmetic or VISTABEL® treatment.
Skin and subcutaneous tissue disorders
(Contusion) Bruising
0.65%
1/154 • Number of events 1 • Week 4, 8, 12, 24
Adverse Events assessed based on treatment received before the adverse event onset.
12.5%
19/152 • Number of events 19 • Week 4, 8, 12, 24
Adverse Events assessed based on treatment received before the adverse event onset.
Nervous system disorders
Facial Paresis
5.2%
8/154 • Number of events 8 • Week 4, 8, 12, 24
Adverse Events assessed based on treatment received before the adverse event onset.
0.00%
0/152 • Week 4, 8, 12, 24
Adverse Events assessed based on treatment received before the adverse event onset.

Additional Information

Joel L. Cohen, MD

AboutSkin

Phone: 303-756-7546

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place