Trial Outcomes & Findings for Botox and Suction-Curettage for Treatment of Excessive Underarm Sweating (Axillary Hyperhidrosis) (NCT NCT01274611)

NCT ID: NCT01274611

Last Updated: 2021-12-06

Results Overview

The primary outcome measure was the treatment associated unilateral axillary percentage change of sweat rate in milligrams per minute in the exercise-induced state measured at baseline compared with the sweat rate measured 3 months after treatment. This process entails placing filter paper on the area of concern for a specific amount of time, after which the paper is weighed and sweat production is quantified in units of weight per time. The amount of sweat produced was recorded in milligrams per minute by subtracting the initial weight of the paper segment before exercise from the final, post-application weight, after exercise and dividing by 5 minutes. Percentage sweat rate was calculated as \[(sweat rate at baseline - sweat rate at 3 months)/sweat rate at baseline\]\*100 with a positive percent change indicating sweat rate reduction if the baseline had a higher sweat rate.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

20 participants

Primary outcome timeframe

baseline and 3 months

Results posted on

2021-12-06

Participant Flow

Patients were recruited from an urban, university based dermatology practice (Northwestern University, Chicago, IL) and the surrounding community. All patients provided written informed consent.

This was a split body, parallel-group randomized control trial with allocation ratio 1:1, using random block size of 2. The unit of randomization was the individual axilla.

Participant milestones

Participant milestones
Measure
Subjects Receiving Split Body Treatment
The unit of randomization was the individual axilla within each subject to receive either Botox treatment or suction-curettage treatment. Botox was injected into one underarm, targeting the sweat glands, to stop underarm sweating. For Suction-Curettage, the doctor inserted a suction tool into two small incisions in order to suction out the sweat-producing glands. It is similar to liposuction, but instead of suctioning out fat, the doctor suctions out the layer of the deep skin where the sweat glands are located to decrease underarm sweating.
Overall Study
STARTED
20
Overall Study
COMPLETED
20
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Botox and Suction-Curettage for Treatment of Excessive Underarm Sweating (Axillary Hyperhidrosis)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Subjects Receiving Split Body Treatment
n=20 Participants
The unit of randomization was the individual axilla within each subject to receive either Botox treatment or suction-curettage treatment. Botox wase injected into one underarm, targeting the sweat glands, to stop underarm sweating. For Suction-Curettage, the doctor inserted a suction tool into two small incisions in order to suction out the sweat-producing glands. It is similar to liposuction, but instead of suctioning out fat, the doctor suctions out the layer of the deep skin where the sweat glands are located to decrease underarm sweating.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
30.9 years
STANDARD_DEVIATION 8.67 • n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
Region of Enrollment
United States
20 participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline and 3 months

The primary outcome measure was the treatment associated unilateral axillary percentage change of sweat rate in milligrams per minute in the exercise-induced state measured at baseline compared with the sweat rate measured 3 months after treatment. This process entails placing filter paper on the area of concern for a specific amount of time, after which the paper is weighed and sweat production is quantified in units of weight per time. The amount of sweat produced was recorded in milligrams per minute by subtracting the initial weight of the paper segment before exercise from the final, post-application weight, after exercise and dividing by 5 minutes. Percentage sweat rate was calculated as \[(sweat rate at baseline - sweat rate at 3 months)/sweat rate at baseline\]\*100 with a positive percent change indicating sweat rate reduction if the baseline had a higher sweat rate.

Outcome measures

Outcome measures
Measure
Botox
n=20 axillae
Botox was injected into the underarm, targeting the sweat glands, to stop underarm sweating.
Suction-Curettage
n=20 axillae
The doctor inserted a suction tool into two small incisions in order to suction out the sweat-producing glands. It is similar to liposuction, but instead of suctioning out fat, the doctor suctions out the layer of the deep skin where the sweat glands are located to decrease underarm sweating.
Percentage Change of Sweat Rate (mg/Min) at Baseline Compared to 3 Months
73.8 Percentage Change
Interval 20.0 to 100.0
58.8 Percentage Change
Interval 2.0 to 94.0

SECONDARY outcome

Timeframe: Baseline and 3 months

Change in mean score on the Hyperhidrosis Disease Severity Scale (HDSS) from baseline minus 3 months after treatment. The HDSS iquestionnaire assigns a point value to the patient's view: My sweating is... 1. never noticeable and never interferes with my daily activities 2. tolerable but sometimes interferes with my daily activities 3. barely tolerable and frequently interferes with my daily activities 4. intolerable and always interferes with my daily activities Lower point values are considered better and higher point values are considered worse. A larger change in score between baseline and 3 months is considered a better outcome and a smaller change in score is considered a worse outcome for each treatment. Change scores were calculated (baseline minus 3 months). Positive change scores indicate that scores were better; negative change scores indicate their scores were worse after treatment.

Outcome measures

Outcome measures
Measure
Botox
n=20 axillae
Botox was injected into the underarm, targeting the sweat glands, to stop underarm sweating.
Suction-Curettage
n=20 axillae
The doctor inserted a suction tool into two small incisions in order to suction out the sweat-producing glands. It is similar to liposuction, but instead of suctioning out fat, the doctor suctions out the layer of the deep skin where the sweat glands are located to decrease underarm sweating.
The Change in Hyperhidrosis Disease Severity Scores From Baseline Compared to 3 Months After Treatment
1.55 Scores on a scale
Standard Deviation 0.68633
0.08 Scores on a scale
Standard Deviation 0.83351

Adverse Events

Botox

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

Suction-Curettage

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Murad Alam

Northwestern University

Phone: 312-695-4761

Results disclosure agreements

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