Trial Outcomes & Findings for BOTOX® Treatment for Adults With a Wide Lower Face Due to Masseter Muscle Prominence (NCT NCT04073303)

NCT ID: NCT04073303

Last Updated: 2025-05-06

Results Overview

Proportion of participants who achieve ≥ 2-grade improvement from baseline at Day 90, per investigator assessments of MMP using the Masseter Muscle Prominence Scale (MMPS). MMPS ranges from 1 = minimal to 5 = very marked.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

377 participants

Primary outcome timeframe

Day 90

Results posted on

2025-05-06

Participant Flow

A total of 377 participants were enrolled and randomized into the study; 284 to BOTOX and 93 to Placebo. A total of 370 participants were included in the modified ITT (mITT) Population; 278 to BOTOX and 92 to Placebo. A participant was considered to have completed the study if he/she had at least completed the treatment visit and the end of study visit.

The mITT population, consisting of all randomized subjects with at least 1 postbaseline MMPS assessment, comprised 370 subjects.

Participant milestones

Participant milestones
Measure
Placebo
Placebo was administered as bilateral intramuscular injections into the masseter on Day 1.
BOTOX®
BOTOX ® was administered as bilateral intramuscular injections into the masseter on Day 1, with the possibility of 2 additional treatments
Overall Study
STARTED
93
284
Overall Study
mITT Population
92
278
Overall Study
COMPLETED
70
240
Overall Study
NOT COMPLETED
23
44

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Placebo was administered as bilateral intramuscular injections into the masseter on Day 1.
BOTOX®
BOTOX ® was administered as bilateral intramuscular injections into the masseter on Day 1, with the possibility of 2 additional treatments
Overall Study
Adverse Event
0
2
Overall Study
Withdrawal by Subject
16
36
Overall Study
Lost to Follow-up
6
1
Overall Study
Protocol Deviation
0
4
Overall Study
Other
1
1

Baseline Characteristics

BOTOX® Treatment for Adults With a Wide Lower Face Due to Masseter Muscle Prominence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=92 Participants
Placebo was administered as bilateral intramuscular injections into the masseter on Day 1
BOTOX®
n=278 Participants
BOTOX ® was administered as bilateral intramuscular injections into the masseter on Day 1, with the possibility of 2 additional treatments
Total
n=370 Participants
Total of all reporting groups
Age, Continuous
31.0 years
STANDARD_DEVIATION 8.67 • n=5 Participants
31.5 years
STANDARD_DEVIATION 8.35 • n=7 Participants
31.4 years
STANDARD_DEVIATION 8.42 • n=5 Participants
Sex: Female, Male
Female
82 Participants
n=5 Participants
244 Participants
n=7 Participants
326 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
34 Participants
n=7 Participants
44 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
91 Participants
n=5 Participants
274 Participants
n=7 Participants
365 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
76 Participants
n=5 Participants
247 Participants
n=7 Participants
323 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
15 Participants
n=5 Participants
29 Participants
n=7 Participants
44 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Baseline Masseter Muscle Prominence Scale (MMPS)
4 = Marked
59 Participants
n=5 Participants
177 Participants
n=7 Participants
236 Participants
n=5 Participants
Baseline Masseter Muscle Prominence Scale (MMPS)
5 = Very Marked
33 Participants
n=5 Participants
101 Participants
n=7 Participants
134 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 90

Population: mITT Population

Proportion of participants who achieve ≥ 2-grade improvement from baseline at Day 90, per investigator assessments of MMP using the Masseter Muscle Prominence Scale (MMPS). MMPS ranges from 1 = minimal to 5 = very marked.

Outcome measures

Outcome measures
Measure
Placebo
n=92 Participants
Placebo was administered as bilateral intramuscular injections into the masseter on Day 1.
BOTOX®
n=278 Participants
BOTOX ® was administered as bilateral intramuscular injections into the masseter on Day 1, with the possibility of 2 additional treatments
Achievement of ≥ 2-Grade Improvement From Baseline on the Masseter Muscle Prominence Scale (MMPS) at Day 90
2.2 percentage of participants
Interval 0.0 to 5.2
51.2 percentage of participants
Interval 45.2 to 57.2

SECONDARY outcome

Timeframe: Day 90

Population: mITT Population

Proportion of participants who achieve MMPS Grade of ≤ 3 at Day 90, per investigator assessments of MMP using the Masseter Muscle Prominence Scale (MMPS). MMPS ranges from 1 = minimal to 5 = very marked.

Outcome measures

Outcome measures
Measure
Placebo
n=92 Participants
Placebo was administered as bilateral intramuscular injections into the masseter on Day 1.
BOTOX®
n=278 Participants
BOTOX ® was administered as bilateral intramuscular injections into the masseter on Day 1, with the possibility of 2 additional treatments
Achievement of MMPS Grade ≤ 3 at Day 90
9.9 percentage of participants
Interval 3.8 to 16.1
81.1 percentage of participants
Interval 76.4 to 85.9

SECONDARY outcome

Timeframe: Day 90

Population: mITT Population

Proportion of participants who achieve MMPS-P Grade ≤ 3 at Day 90, according to participant, per Masseter Muscle Prominence Scale-Participant (MMPS-P) MMPS-P ranges from 1 = not at all pronounced to 5 = very pronounced.

Outcome measures

Outcome measures
Measure
Placebo
n=92 Participants
Placebo was administered as bilateral intramuscular injections into the masseter on Day 1.
BOTOX®
n=278 Participants
BOTOX ® was administered as bilateral intramuscular injections into the masseter on Day 1, with the possibility of 2 additional treatments
Achievement of MMPS-P Grade ≤ 3 on Day 90
19.5 percentage of participants
Interval 11.2 to 27.8
76.2 percentage of participants
Interval 71.1 to 81.4

SECONDARY outcome

Timeframe: Day 90

Population: mITT Population

Proportion of participants who achieve ≥ 2-grade improvement from baseline at Day 90, per Masseter Muscle Prominence Scale-Participant (MMPS-P) MMPS-P ranges from 1 = not at all pronounced to 5 = very pronounced.

Outcome measures

Outcome measures
Measure
Placebo
n=92 Participants
Placebo was administered as bilateral intramuscular injections into the masseter on Day 1.
BOTOX®
n=278 Participants
BOTOX ® was administered as bilateral intramuscular injections into the masseter on Day 1, with the possibility of 2 additional treatments
Achievement of MMPS-P ≥ 2-Grade Improvement From Baseline at Day 90
9.1 percentage of participants
Interval 3.1 to 15.0
58.8 percentage of participants
Interval 52.9 to 64.7

SECONDARY outcome

Timeframe: Day 90

Population: mITT Population

Proportion of participants who achieve Grade ≥ 1 on Participant Self-Assessment of Change (PSAC) (at least minimally improved from baseline) at Day 90 PSAC ranges from 3 = much improved to -3 = much worse.

Outcome measures

Outcome measures
Measure
Placebo
n=92 Participants
Placebo was administered as bilateral intramuscular injections into the masseter on Day 1.
BOTOX®
n=278 Participants
BOTOX ® was administered as bilateral intramuscular injections into the masseter on Day 1, with the possibility of 2 additional treatments
Achievement of PSAC Grade ≥ 1 (at Least Minimally Improved From Baseline) on Day 90
20.4 percentage of participants
Interval 12.0 to 28.7
90.8 percentage of participants
Interval 87.3 to 94.4

SECONDARY outcome

Timeframe: Day 90

Population: mITT Population

Calculated from standardized images, measured in millimeters (mm)

Outcome measures

Outcome measures
Measure
Placebo
n=92 Participants
Placebo was administered as bilateral intramuscular injections into the masseter on Day 1.
BOTOX®
n=278 Participants
BOTOX ® was administered as bilateral intramuscular injections into the masseter on Day 1, with the possibility of 2 additional treatments
Change From Baseline in Lower Facial Width (mm) at Day 90
-0.04 millimeters (mm)
Standard Error 0.202
-5.24 millimeters (mm)
Standard Error 0.121

SECONDARY outcome

Timeframe: Up to Day 360

Population: mITT Population

Median duration of effect for BOTOX-treated MMPS responders.

Outcome measures

Outcome measures
Measure
Placebo
n=278 Participants
Placebo was administered as bilateral intramuscular injections into the masseter on Day 1.
BOTOX®
BOTOX ® was administered as bilateral intramuscular injections into the masseter on Day 1, with the possibility of 2 additional treatments
Median Duration of Effect for MMPS Responders
MMPS ≥ 1-Grade Improvement
268.0 Days
Interval 239.0 to 304.0
Median Duration of Effect for MMPS Responders
MMPS ≥ 2-Grade Improvement
176.0 Days
Interval 154.0 to 183.0
Median Duration of Effect for MMPS Responders
MMPS Grade ≤ 3
213.0 Days
Interval 204.0 to 236.0

Adverse Events

Placebo

Serious events: 4 serious events
Other events: 19 other events
Deaths: 0 deaths

BOTOX®

Serious events: 11 serious events
Other events: 54 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=93 participants at risk
Placebo was administered as bilateral intramuscular injections into the masseter on Day 1
BOTOX®
n=283 participants at risk
BOTOX ® was administered as bilateral intramuscular injections into the masseter on Day 1, with the possibility of 2 additional treatments
Cardiac disorders
VENTRICULAR EXTRASYSTOLES
0.00%
0/93 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
0.35%
1/283 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Gastrointestinal disorders
HAEMORRHOIDS
0.00%
0/93 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
0.35%
1/283 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Hepatobiliary disorders
GALLBLADDER POLYP
0.00%
0/93 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
0.35%
1/283 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Infections and infestations
POST-ACUTE COVID-19 SYNDROME
0.00%
0/93 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
0.35%
1/283 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Infections and infestations
PULMONARY TUBERCULOSIS
0.00%
0/93 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
0.35%
1/283 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Nervous system disorders
POST HERPETIC NEURALGIA
1.1%
1/93 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
0.00%
0/283 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Pregnancy, puerperium and perinatal conditions
ABORTION OF ECTOPIC PREGNANCY
0.00%
0/93 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
0.35%
1/283 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Pregnancy, puerperium and perinatal conditions
ABORTION THREATENED
0.00%
0/93 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
0.35%
1/283 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Pregnancy, puerperium and perinatal conditions
FOETAL GROWTH RESTRICTION
0.00%
0/93 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
0.35%
1/283 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Reproductive system and breast disorders
ENDOMETRIOSIS
1.1%
1/93 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
0.00%
0/283 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Reproductive system and breast disorders
FALLOPIAN TUBE CYST
0.00%
0/93 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
0.35%
1/283 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Respiratory, thoracic and mediastinal disorders
LUNG OPACITY
0.00%
0/93 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
0.35%
1/283 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Respiratory, thoracic and mediastinal disorders
NASAL SEPTUM DEVIATION
1.1%
1/93 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
0.00%
0/283 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Surgical and medical procedures
ABORTION INDUCED
1.1%
1/93 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
1.1%
3/283 • Number of events 3 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.

Other adverse events

Other adverse events
Measure
Placebo
n=93 participants at risk
Placebo was administered as bilateral intramuscular injections into the masseter on Day 1
BOTOX®
n=283 participants at risk
BOTOX ® was administered as bilateral intramuscular injections into the masseter on Day 1, with the possibility of 2 additional treatments
Infections and infestations
NASOPHARYNGITIS
3.2%
3/93 • Number of events 4 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
6.0%
17/283 • Number of events 19 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Infections and infestations
UPPER RESPIRATORY TRACT INFECTION
6.5%
6/93 • Number of events 7 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
6.4%
18/283 • Number of events 22 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Musculoskeletal and connective tissue disorders
MASTICATION DISORDER
6.5%
6/93 • Number of events 6 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
4.9%
14/283 • Number of events 17 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
Nervous system disorders
HEADACHE
6.5%
6/93 • Number of events 8 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.
3.9%
11/283 • Number of events 13 • All-cause mortality and adverse event tables include events reported from the start of safety data collection/time of informed consent/enrollment (whichever study team prefers per protocol/study design) to the end of the study. The median time on follow-up (or mean time followed) was 539.0 and 540.0 Days for Placebo and BOTOX ®, respectively.

Additional Information

ABBVIE CALL CENTER

AbbVie

Phone: 844-663-3742

Results disclosure agreements

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