Safety and Efficacy Study of the Simultaneous Treatment of Upper Facial Lines (Horizontal Forehead Lines, Glabellar Frown Lines and Lateral Canthal Lines) in Subjects With Moderate to Severe Upper Facial Lines

NCT ID: NCT04594213

Last Updated: 2024-05-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

362 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-23

Study Completion Date

2022-05-09

Brief Summary

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The purpose of this study is to investigate the safety and efficacy of NT 201 (active ingredient: Botulinum (neuro)toxin type A, free from complexing proteins) in the combined treatment of wrinkles in the upper face (Upper Facial Lines \[UFL\]): Horizontal Forehead Lines \[HFL\], Glabellar Frown Lines \[GFL\], and Lateral Canthal Lines \[LCL\]). It is a prospective, randomized, double-blind, placebo-controlled, multicenter study with a placebo-control main period (MP) followed by an open-label extension (OLEX) period.

Detailed Description

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Conditions

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Moderate to Severe Upper Facial Lines (Horizontal Forehead Lines, Glabellar Frown Lines, and Lateral Canthal Lines)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Main Period: Placebo (Group P)

Subjects will receive placebo injection in all three UFL (GFL, HFL and LCL) on Day 1 of main period.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Solution for injection prepared by reconstitution of powder with percent (%) Sodium Chloride (NaCl).

Main Period: NT 201 (Group U)

Subjects will receive a total of 64 Units (U) of NT 201: 20 U of NT 201 injection both in the GFL area and in the HFL area, and 24 U of NT 201 injection in the LCL area (12 U per side) on Day 1 of main period.

Group Type EXPERIMENTAL

NT 201

Intervention Type DRUG

Clostridium Botulinum neurotoxin Type A free from complexing proteins. Solution for injection prepared by reconstitution of powder with 0.9% NaCl.

Main Period: NT 201 and Placebo (Group G and H)

Subjects will receive a total of 40 U of NT 201: 20 U of NT 201 injection both in the GFL and HFL area, and placebo injection in the LCL area on Day 1 of main period.

Group Type EXPERIMENTAL

NT 201

Intervention Type DRUG

Clostridium Botulinum neurotoxin Type A free from complexing proteins. Solution for injection prepared by reconstitution of powder with 0.9% NaCl.

Placebo

Intervention Type DRUG

Solution for injection prepared by reconstitution of powder with percent (%) Sodium Chloride (NaCl).

OLEX: NT 201 (Main Period: Group P)

Subjects will receive a total of 64 U of NT 201: 20 U of NT 201 injection both in the GFL and in the HFL area, and 24 U of NT 201 injection in the LCL area (12 U per side) on Day 1 (Visit 8) and Visit 13 of OLEX period.

Group Type EXPERIMENTAL

NT 201

Intervention Type DRUG

Clostridium Botulinum neurotoxin Type A free from complexing proteins. Solution for injection prepared by reconstitution of powder with 0.9% NaCl.

OLEX: NT 201 (Main Period: Group U)

Subjects will receive a total of 64 U of NT 201: 20 U of NT 201 injection both in the GFL and in the HFL area, and 24 U of NT 201 injection in the LCL area (12 U per side) on Day 1 (Visit 8) and Visit 13 of OLEX period.

Group Type EXPERIMENTAL

NT 201

Intervention Type DRUG

Clostridium Botulinum neurotoxin Type A free from complexing proteins. Solution for injection prepared by reconstitution of powder with 0.9% NaCl.

OLEX: NT 201 (Main Period: Group G and H)

Subjects will receive a total of 64 U of NT 201: 20 U of NT 201 injection both in the GFL and in the HFL area, and 24 U of NT 201 injection in the LCL area (12 U per side) on Day 1 (Visit 8) and Visit 13 of OLEX period.

Group Type EXPERIMENTAL

NT 201

Intervention Type DRUG

Clostridium Botulinum neurotoxin Type A free from complexing proteins. Solution for injection prepared by reconstitution of powder with 0.9% NaCl.

Interventions

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NT 201

Clostridium Botulinum neurotoxin Type A free from complexing proteins. Solution for injection prepared by reconstitution of powder with 0.9% NaCl.

Intervention Type DRUG

Placebo

Solution for injection prepared by reconstitution of powder with percent (%) Sodium Chloride (NaCl).

Intervention Type DRUG

Other Intervention Names

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IncobotulinumtoxinA Xeomin Botulinum toxin type A (150 kiloDalton), free from complexing protein

Eligibility Criteria

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Inclusion Criteria

* Outpatients (male or female) 18 years of age or older.
* Horizontal forehead lines (HFL), glabellar frown lines (GFL), and symmetrical lateral canthal lines (LCL) of moderate to severe intensity at maximum contraction as assessed by the investigator and subject according to Merz Aesthetics Scales (MAS).

Exclusion Criteria

* Previous treatment with botulinum neurotoxin (BoNT) of any serotype in the face within the last 12 months before injection.
* Any facial cosmetic procedure within the last 12 months before baseline injection.
* Previous treatment with any biodegradable filler in the face within the last 12 months before injection.
* Any previous insertion of permanent material in the face (regardless of the time between previous treatment and this study).
* Any medical condition that may put the subject at increased risk with exposure to NT201.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merz Pharmaceuticals GmbH

INDUSTRY

Sponsor Role collaborator

Merz North America, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Merz Medical Expert

Role: STUDY_DIRECTOR

Merz North America, Inc.

Locations

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Merz Investigational Site

Encino, California, United States

Site Status

Merz Investigational Site

Newport Beach, California, United States

Site Status

Merz Investigational Site

San Diego, California, United States

Site Status

Merz Investigational Site

Greenwood Village, Colorado, United States

Site Status

Merz Investigational Site

Washington D.C., District of Columbia, United States

Site Status

Merz Investigational Site

Aventura, Florida, United States

Site Status

Merz Investigational Site

Boca Raton, Florida, United States

Site Status

Merz Investigational Site

Metairie, Louisiana, United States

Site Status

Merz Investigational Site

New York, New York, United States

Site Status

Merz Investigational Site

New York, New York, United States

Site Status

Merz Investigational Site

New York, New York, United States

Site Status

Merz Investigational Site

Nashville, Tennessee, United States

Site Status

Countries

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United States

References

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Pavicic T, Burgess C, Fabi S, Nestor MS, Bee EK, Imhof M, Dersch H, Sudimac V. Aesthetic Improvements Over Time: Long-Term Efficacy and Additional Outcomes of IncobotulinumtoxinA in the Simultaneous Treatment of Upper Facial Lines. J Cosmet Dermatol. 2025 Sep;24(9):e70460. doi: 10.1111/jocd.70460.

Reference Type DERIVED
PMID: 40968493 (View on PubMed)

Joseph J, Sudimac V, Mersmann S, Kerscher M. IncobotulinumtoxinA in the Treatment of Upper Facial Lines: Results From Two Randomized, Double-Blind, Placebo-Controlled, Phase III Studies. Aesthet Surg J. 2025 Feb 18;45(3):293-304. doi: 10.1093/asj/sjae222.

Reference Type DERIVED
PMID: 39475143 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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M602011071

Identifier Type: -

Identifier Source: org_study_id

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