Trial Outcomes & Findings for A Study To Assess the Adverse Effects and Change in Condition of OnabotulinumtoxinA X Injection in Adult Participants With Forehead Lines (NCT NCT05152576)

NCT ID: NCT05152576

Last Updated: 2025-07-16

Results Overview

An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a casual relationship with this treatment. The investigator assesses the relationship of each event to the use of the study. A serious adverse event (SAE) is an event that results in death, is life threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event, that based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

124 participants

Primary outcome timeframe

Day 1 to Day 180

Results posted on

2025-07-16

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Placebo will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose A
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose B
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose C
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
Overall Study
STARTED
30
35
31
28
Overall Study
COMPLETED
25
34
31
26
Overall Study
NOT COMPLETED
5
1
0
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Placebo will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose A
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose B
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose C
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
Overall Study
Lost to Follow-up
3
0
0
1
Overall Study
Withdrawal by Subject
0
1
0
1
Overall Study
Other
2
0
0
0

Baseline Characteristics

A Study To Assess the Adverse Effects and Change in Condition of OnabotulinumtoxinA X Injection in Adult Participants With Forehead Lines

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=30 Participants
Placebo will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose A
n=35 Participants
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose B
n=31 Participants
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose C
n=28 Participants
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
Total
n=124 Participants
Total of all reporting groups
Age, Continuous
46.1 years
STANDARD_DEVIATION 12.33 • n=5 Participants
43.7 years
STANDARD_DEVIATION 11.97 • n=7 Participants
46.6 years
STANDARD_DEVIATION 11.82 • n=5 Participants
50.5 years
STANDARD_DEVIATION 12.87 • n=4 Participants
46.6 years
STANDARD_DEVIATION 12.32 • n=21 Participants
Age, Customized
18-25
1 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
0 Participants
n=4 Participants
5 Participants
n=21 Participants
Age, Customized
26-40
9 Participants
n=5 Participants
11 Participants
n=7 Participants
7 Participants
n=5 Participants
8 Participants
n=4 Participants
35 Participants
n=21 Participants
Age, Customized
41-55
11 Participants
n=5 Participants
16 Participants
n=7 Participants
13 Participants
n=5 Participants
9 Participants
n=4 Participants
49 Participants
n=21 Participants
Age, Customized
56-64
8 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
7 Participants
n=4 Participants
29 Participants
n=21 Participants
Age, Customized
>=65
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
4 Participants
n=4 Participants
6 Participants
n=21 Participants
Sex: Female, Male
Female
26 Participants
n=5 Participants
28 Participants
n=7 Participants
28 Participants
n=5 Participants
26 Participants
n=4 Participants
108 Participants
n=21 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
7 Participants
n=7 Participants
3 Participants
n=5 Participants
2 Participants
n=4 Participants
16 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
6 Participants
n=4 Participants
19 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants
n=5 Participants
32 Participants
n=7 Participants
27 Participants
n=5 Participants
22 Participants
n=4 Participants
105 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
1 Participants
n=4 Participants
3 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
Race (NIH/OMB)
White
30 Participants
n=5 Participants
34 Participants
n=7 Participants
28 Participants
n=5 Participants
26 Participants
n=4 Participants
118 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 180

Population: Safety population

An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a casual relationship with this treatment. The investigator assesses the relationship of each event to the use of the study. A serious adverse event (SAE) is an event that results in death, is life threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event, that based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above.

Outcome measures

Outcome measures
Measure
Placebo
n=29 Participants
Placebo will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose A
n=35 Participants
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose B
n=31 Participants
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose C
n=28 Participants
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
Number of Participants With Adverse Events
10 Participants
12 Participants
18 Participants
13 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 180

Population: Safety population Overall Number of Participants Analyzed = Except for Temperature, number of subjects with an available baseline value and at least 1 postbaseline assessment; for Temperature, number of subjects with at least 1 postbaseline assessment.

Percentage of participants with potentially clinically significant vital sign measurements like systolic and diastolic blood pressure will be assessed.

Outcome measures

Outcome measures
Measure
Placebo
n=29 Participants
Placebo will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose A
n=35 Participants
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose B
n=31 Participants
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose C
n=27 Participants
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
Percentage of Participants With Potentially Clinically Significant Vital Sign Parameters
Systolic Blood Pressure (mmHg): ≥ 160 and Increase of ≥ 20
0 Participants
1 Participants
1 Participants
1 Participants
Percentage of Participants With Potentially Clinically Significant Vital Sign Parameters
Systolic Blood Pressure (mmHg): ≤ 90 and Decrease of ≥ 20
0 Participants
1 Participants
1 Participants
0 Participants
Percentage of Participants With Potentially Clinically Significant Vital Sign Parameters
Diastolic Blood Pressure (mmHg): ≥ 100 and Increase of ≥ 15
1 Participants
0 Participants
0 Participants
0 Participants
Percentage of Participants With Potentially Clinically Significant Vital Sign Parameters
Diastolic Blood Pressure (mmHg): ≤ 50 and Decrease of ≥ 15
0 Participants
0 Participants
0 Participants
0 Participants
Percentage of Participants With Potentially Clinically Significant Vital Sign Parameters
Heart Rate (beats/min): ≥ 110 and Increase of ≥ 15
0 Participants
0 Participants
0 Participants
0 Participants
Percentage of Participants With Potentially Clinically Significant Vital Sign Parameters
Heart Rate (beats/min): ≤ 50 and Decrease of ≥ 15
0 Participants
0 Participants
0 Participants
0 Participants
Percentage of Participants With Potentially Clinically Significant Vital Sign Parameters
Temperature (C): ≥ 38.3
0 Participants
0 Participants
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 30

Population: Intent-to-Treat Population Overall Number of Participants Analyzed = Number of subjects with data at baseline and the visit.

Facial Wrinkle Scale - Forehead Lines (FWS-FHL) at maximum contraction (also known as eyebrow elevation) The Clinician Forehead Lines Scale is a four point scale used to assess the severity of forehead lines at maximum contraction ranging from 0 - None to 3 - Severe.

Outcome measures

Outcome measures
Measure
Placebo
n=29 Participants
Placebo will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose A
n=34 Participants
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose B
n=31 Participants
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose C
n=27 Participants
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
Percentage of Participants With Achievement of ≥ 1-grade Improvement From Baseline on the Investigator-rated Clinician Forehead Lines Scale at Maximum Contraction.
58.6 percentage of participants
Interval 40.7 to 76.5
100 percentage of participants
Interval 100.0 to 100.0
96.8 percentage of participants
Interval 90.6 to 100.0
100 percentage of participants
Interval 100.0 to 100.0

Adverse Events

Placebo

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

OnabotulinumtoxinA X Dose A

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

OnabotulinumtoxinA X Dose B

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

OnabotulinumtoxinA X Dose C

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=30 participants at risk
Placebo will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose A
n=35 participants at risk
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose B
n=31 participants at risk
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose C
n=28 participants at risk
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
Infections and infestations
KIDNEY INFECTION
3.3%
1/30 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
0.00%
0/35 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
0.00%
0/31 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
0.00%
0/28 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.

Other adverse events

Other adverse events
Measure
Placebo
n=30 participants at risk
Placebo will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose A
n=35 participants at risk
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose B
n=31 participants at risk
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
OnabotulinumtoxinA X Dose C
n=28 participants at risk
OnabotulinumtoxinA X will be injected into the forehead on Day 1.
Eye disorders
EYELID PTOSIS
0.00%
0/30 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
0.00%
0/35 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
0.00%
0/31 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
10.7%
3/28 • Number of events 3 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
General disorders
INJECTION SITE BRUISING
0.00%
0/30 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
0.00%
0/35 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
3.2%
1/31 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
7.1%
2/28 • Number of events 2 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
General disorders
INJECTION SITE PAIN
3.3%
1/30 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
0.00%
0/35 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
6.5%
2/31 • Number of events 2 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
7.1%
2/28 • Number of events 2 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
General disorders
INJECTION SITE SWELLING
3.3%
1/30 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
2.9%
1/35 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
6.5%
2/31 • Number of events 2 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
7.1%
2/28 • Number of events 2 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
Infections and infestations
ASYMPTOMATIC COVID-19
0.00%
0/30 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
2.9%
1/35 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
6.5%
2/31 • Number of events 2 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
0.00%
0/28 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
Infections and infestations
COVID-19
3.3%
1/30 • Number of events 1 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
11.4%
4/35 • Number of events 4 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
16.1%
5/31 • Number of events 5 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
10.7%
3/28 • Number of events 3 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
Infections and infestations
SINUSITIS
0.00%
0/30 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
0.00%
0/35 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
0.00%
0/31 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
7.1%
2/28 • Number of events 2 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
Nervous system disorders
HEADACHE
10.0%
3/30 • Number of events 3 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
5.7%
2/35 • Number of events 2 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
6.5%
2/31 • Number of events 2 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.
7.1%
2/28 • Number of events 2 • All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 190, 190, 191, and 189 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, 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