Evaluation of Four Injectable Neuromodulators in the Glabella Area Glabella Area

NCT ID: NCT05167864

Last Updated: 2025-01-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

143 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-04

Study Completion Date

2023-06-30

Brief Summary

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The purpose of the study is to use 3D imaging to evaluate the effects of four FDA approved neuromodulators on facial lines, wrinkles and animation. Participation is available to women who have never had a cosmetic procedure above the malar region nor a treatment with a neuromodulator within 12 months. All subjects will undergo 3D imaging using the VECTRA M3 (Canfield Scientific, Inc, Fairfield, NJ) prior to treatment with a neuromodulator in order to determine their baseline dimensions. Imaging will be repeated post injection to determine change over time.

Detailed Description

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This study is a randomized controlled trial in which patients will be randomly assigned into one of four groups: those receiving onabotulinumtoxinA (Botox, Allergan, Irvine, California), abobotulinumtoxinA (Dysport, Ispen Biopharmacueticals Inc.Cambridge, MA), incobotulinumtoxinA (Xeomin, Raleigh, NC) or prabotulinumtoxinA (Jeuveau, Evolus, Newport Beach, California). Each patient will receive FDA approved dosages in which they are assigned in to treat rhytids within the glabella, as per FDA approved indications. All injections will be performed by a blinded single trained physician according to a preset injection plan per FDA approved administration guidelines. Prior to injection patients will be imaged with 3-dimensional photogrammetry. All pre-procedure images will be evaluated for absolute strain performing two types of facial animation: 1) relaxed, and 2) frowning. Subjects will return Day 3, 30, 90, and 180, post intervention for re-imaging with the same expressions. Strain will be calculated using the same metrics.

Conditions

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Cosmetic Techniques

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomized controlled trial in which patients will be randomly assigned into one of four groups
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers
blinding of participant and provider administering the treatment

Study Groups

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OnabotulinumtoxinA

Botox

Group Type ACTIVE_COMPARATOR

Onabotulinumtoxina for Injection

Intervention Type DRUG

cosmetic injection into the glabella area (eyebrow area)

AbobotulinumtoxinA

Dysport

Group Type ACTIVE_COMPARATOR

Abobotulinumtoxina for Injection

Intervention Type DRUG

cosmetic injection into the glabella area (eyebrow area)

IncobotulinumtoxinA

Xeomin

Group Type ACTIVE_COMPARATOR

IncobotulinumtoxinA for Injection

Intervention Type DRUG

cosmetic injection into the glabella area (eyebrow area)

PrabotulinumtoxinA

Jeuveau

Group Type ACTIVE_COMPARATOR

PrabotulinumtoxinA for Injection

Intervention Type DRUG

cosmetic injection into the glabella area (eyebrow area)

Interventions

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Onabotulinumtoxina for Injection

cosmetic injection into the glabella area (eyebrow area)

Intervention Type DRUG

Abobotulinumtoxina for Injection

cosmetic injection into the glabella area (eyebrow area)

Intervention Type DRUG

IncobotulinumtoxinA for Injection

cosmetic injection into the glabella area (eyebrow area)

Intervention Type DRUG

PrabotulinumtoxinA for Injection

cosmetic injection into the glabella area (eyebrow area)

Intervention Type DRUG

Other Intervention Names

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Botox Dysport Xeomin Jeuveau

Eligibility Criteria

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Inclusion Criteria

* Female
* 30-65 years of age
* Interested in glabellar injections to reduce rhytids and facial strain
* Participants must sign the informed consent form

Exclusion Criteria

* Females under 30 or above 65 years of age
* Males
* Those who have received glabellar injections for rhytids \<12 months
* Underwent cosmetic surgical procedure above the malar region
* Those with a condition that affects facial expression, such as prior stroke
Minimum Eligible Age

30 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Pennsylvania

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Penn Medicine

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

References

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Lemdani MS, Honig SE, Habarth-Morales TE, Davis HD, Niu EF, Ewing JN, Broach RB, Serletti JM, Percec I. Comparison of Botulinum Toxin A Formulations for Glabellar Strain Treatment in Women: A Double-Blind Randomized Clinical Trial. JAMA Dermatol. 2025 Jul 1;161(7):723-730. doi: 10.1001/jamadermatol.2025.1335.

Reference Type DERIVED
PMID: 40434770 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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849045

Identifier Type: -

Identifier Source: org_study_id

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