Efficacy of Prabotulinum and Onabotulinum Toxin-A for Facial Wrinkles

NCT ID: NCT05840445

Last Updated: 2023-05-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-15

Study Completion Date

2021-01-15

Brief Summary

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The appearance of facial wrinkles, lines, or folds is a natural phenomenon during aging. Different scales help classify wrinkles objectively, such as the Facial Wrinkle Scale. Others help classify patients' subjective perspectives, like the Face-Q questionnaire. The application of Botulinum Toxin is the most performed non-surgical aesthetic procedure in the world to treat facial expression lines. The present study aims to compare the efficacy of onabotulinum toxin-A (BOTOX®) and prabotulinum toxin-A (NABOTA®) to treat expression lines in the upper third of the face, based on objective and subjective follow-up, using the FWS scale and FACE-Q questionnaire, respectively.

Detailed Description

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This is an experimental, comparative, longitudinal, open-label, prospective study at the Instituto de Oftalmología Fundación Conde de Valenciana I.A.P, Mexico City, Mexico.

The investigators used a proportion formula to calculate the sample size, with an alpha value of 0.05, and a precision of 3%. The difference in the effect between the two toxins is 20%, considering a 20% loss, with a total of 18 patients. A nonprobabilistic sampling of consecutive cases was performed. Once patients were selected and included in the study, they were randomly assigned to a group.

After inclusion, simple randomization was performed in the Onabotulinum and Prabotulinum groups. Each group received intramuscular administration of onabotulinum toxin-A and prabotulinum toxin-A in the upper facial third.

The investigators used descriptive statistics to analyze the demographic variables and employed the Mann-Whitney U test to assess differences in the quantitative and ordinal outcome variables between the groups before and at the end of the study. Additionally, the investigators employed the chi-square test to compare the intergroup results before and at the end of the study for nominal variables. To compare intragroup results over time, the investigators conducted a repeated measures ANOVA test for continuous variables, Friedman test for ordinal variables, and Cochran's Q test for nominal variables. We used SPSS Version 20 (Chicago, IL, USA) for analysis and considered a value of p\<0.05 as statistically significant.

Conditions

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Face Skin Fold Rejuvenation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Simple randomization was performed in two groups: the Onabotulinum group and the Prabotulinum group. Each group would receive an intramuscular application of onabotulinum toxin-A and prabotulinum toxin-A in the upper facial third, respectively.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Onabotulinum Group

This group received an intramuscular application of onabotulinum toxin-A in the upper facial third.

Group Type PLACEBO_COMPARATOR

Onabotulinum toxin A

Intervention Type DRUG

Intramuscular application of onabotulinum toxin-A in the upper facial third.

Prabotulinum Group

This group received an intramuscular application of prabotulinum toxin-A in the upper facial third.

Group Type ACTIVE_COMPARATOR

Prabotulinumtoxin A

Intervention Type DRUG

Intramuscular application of prabotulinum toxin-A in the upper facial third.

Interventions

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Onabotulinum toxin A

Intramuscular application of onabotulinum toxin-A in the upper facial third.

Intervention Type DRUG

Prabotulinumtoxin A

Intramuscular application of prabotulinum toxin-A in the upper facial third.

Intervention Type DRUG

Other Intervention Names

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Botox Nabota

Eligibility Criteria

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Inclusion Criteria

* 25 and 40 years of age
* Diagnosis of expression lines in the upper facial third of any degree
* Wished to improve their aesthetic appearance

Exclusion Criteria

* Known allergy to milk protein or albumin
* Pregnancy and lactation
* Cardiovascular or neuromuscular disease
* Recent history of infections in the facial region
* Concomitant intake of aminoglycosides or cyclosporine A
Minimum Eligible Age

25 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Instituto de Oftalmología Fundación Conde de Valenciana

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yonathan Garfias, PhD

Role: STUDY_CHAIR

Instituto de Oftalmología Conde de Valenciana I. A. P

Locations

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Institute of Ophthalmology, Conde de Valenciana Foundation

Mexico City, Mexico City, Mexico

Site Status

Instituto de Oftalmología

Mexico City, , Mexico

Site Status

Countries

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Mexico

References

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Hadi H, Wilkinson CM. Categorizing facial creases: A review. J Cosmet Dermatol. 2017 Jun;16(2):180-185. doi: 10.1111/jocd.12305. Epub 2017 Feb 1.

Reference Type BACKGROUND
PMID: 28145033 (View on PubMed)

Yaar M, Gilchrest BA. Photoageing: mechanism, prevention and therapy. Br J Dermatol. 2007 Nov;157(5):874-87. doi: 10.1111/j.1365-2133.2007.08108.x. Epub 2007 Aug 17.

Reference Type BACKGROUND
PMID: 17711532 (View on PubMed)

Kohl E, Steinbauer J, Landthaler M, Szeimies RM. Skin ageing. J Eur Acad Dermatol Venereol. 2011 Aug;25(8):873-84. doi: 10.1111/j.1468-3083.2010.03963.x. Epub 2011 Jan 24.

Reference Type BACKGROUND
PMID: 21261751 (View on PubMed)

Conkling N, Bishawi M, Phillips BT, Bui DT, Khan SU, Dagum AB. Subjective rating of cosmetic treatment with botulinum toxin type A: do existing measures demonstrate interobserver validity? Ann Plast Surg. 2012 Oct;69(4):350-5. doi: 10.1097/SAP.0b013e31824a43e0.

Reference Type BACKGROUND
PMID: 22964674 (View on PubMed)

Sundaram H, Signorini M, Liew S, Trindade de Almeida AR, Wu Y, Vieira Braz A, Fagien S, Goodman GJ, Monheit G, Raspaldo H; Global Aesthetics Consensus Group. Global Aesthetics Consensus: Botulinum Toxin Type A--Evidence-Based Review, Emerging Concepts, and Consensus Recommendations for Aesthetic Use, Including Updates on Complications. Plast Reconstr Surg. 2016 Mar;137(3):518e-529e. doi: 10.1097/01.prs.0000475758.63709.23.

Reference Type BACKGROUND
PMID: 26910696 (View on PubMed)

Satriyasa BK. Botulinum toxin (Botox) A for reducing the appearance of facial wrinkles: a literature review of clinical use and pharmacological aspect. Clin Cosmet Investig Dermatol. 2019 Apr 10;12:223-228. doi: 10.2147/CCID.S202919. eCollection 2019.

Reference Type BACKGROUND
PMID: 31114283 (View on PubMed)

Huang W, Foster JA, Rogachefsky AS. Pharmacology of botulinum toxin. J Am Acad Dermatol. 2000 Aug;43(2 Pt 1):249-59. doi: 10.1067/mjd.2000.105567.

Reference Type BACKGROUND
PMID: 10906647 (View on PubMed)

Klein AW. Contraindications and complications with the use of botulinum toxin. Clin Dermatol. 2004 Jan-Feb;22(1):66-75. doi: 10.1016/j.clindermatol.2003.12.026.

Reference Type BACKGROUND
PMID: 15158548 (View on PubMed)

Nam HS, Park YG, Paik NJ, Oh BM, Chun MH, Yang HE, Kim DH, Yi Y, Seo HG, Kim KD, Chang MC, Ryu JH, Lee SU. Efficacy and safety of NABOTA in post-stroke upper limb spasticity: a phase 3 multicenter, double-blinded, randomized controlled trial. J Neurol Sci. 2015 Oct 15;357(1-2):192-7. doi: 10.1016/j.jns.2015.07.028. Epub 2015 Jul 21.

Reference Type RESULT
PMID: 26233808 (View on PubMed)

Won CH, Kim HK, Kim BJ, Kang H, Hong JP, Lee SY, Kim CS. Comparative trial of a novel botulinum neurotoxin type A versus onabotulinumtoxinA in the treatment of glabellar lines: a multicenter, randomized, double-blind, active-controlled study. Int J Dermatol. 2015 Feb;54(2):227-34. doi: 10.1111/ijd.12627. Epub 2014 Oct 14.

Reference Type RESULT
PMID: 25311357 (View on PubMed)

Cheon HI, Jung N, Won CH, Kim BJ, Lee YW. Efficacy and Safety of Prabotulinumtoxin A and Onabotulinumtoxin A for Crow's Feet: A Phase 3, Multicenter, Randomized, Double-Blind, Split-Face Study. Dermatol Surg. 2019 Dec;45(12):1610-1619. doi: 10.1097/DSS.0000000000001920.

Reference Type RESULT
PMID: 30893169 (View on PubMed)

Other Identifiers

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CI-026-2020

Identifier Type: -

Identifier Source: org_study_id

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