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A Study To Assess the Safety and Effects of OnabotulinumtoxinA (BOTOX) Intramuscular Injection in Adult Participants With Moderate to Severe Platysma Prominence

Phase 3
Completed
Conditions
Platysma Prominence
Interventions
Registration Number
NCT04949399
Lead Sponsor
AbbVie
Brief Summary

The purpose of the study is to evaluate the safety and effects of onabotulinumtoxinA (BOTOX) for the temporary improvement in the appearance of platysma prominence.

Study doctors will randomize participants into 1 of the 2 groups, called treatment arms. There is a 1 in 2 chance that a participant will be assigned to placebo. Around 400 participants will be enrolled in the study in the United States and Canada.

Participants will receive a single treatment of intramuscular injection of onabotulinumtoxinA (BOTOX) or placebo on Day 1 during this 4 month long study.

Participants will attend regular monthly visits during the study at the study site.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
408
Inclusion Criteria
  • Participants must voluntarily sign and date an informed consent, approved by an independent ethics committee (IEC)/institutional review board (IRB), prior to the initiation of any screening or study specific procedures
  • Are willing and able to comply with procedures required in the protocol
  • Adult male or female, at least 18 years old at the time of signing the informed consent
  • Good health as determined by medical history, physical examination, vital signs, and investigator's judgment
Exclusion Criteria
  • Any medical condition that may put the participant at increased medical risk with exposure to BOTOX, including diagnosed myasthenia gravis, Eaton-Lambert syndrome, amyotrophic lateral sclerosis, or any other condition that might interfere with neuromuscular function
  • Participant has an anticipated need for treatment with botulinum toxin of any serotype for any indication during the study (other than study intervention)
  • Anticipated need for surgery or overnight hospitalization during the study
  • Females who are pregnant or breastfeeding and are considering becoming pregnant or donating eggs during the study
  • Known immunization or hypersensitivity to any botulinum toxin serotype
  • History of clinically significant (per investigator's judgment) drug or alcohol abuse within the last 6 months
  • Lower facial and neck hair, scarring (e.g., acne), or other abnormal variations that may interfere with photography (such that photograph is not acceptable)
  • Tattoos, jewelry, or clothing that cannot be removed, and that obscure the target area of interest

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
BOTOXOnabotulinumtoxinABOTOX (OnabotulinumtoxinA) was injected into the platysma muscle on Day 1
PlaceboPlaceboPlacebo will be injected into the platysma muscle on Day 1
Primary Outcome Measures
NameTimeMethod
Number of Participants With Adverse EventsEnrollment to Day 120

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.

Composite Achievement of Grade 1 or 2 (Minimal or Mild) and at Least a 2-Grade Improvement From Baseline Based on Both Investigator's Assessment Using C-APPS and Participant's Self-Assessment Using P-APPS, at Maximum Contraction at Day 14Day 14

The Clinician Allergan Platysma Prominence Scale (C-APPS) evaluates platysma prominence severity and is a static measurement encompassing the investigator's visual examination of the platysma muscle at maximum contraction, ranging from 1 - Minimal to 5- Extreme.

The Participant Allergan Platysma Prominence Scale (P-APPS) evaluates platysma prominence severity and is a single-item measure that is accompanied by a 5-grade photonumeric scale for participants to self-assess the severity of their platysma prominence at maximum contraction, ranging from 1 - Minimal to 5 - Extreme.

Achievement of at Least a 2-grade Improvement From Baseline Based on the Investigator's Assessment Using C-APPS at Maximum Contraction at Day 14Day 14

The C-APPS evaluates platysma prominence severity and is a static measurement encompassing the investigator's visual examination of the platysma muscle at maximum contraction, ranging from 1 - Minimal to 5- Extreme.

Achievement of at Least a 2-grade Improvement From Baseline Based on the Participant's Self- Assessment Using P-APPS at Maximum Contraction at Day 14Day 14

The P-APPS evaluates platysma prominence severity and is a single-item measure that is accompanied by a 5-grade photonumeric scale for participants to self-assess the severity of their platysma prominence at maximum contraction, ranging from 1 - Minimal to 5 - Extreme.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Who Achieved Grade 1 or 2 (Minimal or Mild) According to Investigator's Assessment Using C-APPS at Maximum Contraction at Days 14, 30, 60, 90, and 120Day 14, 30, 60, 90, and 120

The C-APPS evaluates platysma prominence severity and is a static measurement encompassing the investigator's visual examination of the platysma muscle at maximum contraction, ranging from 1 - Minimal to 5- Extreme.

Percentage of Participants Who Achieved Grade 1 or 2 (Minimal or Mild) According to Participant's Assessment Using P-APPS at Maximum Contraction at Days 14, 30, 60, 90, and 120Day 14, 30, 60, 90, and 120

The P-APPS evaluates platysma prominence severity and is a single-item measure that is accompanied by a 5-grade photonumeric scale for participants to self-assess the severity of their platysma prominence at maximum contraction, ranging from 1 - Minimal to 5 - Extreme.

Percentage of Participants With Responses of "Satisfied" or "Very Satisfied" on the Appearance of Neck and Lower Face Questionnaire (ANLFQ): Satisfaction (Follow-up) Item 5 (Effect of Treatment) at Day 14Day 14

The ANLFQ: Satisfaction scale assesses how satisfied the participants are with the treatment they received for the appearance of their neck and lower face. Item 5 is a verbal descriptor scale ranging from 1 (Very satisfied) to 5 (Very dissatisfied).

Percentage of Participants With Responses of 'Not at All Bothered' or 'A Little Bothered' on the Bother Assessment Scale - Platysma Prominence (BAS-PP) Scale Item 2 (Jawline) at Day 14Day 14

The BAS-PP Scale is a 2-item measure that asks participants to rate how bothered they are by the appearance of their vertical neck bands (Item 1) and jawline (Item 2) where items are rated from 1 (Not at all bothered) to 5 (Extremely bothered).

Percentage of Participants With Responses of 'Not at All Bothered' or 'A Little Bothered' on the BAS-PP Scale Item 1 (Vertical Neck Bands) at Day 14Day 14

The BAS-PP Scale is a 2-item measure that asks participants to rate how bothered they are by the appearance of their vertical neck bands (Item 1) and jawline (Item 2) where items are rated from 1 (Not at all bothered) to 5 (Extremely bothered).

Change From Baseline on the Appearance of Neck and Lower Face Questionnaire (ANLFQ): Impacts Summary Score at Day 14Day 14

The ANLFQ: Impacts scale assesses the psychosocial impact of the appearance of the neck and lower face. All items are rated on a 5-point Verbal Descriptor Scale ranging from 1 (Never) to 5 (All of the time), with higher summary scores (range: 7-35) indicating greater negative psychosocial impact from the appearance of the neck and lower face. For change from baseline in the ANLFQ: Impacts summary score, positive values indicate worsening and negative values indicate improvement in the psychosocial impact.

Percentage of Participants Who Achieved at Least 1-Grade Improvement From Baseline Based on Investigator's Assessment Using C-APPS at Maximum Contraction at Days 14, 30, 60, 90, and 120Day 14, 30, 60, 90, and 120

The C-APPS evaluates platysma prominence severity and is a static measurement encompassing visual examination of the platysma muscle at maximum contraction, ranging from 1 - Minimal to 5- Extreme.

Percentage of Participants Who Achieved at Least 1-Grade Improvement From Baseline Based on Participant's Assessment Using P-APPS at Maximum Contraction at Days 14, 30, 60, 90, and 120Day 14, 30, 60, 90, and 120

The P-APPS evaluates platysma prominence severity and is a single-item measure that is accompanied by a 5-grade photonumeric scale for participants to self-assess the severity of their platysma prominence at maximum contraction, ranging from 1 - Minimal to 5 - Extreme.

Percentage of Participants Who Achieved a Rating of Minimal or Mild According to Participant's Assessment Using P-APPS at Maximum Contraction at Days 14Day 14

The P-APPS evaluates platysma prominence severity and is a single-item measure that is accompanied by a 5-grade photonumeric scale for participants to self-assess the severity of their platysma prominence at maximum contraction, ranging from 1 - Minimal to 5 - Extreme.

Percentage of Participants With Responses of "Satisfied" or "Very Satisfied" on the ANLFQ: Satisfaction (Follow-up) Item 5 (Effect of Treatment) at Day 14Day 14

The ANLFQ: Satisfaction scale assesses how satisfied the participants are with the treatment they received for the appearance of their neck and lower face. Item 5 is a verbal descriptor scale ranging from 1 (Very satisfied) to 5 (Very dissatisfied).

Percentage of Participants With Responses of 'Not at All Bothered' or 'A Little Bothered' on the BAS-PP Scale Item 2 (Jawline) at Day 14Day 14

The BAS-PP Scale is a 2-item measure that asks participants to rate how bothered they are by the appearance of their vertical neck bands (Item 1) and jawline (Item 2) where items are rated from 1 (Not at all bothered) to 5 (Extremely bothered).

Change From Baseline on the ANLFQ: Impacts Summary Score at Days 30, 60, and 90Days 30, 60, and 90

The ANLFQ: Impacts scale assesses the psychosocial impact of the appearance of the neck and lower face. All items are rated on a 5-point Verbal Descriptor Scale ranging from 1 (Never) to 5 (All of the time), with higher scores indicating greater negative impact from the appearance of the neck and lower face.

Trial Locations

Locations (30)

Laser and Skin Surgery Center of Indiana /ID# 229515

🇺🇸

Indianapolis, Indiana, United States

Advanced Research Associates - Glendale /ID# 229256

🇺🇸

Glendale, Arizona, United States

Clinical Testing of Beverly Hills /ID# 229946

🇺🇸

Encino, California, United States

Aesthetic Center at Woodholme /ID# 229836

🇺🇸

Baltimore, Maryland, United States

Coleman Center For Cosmetic Dermatologic Surgery /ID# 229414

🇺🇸

Metairie, Louisiana, United States

Image Dermatology, P.C. /ID# 229244

🇺🇸

Montclair, New Jersey, United States

Aesthetic Solutions /ID# 229241

🇺🇸

Chapel Hill, North Carolina, United States

Dr Melinda Gooderham Medicine Profession /ID# 229456

🇨🇦

Cobourg, Ontario, Canada

Nashville Center for Laser and Facial Surgery /ID# 229237

🇺🇸

Nashville, Tennessee, United States

Dermatology Research Associates /ID# 229949

🇺🇸

Los Angeles, California, United States

Clear Dermatology & Aesthetics Center /ID# 229252

🇺🇸

Scottsdale, Arizona, United States

Cosmetic Laser Dermatology /ID# 229245

🇺🇸

San Diego, California, United States

Art of Skin MD /ID# 229255

🇺🇸

Solana Beach, California, United States

DMR Research PLLC /ID# 229938

🇺🇸

Westport, Connecticut, United States

Susan H. Weinkle MD /ID# 229419

🇺🇸

Bradenton, Florida, United States

Research Institute of the Southeast, LLC /ID# 229234

🇺🇸

West Palm Beach, Florida, United States

Maryland Dermatology Laser, Skin, & Vein Institute /ID# 229260

🇺🇸

Hunt Valley, Maryland, United States

Laser & Skin Surgery Center of New York /ID# 229423

🇺🇸

New York, New York, United States

Aventiv Research Dublin /ID# 229254

🇺🇸

Dublin, Ohio, United States

Wilmington Dermatology Center /ID# 229246

🇺🇸

Wilmington, North Carolina, United States

KGL Skin Study Center, LLC /ID# 229253

🇺🇸

Newtown Square, Pennsylvania, United States

The Center For Dermatology /ID# 229481

🇨🇦

Richmond Hill, Ontario, Canada

Dallas Plastic Surgery Institute /ID# 229258

🇺🇸

Dallas, Texas, United States

Humphrey Cosmetic Dermatology /ID# 229522

🇨🇦

Vancouver, British Columbia, Canada

SkinDC /ID# 229251

🇺🇸

Arlington, Virginia, United States

Dermetics Cosmetic Dermatology /ID# 229482

🇨🇦

Burlington, Ontario, Canada

Steve Yoelin MD Medical Associate Inc /ID# 229420

🇺🇸

Newport Beach, California, United States

Delricht Research /ID# 229248

🇺🇸

New Orleans, Louisiana, United States

Ava T. Shamban MD - Santa Monica. /ID# 229421

🇺🇸

Santa Monica, California, United States

Premier Clinical Research /ID# 229261

🇺🇸

Spokane, Washington, United States

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