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A Study to Assess BOTOX Injections in Adult Participants for the Change of Masseter Muscle Prominence

Phase 3
Active, not recruiting
Conditions
Masseter Muscle Prominence
Interventions
Drug: Placebo
Registration Number
NCT06387394
Lead Sponsor
AbbVie
Brief Summary

The masseter muscle is one of the muscles in the lower face used for chewing. The prominence of the masseter muscle can appear as a widened lower face which some individuals deem as aesthetically undesirable and can be treated by selectively weakening the masseter muscles with small quantities of botulinum toxin. The purpose of this study is to assess how safe and effective injection of onabotulinumtoxinA (BOTOX) is in adult participants with Masseter Muscle Prominence (MMP).

BOTOX is being investigated for the treatment of Muscle Masseter Prominence. In Period 1, participants are placed in 1 of 2 groups, called treatment arms. Each group receives a different treatment, placebo or BOTOX. There is a 1 in 4 chance that participants will be assigned to placebo. In Period 2, eligible participants can receive an optional open-label retreatment of BOTOX. Approximately 200 adult participants with MMP will be enrolled in the study at approximately 20 sites in the United States.

Participants will receive intramuscular injections across both the right and left masseter muscle of either BOTOX or placebo on Day 1. Participants who are eligible for re-treatment will be given BOTOX injections on either the Day 180, 210, 240, or 270 visit and will be followed up for up to 6 months.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular monthly visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, checking for side effects, and completing questionnaires.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
202
Inclusion Criteria
  • Participant meets the following criteria:

    • Bilateral Grade 4 or Grade 5 Masseter Muscle Prominence (MMP) (identical grades for left and right sides of the face), as determined at by the investigator using the Masseter Muscle Prominence Scale (MMPS).
    • Bilateral Grade 4 or Grade 5 MMP (identical grades for left and right sides of the face), as determined by the participant using the Masseter Muscle Prominence Scale - Participant (MMPS-P).
    • Investigator and participant scoring of MMPS and MMPS-P must be the same.
  • Body mass index (BMI) ≤ 30 kg/m^2 using the calculation: BMI = weight (kg)/height (m)^2.

Exclusion Criteria
  • Excess lower facial fat, jowling, loose or lax skin in lower face, or parotid gland prominence that could interfere with MMPS or MMPS-P grading.
  • Asymmetry of left and right sides of the face that could prevent identical MMPS or MMPS-P grading on both sides of the face.
  • History of or current temporomandibular disorder (TMJD), or presence of signs/symptoms of possible TMJD.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Open-Label Period: BOTOXBOTOXParticipants who are eligible for re-treatment will receive BOTOX injections on either the Day 180, 210, 240, or 270 visit and will be followed for up to 6 months.
Double-Blind Period: PlaceboPlaceboParticipants will receive placebo injections across both the right and left masseter muscle on Day 1.
Double-Blind Period: BOTOXBOTOXParticipants will receive BOTOX injections across both the right and left masseter muscle on Day 1.
Primary Outcome Measures
NameTimeMethod
Composite Achievement of MMP Severity Improvement and at Least a 2-Grade Improvement from Baseline by Both Investigator-Rated MMPS and Participant-Rated MMPS-PDay 90

The investigator and participant each assessed the participant's Masseter Muscle Prominence (MMP) using the Masseter Muscle Prominence Scale (MMPS) and the Masseter Muscle Prominence Scale-Participant (MMPS-P), respectively. Both are a 5-point masseter muscle severity scale with grades ranging from 1 (minimal/not at all noticeable) to 5 (very marked/extremely noticeable).

Number of Participants with Adverse Events (AEs)Baseline to Day 360

An 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 causal relationship with this treatment.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving Investigator-Rated MMPS Improvement Over TimeBaseline to Day 360

The investigator assessed the participant's MMP using the MMPS, a 5-point masseter muscle severity scale with grades ranging from 1 (minimal) to 5 (very marked).

Percentage of Participants who Responded as "Very satisfied" or "Satisfied" on the Lower Facial Shape Questionnaire - Treatment Satisfaction Assessment (LFSQ-TXSAT)Day 90

The LFSQ-TXSAT measures satisfaction with the effect of treatment using a 5-point scale ranging from 'Very satisfied' to 'Very dissatisfied.'

Percentage of Participants who Responded as "Not at all bothered" or "A little bothered" on the Bother Impact Assessment for Masseter Muscle Prominence (BIA-MMP)Day 90

The BIA-MMP is a single item evaluation of how bothered the participant is by the appearance of their lower face using a 5-point scale from 'Not at all bothered' to 'Extremely bothered.'

Change from Baseline in Lower Facial Shape Questionnaire-Impact Assessment (LFSQ-IA) Summary ScoreBaseline to Day 90

The LFSQ-IA measures psychosocial impact due to the appearance of the lower face. The LFSQ-IA summary score ranges from '0 (best)' to '24 (worst).'

Percentage of Participants Achieving Participant-Rated MMPS-P Improvement Over TimeBaseline to Day 360

The investigator assessed the participant's MMP using the MMPS-P, a 5-point masseter muscle severity scale with grades ranging from 1 (not at all noticeable) to 5 (extremely noticeable).

Trial Locations

Locations (20)

Total Skin and Beauty Dermatology Center /ID# 248218

🇺🇸

Birmingham, Alabama, United States

Mayo Clinic Arizona /ID# 248883

🇺🇸

Phoenix, Arizona, United States

Skin Care and Laser Physicians of Beverly Hills /ID# 248223

🇺🇸

Los Angeles, California, United States

Cosmetic Laser Dermatology /ID# 248215

🇺🇸

San Diego, California, United States

Ava T. Shamban MD - Santa Monica. /ID# 248886

🇺🇸

Santa Monica, California, United States

DMR Research PLLC /ID# 248485

🇺🇸

Westport, Connecticut, United States

Susan H. Weinkle MD /ID# 252063

🇺🇸

Bradenton, Florida, United States

Skin and Cancer Associates, LLP /ID# 248209

🇺🇸

Miami, Florida, United States

Coleman Center For Cosmetic Dermatologic Surgery /ID# 249827

🇺🇸

Metairie, Louisiana, United States

Delricht Research /ID# 249825

🇺🇸

New Orleans, Louisiana, United States

Clarkston Dermatology /ID# 248888

🇺🇸

Clarkston, Michigan, United States

Skin Laser and Surgery Specialists of NY and NJ /ID# 251501

🇺🇸

Hackensack, New Jersey, United States

Edwin F. Williams III, MD FACS of LATHAM P.C. D/B/A THE REJUVA CENTER /ID# 248887

🇺🇸

Latham, New York, United States

Wilmington Dermatology Center /ID# 250651

🇺🇸

Wilmington, North Carolina, United States

Centricity Research Dublin Multispecialty /ID# 248484

🇺🇸

Dublin, Ohio, United States

Tennessee Clinical Research Center /ID# 248486

🇺🇸

Nashville, Tennessee, United States

Bellaire Dermatology Associates /ID# 248221

🇺🇸

Bellaire, Texas, United States

Dallas Plastic Surgery Institute /ID# 248220

🇺🇸

Dallas, Texas, United States

Austin Institute for Clinical Research - Pflugerville /ID# 248217

🇺🇸

Pflugerville, Texas, United States

SkinDC /ID# 248885

🇺🇸

Arlington, Virginia, United States

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