Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
AGN-151586 · 10 trials · 3 indications
Investigators' assessments of the severity of GL using the 4-grade FWS-A, where 0=none and 3=severe. Higher grades indicate more severity.
Participants' assessments of the severity of GL using the 4-grade FWS-A, where 0=none and 3=severe. Higher grades indicate more severity.
An AE is defined as any untoward medical occurrence in a patient or clinical investigation in which a participant is administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.
\[Primary endpoint for the United States FDA\] Percentage of participants achieving a Grade 0 or 1 (none or mild) and a ≥ 2-grade improvement from Baseline on the Facial Wrinkle Scale (FWS) according to both investigator and participant assessments of glabellar lines (GL) severity at maximum frown at Day 7 are reported. Assessments were performed using the 4-grade Facial Wrinkle Scale (FWS), where 0=none, 1=mild, 2=moderate, and 3=severe. Higher scores indicate more severity. Percentages are rounded off to nearest single decimal.
\[Primary endpoint for European Union regulatory agencies\] Percentage of participants with a ≥ 2-grade improvement from Baseline on the Facial Wrinkle Scale (FWS) according to participant assessment of glabellar lines (GL) severity at maximum frown at Day 7 are reported. Assessments were performed using the 4-grade Facial Wrinkle Scale (FWS), where 0=none, 1=mild, 2=moderate, and 3=severe. Higher scores indicate more severity. Percentages are rounded off to nearest single decimal.
\[Primary endpoint for European Union regulatory agencies\] Percentage of participants with a ≥ 2-grade improvement from Baseline on the Facial Wrinkle Scale (FWS) according to investigator assessment of glabellar lines (GL) severity at maximum frown at Day 7 are reported. Assessments were performed using the 4-grade Facial Wrinkle Scale (FWS), where 0=none, 1=mild, 2=moderate, and 3=severe. Higher scores indicate more severity. Percentages are rounded off to nearest single decimal.
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 causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study drug. 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.
Percentage of participants with abnormal change from baseline in vital sign measurements like systolic and diastolic blood pressure will be assessed.
12-lead resting ECGs will be recorded. Parameters include heart rate, PR interval, QT interval, QRS duration, and QT interval corrected using Fridericia's formula (QTcF).
Blood samples for immunogenicity testing will be collected from all participants treated with AGN-151586 at predetermined timepoints. Collected samples will be processed to yield serum for detection of binding and neutralizing antibodies to AGN-151586.
Percentage of participants achieving a ≥ 2-grade improvement from baseline on the FWS according to investigator assessments of GL severity at maximum frown at any postintervention timepoint through Day 7 were reported. Investigators' assessments of the severity of GL at rest and maximum frown using the validated FWS was assessed using the 4-grade FWS, where 0=none, 1=mild, 2=moderate, and 3=severe. Higher scores indicate more severity. Percentages are rounded off to nearest single decimal.
An adverse event (AE) was defined as any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether considered related to the study intervention or not. TEAEs were defined as events event began on or after the date and time of the study intervention; or the adverse event was present before the date and time of the study intervention, but increased in severity or became serious on or after the date and time of the study intervention.
Potentially clinically significant post intervention laboratory values included hematology, chemistry, and urinalysis as defined in the SAP.
Potentially clinically significant post intervention vital sign measurements included systolic and diastolic blood pressure, pulse rate, respiration rate, body temperature as defined in the SAP.
Potentially clinically significant post intervention values in 12-lead ECG recordings included heart rate and measures PR, QRS, QT and QTcF intervals. 12-lead ECG recordings were obtained after the participants have rested for at least 10 minutes in semi-supine or supine position as defined in the SAP. A post-baseline value is considered potentially clinically significant if it meets either the observed-value or the change-from-baseline criteria such as QRS interval observed value: ≥ 150 msec; PR interval observed value: ≥ 250 msec; QTcB observed value: \> 500 msec or change from baseline value: increase of \> 60 msec; QTcF observed value: \> 500 msec or change from baseline value: increase of \> 60 msec.
Number of participants with positive anti-drug antibodies are reported. Binding and neutralizing anti-bodies are evaluated as anti-drug antibodies. Only participants with positive samples for binding antibodies have been analyzed for presence of neutralizing antibodies.
Samples collected from participants treated with AGN-151586 and OnabotulinumtoxinA will be analyzed for antibodies against both AGN-151586 and OnabotulinumtoxinA.
Investigators' assessments of the severity of GL using the 4-grade FWS-A, where 0=none and 3=severe. Higher grades indicate more severity.
The investigator assessment of GL severity at maximum frown using a 4-grade scale (0 to 3) where 0=none and 3=severe.
| Arm | Type | Description |
|---|---|---|
| Double-Blind Period: AGN-151586 | EXPERIMENTAL | Participants will receive AGN-151586 in the glabellar complex on Day 1. |
| Double-Blind Period: Placebo | PLACEBO_COMPARATOR | Participants will receive Placebo in the glabellar complex on Day 1. |
| Open-Label: AGN-151586 | EXPERIMENTAL | Participants who meet all retreatment criteria will receive AGN-151586 in the glabellar complex on Day 43. |
| Placebo | PLACEBO_COMPARATOR | Participants received 5 intramuscular injections of placebo in the glabellar complex on Day 1. Based on meeting the retreatment criteria, the participants may have also received 1 open-label treatment of AGN-151586 on Day 43. |
| AGN-151586 | EXPERIMENTAL | Participants received 5 intramuscular injections of AGN-151586 in the glabellar complex on Day 1. Based on meeting the retreatment criteria, participants may also have received 1 open-label treatment of AGN-151586 on Day 43. |
| Open-Label AGN-151586 | EXPERIMENTAL | Participants will receive a single treatment of AGN-151586 on Day 1. |
| Cohort 1: Placebo | PLACEBO_COMPARATOR | Participants received AGN-151586-matching placebo, intramuscular (IM) injections in the glabellar complex on Day 1 in Cohort 1. |
| Cohort 1: AGN-151586 | EXPERIMENTAL | Participants received AGN-151586 lowest dose, IM injections in the glabellar complex on Day 1. |
| Cohort 2: Placebo | PLACEBO_COMPARATOR | Participants received AGN-151586-matching placebo, IM injections in the glabellar complex on Day 1 in Cohort 2. |
| Cohort 2: AGN-151586 | EXPERIMENTAL | Participants received AGN-151586, IM injections in the glabellar complex on Day 1. |
| Cohort 3: Placebo | PLACEBO_COMPARATOR | Participants received AGN-151586-matching placebo, IM injections in the glabellar complex on Day 1 in Cohort 3. |
| Cohort 3: AGN-151586 | EXPERIMENTAL | Participants received AGN-151586, IM injections in the glabellar complex on Day 1. |
| Cohort 4: Placebo | PLACEBO_COMPARATOR | Participants received AGN-151586-matching placebo, IM injections in the glabellar complex on Day 1 in Cohort 4. |
| Cohort 4: AGN-151586 | EXPERIMENTAL | Participants received AGN-151586, IM injections in the glabellar complex on Day 1. |
| Cohort 5: Placebo | PLACEBO_COMPARATOR | Participants received AGN-151586-matching placebo, IM injections in the glabellar complex on Day 1 in Cohort 5. |
| Cohort 5: AGN-151586 | EXPERIMENTAL | Participants received AGN-151586 highest dose, IM injections in the glabellar complex on Day 1. |
| Cohort 1 - AGN-151586 and BOTOX | EXPERIMENTAL | Participants will receive AGN-151586 on Day 1, followed by BOTOX on Day 14. |
| Cohort 2 - AGN-151586 and BOTOX | EXPERIMENTAL | Participants will receive AGN-151586 on Day 1, followed by BOTOX on Day 21. |
| Cohort 1: AGN-151586 Dose A and OnabotulinumtoxinA | EXPERIMENTAL | Participants will receive a single treatment of AGN-151586 Dose A and OnabotulinumtoxinA. |
| Cohort 2: AGN-151586 Dose B and OnabotulinumtoxinA | EXPERIMENTAL | Participants will receive a single treatment of AGN-151586 Dose B and OnabotulinumtoxinA. |
| Cohort 3: AGN-151586 Dose A and OnabotulinumtoxinA | EXPERIMENTAL | Participants will receive a single treatment of AGN-151586 Dose A and OnabotulinumtoxinA. |
| Cohort 3: AGN-151586 Dose B and OnabotulinumtoxinA | EXPERIMENTAL | Participants will receive a single treatment of AGN-151586 Dose B and OnabotulinumtoxinA. |
| Cohort 3: Placebo and OnabotulinumtoxinA | EXPERIMENTAL | Participants will receive a single treatment of Placebo and OnabotulinumtoxinA. |
| Dose 1 | EXPERIMENTAL | Participants will receive 5 intramuscular injections of AGN-151586 in the glabellar complex on Day 1. |
| Dose 2 | EXPERIMENTAL | Participants will receive 5 intramuscular injections of AGN-151586 in the glabellar complex on Day 1. |
| Dose 3 | EXPERIMENTAL | Participants will receive 5 intramuscular injections of AGN-151586 in the glabellar complex on Day 1. |
| AGN-151586, BOTOX | EXPERIMENTAL | Participants will receive 5 intramuscular injections of AGN-151586 in the glabellar complex on Day 1. Eligible participants will receive BOTOX injections and will be followed for up to 4 months. |
| Placebo, BOTOX | EXPERIMENTAL | Participants will receive 5 intramuscular injections of placebo in the glabellar complex on Day 1. Eligible participants will receive BOTOX injections and will be followed for up to 4 months. |
| Name | Type | Description |
|---|---|---|
| AGN-151586 | DRUG | Intramuscular Injections |
| Placebo | DRUG | Intramuscular Injections |
| BOTOX | DRUG | Injection |
| OnabotulinumtoxinA | DRUG | Intramuscular injection |
Inclusion Criteria: * Must have Moderate or severe glabellar lines (GL) at maximum frown as assessed by both the investigator and participant using the FWS-A at Screening and Baseline Day 1 visit. The investigator and participant ratings must match within a visit but do not have to match between Sc...
AGN-151586 is an investigational small molecule being developed by AbbVie Inc. for the treatment of glabellar lines, also known as frown lines, and forehead lines. It is currently being studied in adult participants with moderate to severe forms of these facial wrinkles.
AGN-151586 is a small molecule, but its specific molecular target has not been disclosed in available information. The drug is being studied for its effects on facial lines, though the exact biological mechanism of action is not publicly detailed.
AGN-151586 is being developed by AbbVie Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol ABBV. AbbVie is conducting clinical trials to evaluate the drug's safety and efficacy for treating glabellar and forehead lines.
AGN-151586 is currently in Phase 2 clinical development. It has completed Phase 1 and Phase 2 trials, and an additional Phase 2 study is actively recruiting participants. The drug is investigational and has not been approved by regulatory authorities.
AGN-151586 has been studied in several clinical trials, including NCT04096326, a completed Phase 2 dose-ranging study for glabellar lines, and NCT05496335 and NCT06834789, completed Phase 1 trials. An ongoing Phase 2 trial, NCT07730554, is recruiting participants with moderate to severe forehead lines.
AGN-151586 is not the same as BOTOX (onabotulinumtoxinA). While both are being studied for treating glabellar lines, AGN-151586 is a small molecule, whereas BOTOX is a neurotoxin protein. Clinical trials have evaluated sequential administration of AGN-151586 and BOTOX to assess their combined effects.