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.
The number of subjects with at least 1 PCI post-baseline value during the study are reported. A post-baseline value was considered PCI if it met both the observed-value and the change-from-baseline criteria.
The number of subjects with at least 1 PCI post-baseline value during the study are reported. A post-baseline value was considered PCI if it met both the observed-value and the change-from-baseline criteria.
The number of subjects with at least 1 PCI post-baseline value during the study are reported. A post-baseline value was considered PCI if it met both the observed-value and the change-from-baseline criteria.
Only the observed-value criterion (\>= 38.3 C) was needed for temperature to be potentially clinically important (but must be more extreme than baseline, if baseline was present).
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). A post-baseline value is considered potentially clinically important if it meets either the observed-value or the change-from-baseline criteria (but must be more extreme than baseline if baseline is present).
Blood samples for immunogenicity testing were collected from participants treated with AGN-151586 at predetermined timepoints. Collected samples were 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 developed by AbbVie Inc. (ticker ABBV) for aesthetic dermatology. It is being studied as an injectable treatment for facial lines, specifically forehead lines and glabellar lines, which are the vertical frown lines between the eyebrows. It is not approved and remains in clinical development.
AGN-151586 is being developed to treat facial wrinkles, including moderate to severe glabellar lines and forehead lines. Clinical studies have enrolled adults 18 years and older with these conditions. The program covers both glabellar lines, the vertical lines between the eyebrows, and horizontal forehead lines.
AGN-151586 is developed by AbbVie Inc., which trades on the New York Stock Exchange under the ticker ABBV. AbbVie is the sponsor of the clinical program studying the drug in aesthetic dermatology indications, including glabellar lines and forehead lines.
AGN-151586 is in Phase 2 development overall, with a Phase 2 study in forehead lines currently active and not recruiting. The program also includes completed Phase 1 and Phase 3 studies in glabellar lines. AGN-151586 is investigational and has not been approved by the FDA.
Eight trials have studied AGN-151586, with one currently active. The active Phase 2 study, NCT07730554, evaluates injections for moderate to severe forehead lines. Other trials include NCT07756580, a recruiting Phase 1 study of sequential AGN-151586 and BOTOX injections for glabellar lines, plus completed studies NCT06834789 and NCT06308198.
Across the clinical program, 2,640 participants have been enrolled in studies of AGN-151586. The trials include adults 18 years and older of all sexes. Individual study sizes range from 84 participants in the Phase 2 forehead lines trial to 161 participants in a completed Phase 3 glabellar lines study.