Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as OnabotulinumtoxinA, BOTOX VISTA, Formulation A: OnabotulinumtoxinA, Formulation B: OnabotulinumtoxinA, Formulation C: OnabotulinumtoxinA
BOTOX · 27 trials · 20 indications
The investigator assesses FHL severity using the FWS-A scale ranging from none to severe.
Description: 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.
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).
The investigator assesses FHL severity using the FWS-A 4-point scale ranging from 0=None to 3=Severe.
The participant assesses FHL severity using the FWS-A 4-point scale ranging from 0=None to 3=Severe.
The MMPS is a photonumeric scale encompassing visual inspection of the masseter muscles as performed by the investigator, where the masseter muscle prominence (MMP) is rated at rest, by separately evaluating the left and right side of the participant's face. The evaluation is on a 5-grade scale where 1 = the masseter muscle prominence is minimal and 5 = the masseter muscle prominence is very marked.
The investigator assessed the severity of the participant's MMP using the MMPS 5-point scale where: 1=minimal (best), 2=mild, 3=moderate, 4=marked, and 5=very marked (worst).
The participant assessed the severity of their MMP using the MMPS-P 5-point scale where: 1=not at all pronounced (best), 2=mildly pronounced, 3=moderately pronounced, 4=pronounced, and 5=very pronounced (worst).
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.
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.
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.
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.
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.
The Investigator and subject each assessed the severity of the subject's forehead lines at maximum eyebrow elevation using the 4-grade FWS, where 0=none, 1=mild, 2=moderate, and 3=severe. The percentage of subjects with at least a 2-grade improvement from baseline assessed by both the Investigator and the subject are reported.
Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime incontinence episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime incontinence episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime incontinence episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during the 2 consecutive days (normalized to a 12-hour daytime period) prior to the study visit. Daytime was defined as the time between waking up to start the day and first morning catheterization and going to bed to sleep for the night. The number of incontinence episodes were averaged daily during this period. A negative change from Baseline indicates improvement. Least squares estimates were based on an Analysis of Covariance (ANCOVA) model.
Urinary incontinence is defined as involuntary loss of urine as recorded in a patient bladder diary in the 3 consecutive days prior to the study visit in Treatment Cycle 1. The number of incontinence episodes are averaged daily during this period. A negative number change from baseline indicates an improvement and a positive number change from baseline indicates a worsening.
Urinary incontinence is defined as involuntary loss of urine as recorded in a patient bladder diary in the 3 consecutive days prior to the study visit in Treatment Cycle 1. The number of incontinence episodes are averaged daily during this period and compared to baseline to determine 100% reduction in episodes.
Incontinence is defined as involuntary loss of urine as recorded in a patient bladder diary. The number of episodes of urinary incontinence is recorded over a 3-day period the week of the study visit. A negative number change from baseline indicates a reduction in incontinence episodes (improvement) and a positive number change indicates an increase in incontinence episodes (worsening).
The composite facial wrinkle scale assessment is based on both the Investigator and Subject Facial Wrinkle scales at Day 30. The Investigator assessed the severity of the patient's Crow's Feet Lines at maximum smile using the 4-point Facial Wrinkle Scale: 0=none, 1=mild, 2=moderate or 3=severe and the patient assessed the severity of their Crow's Feet Lines at maximum smile using the same 4-point Facial Wrinkle Scale. A responder is defined as a participant with a ≥ 2-grade improvement from Baseline.
A urinary incontinence episode is defined as an incident of involuntary loss of urine as recorded in a patient bladder diary during the 3 days before the Baseline and Week 12 study visits. A negative number change from baseline indicates a reduction in incontinence episodes (improvement).
Patient will record the pain intensity by means of a visual analogue scale (VAS, from 0-10 being 0 no pain and 10 the worst possible pain)
Tremor Disability Scale-Revised (TREDS-R) is a scale to assess activities of daily living (ADL) through a self-questionnaire asking participants to rate how easy or difficult it is to perform a particular activity. The scale consists of 20 items with each item rated on a scale of 1 (able to do the activity without difficulty) to 4 (cannot do the activity by yourself). 7 items included in this subset will be: use a spoon to drink soup, hold a cup of tea, pour milk from a bottle or carton, dial a telephone, pick up your change in a shop, insert an electric plug into a socket, unlock your front door with a key.
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.
Daily worst bladder pain will be assessed on the 11-point (0-10) numeric rating scale where 0 = no pain and 10 = the worst pain possible.
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. The investigator assesses the relationship of each event to the use of the study. 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. Treatment-emergent adverse events/ treatment emergent serious adverse events (TEAEs/TESAEs) are defined as any event that began or worsened in severity on or after the first dose of the study drug.
The investigator assessed the severity of the participant's masseter muscle prominence (MMP) using the MMPS 5-point scale where: 1=minimal (best), 2=mild, 3=moderate, 4=marked, and 5=very marked (worst). The percentage of participants where the investigator selected 1=minimal, 2=mild, or 3=moderate are reported.
An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study intervention. A TEAE is an AE that occurs or worsens after receiving study drug.
Respiratory rate is calculated as number of breaths (inhalation and exhalation) in one minute.
Pulse rate measures the number of times your heart beats per minute.
The participant recorded urinary incontinence (lack of voluntary control over urination) in a 3-day bladder diary. The average number of UIEs per day is the average of the 3-day diary entries. A negative change from Baseline indicates improvement. Baseline is defined as the last non-missing assessment before the first dose of study treatment. An analysis of covariance (ANCOVA) model was used for analyses.
An adverse event (AE) is any untoward medical occurrence in a participants or clinical study investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. A TEAE is an AE that occurs or worsens after receiving study drug.
Participants recorded the pain in their knee during the previous 24 hours in a daily diary where: 0=no pain to 10= worst pain possible. The daily pain scores over 7-days were averaged. A negative change from Baseline indicates improvement.
The MADRS is a 10-item scale completed by clinic personnel that assesses the subject's symptoms of depression. Each question is answered on a 7-point scale ranging from no symptoms to worst possible symptoms. The total score is summed for all responses and ranges from 0 to 60. A negative change from baseline indicates an improvement in symptoms and a positive change from baseline indicates a worsening.
The MADRS is a 10-item scale completed by clinic personnel that assesses the subject's symptoms of depression. Each question is answered on a 7-point scale ranging from no symptoms to worst possible symptoms. The total score is summed for all responses and ranges from 0 to 60. A negative change from baseline indicates an improvement in symptoms and a positive change from baseline indicates a worsening.
Unique number of participants who experience one or more Potential Clinically Significant (PCS) change in vital signs from the Baseline visit.
Unique number of participants who experience one or more Potential Clinically Significant (PCS) change in physical exams from the Baseline visit.
Unique number of participants who experience injection site pain and/or discomfort at the injection site during administration of treatment.
| Arm | Type | Description |
|---|---|---|
| Group 1 | EXPERIMENTAL | Participants will receive onabotulinumtoxinA Dose A in both Period 1 and Period 2. |
| Group 2 | EXPERIMENTAL | Participants will receive onabotulinumtoxinA Dose B in both Period 1 and Period 2. |
| Group 3 | EXPERIMENTAL | Participants will receive placebo in Period 1 and onabotulinumtoxinA Dose A in Period 2. |
| Group 4 | EXPERIMENTAL | Participants will receive placebo in Period 1 and onabotulinumtoxinA Dose B in Period 2. |
| Double-Blind Period: BOTOX | EXPERIMENTAL | Participants will receive BOTOX injections across both the right and left masseter muscle on Day 1. |
| Double-Blind Period: Placebo | PLACEBO_COMPARATOR | Participants will receive placebo injections across both the right and left masseter muscle on Day 1. |
| Open-Label Period: BOTOX | EXPERIMENTAL | Participants 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. |
| BOTOX | EXPERIMENTAL | BOTOX will be injected on Day 1 |
| Placebo | PLACEBO_COMPARATOR | Placebo will be injected on Day 1 |
| Double Blind Period: Placebo | PLACEBO_COMPARATOR | Participants will receive 6 intramuscular injections of Placebo to the masseter on Day 1. |
| OnabotulinumtoxinA Dose A | EXPERIMENTAL | OnabotulinumtoxinA Dose A injected into the protocol-specified areas on Day 1. Subjects will receive at least 1 and up to 3 treatments. |
| OnabotulinumtoxinA Dose B | EXPERIMENTAL | OnabotulinumtoxinA Dose B injected into the protocol-specified areas on Day 1. Subjects will receive at least 1 and up to 3 treatments. |
| Placebo followed by OnabotulinumtoxinA Dose A | PLACEBO_COMPARATOR | Placebo (normal saline) injected into the protocol-specified areas on Day 1. If the subject meets the re-treatment criteria, the subject will receive up to 2 treatments with onabotulinumtoxinA Dose A into the protocol-specified areas. |
| OnabotulinumtoxinA | EXPERIMENTAL | OnabotulinumtoxinA injected into the protocol-specified areas on Day 1. Subjects will receive at least 1 and up to 3 treatments. |
| Placebo followed by OnabotulinumtoxinA in Period 2 | PLACEBO_COMPARATOR | Placebo (normal saline) injected into the protocol-specified areas on Day 1. If the subject meets the re-treatment criteria in Period 2, the subject will receive up to 2 open-label treatments with onabotulinumtoxinA into the protocol-specified areas. |
| OnabotulinumtoxinA 50 U | EXPERIMENTAL | Following treatment with onabotulinumtoxinA (botulinum toxin Type A) 50 U (not to exceed 6 U/kg) intramuscular injection into the detrusor wall in study 120, participants were eligible for retreatments in this study as needed with a minimum 12-week interval between doses for a maximum of 3 retreatments. Blinded dose increases (one level) were allowed based on clinical response from cycle to cycle (not to exceed 6 U/kg). |
| OnabotulinumtoxinA 100 U | EXPERIMENTAL | Following treatment with onabotulinumtoxinA (botulinum toxin Type A) 100 U (not to exceed 6 U/kg) intramuscular injection into the detrusor wall in study 120, participants were eligible for retreatments in this study as needed with a minimum 12-week interval between doses for a maximum of 3 retreatments. Blinded dose increases (one level) were allowed based on clinical response from cycle to cycle (not to exceed 6 U/kg). |
| OnabotulinumtoxinA 200 U | EXPERIMENTAL | Following treatment with onabotulinumtoxinA (botulinum toxin Type A) 200 U (not to exceed 6 U/kg) intramuscular injection into the detrusor wall in study 120, participants were eligible for retreatments in this study as needed with a minimum 12-week interval between doses for a maximum of 3 retreatments. Blinded dose increases (one level) were allowed based on clinical response from cycle to cycle (not to exceed 6 U/kg). |
| BOTOX® | EXPERIMENTAL | Treatment Cycle 1: BOTOX injected at Day 1 with one solifenacin placebo capsule taken orally once daily for up to 24 weeks. After a minimum of 12 weeks, patients could request/qualify for a second BOTOX injection. |
| solifenacin | ACTIVE_COMPARATOR | Treatment Cycle 1: Oral solifenacin taken once daily starting at Day 1 for up to 24 weeks with intradetrusor injection of BOTOX placebo on Day 1. After a minimum of 12 weeks, patients could request/qualify for a BOTOX injection. |
| Placebo (Normal Saline) | OTHER | Placebo (normal saline) is administered into the detrusor at Day 1. After a minimum of 12 weeks, patients could request/qualify for an onabotulinumtoxinA injection. |
| placebo/onabotulinumtoxinA | OTHER | Placebo (normal saline) injected into the detrusor at Day 1, followed by an injection of onabotulinumtoxinA (botulinum toxin Type A) 100 U after a minimum of 12 weeks (if applicable). |
| BOTOX/BOTOX Unilateral | EXPERIMENTAL | Participants will receive BOTOX in Cycle 1 and Cycle 2 and unilateral BOTOX in Cycle 3 |
| BOTOX/BOTOX Bilateral | EXPERIMENTAL | Participants will receive BOTOX in Cycle 1 and Cycle 2 and bilateral BOTOX in Cycle 3 |
| Placebo/BOTOX Unilateral | EXPERIMENTAL | Participants will receive placebo in Cycle 1 and Cycle 2 followed by unilateral BOTOX in Cycle 3. |
| Placebo/BOTOX Bilateral | EXPERIMENTAL | Participants will receive placebo in Cycle 1 and Cycle 2 followed by bilateral BOTOX in Cycle 3. |
| Formulation A: OnabotulinumtoxinA | EXPERIMENTAL | Participants will receive one dose of OnabotA X administered as 5 injections to the corrugator and procerus muscles on Day 1. |
| Formulation B: OnabotulinumtoxinA | EXPERIMENTAL | Participants will receive one dose of OnabotA X administered as 5 injections to the corrugator and procerus muscles on Day 1. |
| Formulation C: OnabotulinumtoxinA | EXPERIMENTAL | Participants will receive one dose of OnabotA X administered as 5 injections to the corrugator and procerus muscles on Day 1. |
| BOTOX® 72U | EXPERIMENTAL | OnabotulinumtoxinA (botulinum toxin Type A; BOTOX®) 72 units (U) total dose administered intramuscularly to the bilateral masseter muscles on Day 1. |
| BOTOX® 48U | EXPERIMENTAL | OnabotulinumtoxinA (botulinum toxin Type A; BOTOX®) 48U total dose administered intramuscularly to the bilateral masseter muscles on Day 1. |
| 100U cohort - BOTOX® plus Hydrogel admixture | EXPERIMENTAL | 100U BOTOX® (onabotulinumtoxinA) and Hydrogel admixture administered as a single intravesical instillation on Day 1 |
| 100U cohort - Placebo plus Hydrogel admixture | PLACEBO_COMPARATOR | Placebo and Hydrogel admixture administered as a single intravesical instillation on Day 1 |
| 300U cohort - BOTOX® plus Hydrogel admixture | EXPERIMENTAL | 300U BOTOX® (onabotulinumtoxinA) and Hydrogel admixture administered as a single intravesical instillation on Day 1 |
| 300U cohort - Placebo plus Hydrogel admixture | PLACEBO_COMPARATOR | Placebo and Hydrogel admixture administered as a single intravesical instillation on Day 1 |
| 400U cohort - BOTOX® plus Hydrogel admixture | EXPERIMENTAL | 400U BOTOX® (onabotulinumtoxinA) and Hydrogel admixture administered as a single intravesical instillation on Day 1 |
| 400U cohort - Placebo plus Hydrogel admixture | PLACEBO_COMPARATOR | Placebo and Hydrogel admixture administered as a single intravesical instillation on Day 1 |
| 500U cohort - BOTOX® plus Hydrogel admixture | EXPERIMENTAL | 500U BOTOX® (onabotulinumtoxinA) and Hydrogel admixture administered as a single intravesical instillation on Day 1 |
| 500U cohort - Placebo plus Hydrogel admixture | PLACEBO_COMPARATOR | Placebo and Hydrogel admixture administered as a single intravesical instillation on Day 1 |
| OnabotulinumtoxinA 400 U | EXPERIMENTAL | OnabotulinumtoxinA 400 U injection into the intra-articular space of the study knee on Day 1. |
| Placebo for onabotulinumtoxinA 50 U | PLACEBO_COMPARATOR | Placebo (normal saline) for onabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1. |
| Placebo for onabotulinumtoxinA 30 U | PLACEBO_COMPARATOR | Placebo (normal saline) for onabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1. |
| onabotulinumtoxinA 30 U | EXPERIMENTAL | OnabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1. |
| Open Label BOTOX | EXPERIMENTAL | Participants will receive BOTOX at Baseline (Day 1) |
| Double-Blind Randomized BOTOX | EXPERIMENTAL | Participants will receive BOTOX at Baseline (Day 1) |
| Double Blind Randomized Placebo | PLACEBO_COMPARATOR | Participants will receive placebo at Baseline (Day 1) |
| Name | Type | Description |
|---|---|---|
| OnabotulinumtoxinA | DRUG | Intramuscular Injections |
| Placebo | DRUG | Intramuscular Injections |
| BOTOX | DRUG | Intramuscular Injections |
| Placebo for BOTOX | DRUG | Intramuscular Injection |
| Normal Saline | DRUG | Placebo (normal saline) injected into the protocol-specified areas on Day 1. |
| BOTOX® | BIOLOGICAL | BOTOX 100U injected at Day 1 (BOTOX/solifenacin placebo arm). After a minimum of 12 weeks, all patients could request/qualify for a BOTOX injection. |
| solifenacin | DRUG | Beginning on Day 1, one 5 mg solifenicin capsule, with optional dose increase to 10 mg at Week 6, (both overencapsulated for blinding purposes) taken orally once daily for up to 24 weeks. |
| Botox placebo (normal saline) | DRUG | Botox placebo (normal saline) intradetrusor injection at Day 1. |
| solifenacin placebo | DRUG | Beginning on Day 1, one capsule taken orally once daily for up to 24 weeks. |
| Placebo (Normal Saline) | DRUG | Placebo (normal saline) is administered into the detrusor at Day 1. |
| onabotulinum toxin A | DRUG | Each subject will receive 50 units (50 U) of BoNT-A constituted in 1 mL of saline solution injected intraorally to the painful area divided in at least 3 sites, 0.5 to 1.0 cm apart depending on the size of the painful area and following a checkerboard pattern. |
| Formulation A: OnabotulinumtoxinA | DRUG | Intramuscular Injection |
| Formulation B: OnabotulinumtoxinA | DRUG | Intramuscular Injection |
| Formulation C: OnabotulinumtoxinA | DRUG | Intramuscular Injection |
| OnabotulinumtoxinA and Hydrogel admixture | DRUG | BOTOX® (onabotulinumtoxinA) and Hydrogel admixture administered as a single intravesical instillation |
| Placebo and Hydrogel admixture | DRUG | Placebo and Hydrogel admixture administered as a single intravesical instillation |
Inclusion Criteria: * Forehead lines (FHL) of moderate or severe rating at maximum contraction as assessed by investigator using the Facial Wrinkle Scale with Asian Photonumeric Guide (FWS-A) at Day 1 prior to study treatment. * Glabellar lines (GL) of moderate or severe rating at maximum contracti...
BOTOX is a small molecule therapeutic developed by AbbVie Inc. (ticker ABBV). It is being studied across dermatology and urology indications, including facial fine lines, forehead lines, masseter muscle prominence, overactive bladder, interstitial cystitis/bladder pain syndrome, and upper limb essential tremor. It is also known as BOTOX®.
BOTOX is being evaluated for facial fine lines, forehead lines, masseter muscle prominence, overactive bladder, interstitial cystitis/bladder pain syndrome (IC/BPS), and upper limb essential tremor. These represent the indications under clinical study by AbbVie Inc. (ABBV).
BOTOX is developed by AbbVie Inc., which trades under the ticker ABBV. AbbVie is the sponsor of the clinical trials evaluating BOTOX across dermatology and urology indications.
BOTOX is in Phase 1 development overall, though individual trials have reached Phase 3. All four listed trials are completed, with no active trials currently. The completed studies enrolled a total of 917 participants and were randomized, double-blind, and placebo-controlled.
BOTOX has been studied in four completed trials: NCT06399718 and NCT06387394 for masseter muscle prominence in the United States, NCT06174688 for moderate to severe forehead lines in Chinese adults, and NCT06137287 for masseter muscle prominence in Japan. All were Phase 3, randomized, double-blind, and placebo-controlled.
Yes, BOTOX and BOTOX® refer to the same product. BOTOX® is the registered trademark name for the therapeutic developed by AbbVie Inc. (ABBV).