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Botulinum Neurotoxin Type A

Phase 2

Blepharospasm of Both Eyelids | Small molecule | Neurology |Revance Therapeutics, Inc.|Last Updated: Aug 24, 2026

Target and mechanism

Molecular targetSNAP25
Target classHydrolytic Enzyme
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment20

FDA Designations

No designations recorded

Clinical trial landscape

Botulinum Neurotoxin Type A · 1 trial · 5 indications

Phase 2 1
NCT07489430DaxibotulinumtoxinA for BlepharospasmBlepharospasm of Both Eyelids
NOT YET_RECRUITING20 Analytics
PHASE2NOT YET_RECRUITING
DaxibotulinumtoxinA for Blepharospasm
Blepharospasm of Both EyelidsUnlock trial analytics

Study Endpoints

Primary Endpoints

First time to retreatment
Outcome will be assessed during Visit 5 (2nd study injection visit) and reported at study conclusion. Visit 5 will take place for each individual subject between days 180 and 280.

Time to retreatment (in days) with DAXI between the first and second study injection cycle.

Final time to retreatment
Outcome will be assessed during Visit 7 (3rd study injection visit) and reported at study conclusion. Visit 7 will take place for each individual study subject between days 270 and 280.

For patients who receive 3 study injection cycles with DAXI over 12 months, a second primary endpoint will be the time to retreatment (in days) between the second-to-last and last injection cycle (i.e., between DAXI cycles 2 and 3).

Secondary Endpoints

Difference in time to return of symptoms after first DAXI cycle
Outcome will be assessed during Visit 3 (1st study injection visit) and reported at study conclusion. Visit 3 will take place for each individual study subject between days 90 and 100.
Difference in time to return of symptoms after final DAXI cycle
Outcome will be assessed during Visit 5 (days 180-280) for subjects only receiving 2 injections during study participation, and during Visit 7 (days 270-280) for subjects receiving 3. Outcomes will be reported at study conclusion.
Change in severity after first DAXI injection cycle
Outcome will be assessed during Visit 4 (1st study injection peak effect assessment) and reported at study conclusion. Visit 4 will take place for each individual study subject between days 114 and 156.
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Open label armEXPERIMENTALThe study cohort will consist of adults with blepharospasm who previously received onabotulinumtoxinA or incobotulinumtoxinA and will transition to DAXI 12 weeks after their last botulinum toxin treatment. Each participant will receive a DAXI dose equivalent to their prior therapy, using a 1:1 conversion for onabotulinumtoxinA or a 1.5:1 conversion for incobotulinumtoxinA, adjusted if prior treatment caused excessive weakness or other side effects. Injections will be limited to muscles directly involved in blepharospasm (the orbicularis oculi, corrugators, procerus, and nasalis) and will use a dilution of 10 units per 0.1 mL. Subjects may use topical anesthetics to reduce injection pain, and efforts will ensure the same injector administers all treatments to maintain consistency.

Interventions

NameTypeDescription
Botulinum Neurotoxin Type ADRUGDaxibotulinumtoxinA (DAXI) for injection is a sterile, lyophilized powder containing 100 units of active daxibotulinumtoxinA per vial, along with inactive ingredients including RTP004, trehalose dihydrate, L-histidine, L-histidine hydrochloride, and polysorbate 20. It is reconstituted with Bacteriostatic Sodium Chloride Injection 0.9% (Pfizer) and stored at 2-8°C. DAXI will be prepared by trained injectors or staff, with all preparations documented. Experienced movement disorder neurologists will administer injections, primarily from UPenn's Parkinson's Disease and Movement Disorders Center. Dosing will follow prior treatment patterns using a 1:1 conversion from onabotulinumtoxinA or 1.5:1 from incobotulinumtoxinA, adjusted for prior adverse effects. Injection sites will be selected based on clinical presentation, with optional EMG or imaging guidance.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Adults (18 years of age, or older) * Clinical diagnosis of Blepharospasm that is disruptive enough to warrant ongoing clinical botulinum toxin injections and scoring ≥2 on the BSRS during screening. Blepharospasm may be focal (i.e. Benign essential blepharospasm), associated w...

Countries:United States
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Recent Changes (Last 90 Days)

LOWAug 24, 2026NCT07489430startDate: changed
LOWAug 24, 2026NCT07489430startDate: changed

Frequently asked questions about Botulinum Neurotoxin Type A

What is Botulinum Neurotoxin Type A used for?

Botulinum Neurotoxin Type A is being developed for the treatment of blepharospasm of both eyelids, a neurological condition causing involuntary eyelid spasms. It is currently in Phase 2 clinical development as an investigational therapy. The drug is also known as DaxibotulinumtoxinA.

What does Botulinum Neurotoxin Type A target?

Botulinum Neurotoxin Type A targets the neuromuscular junction by inhibiting the release of acetylcholine, which temporarily paralyzes muscles. This mechanism is intended to reduce the involuntary muscle contractions associated with blepharospasm. The drug is being studied specifically for its effects on eyelid muscles.

Who makes Botulinum Neurotoxin Type A?

Botulinum Neurotoxin Type A is being developed by Revance Therapeutics, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker RVNC. The company is conducting clinical trials to evaluate the drug's safety and efficacy for blepharospasm.

What phase is Botulinum Neurotoxin Type A in?

Botulinum Neurotoxin Type A is currently in Phase 2 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The ongoing Phase 2 trial is designed to assess its effects in patients with blepharospasm of both eyelids.

What clinical trials is Botulinum Neurotoxin Type A in?

Botulinum Neurotoxin Type A is being evaluated in a Phase 2 clinical trial with the identifier NCT07489430, titled 'DaxibotulinumtoxinA for Blepharospasm.' The trial is not yet recruiting and plans to enroll 20 participants in the United States. It is an uncontrolled, open-label study.

Is Botulinum Neurotoxin Type A the same as DaxibotulinumtoxinA?

Yes, Botulinum Neurotoxin Type A is also known as DaxibotulinumtoxinA. The clinical trial NCT07489430 uses the name DaxibotulinumtoxinA to refer to the same investigational drug being developed by Revance Therapeutics for blepharospasm.