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Botulinum Toxins, Type A

Phase 3

Glabellar Frown Lines | Monoclonal antibody | Dermatology |Revance Therapeutics, Inc.|Last Updated: Sep 18, 2023

Target and mechanism

Molecular targetSNAP25
Target classHydrolytic Enzyme
ModalityMonoclonal antibody

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment3,300

FDA Designations

No designations recorded

Clinical trial landscape

Botulinum Toxins, Type A · 4 trials · 2 indications

Phase 3 3Phase 2 1
NCT03004248Safety of Single and Repeat Treatments of DaxibotulinumtoxinA for Injection for Treatment of Moderate to Severe Glabellar LinesGlabellar Frown Lines
COMPLETED2,691 Analytics
NCT03014622Efficacy and Safety of DaxibotulinumtoxinA for Injection to Treat Moderate to Severe Glabellar LinesGlabellar Frown Lines
COMPLETED303 Analytics
NCT03014635Efficacy and Safety of DaxibotulinumtoxinA for Injection to Treat Moderate to Severe Glabellar LinesGlabellar Frown Lines
COMPLETED306 Analytics
PHASE3COMPLETED
Safety of Single and Repeat Treatments of DaxibotulinumtoxinA for Injection for Treatment of Moderate to Severe Glabellar Lines
Glabellar Frown LinesUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of DaxibotulinumtoxinA for Injection to Treat Moderate to Severe Glabellar Lines
Glabellar Frown LinesUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of DaxibotulinumtoxinA for Injection to Treat Moderate to Severe Glabellar Lines
Glabellar Frown LinesUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of Treatment Emergent Adverse Events (TEAE)
0-36 weeks

Incidence rates based on the number and percentage of subjects treated within each cycle who report Adverse Events (AEs) at anytime following study treatment. Note that subjects could receive up to 3 consecutive treatments during the 36-week follow up period.

Percentage of Subjects Who Achieved ≥ 2 Point Improvement Independently and Concurrently on Investigator and Patient Rating Scales
Week 4

Percentage of subjects who achieve at least a 2-point improvement from baseline and a score of 0 or 1 (i.e., none or mild wrinkles in severity) on both Investigator and Subject Frown Wrinkle Severity (FWS) assessments

Change From Baseline at Week 8 in the Visual Analog Scale (VAS) for Pain for the Foot
Week 8

The primary efficacy endpoint, as identified in the Statistical Analysis Plan (SAP) was the change from baseline in the visual analog scale (VAS) for pain for the affected foot at Week 8. The outcome was measured by means of a 100 mm VAS (0= no pain, 100= maximum pain) and higher reduction from baseline VAS pain scores means a better outcome.

Secondary Endpoints

Percentage of Subjects Who Achieved ≥ 2 Point Improvement Independently and Concurrently on Investigator and Patient Rating Scales
Week 4
The Time to Return to Moderate to Severe on Both IGA-FWS and PFWS Scales for DaxibotulinumtoxinA for Injection Group
0-36 weeks per cycles 1 and 2
The Time to Return to, or Worse Than, Baseline on Both IGA-FWS and PFWS Scales for DaxibotulinumtoxinA for Injection Group
0-36 weeks per Cycle 1 and 2
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
DaxibotulinumtoxinA 40 unitsEXPERIMENTALBiological/Vaccine: Botulinum Toxins, Type A Intramuscular injection
PlaceboPLACEBO_COMPARATORBiological/Vaccine: Placebos Intramuscular injection
DAXI 240 UEXPERIMENTALDaxibotulinumtoxinA for injection for the treatment of plantar fasciitis (PF) with 240 U

Interventions

NameTypeDescription
Botulinum Toxins, Type ABIOLOGICALIntramuscular Injection
PlacebosBIOLOGICALIntramuscular injection
PlaceboBIOLOGICALIntramuscular injection
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites61

Inclusion Criteria: * Provide written informed consent including authorization to release health information * Moderate (2) or severe (3) glabellar lines during maximum frown based on the Investigator Global Assessment Frown Wrinkle Severity (IGA-FWS) scale * Moderate (2) or severe (3) glabellar li...

Countries:United StatesCanada
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Frequently asked questions about Botulinum Toxins, Type A

What is botulinum toxins, type A used for?

Botulinum toxins, type A is being developed by Revance Therapeutics for two indications: moderate to severe glabellar frown lines, the vertical lines between the eyebrows, and plantar fasciitis, a painful inflammation of the tissue along the bottom of the foot. Both programs are in clinical development.

What does botulinum toxins, type A target?

Botulinum toxins, type A targets SNAP25, a hydrolytic enzyme protein involved in the release of neurotransmitters from nerve terminals. By acting on SNAP25, the therapy is designed to interfere with nerve signaling to the targeted muscle, which underlies its use in smoothing glabellar frown lines and in treating plantar fasciitis.

Who is developing botulinum toxins, type A?

Revance Therapeutics, Inc., which trades on the Nasdaq under the ticker RVNC, is developing botulinum toxins, type A. The company is running the clinical program for the asset across dermatology and musculoskeletal indications, including glabellar frown lines and plantar fasciitis.

What phase is botulinum toxins, type A in?

Botulinum toxins, type A is in Phase 3 clinical development and is investigational. It has not been established as approved. The program includes completed Phase 3 trials in glabellar frown lines and a completed Phase 2 trial in plantar fasciitis, with no trials currently listed as active.

What clinical trials is botulinum toxins, type A in?

Four completed trials are registered for botulinum toxins, type A. NCT03014635 and NCT03014622 were Phase 3 studies in moderate to severe glabellar lines, NCT03004248 was a Phase 3 safety study of single and repeat treatments in glabellar lines, and NCT03137407 was a Phase 2 study in plantar fasciitis.

How many patients were enrolled in trials of botulinum toxins, type A?

Across the registered trials, total enrollment was about 3,300 participants. The glabellar line studies enrolled 306, 303, and 2,691 patients respectively, and the plantar fasciitis study enrolled 59. The trials were randomized, double blind, and placebo controlled, and enrolled adults 18 years and older.