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daxibotulinumtoxinA

Phase 3

Cervical Dystonia | Monoclonal antibody | Neurology |Revance Therapeutics, Inc.|Last Updated: Jun 27, 2023

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment658

FDA Designations

No designations recorded

Clinical trial landscape

daxibotulinumtoxinA · 6 trials · 5 indications

Phase 3 2Phase 2 4
NCT03617367Long-Term Safety and Efficacy of Repeat Treatments of DaxibotulinumtoxinA for Injection in Adults With Isolated Cervical Dystonia (ASPEN-OLS)Cervical Dystonia
COMPLETED357 Analytics
NCT03608397Single Treatment of DaxibotulinumtoxinA for Injection in Adults With Isolated Cervical Dystonia (ASPEN-1)Cervical Dystonia
COMPLETED301 Analytics
PHASE3COMPLETED
Long-Term Safety and Efficacy of Repeat Treatments of DaxibotulinumtoxinA for Injection in Adults With Isolated Cervical Dystonia (ASPEN-OLS)
Cervical DystoniaUnlock trial analytics
PHASE3COMPLETED
Single Treatment of DaxibotulinumtoxinA for Injection in Adults With Isolated Cervical Dystonia (ASPEN-1)
Cervical DystoniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Long Term Safety of patients determined by the incidence of treatment-emergent adverse events
Up to 52 Weeks

Evaluation of adverse events and serious adverse events, from multiple continuous treatments of DAXI for injection, over the course of the study.

Change from Baseline Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS)-total score
Week 4 and Week 6

TWSTRS is used to assess the severity of cervical Dystonia and the success of its treatment. The average of the change from baseline in TWSTRS-total score at Weeks 4 and 6 will be determined. TWSTRS-total score has a minimum score of 0 and a maximum score of 85, where higher scores represent worse outcomes. It is made up of the summation of 3 subscales: the Torticollis Severity Scale (minimum score of 0, maximum score of 35), the Disability Scale (minimum score of 0, maximum score of 30), and the Pain Scale (minimum score of 0, maximum score of 20).

Percentage of Participants With None or Mild in GL Severity at Maximum Frown
Week 4

The percentage of subjects achieving a score of 0 (none) or 1 (mild) in GL severity at maximum contraction (maximum frown) at Week 4 as assessed by the IGA-FWS

Percentage of Participants With None or Mild in FHL Severity at Maximum Eyebrow Elevation
Week 4

The percentage of subjects achieving a score of 0 (none) or 1 (mild) in FHL severity at maximum contraction (maximum eyebrow elevation) at Week 4 as assessed by the IGA-FHWS

Percentage of Participants With None or Mild in LCL Severity at Maximum Smile Effort
Week 4

The percentage of subjects achieving a score of 0 (none) or 1 (mild) in LCL severity at maximum contraction (maximum smile effort) at Week 4 as assessed by the IGA-LCWS

Percentage of Participants With None or Mild in LCL Severity at Maximum Smile
Week 4 After LCL Treatment

Percentage of subjects achieving a score or 0 or 1 (none or mild) in LCL severity at maximum smile at Week 4 after LCL treatment on the Investigator Global Assessment Lateral Canthal Wrinkle Severity (IGA-LCWS) scale

Improvement of dystonia as measured by change from baseline in Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) - Total Score
Week 4

Secondary Endpoints

The proportion of subjects with at least moderate improvement on the Clinician Global Impression of Change (CGIC) at Weeks 4 or 6 for Treatment Cycles 1, 2, 3, and 4
Weeks 4 and 6 of treatment cycles 1, 2, 3, and 4 (12 - 52 weeks duration each)
The average of the change from Baseline in the TWSTRS Total Score at Weeks 4 and 6 for Treatment Cycles 1, 2, 3, and 4 [Time Frame: Weeks 4 and 6 of treatment cycles 1, 2, 3, and 4 (12 - 52 weeks duration each)]
Weeks 4 and 6 of treatment cycles 1, 2, 3, and 4 (12 - 52 weeks duration each)
Change from Baseline TWSTRS-total score
Up to 36 Weeks
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
daxibotulinumtoxinA (DAXI) for injectionEXPERIMENTALDAXI for injection
DAXI for injection low doseEXPERIMENTALLow Dose Group
DAXI for injection high doseEXPERIMENTALHigh Dose Group
PlaceboPLACEBO_COMPARATORPlacebo Group
DAXI 40 U GL / 32 U FHL / 48 U LCLEXPERIMENTALDaxibotulinumtoxinA for injection for the treatment of moderate to severe Glabellar Lines (GL), Forehead Lines (FHL), \& Lateral Canthal Lines (LCL)
Cohort 1: DAXI 12 UEXPERIMENTALDAXI for injection for the treatment of moderate to severe Lateral Canthal Lines (LCL)
Cohort 2: DAXI 24 UEXPERIMENTALDAXI for injection for the treatment of moderate to severe Lateral Canthal Lines (LCL)
Cohort 3: DAXI 36 UEXPERIMENTALDAXI for injection for the treatment of moderate to severe Lateral Canthal Lines (LCL)
Cohort 4: DAXI 48 UEXPERIMENTALDAXI for injection for the treatment of moderate to severe Lateral Canthal Lines (LCL)
Cohort 1: Dose AEXPERIMENTALDAXI for injection for the treatment of Forehead Lines (FHL) and Glabellar Lines (GL)
Cohort 2: Dose BEXPERIMENTALDAXI for injection for the treatment of Forehead Lines (FHL) and Glabellar Lines (GL)
Cohort 3: Dose CEXPERIMENTALDAXI for injection for the treatment of Forehead Lines (FHL) and Glabellar Lines (GL)
Cohort 4: Dose DEXPERIMENTALDAXI for injection for the treatment of Forehead Lines (FHL) and Glabellar Lines (GL)

Interventions

NameTypeDescription
daxibotulinumtoxinA for injectionBIOLOGICALDaxibotulinumtoxinA for injection is a sterile, white to off-white lyophilized product containing the active ingredient, daxibotulinumtoxinA, and inactive ingredients to be reconstituted with sterile, non-preserved, 0.9% sodium chloride solution saline.
PlaceboBIOLOGICALPlacebo is a sterile lyophilized product consisting of inactive ingredients without the neurotoxin to be reconstituted with sterile, non-preserved 0.9% sodium chloride solution.
DaxibotulinumtoxinABIOLOGICALLow, mid, and high dose sequential treatments of daxibotulinumtoxinA in dose-escalation safety and efficacy study
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites65

Inclusion Criteria: * Meets diagnostic criteria for isolated CD (idiopathic; dystonic symptoms localized to the head, neck, shoulder areas) with at least moderate severity at Baseline (Day 1), defined as a TWSTRS-total score of at least 20, with at least 15 on the TWSTRS-Severity subscale, at least...

Countries:United StatesAustriaCanadaCzechiaFranceGermanyPolandSpainUnited Kingdom
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Frequently asked questions about daxibotulinumtoxinA

What is DaxibotulinumtoxinA used for?

DaxibotulinumtoxinA is an investigational botulinum toxin type A product being studied for aesthetic and therapeutic uses, including frown lines, lateral canthal lines, forehead lines, upper facial lines, and cervical dystonia. It is in clinical development and has not been approved by the FDA.

Who makes DaxibotulinumtoxinA?

DaxibotulinumtoxinA is being developed by Revance Therapeutics, Inc., a biopharmaceutical company traded on NASDAQ under the ticker RVNC. The company is conducting clinical trials to evaluate the safety and efficacy of this investigational product.

What phase is DaxibotulinumtoxinA in?

DaxibotulinumtoxinA is in Phase 2 clinical development for aesthetic indications such as frown lines and lateral canthal lines, and Phase 3 trials for cervical dystonia have been completed. It remains investigational and is not yet approved by regulatory authorities.

What clinical trials is DaxibotulinumtoxinA in?

Completed trials include NCT03608397 (ASPEN-1) and NCT03617367 (ASPEN-OLS) for cervical dystonia, NCT03786770 for forehead lines, and NCT03911102 for lateral canthal lines. These studies enrolled a total of 658 participants across the United States, Canada, and Europe.

Is DaxibotulinumtoxinA the same as other botulinum toxin products?

DaxibotulinumtoxinA is a specific investigational formulation of botulinum toxin type A developed by Revance Therapeutics. It is not the same as other commercially available botulinum toxin products, as it is designed with a proprietary peptide technology that may offer a longer duration of effect.