CClinicalTrials.gg
CompletedNCT03014635Updated Jul 21, 2022Results posted

Efficacy and Safety of DaxibotulinumtoxinA for Injection to Treat Moderate to Severe Glabellar Lines

A Phase 3 interventional study of Botulinum Toxins, Type A and Placebos in Glabellar Frown Lines, sponsored by Revance Therapeutics, Inc.. Completed at 14 sites in 2 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2022-07-21.

Sponsored by Revance Therapeutics, Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
306
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a safety and efficacy study of DaxibotulinumtoxinA for Injection to treat moderate to severe frown lines.

02

Conditions studied

  • Glabellar Frown Lines

Keywords

  • glabellar lines, frown lines
03

In context

Lead sponsor

Revance Therapeutics, Inc. is the lead sponsor of 29 studies on the registry; none are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 6 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

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 lines during maximum frown based on the Patient Frown Wrinkle Severity (PFWS) scale
  • Willing and able to follow all trial procedures, attend all scheduled visits, and successfully complete the trial

Exclusion criteria

Exclusion Criteria:

  • Any neurological condition that may place the subject at increased risk with exposure to botulinum toxin type A, including peripheral motor neuropathic diseases such as amyotrophic lateral sclerosis and motor neuropathy, and neuromuscular junctional disorders such as Lambert-Eaton syndrome and myasthenia gravis
  • Active skin disease, infections or inflammation at the injection sites
  • Plan to receive botulinum toxin type A anywhere in the face through the duration of the study
  • History of allergy or sensitivity to any botulinum toxin preparations or to any component of the test article
  • Current enrollment in an investigational drug or device trial or participation in such a trial within the last 30 days prior to screening through end of trial
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
306 participants (actual)

Study arms

  • Experimental
    DaxibotulinumtoxinA 40 units

    Biological/Vaccine: Botulinum Toxins, Type A Intramuscular injection

    Biological: Botulinum Toxins, Type A

  • Placebo comparator
    Placebo

    Biological/Vaccine: Placebos Intramuscular injection

    Biological: Placebos

Interventions

  • BiologicalBotulinum Toxins, Type A

    Intramuscular injection

    Also known as: DaxibotulinumtoxinA

  • BiologicalPlacebos

    Intramuscular injection

06

What researchers measure

Primary outcomes

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

    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

    Time frame: Week 4

Secondary outcomes

  1. The Time to Return to Moderate to Severe on Both IGA-FWS and PFWS Scales for DaxibotulinumtoxinA for Injection Group

    The duration of response will be evaluated by analyzing the number of days to return to moderate or severe on both IGA-FWS and PFWS scales for DaxibotulinumtoxinA for Injection group.

    Time frame: 0-36 weeks

  2. The Time to Return to, or Worse Than, Baseline on Both IGA-FWS and PFWS Scales for DaxibotulinumtoxinA for Injection Group

    The duration of response will be evaluated by analyzing the number of days to return to, or worse than, baseline on both IGA-FWS and PFWS scales for DaxibotulinumtoxinA for Injection group.

    Time frame: 0-36 weeks

07

Results

Posted Jul 21, 2022

Participant flow

Participant flow — Overall Study
MilestoneDaxibotulinumtoxinA 40 UnitsPlacebo
Started204102
Completed19193
Not completed139

Outcome measures

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

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

Time frame:
Week 4
Reported as:
Number · percentage of responders
Percentage of Subjects Who Achieved ≥ 2 Point Improvement Independently and Concurrently on Investigator and Patient Rating Scales
percentage of respondersDaxibotulinumtoxinA 40 UnitsPlacebo
Percentage of Subjects Who Achieved ≥ 2 Point Improvement Independently and Concurrently on Investigator and Patient Rating Scales74.01.0
SecondaryThe Time to Return to Moderate to Severe on Both IGA-FWS and PFWS Scales for DaxibotulinumtoxinA for Injection Group

The duration of response will be evaluated by analyzing the number of days to return to moderate or severe on both IGA-FWS and PFWS scales for DaxibotulinumtoxinA for Injection group.

Time frame:
0-36 weeks
Reported as:
Median · days
The Time to Return to Moderate to Severe on Both IGA-FWS and PFWS Scales for DaxibotulinumtoxinA for Injection Group
daysDaxibotulinumtoxinA 40 Units
The Time to Return to Moderate to Severe on Both IGA-FWS and PFWS Scales for DaxibotulinumtoxinA for Injection Group167 (142 to 168)
SecondaryThe Time to Return to, or Worse Than, Baseline on Both IGA-FWS and PFWS Scales for DaxibotulinumtoxinA for Injection Group

The duration of response will be evaluated by analyzing the number of days to return to, or worse than, baseline on both IGA-FWS and PFWS scales for DaxibotulinumtoxinA for Injection group.

Time frame:
0-36 weeks
Reported as:
Median · days
The Time to Return to, or Worse Than, Baseline on Both IGA-FWS and PFWS Scales for DaxibotulinumtoxinA for Injection Group
daysDaxibotulinumtoxinA 40 Units
The Time to Return to, or Worse Than, Baseline on Both IGA-FWS and PFWS Scales for DaxibotulinumtoxinA for Injection Group182 (169 to 196)

Adverse events

Collected over Adverse events were collected throughout the entire study, up to 36 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
DaxibotulinumtoxinA 40 Units0/205 (0%)2/205 (1%)30/205 (14.6%)
Placebo0/101 (0%)1/101 (1%)5/101 (5%)
Most frequent serious events
Most frequent serious events
EventDaxibotulinumtoxinA 40 UnitsPlacebo
Leiomyosarcoma recurrentNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/2051/101
Uterine perforationInjury, poisoning and procedural complications1/2050/101
Uterine leiomyosarcomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/2050/101
Most frequent other events
Most frequent other events
EventDaxibotulinumtoxinA 40 UnitsPlacebo
HeadacheNervous system disorders18/2052/101
NasopharyngitisInfections and infestations12/2053/101

Baseline characteristics

Intent to treat population

Age, Categorical
Age, Categorical(Participants)DaxibotulinumtoxinA 40 UnitsPlaceboTotal
<=18 years000
Between 18 and 65 years18994283
>=65 years15823
Age, Continuous
Age, Continuous(years)DaxibotulinumtoxinA 40 UnitsPlaceboTotal
Median49.6 (21 to 73)50.5 (27 to 75)49.9 (21 to 75)
Sex: Female, Male
Sex: Female, Male(Participants)DaxibotulinumtoxinA 40 UnitsPlaceboTotal
Female18387270
Male211536
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)DaxibotulinumtoxinA 40 UnitsPlaceboTotal
Race — Asian11516
Race — Black or African American9312
Race — White18092272
Race — More than one race112
Race — Unknown or not reported314
Region of Enrollment
Region of Enrollment(participants)DaxibotulinumtoxinA 40 UnitsPlaceboTotal
North America204102306
08

Study locations

14 sites
  • Encinitas, California 92024, United States
  • Los Angeles, California 90069, United States
  • Washington, District of Columbia 20037, United States
  • Naperville, Illinois 60563, United States
  • New Orleans, Louisiana 70124, United States
  • Omaha, Nebraska 68144, United States
  • West Islip, New York 11795, United States
  • High Point, North Carolina 27262, United States
  • Spokane, Washington 99202, United States
  • Vancouver, British Columbia V5Z 4E1, Canada
  • Burlington, Ontario L7N 3N2, Canada
  • Toronto, Ontario M5R 3N8, Canada
  • Woodbridge, Ontario L4L 8E2, Canada
  • Montreal, Quebec H3Z 1B7, Canada
09

References and documents

Publications

  • Bertucci V, Solish N, Kaufman-Janette J, Yoelin S, Shamban A, Schlessinger J, Snyder D, Gallagher C, Liu Y, Shears G, Rubio RG. DaxibotulinumtoxinA for Injection has a prolonged duration of response in the treatment of glabellar lines: Pooled data from two multicenter, randomized, double-blind, placebo-controlled, phase 3 studies (SAKURA 1 and SAKURA 2). J Am Acad Dermatol. 2020 Apr;82(4):838-845. doi: 10.1016/j.jaad.2019.06.1313. Epub 2019 Nov 29. PubMed 31791824 ↗
  • Carruthers JD, Fagien S, Joseph JH, Humphrey SD, Biesman BS, Gallagher CJ, Liu Y, Rubio RG; SAKURA 1 and SAKURA 2 Investigator Group; SAKURA 1 and SAKURA 2 Investigator Group includes the following. DaxibotulinumtoxinA for Injection for the Treatment of Glabellar Lines: Results from Each of Two Multicenter, Randomized, Double-Blind, Placebo-Controlled, Phase 3 Studies (SAKURA 1 and SAKURA 2). Plast Reconstr Surg. 2020 Jan;145(1):45-58. doi: 10.1097/PRS.0000000000006327. PubMed 31609882 ↗

Study documents

  • Study protocol · Nov 7, 2016
  • Statistical analysis plan · Nov 21, 2017

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 21, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03014635
Lead sponsor
Revance Therapeutics, Inc.
Responsible party
Sponsor
First posted
Jan 9, 2017
Start date
Dec 5, 2016
Primary completion
Nov 3, 2017
Completion
Nov 3, 2017
Results posted
Jul 21, 2022
Last update
Jul 21, 2022

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2022. You cannot join it, but the record below documents what was studied.

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