A Phase 3 interventional study of MT10109L and Placebo in Lateral Canthal Lines and Glabellar Lines, sponsored by Medy-Tox. Completed at 20 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-07-17.
Sponsored by Medy-Tox · Phase 3, Interventional, and Treatment
To evaluate the safety and efficacy of MT10109L for the treatment of lateral canthal lines (LCL) with or without concurrent treatment of glabellar lines (GL) in participants with moderate to severe LCL and GL.
Medy-Tox is the lead sponsor of 49 studies on the registry; none are open to participants now.
Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
-Female participants must not be pregnant or planning to get pregnant and willing to minimize the risk of inducing pregnancy for the duration of the clinical study and follow-up period.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
A drug or device being studied in a clinical trial.
It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.
Hypersensitivity
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Investigational drug or device
A drug or device being studied in a clinical trial.
It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
MT10109L Dose 1 will be injected into the LCL and Placebo into the GL: initial double-blind treatment on Day 1, and up to 2 additional blinded treatments during the retreatment period.
Drug: MT10109L · Drug: Placebo
MT10109L Dose 1 will be injected into the LCL and MT10109L Dose 2 into the GL: initial double-blind treatment on Day 1, and up to 2 additional blinded treatments during the retreatment period.
Drug: MT10109L
Placebo will be injected into the LCL and into the GL: initial double-blind treatment on Day 1, and up to 2 additional blinded treatments during the retreatment period.
Drug: Placebo
MT10109L will be injected into either the LCL, or both the LCL and GL.
Also known as: NivobotulinumtoxinA
Placebo will be injected into either the GL, or both the LCL and GL.
The Percentage of Participants With a ≥ 2-grade Improvement From Baseline on the Facial Wrinkle Scale With Photonumeric Guide (FWS) According to INVESTIGATOR AND PARTICIPANT Assessments of LCL Severity at Maximum Smile at Day 30
The outcome measured is the percentage of participants who had a ≥2-grade improvement from baseline LCL severity at maximum smile according to investigator and participant FWS ratings at Day 30. Both the INVESTIGATOR AND PARTICIPANT evaluate the LCL severity using a 4-grade scale (0 to 3) where 0=none and 3 = severe. The primary endpoint is achieved and recorded as a count only when BOTH INVESTIGATOR AND PARTICIPANT assess the improvement in FWS from baseline to be ≥ 2-grade improvement. Therefore, the primary endpoint is the proportion/percentage of participants who meet the dual assessment threshold of ≥2-grade improvement from baseline.
Time frame: Day 30
The Percentage of Responders for INVESTIGATOR Assessments of Lateral Canthal Lines (LCL) Severity at Maximum Smile Using the Facial Wrinkle Scale With Photonumeric Guide (FWS)
The outcome here only considers the INVESTIGATOR assessments (excludes the participant assessment). The investigator evaluates the participant's LCL severity using a 4-point scale (0 to 3) where 0=none and 3=severe. A Responder was defined as one achieving a ≥2-grade improvement from baseline at maximum smile at Day 30.
Time frame: Day 30
The Duration of Lateral Canthal Lines (LCL) Treatment in Participants Who Achieved a Rating of ≥ 2-grade Improvement From Baseline in LCL Severity at Maximum Smile at Day 30 According to Investigator Assessments Using the FWS
The investigator evaluates the participant's LCL severity using a 4-grade scale (0 to 3) where 0=none and 3 = severe.
Time frame: Day 1 (first treatment) to Day 180
The Percentage of Participants Reporting Mostly Satisfied/Very Satisfied on the Facial Line Satisfaction Questionnaire (FLSQ) Follow-up Version Item 5 for Lateral Canthal Lines (LCL)
The Satisfaction Question 5 grades facial line treatment satisfaction on a 5-point scale (-2 to 2) where -2=Very dissatisfied and 2=Very satisfied.
Time frame: Day 60
The Percentage of Responders for Investigator Assessments of Lateral Canthal Lines (LCL) Severity at Rest Using the Facial Wrinkle Scale (FWS)
The investigator evaluates the participant's LCL severity using a 4-point scale (0 to 3) where 0=none and 3=severe. Among Participants Who Were Rated At least Mild at Rest at Baseline, where a Responder was Defined as Achieving a ≥1-grade Improvement from Baseline at Day 30. The outcome measured here is the proportion of participants who achieved a ≥1-grade improvement from baseline LCL severity at rest based on investigator FWS rating.
Time frame: Day 30
Number of Patients Who Experienced a Treatment Emergent Adverse Event (TEAEs)
This section focuses primarily on TEAEs, i.e., AEs that started or worsened after the first dose of study intervention and within 30 days after the last dose. The safety analyses were conducted in the Safety population. Unless otherwise noted, safety results refer to TEAEs.
Time frame: AEs that started or worsen after the first dose of study intervention and within 30 days after the last dose.
Mean Change From Baseline in Systolic Blood Pressure (BP)
The outcome reported here is the mean change in Systolic BP from baseline to study exit.
Time frame: Baseline to Day 360
Mean Change From Baseline in Diastolic Blood Pressure (BP)
The outcome reported here is the mean change in Diastolic BP from baseline to study exit.
Time frame: Baseline to Day 360
Mean Change From Baseline in Pulse Rate
The outcome reported here is the mean change in Pulse Rate from baseline to study exit.
Time frame: Baseline to Day 360
Mean Change From Baseline in Respiratory Rate
The outcome reported here is the mean change in Respiratory Rate from baseline to study exit.
Time frame: Baseline to Day 360
Mean Change From Baseline in Electrocardiogram (ECG) Parameters - Mean Heart Rate
The outcome reported here is a mean change in mean heart rate from baseline to study exit.
Time frame: Baseline to Day 360
Mean Change From Baseline in Electrocardiogram (ECG) Parameters - PR Interval
The outcome reported here is a mean change in PR interval from baseline to study exit.
Time frame: Baseline to Day 360
Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QRS Duration
The outcome reported here is a mean change in QRS duration from baseline to study exit.
Time frame: Baseline to Day 360
Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QT Interval
The outcome reported here is a mean change in QT interval from baseline to study exit.
Time frame: Baseline to Day 360
Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QTcB Interval
The outcome reported here is a mean change in QTcB interval from baseline to study exit.
Time frame: Baseline to Day 360
Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QTcF Interval
The outcome reported here is a mean change in QTcF interval from baseline to study exit.
Time frame: Baseline to Day 360
Mean Change From Baseline in Electrocardiogram (ECG) Parameters - RR Interval
The outcome reported here is a mean change in RR interval from baseline to study exit.
Time frame: Baseline to Day 360
Number of Participants With Binding and Neutralizing Antibodies
Only samples that tested positive in the binding antibody confirmatory assay were evaluated for neutralizing antibodies. The participants with positive neutralizing antibodies are only shown.
Time frame: Baseline to Day 360
| Milestone | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Started | 86 | 171 | 167 |
| Completed | 68 | 138 | 150 |
| Not completed | 18 | 33 | 17 |
| Withdrew: Adverse event | 0 | 3 | 1 |
| Withdrew: Withdrawal by subject | 11 | 13 | 8 |
| Withdrew: Lost to follow-up | 3 | 5 | 4 |
| Withdrew: Pregnancy | 0 | 2 | 0 |
| Withdrew: Physician decision | 2 | 3 | 1 |
| Withdrew: Covid-19 related and other reasons | 2 | 7 | 3 |
The outcome measured is the percentage of participants who had a ≥2-grade improvement from baseline LCL severity at maximum smile according to investigator and participant FWS ratings at Day 30. Both the INVESTIGATOR AND PARTICIPANT evaluate the LCL severity using a 4-grade scale (0 to 3) where 0=none and 3 = severe. The primary endpoint is achieved and recorded as a count only when BOTH INVESTIGATOR AND PARTICIPANT assess the improvement in FWS from baseline to be ≥ 2-grade improvement. Therefore, the primary endpoint is the proportion/percentage of participants who meet the dual assessment threshold of ≥2-grade improvement from baseline.
| Participants | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| The Percentage of Participants With a ≥ 2-grade Improvement From Baseline on the Facial Wrinkle Scale With Photonumeric Guide (FWS) According to INVESTIGATOR AND PARTICIPANT Assessments of LCL Severity at Maximum Smile at Day 30 | 0 | 35 | 38 |
The outcome here only considers the INVESTIGATOR assessments (excludes the participant assessment). The investigator evaluates the participant's LCL severity using a 4-point scale (0 to 3) where 0=none and 3=severe. A Responder was defined as one achieving a ≥2-grade improvement from baseline at maximum smile at Day 30.
| Participants | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| The Percentage of Responders for INVESTIGATOR Assessments of Lateral Canthal Lines (LCL) Severity at Maximum Smile Using the Facial Wrinkle Scale With Photonumeric Guide (FWS) | 0 | 59 | 64 |
The investigator evaluates the participant's LCL severity using a 4-grade scale (0 to 3) where 0=none and 3 = severe.
| Days | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| The Duration of Lateral Canthal Lines (LCL) Treatment in Participants Who Achieved a Rating of ≥ 2-grade Improvement From Baseline in LCL Severity at Maximum Smile at Day 30 According to Investigator Assessments Using the FWS | — | 113 (91 to 121) | 93 (89 to 118) |
The Satisfaction Question 5 grades facial line treatment satisfaction on a 5-point scale (-2 to 2) where -2=Very dissatisfied and 2=Very satisfied.
| Participants | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| The Percentage of Participants Reporting Mostly Satisfied/Very Satisfied on the Facial Line Satisfaction Questionnaire (FLSQ) Follow-up Version Item 5 for Lateral Canthal Lines (LCL) | 8 | 97 | 122 |
The investigator evaluates the participant's LCL severity using a 4-point scale (0 to 3) where 0=none and 3=severe. Among Participants Who Were Rated At least Mild at Rest at Baseline, where a Responder was Defined as Achieving a ≥1-grade Improvement from Baseline at Day 30. The outcome measured here is the proportion of participants who achieved a ≥1-grade improvement from baseline LCL severity at rest based on investigator FWS rating.
| Participants | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| The Percentage of Responders for Investigator Assessments of Lateral Canthal Lines (LCL) Severity at Rest Using the Facial Wrinkle Scale (FWS) | 13 | 106 | 107 |
This section focuses primarily on TEAEs, i.e., AEs that started or worsened after the first dose of study intervention and within 30 days after the last dose. The safety analyses were conducted in the Safety population. Unless otherwise noted, safety results refer to TEAEs.
| Participants | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Number of Patients Who Experienced a Treatment Emergent Adverse Event (TEAEs) | 50 | 90 | 106 |
The outcome reported here is the mean change in Systolic BP from baseline to study exit.
| mmHg | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Mean Change From Baseline in Systolic Blood Pressure (BP) | 1.0 ± 11.60 | -0.4 ± 12.29 | -0.3 ± 13.67 |
The outcome reported here is the mean change in Diastolic BP from baseline to study exit.
| mmHg | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Mean Change From Baseline in Diastolic Blood Pressure (BP) | -1.2 ± 8.61 | -1.4 ± 8.34 | -0.7 ± 9.28 |
The outcome reported here is the mean change in Pulse Rate from baseline to study exit.
| beats/min | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Mean Change From Baseline in Pulse Rate | -0.7 ± 11.2 | 0.9 ± 10.54 | -0.4 ± 11.34 |
The outcome reported here is the mean change in Respiratory Rate from baseline to study exit.
| breaths/min | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Mean Change From Baseline in Respiratory Rate | -0.4 ± 2.03 | -0.3 ± 2.04 | -0.6 ± 2.47 |
The outcome reported here is a mean change in mean heart rate from baseline to study exit.
| beats/min | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - Mean Heart Rate | 3.3 ± 10.34 | 4.2 ± 9.35 | 2.7 ± 8.34 |
The outcome reported here is a mean change in PR interval from baseline to study exit.
| milliseconds | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - PR Interval | -0.5 ± 9.36 | -0.7 ± 12.37 | 0.0 ± 11.09 |
The outcome reported here is a mean change in QRS duration from baseline to study exit.
| milliseconds | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QRS Duration | 0.0 ± 6.16 | 0.4 ± 5.35 | 1.6 ± 8.06 |
The outcome reported here is a mean change in QT interval from baseline to study exit.
| milliseconds | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QT Interval | -8.6 ± 25.07 | -10.4 ± 21.96 | -9.2 ± 21.26 |
The outcome reported here is a mean change in QTcB interval from baseline to study exit.
| milliseconds | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QTcB Interval | 0.9 ± 17.34 | 1.6 ± 16.64 | -1.5 ± 16.3 |
The outcome reported here is a mean change in QTcF interval from baseline to study exit.
| milliseconds | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QTcF Interval | -2.4 ± 14.21 | -2.7 ± 13.57 | -4.2 ± 13.65 |
The outcome reported here is a mean change in RR interval from baseline to study exit.
| milliseconds | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - RR Interval | -42.6 ± 137.27 | -53.0 ± 120.85 | -35.0 ± 114.66 |
Only samples that tested positive in the binding antibody confirmatory assay were evaluated for neutralizing antibodies. The participants with positive neutralizing antibodies are only shown.
| Participants | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Number of Participants With Binding and Neutralizing Antibodies | 0 | 0 | 0 |
Collected over This section describes Treatment-Emergent Adverse Events (TEAEs) that started or worsened after the first dose of study intervention and within 30 days after the last visit or study exit (Day 360 unless the participant exits earlier). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | 0/86 (0%) | 4/86 (4.7%) | 34/86 (39.5%) |
| MT10109L 24U + Placebo | 0/171 (0%) | 11/171 (6.4%) | 60/171 (35.1%) |
| MT10109L 24U + MT10109L 20U | 0/168 (0%) | 5/168 (3%) | 74/168 (44%) |
| Event | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| Basal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/86 | 3/171 | 2/168 |
| COVID-19Infections and infestations | 0/86 | 2/171 | 0/168 |
| ColitisGastrointestinal disorders | 1/86 | 1/171 | 0/168 |
| Colitis microscopicGastrointestinal disorders | 1/86 | 0/171 | 0/168 |
| Acute kidney injuryRenal and urinary disorders | 1/86 | 0/171 | 0/168 |
| Abortion induced [F]Surgical and medical procedures | 0/71 | 1/143 | 0/141 |
| Allergy to arthropod stingImmune system disorders | 0/86 | 0/171 | 1/168 |
| PneumoniaInfections and infestations | 0/86 | 0/171 | 1/168 |
| Intraductal proliferative breast lesionNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/86 | 0/171 | 1/168 |
| Aortic valve incompetenceCardiac disorders | 0/86 | 1/171 | 0/168 |
| Event | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U |
|---|---|---|---|
| HeadacheNervous system disorders | 3/86 | 9/171 | 22/168 |
| NasopharyngitisInfections and infestations | 6/86 | 16/171 | 15/168 |
| Injection site painGeneral disorders | 8/86 | 15/171 | 15/168 |
| Injection site haemorrhageGeneral disorders | 6/86 | 9/171 | 6/168 |
| Injection site bruisingGeneral disorders | 6/86 | 7/171 | 6/168 |
| Upper respiratory tract infectionInfections and infestations | 5/86 | 4/171 | 10/168 |
424 participants were included in the ITT population (86 in the Placebo; 171 in the MT10109L 24 U group and 167 participants in the MT10109L 44U group)
| Age, Categorical(Participants) | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U | Total |
|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 80 | 156 | 157 | 393 |
| >=65 years | 6 | 15 | 10 | 31 |
| Age, Continuous(years) | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U | Total |
|---|---|---|---|---|
| Mean | 48.6 ± 12.32 | 47.7 ± 11.56 | 49.1 ± 10.37 | 48.5 ± 11.26 |
| Sex: Female, Male(Participants) | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U | Total |
|---|---|---|---|---|
| Female | 71 | 143 | 141 | 355 |
| Male | 15 | 28 | 26 | 69 |
| Ethnicity (NIH/OMB)(Participants) | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U | Total |
|---|---|---|---|---|
| Hispanic or Latino | 4 | 11 | 10 | 25 |
| Not Hispanic or Latino | 82 | 159 | 157 | 398 |
| Unknown or Not Reported | 0 | 1 | 0 | 1 |
| Race (NIH/OMB)(Participants) | Placebo | MT10109L 24U + Placebo | MT10109L 24U + MT10109L 20U | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 1 | 2 | 3 |
| Asian | 0 | 4 | 2 | 6 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 1 | 4 | 3 | 8 |
| White | 85 | 161 | 159 | 405 |
| More than one race | 0 | 1 | 1 | 2 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
PDFs hosted by the registry, ClinicalTrials.gov.
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Studies of the drug tested here: Nivobotulinumtoxina