A Phase 3 interventional study of MT10109L and Placebo in Lateral Canthal Lines, sponsored by Medy-Tox. Completed at 14 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-10-05.
Sponsored by Medy-Tox · Phase 3, Interventional, and Treatment
To evaluate the safety and efficacy of MT10109L in the treatment of lateral canthal lines (LCL) in participants with moderate to severe LCL.
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.
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 will be injected into the LCL: initial double-blind treatment on Day 1, and up to 2 open-label study interventions during the retreatment period.
Drug: MT10109L
Placebo will be injected into the LCL: initial double-blind treatment on Day 1.
Drug: Placebo
MT10109L will be injected into the LCL.
Also known as: NivobotulinumtoxinA
Placebo will be injected into the LCL.
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 Lateral Canthal Lines (LCL) Severity at Maximum Smile at Day 30
The primary efficacy measure is a composite endpoint and a participant is considered responder only if both the investigator and participant independently report a ≥ 2-grade improvement at Day 30 of Double-Blind Period from baseline. Both participant and investigator used FWS to assess GL severity. FWS is 4-grade scale (0 to 3): 0=none, 1=mild, 2=moderate and 3=severe
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 (FWS)
The Percentage of Responders for Investigator Assessments of Lateral Canthal Lines (LCL) Severity at Maximum Smile Using the Facial Wrinkle Scale (FWS), where a Responder was defined as Achieving a≥2-grade Improvement from Baseline at Maximum Smile at Day 30. The investigator evaluates the participant's LCL severity using a 4-point scale (0 to 3) where 0=none, 1=mild, 2=moderate and 3=severe.
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 Facial Wrinkle Scale (FWS)
The investigator evaluates the participant's LCL severity using a 4-grade scale (0 to 3) where 0=none, 1=mild, 2=moderate and 3 = severe using the Facial Wrinkle Scale (FWS). The outcome is measured as median time to loss of treatment effect (i.e., return to moderate or severe LCL severity at maximum smile using the FWS).
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, 1=mild, 2=moderate and 3=severe. The outcome was measured among participants who were at least mild at rest at baseline, where a responder was defined as achieving a \>=1-grade improvement from baseline at Day 30.
Time frame: Day 30
Number of Patients Who Experienced an Adverse Event (AE) Through the Study Duration
This section focuses primarily on Treatment Emergent Adverse Events(TEAEs), i.e., AEs that started or worsened after the first dose of study intervention (Day 1) until up to 30 days after their last visit or study exit. TEAE's are recorded by the PI and their study team from observations made after treatment administration. The safety analyses were conducted in the Safety population. Unless otherwise noted, safety results refer to TEAEs. All safety analyses were performed with participants analyzed by their actual treatment or regimen received.
Time frame: AEs that started or worsen after the first dose of study intervention and up to 30 days after their last visit or study exit (Day 360 or early exit)
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 - Heart Rate
The outcome reported here is a mean change in mean heart rate from baseline to studyexit
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 During Double-blind/MT10109L During Open-label | MT10109L During Double-blind/MT10109L During Open-label |
|---|---|---|
| Started | 77 | 158 |
| Completed | 68 | 145 |
| Not completed | 9 | 13 |
| Withdrew: Adverse event | 0 | 1 |
| Withdrew: Withdrawal by subject | 6 | 9 |
| Withdrew: Lost to follow-up | 2 | 2 |
| Withdrew: Death | 0 | 1 |
| Withdrew: 1 participant was randomized to the placebo group but was not treated. this is counted in 'other '. | 1 | 0 |
| Milestone | Placebo During Double-blind/MT10109L During Open-label | MT10109L During Double-blind/MT10109L During Open-label |
|---|---|---|
| Started | 65 | 144 |
| Completed | 61 | 130 |
| Not completed | 4 | 14 |
| Withdrew: Withdrawal by subject | 1 | 5 |
| Withdrew: Lost to follow-up | 1 | 6 |
| Withdrew: Covid-19; enrolled in a different study | 2 | 3 |
| Milestone | Placebo During Double-blind/MT10109L During Open-label | MT10109L During Double-blind/MT10109L During Open-label |
|---|---|---|
| Started | 49 | 91 |
| Completed | 49 | 88 |
| Not completed | 0 | 3 |
| Withdrew: Withdrawal by subject | 0 | 1 |
| Withdrew: Lost to follow-up | 0 | 1 |
| Withdrew: Covid-19, enrolled in a different study | 0 | 1 |
The primary efficacy measure is a composite endpoint and a participant is considered responder only if both the investigator and participant independently report a ≥ 2-grade improvement at Day 30 of Double-Blind Period from baseline. Both participant and investigator used FWS to assess GL severity. FWS is 4-grade scale (0 to 3): 0=none, 1=mild, 2=moderate and 3=severe
| Participants | Placebo | MT10109L |
|---|---|---|
| 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 Lateral Canthal Lines (LCL) Severity at Maximum Smile at Day 30 | 2 | 48 |
The Percentage of Responders for Investigator Assessments of Lateral Canthal Lines (LCL) Severity at Maximum Smile Using the Facial Wrinkle Scale (FWS), where a Responder was defined as Achieving a≥2-grade Improvement from Baseline at Maximum Smile at Day 30. The investigator evaluates the participant's LCL severity using a 4-point scale (0 to 3) where 0=none, 1=mild, 2=moderate and 3=severe.
| Participants | Placebo | MT10109L |
|---|---|---|
| The Percentage of Responders for INVESTIGATOR Assessments of Lateral Canthal Lines (LCL) Severity at Maximum Smile Using the Facial Wrinkle Scale (FWS) | 3 | 57 |
The investigator evaluates the participant's LCL severity using a 4-grade scale (0 to 3) where 0=none, 1=mild, 2=moderate and 3 = severe using the Facial Wrinkle Scale (FWS). The outcome is measured as median time to loss of treatment effect (i.e., return to moderate or severe LCL severity at maximum smile using the FWS).
| Days | Placebo | MT10109L |
|---|---|---|
| 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 Facial Wrinkle Scale (FWS) | 242 (NA to NA) | 148 (114.0 to 158) |
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 |
|---|---|---|
| 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) | 4 | 107 |
The investigator evaluates the participant's LCL severity using a 4-point scale (0 to 3) where 0=none, 1=mild, 2=moderate and 3=severe. The outcome was measured among participants who were at least mild at rest at baseline, where a responder was defined as achieving a \>=1-grade improvement from baseline at Day 30.
| Participants | Placebo | MT10109L |
|---|---|---|
| The Percentage of Responders for Investigator Assessments of Lateral Canthal Lines (LCL) Severity at Rest Using the Facial Wrinkle Scale (FWS) | 11 | 75 |
This section focuses primarily on Treatment Emergent Adverse Events(TEAEs), i.e., AEs that started or worsened after the first dose of study intervention (Day 1) until up to 30 days after their last visit or study exit. TEAE's are recorded by the PI and their study team from observations made after treatment administration. The safety analyses were conducted in the Safety population. Unless otherwise noted, safety results refer to TEAEs. All safety analyses were performed with participants analyzed by their actual treatment or regimen received.
| Participants | Placebo | MT10109L |
|---|---|---|
| Number of Patients Who Experienced an Adverse Event (AE) Through the Study Duration | 12 | 78 |
The outcome reported here is the mean change in Systolic BP from baseline to study exit.
| mmHg | Placebo | MT10109L |
|---|---|---|
| Mean Change From Baseline in Systolic Blood Pressure (BP) | 1.8 ± 12.28 | 0.5 ± 11.83 |
The outcome reported here is the mean change in Diastolic BP from baseline to study exit.
| mmHg | Placebo | MT10109L |
|---|---|---|
| Mean Change From Baseline in Diastolic Blood Pressure (BP) | 0.4 ± 9.73 | 0.3 ± 9.42 |
The outcome reported here is the mean change in Pulse Rate from baseline to study exit.
| beats/min | Placebo | MT10109L |
|---|---|---|
| Mean Change From Baseline in Pulse Rate | -2.0 ± 13.13 | -0.8 ± 11.38 |
The outcome reported here is the mean change in Respiratory Rate from baseline to study exit.
| breaths/min | Placebo | MT10109L |
|---|---|---|
| Mean Change From Baseline in Respiratory Rate | 0.7 ± 2.34 | -0.1 ± 1.89 |
The outcome reported here is a mean change in mean heart rate from baseline to studyexit
| beats/min | Placebo | MT10109L |
|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - Heart Rate | 2.9 ± 10.15 | 4.9 ± 10.36 |
The outcome reported here is a mean change in PR Interval from baseline to study exit
| milliseconds | Placebo | MT10109L |
|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - PR Interval | -2.1 ± 12.76 | -0.7 ± 13.65 |
The outcome reported here is a mean change in QRS duration from baseline to study exit
| milliseconds | Placebo | MT10109L |
|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QRS Duration | 2.6 ± 9.17 | 0.8 ± 7.14 |
The outcome reported here is a mean change in QT Interval from baseline to study exit
| milliseconds | Placebo | MT10109L |
|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QT Interval | -3.9 ± 22.08 | -11.3 ± 23.92 |
The outcome reported here is a mean change in QTcB Interval from baseline to study exit
| milliseconds | Placebo | MT10109L |
|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QTcB Interval | 3.7 ± 18.42 | 1.8 ± 20.3 |
The outcome reported here is a mean change in QTcF Interval from baseline to study exit
| milliseconds | Placebo | MT10109L |
|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QTcF Interval | 1.0 ± 14.97 | -2.9 ± 16.79 |
The outcome reported here is a mean change in RR Interval from baseline to study exit
| milliseconds | Placebo | MT10109L |
|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - RR Interval | -32.2 ± 122.66 | -58.2 ± 127.37 |
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 |
|---|---|---|
| Number of Participants With Binding and Neutralizing Antibodies | 0 | 2 |
Collected over The time frame for the treatment-emergent adverse events(TEAEs) was from the first dose on Day 1 and up to 30 days after their last visit or study exit (Day 360 or early exit). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | 0/76 (0%) | 0/76 (0%) | 0/76 (0%) |
| MT10109L | 1/223 (0.4%) | 7/223 (3.1%) | 0/223 (0%) |
| Event | Placebo | MT10109L |
|---|---|---|
| DeathGeneral disorders | 0/76 | 1/223 |
| COVID-19Infections and infestations | 0/76 | 1/223 |
| PneumoniaInfections and infestations | 0/76 | 1/223 |
| Suspected COVID-19Infections and infestations | 0/76 | 1/223 |
| Alcohol poisoningInjury, poisoning and procedural complications | 0/76 | 1/223 |
| ArthritisMusculoskeletal and connective tissue disorders | 0/76 | 1/223 |
| ExostosisMusculoskeletal and connective tissue disorders | 0/76 | 1/223 |
| Malignant melanoma in situNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/76 | 1/223 |
| Squamous cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/76 | 1/223 |
| Respiratory distressRespiratory, thoracic and mediastinal disorders | 0/76 | 1/223 |
235 participants were included in the Intent To Treat (ITT) population (77 participants in the placebo group and 158 participants in theMT10109L group).
| Age, Categorical(Participants) | Placebo | MT10109L | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 75 | 149 | 224 |
| >=65 years | 2 | 9 | 11 |
| Age, Continuous(Years) | Placebo | MT10109L | Total |
|---|---|---|---|
| Mean | 46.1 ± 11.09 | 46.6 ± 11.43 | 46.4 ± 11.3 |
| Sex: Female, Male(Participants) | Placebo | MT10109L | Total |
|---|---|---|---|
| Female | 61 | 127 | 188 |
| Male | 16 | 31 | 47 |
| Ethnicity (NIH/OMB)(Participants) | Placebo | MT10109L | Total |
|---|---|---|---|
| Hispanic or Latino | 10 | 33 | 43 |
| Not Hispanic or Latino | 67 | 125 | 192 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Placebo | MT10109L | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 2 | 2 |
| Asian | 1 | 7 | 8 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 2 | 3 | 5 |
| White | 74 | 145 | 219 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 1 | 1 |
PDFs hosted by the registry, ClinicalTrials.gov.
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Studies of the drug tested here: Nivobotulinumtoxina