A Phase 3 interventional study of MT10109L and Placebo in Glabellar Lines, sponsored by Medy-Tox. Completed at 15 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-07-27.
Sponsored by Medy-Tox · Phase 3, Interventional, and Treatment
To evaluate the safety and efficacy of MT10109L in the treatment of glabellar lines (GL) in participants with moderate to severe 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.
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 GL: 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 GL: initial double-blind treatment on Day 1.
Drug: Placebo
MT10109L will be injected into the GL.
Also known as: NivobotulinumtoxinA
Placebo will be injected into the 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 Glabellar Lines (GL) Severity at Maximum Frown 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 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 Glabellar Lines (GL) Severity at Maximum Frown Using the Facial Wrinkle Scale (FWS)
The Percentage of Responders for Investigator Assessments of Glabellar Lines (GL) Severity at Maximum Frown Using the Facial Wrinkle Scale (FWS), where a Responder was defined as Achieving a ≥2-grade Improvement from Baseline at Maximum Frown at Day 30 of double-blind period. The investigator evaluates the participant's GL severity using a 4-point scale (0 to 3) where 0=none and 3=severe
Time frame: Day 30
The Duration of Glabellar Lines (GL) Treatment in Participants Who Achieved a Rating of ≥ 2-grade Improvement From Baseline in GL Severity at Maximum Frown at Day 30 According to Investigator Assessments Using the Facial Wrinkle Scale (FWS)
The investigator evaluates the participant's GL severity using a 4-grade scale (0 to 3) where 0=none and 3 = severe. The outcome is measured as median time to loss of treatment effect (i.e., return to moderate or severe GL severity at maximum frown 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 Glabellar Lines (GL)
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 Glabellar Lines (GL) Severity at Rest Using the Facial Wrinkle Scale (FWS).
The outcome was measured 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 of double-blind period. The investigator evaluates the participant's GL severity using a 4-point scale (0 to 3) where 0=none and 3=severe.
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. The safety analyses were conducted in the Safety population. Unless otherwise noted, safety results refer to TEAEs.
Time frame: The time frame for AEs is from the first dose on Day 1 and up to 30 days after their last visit or study exit (Day 360 or early exit).
Mean Change From Baseline in Vital Signs - Systolic Blood Pressure (BP)
Change from baseline at study exit.
Time frame: Baseline to Study exit (Day 360 or early exit)
Mean Change From Baseline in Vital Signs - Diastolic Blood Pressure (BP)
Change from baseline at study exit.
Time frame: Baseline to Study exit (Day 360 or early exit)
Mean Change From Baseline in Vital Signs - Pulse Rate
Change from baseline at study exit.
Time frame: Baseline to Study exit (Day 360 or early exit)
Mean Change From Baseline in Vital Signs - Respiratory Rate
Change from baseline at study exit.
Time frame: Baseline to Study exit (Day 360 or early exit)
Mean Change From Baseline in Electrocardiogram (ECG) Parameters - Heart Rate
Change from baseline at study exit.
Time frame: Baseline to Study Exit (Day 360 or early exit)
Mean Change From Baseline in Electrocardiogram (ECG) Parameters - PR Interval
Change from baseline at study exit.
Time frame: Baseline to Study Exit (Day 360 or early exit)
Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QRS Duration
Change from baseline at study exit.
Time frame: Baseline to Study Exit (Day 360 or early exit)
Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QT Interval
Change from baseline at study exit.
Time frame: Baseline to Study Exit (Day 360 or early exit)
Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QTcB Interval
Change from baseline at study exit.
Time frame: Baseline to Study Exit (Day 360 or early exit)
Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QTcF Interval
Change from baseline at study exit.
Time frame: Baseline to Study Exit (Day 360 or early exit)
Mean Change From Baseline in Electrocardiogram (ECG) Parameters - RR Interval
Change from baseline at study exit.
Time frame: Baseline to Study Exit (Day 360 or early exit)
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: Up to Study Exit (Day 360 or early exit)
| Milestone | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| Started | 80 | 154 |
| Completed | 67 | 129 |
| Not completed | 13 | 25 |
| Withdrew: Adverse event | 2 | 1 |
| Withdrew: Withdrawal by subject | 5 | 13 |
| Withdrew: Lost to follow-up | 2 | 3 |
| Withdrew: Pregnancy | 0 | 1 |
| Withdrew: Physician decision | 1 | 2 |
| Withdrew: Protocol violation | 0 | 1 |
| Withdrew: Other (early termination, covid, family issue) | 3 | 4 |
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 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 | MT10109L/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 Glabellar Lines (GL) Severity at Maximum Frown at Day 30 | 0 | 71 |
The Percentage of Responders for Investigator Assessments of Glabellar Lines (GL) Severity at Maximum Frown Using the Facial Wrinkle Scale (FWS), where a Responder was defined as Achieving a ≥2-grade Improvement from Baseline at Maximum Frown at Day 30 of double-blind period. The investigator evaluates the participant's GL severity using a 4-point scale (0 to 3) where 0=none and 3=severe
| Participants | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| The Percentage of Responders for Investigator Assessments of Glabellar Lines (GL) Severity at Maximum Frown Using the Facial Wrinkle Scale (FWS) | 1 | 94 |
The investigator evaluates the participant's GL severity using a 4-grade scale (0 to 3) where 0=none and 3 = severe. The outcome is measured as median time to loss of treatment effect (i.e., return to moderate or severe GL severity at maximum frown using the FWS).
| Days | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| The Duration of Glabellar Lines (GL) Treatment in Participants Who Achieved a Rating of ≥ 2-grade Improvement From Baseline in GL Severity at Maximum Frown at Day 30 According to Investigator Assessments Using the Facial Wrinkle Scale (FWS) | 64 (NA to NA) | 121 (113 to 145) |
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 | MT10109L/MT10109L |
|---|---|---|
| The Percentage of Participants Reporting Mostly Satisfied/Very Satisfied on the Facial Line Satisfaction Questionnaire (FLSQ) Follow-up Version Item 5 for Glabellar Lines (GL) | 7 | 121 |
The outcome was measured 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 of double-blind period. The investigator evaluates the participant's GL severity using a 4-point scale (0 to 3) where 0=none and 3=severe.
| Participants | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| The Percentage of Responders for Investigator Assessments of Glabellar Lines (GL) Severity at Rest Using the Facial Wrinkle Scale (FWS). | 23 | 95 |
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. The safety analyses were conducted in the Safety population. Unless otherwise noted, safety results refer to TEAEs.
| Participants | Placebo | MT10109L |
|---|---|---|
| Number of Patients Who Experienced an Adverse Event (AE) Through the Study Duration | 35 | 118 |
Change from baseline at study exit.
| mmHg | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| Mean Change From Baseline in Vital Signs - Systolic Blood Pressure (BP) | 0.3 ± 13.26 | -0.6 ± 15.28 |
Change from baseline at study exit.
| mmHg | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| Mean Change From Baseline in Vital Signs - Diastolic Blood Pressure (BP) | 0.5 ± 10.04 | -1.9 ± 10.64 |
Change from baseline at study exit.
| beats/min | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| Mean Change From Baseline in Vital Signs - Pulse Rate | 2.5 ± 10.35 | 0.4 ± 10.54 |
Change from baseline at study exit.
| breaths/min | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| Mean Change From Baseline in Vital Signs - Respiratory Rate | -0.3 ± 2.44 | -0.3 ± 2.18 |
Change from baseline at study exit.
| beats/min | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - Heart Rate | 4.8 ± 10.38 | 2.8 ± 8.52 |
Change from baseline at study exit.
| milliseconds | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - PR Interval | -1.2 ± 11.67 | -1.2 ± 11.91 |
Change from baseline at study exit.
| milliseconds | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QRS Duration | 0.4 ± 6.65 | 1.2 ± 6.41 |
Change from baseline at study exit.
| milliseconds | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QT Interval | -11.7 ± 23.87 | -8.4 ± 19.71 |
Change from baseline at study exit.
| milliseconds | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QTcB Interval | 2.7 ± 18.69 | 0.0 ± 17.14 |
Change from baseline at study exit.
| milliseconds | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - QTcF Interval | -2.4 ± 15.43 | -2.9 ± 14.06 |
Change from baseline at study exit.
| milliseconds | Placebo/MT10109L | MT10109L/MT10109L |
|---|---|---|
| Mean Change From Baseline in Electrocardiogram (ECG) Parameters - RR Interval | -64.6 ± 127.1 | -39.3 ± 106.19 |
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 | MT10109L/MT10109L |
|---|---|---|
| Number of Participants With Binding and Neutralizing Antibodies | 1 | 0 |
Collected over The time frame for AEs is 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 | 0/80 (0%) | 3/80 (3.8%) | 8/80 (10%) |
| MT10109L | 0/223 (0%) | 5/223 (2.2%) | 32/223 (14.3%) |
| Event | Placebo | MT10109L |
|---|---|---|
| PneumoniaInfections and infestations | 1/80 | 0/223 |
| Radius fractureInjury, poisoning and procedural complications | 1/80 | 0/223 |
| Road traffic accidentInjury, poisoning and procedural complications | 1/80 | 0/223 |
| Intentional OverdoseInjury, poisoning and procedural complications | 1/80 | 0/223 |
| COVID-19 pneumoniaInfections and infestations | 0/80 | 1/223 |
| Rectal prolapseGastrointestinal disorders | 0/80 | 1/223 |
| FallInjury, poisoning and procedural complications | 0/80 | 1/223 |
| Hip fractureInjury, poisoning and procedural complications | 0/80 | 1/223 |
| Breast CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/80 | 1/223 |
| Breast Cancer Stage IINeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/80 | 1/223 |
| Event | Placebo | MT10109L |
|---|---|---|
| HeadacheNervous system disorders | 4/80 | 22/223 |
| Injection site painGeneral disorders | 4/80 | 16/223 |
234 participants were included in the Intent To Treat (ITT) population (80 participants in the placebo group and 154 participants in the MT10109L group).
| Age, Categorical(Participants) | Placebo/MT10109L | MT10109L/MT10109L | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 77 | 141 | 218 |
| >=65 years | 3 | 13 | 16 |
| Age, Continuous(years) | Placebo/MT10109L | MT10109L/MT10109L | Total |
|---|---|---|---|
| Mean | 46.4 ± 11.57 | 47.3 ± 12.64 | 47.0 ± 12.27 |
| Sex: Female, Male(Participants) | Placebo/MT10109L | MT10109L/MT10109L | Total |
|---|---|---|---|
| Female | 76 | 140 | 216 |
| Male | 4 | 14 | 18 |
| Ethnicity (NIH/OMB)(Participants) | Placebo/MT10109L | MT10109L/MT10109L | Total |
|---|---|---|---|
| Hispanic or Latino | 3 | 10 | 13 |
| Not Hispanic or Latino | 77 | 144 | 221 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Placebo/MT10109L | MT10109L/MT10109L | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 1 | 1 | 2 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 2 | 6 | 8 |
| White | 76 | 146 | 222 |
| More than one race | 1 | 1 | 2 |
| Unknown or Not Reported | 0 | 0 | 0 |
PDFs hosted by the registry, ClinicalTrials.gov.
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Studies of the drug tested here: Nivobotulinumtoxina