A Phase 3 interventional study of MT10109L Dose 1 and MT10109L Dose 2 in Glabellar Lines and Lateral Canthal Lines, sponsored by Medy-Tox. Completed at 38 sites in 6 countries. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2024-08-09.
Sponsored by Medy-Tox · Phase 3, Interventional, and Treatment
To evaluate the long-term safety of MT10109L in the treatment of GL and/or LCL in participants with moderate to severe GL and/or LCL.
Study MT10109L-004 is an open-label extension involving participants from studies MT10109L-001 (NCT03795922), -002 (NCT03785145), -005 (NCT03721016), and -006 (NCT03732833) (referred to as Lead-In studies). The objective is to evaluate long term safety of MT10109L. Participants will include those who completed the global lead-in studies and meet the eligibility criteria for entering this open-label extension study.
Participants who meet retreatment criteria will receive MT10109L administered in the same treatment area(s) with the same number of injections and injection sites as in their lead-in studies.
The safety and efficacy data from the lead-in and this open-label extension will be summarized.
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.
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.
The participant pool in this arm are from the MT10109L-001 lead-in study (NCT03795922), who received Placebo in period 1 and MT10109L Dose 1 in period 2. Eligible participants from this study continue receiving Dose 1 in the open-label MT10109L-004 study
Drug: MT10109L Dose 1
The participant pool in this arm are from the MT10109L-002 lead-in study (NCT03785145), who received Placebo in period 1 and MT10109L Dose 2 in period 2. Eligible participants from this study continue receiving Dose 2 in the open-label MT10109L-004 study.
Drug: MT10109L Dose 2
The participant pool in this arm are from the MT10109L-005 (NCT03721016) and MT10109L-006 (NCT03732833) lead-in studies, who received Placebo in periods 1 \& 2. Eligible participants from this study receives Dose 1 into the GL area and Dose 2 into the LCL area in the open-label MT10109L-004 study.
Drug: MT10109L Dose 1 + Dose 2
The participant pool in this arm are from the MT10109L-001 lead-in study (NCT03795922), who received MT10109L Dose 1 each in period 1 and period 2. Eligible participants from this study continue receiving Dose 1 in the open-label MT10109L-004 study.
Drug: MT10109L Dose 1
The participant pool in this arm are from the MT10109L-002 lead-in study (NCT03785145), who received MT10109L Dose 2 each in period 1 and period 2. Eligible participants from this study continue receiving Dose 2 in the open-label MT10109L-004 study.
Drug: MT10109L Dose 2
The participant pool in this arm are from the from MT10109L-005 lead-in study (NCT03721016), who received MT10109L Dose 1 in periods 1 and 2. Eligible participants from this study receives Dose 1 into the GL area and Dose 2 into the LCL area in the open-label MT10109L-004 study.
Drug: MT10109L Dose 1 + Dose 2
The participant pool in this arm are from the MT10109L-006 lead-in study (NCT03732833), who received MT10109L Dose 2 in periods 1 and 2. Eligible participants from this study receives Dose 1 into the GL area and Dose 2 into the LCL area in the open-label MT10109L-004 study.
Drug: MT10109L Dose 1 + Dose 2
The participant pool in this arm are from the MT10109L-005 (NCT03721016) and MT10109L-006 (NCT03732833) lead-in studies, who received MT10109L Dose 1 into GL and Dose 2 into LCL in periods 1 \& 2. Eligible participants from this study receives Dose 1 into the GL area and Dose 2 into the LCL area in the open-label MT10109L-004 study.
Drug: MT10109L Dose 1 + Dose 2
MT10109L Dose 1 will be injected into the GL area
MT10109L Dose 2 will be injected into the LCL area
MT10109L Dose 1 will be injected into the GL area plus MT10109L Dose 2 will be injected into the LCL area
Number of Participants Who Experienced Any Adverse Event (AE)
The safety analyses were conducted in the Intent-to-Treat (ITT) population. All adverse events were collected from the signing of the ICF to 30 days after the participant's last study visit.
Time frame: Baseline to Day 720 or Study Exit
Number of Participants Who Experienced Treatment-Related Adverse Events (TEAEs)
This section focuses primarily on Treatment-Related (Study drug or procedure) Adverse Events(TEAEs). TEAEs are AEs with onset date on or after first dose of study intervention (placebo or MT10109L) in the pivotal study and ≤ 30 days after the study exit visit in the extension study.
Time frame: Baseline to Day 720 or Study exit
Mean Change From Baseline in Pulse Rate (Beats Per Minute)
The outcome reported here is the mean change in pulse rate from baseline to study exit.
Time frame: Baseline to Day 720 or Study Exit
Mean Change From Baseline in Systolic Blood Pressure (mm Hg)
The outcome reported here is the mean change in Systolic BP from baseline to study exit.
Time frame: Baseline to Day 720 or Study Exit
Mean Change From Baseline in Diastolic Blood Pressure (mm Hg)
The outcome reported here is the mean change in Diastolic BP from baseline to study exit.
Time frame: Baseline to Day 720 or Study Exit
Mean Change From Baseline in Respiratory Rate (Breaths Per Minute)
The outcome reported here is the mean change in respiratory rate from baseline to study exit.
Time frame: Baseline to Day 720 or Study 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: Baseline to Day 720 or Study Exit
Approximately 800 participants were planned to be enrolled. A total of 957 participants were enrolled and treated, and 759 participants completed the study. There were 957 participants in the intent-to-treat (ITT) population, which were used for the efficacy of US FDA and safety analyses.
| Milestone | Placebo/MT10109L Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 |
|---|---|---|---|---|---|---|---|---|
| Started | 55 | 56 | 118 | 116 | 108 | 128 | 123 | 253 |
| Completed | 43 | 41 | 89 | 87 | 83 | 106 | 92 | 218 |
| Not completed | 12 | 15 | 29 | 29 | 25 | 22 | 31 | 35 |
| Withdrew: Adverse event | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Pregnancy | 0 | 1 | 3 | 0 | 0 | 0 | 3 | 0 |
| Withdrew: Lost to follow-up | 1 | 2 | 8 | 6 | 6 | 3 | 7 | 9 |
| Withdrew: Lack of efficacy | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 1 |
| Withdrew: Withdrawal by subject | 10 | 10 | 12 | 20 | 12 | 11 | 18 | 24 |
| Withdrew: Physician decision | 0 | 0 | 1 | 0 | 1 | 0 | 3 | 0 |
| Withdrew: Death | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 |
| Withdrew: Protocol violation | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Covid-19, family reasons etc. | 0 | 2 | 4 | 1 | 4 | 6 | 0 | 1 |
The safety analyses were conducted in the Intent-to-Treat (ITT) population. All adverse events were collected from the signing of the ICF to 30 days after the participant's last study visit.
| Participants | Placebo/MT10109L Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 |
|---|---|---|---|---|---|---|---|---|
| Number of Participants Who Experienced Any Adverse Event (AE) | 39 | 39 | 80 | 89 | 74 | 80 | 89 | 183 |
This section focuses primarily on Treatment-Related (Study drug or procedure) Adverse Events(TEAEs). TEAEs are AEs with onset date on or after first dose of study intervention (placebo or MT10109L) in the pivotal study and ≤ 30 days after the study exit visit in the extension study.
| Participants | Placebo/MT10109L Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 |
|---|---|---|---|---|---|---|---|---|
| Number of Participants Who Experienced Treatment-Related Adverse Events (TEAEs) | 18 | 4 | 31 | 34 | 11 | 22 | 42 | 73 |
The outcome reported here is the mean change in pulse rate from baseline to study exit.
| beats/min | Placebo/MT10109L Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 |
|---|---|---|---|---|---|---|---|---|
| Mean Change From Baseline in Pulse Rate (Beats Per Minute) | 3.2 ± 15.01 | -2.2 ± 13.35 | -1.2 ± 10.95 | 2.0 ± 12.77 | 0.6 ± 11.58 | 0.7 ± 10.97 | 3.0 ± 10.34 | 1.0 ± 8.93 |
The outcome reported here is the mean change in Systolic BP from baseline to study exit.
| mmHg | Placebo/MT10109L Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 |
|---|---|---|---|---|---|---|---|---|
| Mean Change From Baseline in Systolic Blood Pressure (mm Hg) | 1.4 ± 12.59 | -1.9 ± 10.44 | 1.9 ± 14.44 | 0.6 ± 16.72 | 1.1 ± 13.84 | 1.8 ± 15.24 | 1.4 ± 14.17 | -0.4 ± 13.83 |
The outcome reported here is the mean change in Diastolic BP from baseline to study exit.
| mmHg | Placebo/MT10109L Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 |
|---|---|---|---|---|---|---|---|---|
| Mean Change From Baseline in Diastolic Blood Pressure (mm Hg) | 1.1 ± 11.3 | -0.6 ± 11.75 | 1.3 ± 9.61 | 1.5 ± 11.68 | 0.7 ± 7.57 | 0.0 ± 10.62 | 2.3 ± 9.53 | -0.3 ± 9.46 |
The outcome reported here is the mean change in respiratory rate from baseline to study exit.
| breaths/min | Placebo/MT10109L Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 |
|---|---|---|---|---|---|---|---|---|
| Mean Change From Baseline in Respiratory Rate (Breaths Per Minute) | 0.3 ± 2.09 | 0.6 ± 2.15 | -0.5 ± 1.92 | 0.2 ± 2.78 | 0.5 ± 1.94 | -0.4 ± 2.29 | 0.4 ± 2.21 | -0.1 ± 2.3 |
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 Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 |
|---|---|---|---|---|---|---|---|---|
| Number of Participants With Binding and Neutralizing Antibodies | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 1 |
Collected over The safety analyses were conducted in the Intent-to-Treat (ITT) population. All adverse events were collected from the signing of the ICF to 30 days after the participant's last study visit (Day 720/or early exit). Unless otherwise noted, safety results refer to TEAEs.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo/MT10109L Dose 1 | 0/55 (0%) | 3/55 (5.5%) | 26/55 (47.3%) |
| Placebo/MT10109L Dose 2 | 0/56 (0%) | 1/56 (1.8%) | 23/56 (41.1%) |
| Placebo/MT10109L Dose 1 + Dose 2 | 0/118 (0%) | 10/118 (8.5%) | 58/118 (49.2%) |
| MT10109L Dose 1/Dose 1 | 2/116 (1.7%) | 8/116 (6.9%) | 54/116 (46.6%) |
| MT10109L Dose 2/Dose 2 | 0/108 (0%) | 9/108 (8.3%) | 45/108 (41.7%) |
| MT10109L Dose 1/Dose 1+2 | 0/128 (0%) | 7/128 (5.5%) | 50/128 (39.1%) |
| MT10109L Dose 2/Dose 1+2 | 0/123 (0%) | 13/123 (10.6%) | 60/123 (48.8%) |
| MT10109L Dose 1+2/Dose 1+2 | 0/253 (0%) | 13/253 (5.1%) | 128/253 (50.6%) |
| Event | Placebo/MT10109L Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 |
|---|---|---|---|---|---|---|---|---|
| Basal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/55 | 0/56 | 2/118 | 0/116 | 0/108 | 1/128 | 3/123 | 3/253 |
| Radius fractureInjury, poisoning and procedural complications | 1/55 | 0/56 | 0/118 | 0/116 | 0/108 | 0/128 | 1/123 | 0/253 |
| Intentional overdoseInjury, poisoning and procedural complications | 1/55 | 0/56 | 0/118 | 0/116 | 0/108 | 0/128 | 0/123 | 0/253 |
| Road traffic accidentInjury, poisoning and procedural complications | 1/55 | 0/56 | 0/118 | 0/116 | 0/108 | 0/128 | 0/123 | 0/253 |
| Malignant melanoma in situNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/55 | 0/56 | 0/118 | 0/116 | 1/108 | 0/128 | 1/123 | 0/253 |
| Squamous cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/55 | 1/56 | 0/118 | 0/116 | 0/108 | 1/128 | 0/123 | 0/253 |
| COVID-19 pneumoniaInfections and infestations | 0/55 | 0/56 | 0/118 | 2/116 | 1/108 | 2/128 | 0/123 | 1/253 |
| SyncopeNervous system disorders | 0/55 | 0/56 | 0/118 | 0/116 | 0/108 | 0/128 | 2/123 | 0/253 |
| COVID-19Infections and infestations | 0/55 | 0/56 | 0/118 | 1/116 | 1/108 | 1/128 | 1/123 | 0/253 |
| Subcutaneous abscessInfections and infestations | 0/55 | 0/56 | 0/118 | 0/116 | 1/108 | 0/128 | 0/123 | 0/253 |
| Event | Placebo/MT10109L Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 |
|---|---|---|---|---|---|---|---|---|
| COVID-19Infections and infestations | 7/55 | 12/56 | 22/118 | 18/116 | 31/108 | 20/128 | 22/123 | 47/253 |
| HeadacheNervous system disorders | 12/55 | 1/56 | 11/118 | 12/116 | 5/108 | 13/128 | 13/123 | 27/253 |
| Injection site painGeneral disorders | 8/55 | 0/56 | 10/118 | 17/116 | 0/108 | 8/128 | 17/123 | 23/253 |
| NasopharyngitisInfections and infestations | 6/55 | 4/56 | 15/118 | 9/116 | 8/108 | 9/128 | 17/123 | 31/253 |
| Injection site bruisingGeneral disorders | 0/55 | 0/56 | 8/118 | 3/116 | 0/108 | 4/128 | 12/123 | 20/253 |
| Upper respiratory tract infectionInfections and infestations | 0/55 | 0/56 | 11/118 | 6/116 | 5/108 | 7/128 | 5/123 | 15/253 |
| SinusitisInfections and infestations | 2/55 | 5/56 | 4/118 | 3/116 | 4/108 | 3/128 | 3/123 | 7/253 |
| HypertensionVascular disorders | 4/55 | 2/56 | 3/118 | 5/116 | 3/108 | 3/128 | 6/123 | 9/253 |
| Injection site haemorrhageGeneral disorders | 1/55 | 3/56 | 8/118 | 0/116 | 6/108 | 2/128 | 7/123 | 11/253 |
| Ligament SprainInjury, poisoning and procedural complications | 3/55 | 0/56 | 1/118 | 3/116 | 1/108 | 0/128 | 3/123 | 3/253 |
Participants pool in this open-label extension study flowed from studies MT10109L-001 (NCT03795922), -002 (NCT03785145), -005 (NCT03721016), and -006 (NCT03732833) (referred to as Lead-In studies). 957 participants were included in the Intent-To-Treat (ITT) population.
| Age, Categorical(Participants) | Placebo/MT10109L Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 | Total |
|---|---|---|---|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 54 | 54 | 110 | 107 | 103 | 120 | 113 | 241 | 902 |
| >=65 years | 1 | 2 | 8 | 9 | 5 | 8 | 10 | 12 | 55 |
| Age, Continuous(years) | Placebo/MT10109L Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 | Total |
|---|---|---|---|---|---|---|---|---|---|
| Mean | 47.1 ± 10.18 | 46.7 ± 11.75 | 48.2 ± 11.68 | 46.9 ± 12.17 | 47.1 ± 10.34 | 47.8 ± 11.24 | 48.5 ± 10.53 | 47.9 ± 10.80 | 47.7 ± 11.06 |
| Sex: Female, Male(Participants) | Placebo/MT10109L Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 | Total |
|---|---|---|---|---|---|---|---|---|---|
| Female | 53 | 42 | 99 | 106 | 87 | 109 | 103 | 227 | 826 |
| Male | 2 | 14 | 19 | 10 | 21 | 19 | 20 | 26 | 131 |
| Ethnicity (NIH/OMB)(Participants) | Placebo/MT10109L Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 | Total |
|---|---|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 1 | 5 | 12 | 3 | 17 | 19 | 5 | 23 | 85 |
| Not Hispanic or Latino | 54 | 51 | 106 | 113 | 91 | 109 | 118 | 230 | 872 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Placebo/MT10109L Dose 1 | Placebo/MT10109L Dose 2 | Placebo/MT10109L Dose 1 + Dose 2 | MT10109L Dose 1/Dose 1 | MT10109L Dose 2/Dose 2 | MT10109L Dose 1/Dose 1+2 | MT10109L Dose 2/Dose 1+2 | MT10109L Dose 1+2/Dose 1+2 | Total |
|---|---|---|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 3 | 5 |
| Asian | 1 | 1 | 1 | 1 | 4 | 3 | 3 | 4 | 18 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| Black or African American | 1 | 2 | 3 | 3 | 2 | 1 | 1 | 4 | 17 |
| White | 53 | 53 | 113 | 112 | 101 | 123 | 119 | 241 | 915 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Studies of the drug tested here: Nivobotulinumtoxina