ClinicalTrials.gg
CompletedNCT05100199Updated Sep 9, 2025Results posted

A Study to the Assess the Change in Condition and Adverse Events of OnabotulinumtoxinA X Injection in Adult Participants With Glabellar Lines

A Phase 2 interventional study of OnabotulinumtoxinA X and Placebo in Glabellar Lines, sponsored by Allergan. Completed at 18 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-09.

Sponsored by Allergan (part of AbbVie) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
328
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 2, dose ranging study to evaluate the safety of OnabotulinumtoxinA X and to compare the efficacy of OnabotulinumtoxinA X and placebo for the treatment of Glabellar Lines in adult participants with moderate to severe GL.

02

Conditions studied

  • Glabellar Lines

Keywords

  • OnabotulinumtoxinA X
  • BOTOX
  • Glabellar Lines
03

In context

Lead sponsor

Allergan is the lead sponsor of 505 studies on the registry; none are open to participants now.

Of its 93 completed or terminated interventional studies of FDA-regulated products, 91 (98%) have results posted.

First submitted after Allergan became part of AbbVie.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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.

Inclusion criteria

  • Participant has sufficient visual acuity without the use of eyeglasses (contact lens use is acceptable) to accurately assess their facial lines, in the opinion of the investigator.
  • Participant has moderate or severe GL at maximum frown.

Exclusion criteria

Exclusion Criteria:

  • History of known immunization to any botulinum toxin serotype.
  • History of known to any botulinum toxin serotype, or any other constituents of the study drug or its , and/or other products in the same class.
  • Presence or history of any medical condition that may place the participant at increased risk following exposure to OnabotulinumtoxinA X or interfere with the study evaluation, including:
  • Diagnosed myasthenia gravis, Lambert-Eaton syndrome, amyotrophic lateral sclerosis, or any other significant disease that might interfere with neuromuscular function.
  • Facial nerve palsy.
  • Infection or dermatological condition at the site of study drug injection.
Terms in these criteria, in plain language(2)

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.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
328 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Placebo will be injected into the Glabellar Complex on Day 1.

    Drug: Placebo

  • Experimental
    OnabotulinumtoxinA X Dose A

    OnabotulinumtoxinA X Dose A will be injected into the Glabellar Complex on Day 1.

    Drug: OnabotulinumtoxinA X

  • Experimental
    OnabotulinumtoxinA X Dose B

    OnabotulinumtoxinA X Dose B will be injected into the Glabellar Complex on Day 1.

    Drug: OnabotulinumtoxinA X

  • Experimental
    OnabotulinumtoxinA X Dose C

    OnabotulinumtoxinA X Dose C will be injected into the Glabellar Complex on Day 1.

    Drug: OnabotulinumtoxinA X

Interventions

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Achievement of ≥ 1-grade Improvement From Baseline as Rated by Investigator Using the Clinician Glabellar Lines Scale.

    The Clinician Glabellar Lines Scale is a four point scale used to assess the severity of Glabellar Lines at maximum contraction ranging from 0 - None to 3 - Severe

    Time frame: Day 1 to Day 30

  2. Percentage of Participants With Adverse Events (AEs)

    An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent adverse events/treatment-emergent serious adverse events (TEAEs/TESAEs) are defined as any event that began or worsened in severity on or after the first dose of study drug.

    Time frame: Day 1 to Day 270

Secondary outcomes

  1. Percentage of Participants With Achievement of None or Mild as Rated by Investigator Using the Clinician Glabellar Lines Scale.

    The Clinician Glabellar Lines Scale is a four point scale used to assess the severity of Glabellar Lines at maximum contraction ranging from 0 - None to 3 - Severe

    Time frame: Day 1 to Day 30

  2. Percentage of Participants With Achievement of Improvement Per the Facial Lines Satisfaction Questionnaire Impact Domain, Among Subjects With Baseline Scores of 14 Points or Greater.

    The Facial Line Satisfaction Questionnaire assesses treatment expectations, treatment satisfaction, and psychosocial impact of GL from the subject perspective. Domain scores are calculated as the mean of transformed item scores on a 0 (low impact) to 100 (highest negative impact) scale.

    Time frame: Day 1 to Day 30

  3. Percentage of Participants With Achievement of Satisfaction With Treatment Per the Facial Line Satisfaction Questionnaire Item 5.

    The Facial Line Satisfaction Questionnaire assesses treatment expectations, treatment satisfaction, and psychosocial impact of GL from the subject perspective. A score of 100 represents the best score (very satisfied) and a score of 0 represent the worst score (very dissatisfied) on the satisfaction domain or satisfaction single items.

    Time frame: Day 1 to Day 60

07

Results

Posted Sep 9, 2025

Participant flow

Participant flow — Overall Study
MilestonePlaceboOnabotulinumtoxinA X Dose AOnabotulinumtoxinA X Dose BOnabotulinumtoxinA X Dose C
Started459092101
Completed37797987
Not completed8111314
Withdrew: Lost to follow-up5836
Withdrew: Withdrawal by subject3397
Withdrew: Other0011

Outcome measures

PrimaryPercentage of Participants With Achievement of ≥ 1-grade Improvement From Baseline as Rated by Investigator Using the Clinician Glabellar Lines Scale.

The Clinician Glabellar Lines Scale is a four point scale used to assess the severity of Glabellar Lines at maximum contraction ranging from 0 - None to 3 - Severe

Time frame:
Day 1 to Day 30
Reported as:
Number · percentage of participants
Percentage of Participants With Achievement of ≥ 1-grade Improvement From Baseline as Rated by Investigator Using the Clinician Glabellar Lines Scale.
percentage of participantsPlaceboOnabotulinumtoxinA X Dose AOnabotulinumtoxinA X Dose BOnabotulinumtoxinA X Dose C
Percentage of Participants With Achievement of ≥ 1-grade Improvement From Baseline as Rated by Investigator Using the Clinician Glabellar Lines Scale.17.8 (6.6 to 28.9)95.6 (91.3 to 99.8)98.9 (96.8 to 100.0)98.0 (95.3 to 100.0)
PrimaryPercentage of Participants With Adverse Events (AEs)

An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study. A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above. Treatment-emergent adverse events/treatment-emergent serious adverse events (TEAEs/TESAEs) are defined as any event that began or worsened in severity on or after the first dose of study drug.

Time frame:
Day 1 to Day 270
Reported as:
Count of participants · Participants
Percentage of Participants With Adverse Events (AEs)
ParticipantsPlaceboOnabotulinumtoxinA X Dose AOnabotulinumtoxinA X Dose BOnabotulinumtoxinA X Dose C
Treatment-Emergent Adverse Events (TEAE)23343044
TEAE Related to Study Treatment7131015
TEAE Related to Study Procedure7101014
TEAE Related to Study Drug7131015
SecondaryPercentage of Participants With Achievement of None or Mild as Rated by Investigator Using the Clinician Glabellar Lines Scale.

The Clinician Glabellar Lines Scale is a four point scale used to assess the severity of Glabellar Lines at maximum contraction ranging from 0 - None to 3 - Severe

Time frame:
Day 1 to Day 30
Reported as:
Number · percentage of participants
Percentage of Participants With Achievement of None or Mild as Rated by Investigator Using the Clinician Glabellar Lines Scale.
percentage of participantsPlaceboOnabotulinumtoxinA X Dose AOnabotulinumtoxinA X Dose BOnabotulinumtoxinA X Dose C
Percentage of Participants With Achievement of None or Mild as Rated by Investigator Using the Clinician Glabellar Lines Scale.6.7 (0.0 to 14.0)90.0 (83.8 to 96.2)93.5 (88.4 to 98.5)95.0 (90.8 to 99.3)
SecondaryPercentage of Participants With Achievement of Improvement Per the Facial Lines Satisfaction Questionnaire Impact Domain, Among Subjects With Baseline Scores of 14 Points or Greater.

The Facial Line Satisfaction Questionnaire assesses treatment expectations, treatment satisfaction, and psychosocial impact of GL from the subject perspective. Domain scores are calculated as the mean of transformed item scores on a 0 (low impact) to 100 (highest negative impact) scale.

Time frame:
Day 1 to Day 30
Reported as:
Number · percentage of participants
Percentage of Participants With Achievement of Improvement Per the Facial Lines Satisfaction Questionnaire Impact Domain, Among Subjects With Baseline Scores of 14 Points or Greater.
percentage of participantsPlaceboOnabotulinumtoxinA X Dose AOnabotulinumtoxinA X Dose BOnabotulinumtoxinA X Dose C
Percentage of Participants With Achievement of Improvement Per the Facial Lines Satisfaction Questionnaire Impact Domain, Among Subjects With Baseline Scores of 14 Points or Greater.42.2 (27.8 to 56.7)65.6 (55.7 to 75.4)71.7 (62.5 to 80.9)73.3 (64.6 to 81.9)
SecondaryPercentage of Participants With Achievement of Satisfaction With Treatment Per the Facial Line Satisfaction Questionnaire Item 5.

The Facial Line Satisfaction Questionnaire assesses treatment expectations, treatment satisfaction, and psychosocial impact of GL from the subject perspective. A score of 100 represents the best score (very satisfied) and a score of 0 represent the worst score (very dissatisfied) on the satisfaction domain or satisfaction single items.

Time frame:
Day 1 to Day 60
Reported as:
Number · percentage of participants
Percentage of Participants With Achievement of Satisfaction With Treatment Per the Facial Line Satisfaction Questionnaire Item 5.
percentage of participantsPlaceboOnabotulinumtoxinA X Dose AOnabotulinumtoxinA X Dose BOnabotulinumtoxinA X Dose C
Percentage of Participants With Achievement of Satisfaction With Treatment Per the Facial Line Satisfaction Questionnaire Item 5.4.4 (0.0 to 10.5)80.0 (71.7 to 88.3)78.3 (69.8 to 86.7)87.1 (80.6 to 93.7)

Adverse events

Collected over All-cause mortality and adverse event tables include events reported from the time of informed consent to the end of the study. The median time on follow-up was 268, 267, 269, and 269 days for Placebo, OnabotulinumtoxinA X Dose A, Dose B and Dose C, respectively.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/45 (0%)1/45 (2.2%)11/45 (24.4%)
OnabotulinumtoxinA X Dose A0/90 (0%)1/90 (1.1%)15/90 (16.7%)
OnabotulinumtoxinA X Dose B0/91 (0%)0/91 (0%)14/91 (15.4%)
OnabotulinumtoxinA X Dose C0/99 (0%)2/99 (2%)22/99 (22.2%)
Most frequent serious events
Most frequent serious events
EventPlaceboOnabotulinumtoxinA X Dose AOnabotulinumtoxinA X Dose BOnabotulinumtoxinA X Dose C
INVASIVE DUCTAL BREAST CARCINOMANeoplasms benign, malignant and unspecified (incl cysts and polyps)1/450/900/910/99
BUNDLE BRANCH BLOCK RIGHTCardiac disorders0/451/900/910/99
AMNIOTIC CAVITY INFECTIONInfections and infestations0/450/900/911/99
DIABETES MELLITUS INADEQUATE CONTROLMetabolism and nutrition disorders0/450/900/911/99
INTRACRANIAL ANEURYSMNervous system disorders0/450/900/911/99
ABORTION SPONTANEOUSPregnancy, puerperium and perinatal conditions0/450/900/911/99
Most frequent other events
Most frequent other events
EventPlaceboOnabotulinumtoxinA X Dose AOnabotulinumtoxinA X Dose BOnabotulinumtoxinA X Dose C
COVID-19Infections and infestations8/459/909/918/99
INJECTION SITE PAINGeneral disorders4/454/905/915/99
EYELID PTOSISEye disorders0/452/901/918/99
INJECTION SITE OEDEMAGeneral disorders1/455/902/914/99

Baseline characteristics

Intent-to-Treat Population

Age, Continuous
Age, Continuous(years)PlaceboOnabotulinumtoxinA X Dose AOnabotulinumtoxinA X Dose BOnabotulinumtoxinA X Dose CTotal
Mean48.1 ± 12.1649.3 ± 12.1946.9 ± 11.3550.4 ± 13.3448.8 ± 12.35
Age, Customized
Age, Customized(Participants)PlaceboOnabotulinumtoxinA X Dose AOnabotulinumtoxinA X Dose BOnabotulinumtoxinA X Dose CTotal
18-25 years11136
26-40 years921301979
41-55 years25424343153
56-64 years612112150
≥65 years41471540
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboOnabotulinumtoxinA X Dose AOnabotulinumtoxinA X Dose BOnabotulinumtoxinA X Dose CTotal
Female40777590282
Male513171146
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboOnabotulinumtoxinA X Dose AOnabotulinumtoxinA X Dose BOnabotulinumtoxinA X Dose CTotal
Hispanic or Latino1117151558
Not Hispanic or Latino34737786270
Unknown or Not Reported00000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboOnabotulinumtoxinA X Dose AOnabotulinumtoxinA X Dose BOnabotulinumtoxinA X Dose CTotal
American Indian or Alaska Native00101
Asian272314
Native Hawaiian or Other Pacific Islander00000
Black or African American263819
White41778488290
More than one race00224
Unknown or Not Reported00000
08

Study locations

18 sites
  • Advanced Research Associates - Glendale /ID# 230418
    Glendale, Arizona 85308, United States
  • Westside Aesthetics /ID# 230305
    Los Angeles, California 90025-1708, United States
  • The Eye Research Foundation /ID# 232544
    Newport Beach, California 92663-3637, United States
  • The Research Center at The Maas Clinic /ID# 230685
    San Francisco, California 94115-1809, United States
  • Center for Dermatology and Dermatologic Surgery /ID# 230684
    Washington D.C., District of Columbia 20037-1445, United States
  • Steven Fagien MD Aesthetic Eyelid Plastic Surgery /ID# 232542
    Boca Raton, Florida 33431-6465, United States
  • Baumann Cosmetic and Research Institute /ID# 232545
    Miami, Florida 33137-3254, United States
  • Research Institute of the Southeast, LLC /ID# 230436
    West Palm Beach, Florida 33401-2712, United States
  • Coleman Center For Cosmetic Dermatologic Surgery /ID# 230693
    Metairie, Louisiana 70006, United States
  • Etre Cosmetic Dermatology and Laser Center /ID# 230437
    New Orleans, Louisiana 70130-4353, United States
  • SLUCare Cosmetic Dermatology /ID# 230333
    St Louis, Missouri 63122-3379, United States
  • Laser & Skin Surgery Center of New York /ID# 230683
    New York, New York 10016-4974, United States
  • Skin Search of Rochester Inc. /ID# 242540
    Rochester, New York 14623, United States
  • Aesthetic Solutions /ID# 230716
    Chapel Hill, North Carolina 27517-9901, United States
  • Wilmington Dermatology Center /ID# 242544
    Wilmington, North Carolina 28403, United States
  • Aventiv Research Dublin /ID# 232546
    Dublin, Ohio 43016, United States
  • Westlake Dermatology & Cosmetic Surgery - Westlake /ID# 232543
    Austin, Texas 78746-4720, United States
  • Premier Clinical Research /ID# 230682
    Spokane, Washington 99202, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols, analyses plans, clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/

Access criteria: Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous independent scientific research, and will be provided following review and approval of a research proposal and statistical analysis plan and execution of a data sharing statement. Data requests can be submitted at any time after approval in the US and/or EU and a primary manuscript is accepted for publication. For more information on the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/

Data sharing details ↗ · vivli.org

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 9, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05100199
Lead sponsor
Allergan
Responsible party
Sponsor
First posted
Oct 29, 2021
Start date
Oct 6, 2021
Primary completion
Dec 2, 2022
Completion
Dec 2, 2022
Results posted
Sep 9, 2025
Last update
Sep 9, 2025

Study contacts

ALLERGAN INC.
study director · Allergan

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Botulinum toxin type A

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