ClinicalTrials.gg
Active, not recruitingNCT07122193PLATINUM USUpdated Sep 10, 2026

A Study of NT 201 in Adults With Moderate to Severe Platysma Prominence in the United States

A Phase 3 interventional study of NT 201 and NT 201 Placebo in Neuromuscular Agents, Peripheral Nervous System Agents and Physiological Effects of Drugs, sponsored by Merz North America, Inc.. Active, not recruiting at 28 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-10.

Sponsored by Merz North America, Inc. (part of Merz Pharma) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess the safety and efficacy of NT 201 compared with placebo in participants with moderate to severe platysma prominence. The study will be conducted in two periods: Main Period (MP) and Open label Extension Period (OLEX).

02

Conditions studied

  • Neuromuscular Agents
  • Peripheral Nervous System Agents
  • Physiological Effects of Drugs
  • Acetylcholine Release Inhibitors
  • Membrane Transport Modulators
  • Molecular Mechanisms of Pharmacological Action
  • Cholinergic Agents
  • Neurotransmitter Agents
  • incobotulinumtoxinA
  • Botulinum Toxins, Type A

Keywords

  • Platysma prominence
03

In context

Lead sponsor

Merz North America, Inc. is the lead sponsor of 53 studies on the registry; 2 are open to participants now.

Of its 20 completed or terminated interventional studies of FDA-regulated products, 19 (95%) have results posted.

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

  • Presence of four (medial and lateral, left and right) platysmal bands assessed at screening and baseline.
  • A score of Grade 3 ('moderate') or Grade 4 ('severe') on the MAPS-D at maximum contraction by the investigator and participant.

Exclusion criteria

Exclusion Criteria:

  • or a history of allergic reaction to botulinum toxin of any serotype or any of their formulation ingredients.
  • Any medical condition that may put the participant at increased risk with exposure to botulinum toxin of any serotype, or any disorders that might interfere with neuromuscular function.
  • Any serious disease or disorder that could interfere with the safe completion of treatment or with study outcome assessments, or compromise participant safety.
  • Botulinum toxin treatment in the face (below the lower orbital rim), jawline, or neck within the last seven months.
  • History of lower face surgery, neck or chest surgery, and aesthetic procedures in the past 12 months, and/or orthodontic procedures in the past 6 months.
  • Planned surgery or aesthetic procedures to the lower face, neck, or chest during the study period.
  • Anticipated need for treatment with botulinum toxin of any serotype for any indication during the study (other than study products).
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
300 participants (actual)

Study arms

  • Experimental
    Main Period: NT 201

    Participants will receive NT 201 IM injection, once on Day 1 of the MP.

    Drug: NT 201

  • Placebo comparator
    Main Period: NT 201 Matching Placebo

    Participants will receive NT 201 matching placebo IM injection, once on Day 1 of the MP.

    Drug: NT 201 Placebo

  • Experimental
    OLEX Period: NT 201

    Participants will receive a reinjection of NT 201 IM injection, once on Day 1 of OLEX Cycle 1 and Cycle 2.

    Drug: NT 201

Interventions

  • DrugNT 201

    Clostridium Botulinum neurotoxin A (150 kiloDalton \[kD\], free of complexing proteins), powder for solution for injection.

    Also known as: IncobotulinumtoxinA, Xeomin/Bocouture, Xeomin Cosmetic, Xeomeen

  • DrugNT 201 Placebo

    NT 201 matching-placebo

06

What researchers measure

Primary outcomes

  1. Composite Achievement of Grade 1 or Grade 2 And at Least a 2-Grade Improvement From Baseline Based on Both the Investigator's Assessment and Participant's Self-Assessment Using the Merz Aesthetics Platysma Scale - Dynamic (MAPS-D) At Week 2 of MP

    MAPS-D is a validated five-point scale that will be used to grade the platysma prominence. Scores range from Grade 1 (none to minimal) to Grade 5 (very severe). A lower score indicates improvement.

    Time frame: At Week 2 of MP

Secondary outcomes

  1. Achievement of Grade 1 (None to Minimal) or Grade 2 (Mild) And at Least a 2-Grade Improvement From Baseline Based on the Investigator's Assessment Using MAPS-D at Week 2 of MP

    MAPS-D is a validated five-point scale that will be used to grade the platysma prominence. Scores range from Grade 1 (none to minimal) to Grade 5 (very severe). A lower score indicates improvement.

    Time frame: At Week 2 of MP

  2. Achievement of Grade 1 (None to Minimal) or Grade 2 (Mild) And at Least a 2-Grade Improvement From Baseline Based on the Participant's Self-Assessment Using MAPS-D at Week 2 of MP

    MAPS-D is a validated five-point scale that will be used to grade the platysma prominence. Scores range from Grade 1 (none to minimal) to Grade 5 (very severe). A lower score indicates improvement.

    Time frame: At Week 2 of MP

  3. Achievement of at Least a +1 (Somewhat Satisfied) Score Using the Participant's Satisfaction Questionnaire at Week 2 of MP

    Participants satisfaction questionnaire responses will be rated on a scale ranging from +3 (very satisfied) to -3 (very dissatisfied). A higher score indicates satisfaction.

    Time frame: At Week 2 of MP

  4. Achievement of Grade 1 (None to Minimal) or Grade 2 (Mild) And at Least a 2-Grade Improvement From Baseline Based on Both the Investigator's Assessment and Participant's Self-Assessment Using MAPS-D at Week 1 and Week 4 up to Week 17 of MP

    MAPS-D is a validated five-point scale that will be used to grade the platysma prominence. Scores range from Grade 1 (none to minimal) to Grade 5 (very severe). A lower score indicates improvement.

    Time frame: At Week 1 and Week 4 up to Week 17 of MP

  5. Achievement of Grade 1 (None to Minimal) or Grade 2 (Mild) And at Least a 2-Grade Improvement From Baseline Based on the Investigator's Assessment Using MAPS-D at Week 1 and Week 4 up to Week 17 of MP

    MAPS-D is a validated five-point scale that will be used to grade the platysma prominence. Scores range from Grade 1 (none to minimal) to Grade 5 (very severe). A lower score indicates improvement.

    Time frame: At Week 1 and Week 4 up to Week 17 of MP

  6. Achievement of Grade 1 (None to Minimal) or Grade 2 (Mild) And at Least a 2-Grade Improvement From Baseline Based on Participant's Self-Assessment Using MAPS-D at Week 1 and Week 4 up to Week 17 of MP

    MAPS-D is a validated five-point scale that will be used to grade the platysma prominence. Scores range from Grade 1 (none to minimal) to Grade 5 (very severe). A lower score indicates improvement.

    Time frame: At Week 1 and Week 4 up to Week 17 of MP

  7. Achievement of at Least a +1 (Improved) Score on the Global Aesthetic Improvement Scale (GAIS)-Platysmal Bands Based on the Investigator's Assessment at Week 2 of MP

    GAIS is a balanced seven-point Likert scale (range -3 \[very much worse\] to +3 \[very much improved\]) commonly used in aesthetic medicine to rate post-treatment improvement in appearance. A higher score indicates improvement.

    Time frame: At Week 2 of MP

  8. Achievement of at Least a +1 (Improved) Score on the GAIS-Platysmal Bands Based on the Participant's Self-Assessment at Week 2 of MP

    GAIS is a balanced seven-point Likert scale (range -3 \[very much worse\] to +3 \[very much improved\]) commonly used in aesthetic medicine to rate post-treatment improvement in appearance. A higher score indicates improvement.

    Time frame: At Week 2 of MP

  9. Achievement of at Least a +1 (Improved) Score Using the GAIS-Lower Face Contour According to the Investigator's Assessment at Week 2 of MP

    GAIS is a balanced seven-point Likert scale (range -3 \[very much worse\] to +3 \[very much improved\]) commonly used in aesthetic medicine to rate post-treatment improvement in appearance. A higher score indicates improvement.

    Time frame: At Week 2 of MP

  10. Achievement of at Least a +1 (Improved) Score Using the GAIS-Lower Face Contour According to the Participant's Self-Assessment at Week 2 of MP

    GAIS is a balanced seven-point Likert scale (range -3 \[very much worse\] to +3 \[very much improved\]) commonly used in aesthetic medicine to rate post-treatment improvement in appearance. A higher score indicates improvement.

    Time frame: At Week 2 of MP

07

Study locations

28 sites
  • Merz Investigative Site
    Scottsdale, Arizona 85260, United States
  • Merz Investigative Site
    Encino, California 91436, United States
  • Merz Investigative Site
    Los Angeles, California 90069, United States
  • Merz Investigative Site
    Redondo Beach, California 90277, United States
  • Merz Investigative Site
    Santa Monica, California 90404, United States
  • Merz Investigative Site
    Vista, California 92803, United States
  • Merz Investigative Site
    Greenwood Village, Colorado 80111, United States
  • Merz Investigative Site
    Westport, Connecticut 06880, United States
  • Merz Investigative Site
    Washington D.C., District of Columbia 20037, United States
  • Merz Investigative Site
    Aventura, Florida 33180, United States
  • Merz Investigative Site
    Boca Raton, Florida 33431, United States
  • Merz Investigative Site
    Bradenton, Florida 34209, United States
  • Merz Investigative Site
    Coral Gables, Florida 33143, United States
  • Merz Investigative Site
    Coral Gables, Florida 33146, United States
  • Merz Investigative Site
    West Palm Beach, Florida 33404, United States
  • Merz Investigative Site
    Alpharetta, Georgia 30005, United States
  • Merz Investigative Site
    Naperville, Illinois 60563, United States
  • Merz Investigative Site
    Hunt Valley, Maryland 21030, United States
  • Merz Investigative Site
    Mount Kisco, New York 10549, United States
  • Merz Investigative Site
    New York, New York 10021, United States
  • Merz Investigative Site
    New York, New York 10028, United States
  • Merz Investigative Site
    Chapel Hill, North Carolina 27517, United States
  • Merz Investigative Site
    Wilmington, North Carolina 28405, United States
  • Merz Investigative Site
    Ardmore, Pennsylvania 19003, United States
  • Merz Investigative Site
    Nashville, Tennessee 37215, United States
  • Merz Investigative Site
    Dallas, Texas 75225, United States
  • Merz Investigative Site
    Arlington, Virginia 22209, United States
  • Merz Investigative Site
    San Juan, 00917, Puerto Rico
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07122193
Responsible party
Sponsor
First posted
Aug 14, 2025
Start date
Aug 27, 2025
Primary completion
Jun 5, 2026
Completion
Sep 2027 (estimated)
Last update
Sep 10, 2026

Study contacts

Merz Medical Expert
study director · Merz North America, Inc.

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: incobotulinumtoxinA

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