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Platysma ProminencePhase 3NCT04949399

A Study To Assess the Safety and Effects of OnabotulinumtoxinA (BOTOX) Intramuscular Injection in Adult Participants With Moderate to Severe Platysma Prominence

A Phase 3 study testing OnabotulinumtoxinA in people with Platysma Prominence, run by AbbVie at 30 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of the study is to evaluate the safety and effects of onabotulinumtoxinA (BOTOX) for the temporary improvement in the appearance of platysma prominence. Study doctors will randomize participants into 1 of the 2 groups, called treatment arms. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Platysma Prominence
What is being tested?
OnabotulinumtoxinA
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
408 participants
Where
30 sitesin 2 countries
Study dates
8 Jul 2021to 20 Dec 2022
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants must voluntarily sign and date an informed consent, approved by an independent ethics committee (IEC)/institutional review board (IRB), prior to the initiation of any screening or study specific procedures
  • Are willing and able to comply with procedures required in the protocol
  • Adult male or female, at least 18 years old at the time of signing the informed consent
  • Good health as determined by medical history, physical examination, vital signs, and investigator's judgment

Who cannot join

  • Any medical condition that may put the participant at increased medical risk with exposure to BOTOX, including diagnosed myasthenia gravis, Eaton-Lambert syndrome, amyotrophic lateral sclerosis, or any other condition that might interfere with neuromuscular function
  • Participant has an anticipated need for treatment with botulinum toxin of any serotype for any indication during the study (other than study intervention)
  • Anticipated need for surgery or overnight hospitalization during the study
  • Females who are pregnant or breastfeeding and are considering becoming pregnant or donating eggs during the study
  • Known immunization or hypersensitivity to any botulinum toxin serotype
  • History of clinically significant (per investigator's judgment) drug or alcohol abuse within the last 6 months
  • Lower facial and neck hair, scarring (e.g., acne), or other abnormal variations that may interfere with photography (such that photograph is not acceptable)
  • Tattoos, jewelry, or clothing that cannot be removed, and that obscure the target area of interest

Trial locations and contacts

30 sites in 2 countries.

30 sites in 2 countries

United States26 sites
  • SkinDC /ID# 229251

    Arlington, Virginia, 22209

  • Aesthetic Center at Woodholme /ID# 229836

    Baltimore, Maryland, 21208-6391

  • Susan H. Weinkle MD /ID# 229419

    Bradenton, Florida, 34209-5642

  • Aesthetic Solutions /ID# 229241

    Chapel Hill, North Carolina, 27517-9901

  • Dallas Plastic Surgery Institute /ID# 229258

    Dallas, Texas, 75231

  • Aventiv Research Dublin /ID# 229254

    Dublin, Ohio, 43016

  • Clinical Testing of Beverly Hills /ID# 229946

    Encino, California, 91436-2124

  • Advanced Research Associates - Glendale /ID# 229256

    Glendale, Arizona, 85308

  • Maryland Dermatology Laser, Skin, & Vein Institute /ID# 229260

    Hunt Valley, Maryland, 21030-3216

  • Laser and Skin Surgery Center of Indiana /ID# 229515

    Indianapolis, Indiana, 46260-2386

  • Dermatology Research Associates /ID# 229949

    Los Angeles, California, 90045

  • Coleman Center For Cosmetic Dermatologic Surgery /ID# 229414

    Metairie, Louisiana, 70006

  • Image Dermatology, P.C. /ID# 229244

    Montclair, New Jersey, 07042

  • Nashville Center for Laser and Facial Surgery /ID# 229237

    Nashville, Tennessee, 37203-1513

  • Delricht Research /ID# 229248

    New Orleans, Louisiana, 70115

  • Laser & Skin Surgery Center of New York /ID# 229423

    New York, New York, 10016-4974

  • Steve Yoelin MD Medical Associate Inc /ID# 229420

    Newport Beach, California, 92663

  • KGL Skin Study Center, LLC /ID# 229253

    Newtown Square, Pennsylvania, 19073-2228

  • Cosmetic Laser Dermatology /ID# 229245

    San Diego, California, 92121-2119

  • Ava T. Shamban MD - Santa Monica. /ID# 229421

    Santa Monica, California, 90404-2208

  • Clear Dermatology & Aesthetics Center /ID# 229252

    Scottsdale, Arizona, 85255-4134

  • Art of Skin MD /ID# 229255

    Solana Beach, California, 92075-2228

  • Premier Clinical Research /ID# 229261

    Spokane, Washington, 99202

  • Research Institute of the Southeast, LLC /ID# 229234

    West Palm Beach, Florida, 33401-2712

  • DMR Research PLLC /ID# 229938

    Westport, Connecticut, 06880

  • Wilmington Dermatology Center /ID# 229246

    Wilmington, North Carolina, 28403

Other trials in United States

Canada4 sites
  • Dermetics Cosmetic Dermatology /ID# 229482

    Burlington, Ontario, L7N 3N2

  • Dr Melinda Gooderham Medicine Profession /ID# 229456

    Cobourg, Ontario, K9A 0Z4

  • The Center For Dermatology /ID# 229481

    Richmond Hill, Ontario, L4B 1A5

  • Humphrey Cosmetic Dermatology /ID# 229522

    Vancouver, British Columbia, V5Z 4E1

Other trials in Canada

About this study

Official title: A Phase 3 Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety and Efficacy of BOTOX® (Botulinum Toxin Type A) Purified Neurotoxin Complex for the Treatment of Platysma Prominence

The purpose of the study is to evaluate the safety and effects of onabotulinumtoxinA (BOTOX) for the temporary improvement in the appearance of platysma prominence.

Study doctors will randomize participants into 1 of the 2 groups, called treatment arms. There is a 1 in 2 chance that a participant will be assigned to placebo. Around 400 participants will be enrolled in the study in the United States and Canada.

Participants will receive a single treatment of intramuscular injection of onabotulinumtoxinA (BOTOX) or placebo on Day 1 during this 4 month long study.

Participants will attend regular monthly visits during the study at the study site.

Being tested
OnabotulinumtoxinA, Placebo
Keywords
Platysma Prominence, OnabotulinumtoxinA, BOTOX

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • OnabotulinumtoxinADrug

    Also called BOTOX

    Injection

  • PlaceboDrug

    Saline Injection

Study groups in NCT04949399
Study groupRoleWhat they receive
BOTOXExperimentalBOTOX (OnabotulinumtoxinA) was injected into the platysma muscle on Day 1
Receives: Drug: OnabotulinumtoxinA
PlaceboPlacebo comparatorPlacebo will be injected into the platysma muscle on Day 1
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Adverse Events

    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 casual relationship with this treatment.

    Measured: Enrollment to Day 120

  2. Composite Achievement of Grade 1 or 2 (Minimal or Mild) and at Least a 2-Grade Improvement From Baseline Based on Both Investigator's Assessment Using C-APPS and Participant's Self-Assessment Using P-APPS, at Maximum Contraction at Day 14

    The Clinician Allergan Platysma Prominence Scale (C-APPS) evaluates platysma prominence severity and is a static measurement encompassing the investigator's visual examination of the platysma muscle at maximum contraction, ranging from 1 - Minimal to 5- Extreme.

    The Participant Allergan Platysma Prominence Scale (P-APPS) evaluates platysma prominence severity and is a single-item measure that is accompanied by a 5-grade photonumeric scale for participants to self-assess the severity of their platysma prominence at maximum contraction, ranging from 1 - Minimal to 5 - Extreme.

    Measured: Day 14

  3. Achievement of at Least a 2-grade Improvement From Baseline Based on the Investigator's Assessment Using C-APPS at Maximum Contraction at Day 14

    The C-APPS evaluates platysma prominence severity and is a static measurement encompassing the investigator's visual examination of the platysma muscle at maximum contraction, ranging from 1 - Minimal to 5- Extreme.

    Measured: Day 14

  4. Achievement of at Least a 2-grade Improvement From Baseline Based on the Participant's Self- Assessment Using P-APPS at Maximum Contraction at Day 14

    The P-APPS evaluates platysma prominence severity and is a single-item measure that is accompanied by a 5-grade photonumeric scale for participants to self-assess the severity of their platysma prominence at maximum contraction, ranging from 1 - Minimal to 5 - Extreme.

    Measured: Day 14

Secondary outcomes (12)
  1. Percentage of Participants Who Achieved Grade 1 or 2 (Minimal or Mild) According to Investigator's Assessment Using C-APPS at Maximum Contraction at Days 14, 30, 60, 90, and 120

    The C-APPS evaluates platysma prominence severity and is a static measurement encompassing the investigator's visual examination of the platysma muscle at maximum contraction, ranging from 1 - Minimal to 5- Extreme.

    Measured: Day 14, 30, 60, 90, and 120

  2. Percentage of Participants Who Achieved Grade 1 or 2 (Minimal or Mild) According to Participant's Assessment Using P-APPS at Maximum Contraction at Days 14, 30, 60, 90, and 120

    The P-APPS evaluates platysma prominence severity and is a single-item measure that is accompanied by a 5-grade photonumeric scale for participants to self-assess the severity of their platysma prominence at maximum contraction, ranging from 1 - Minimal to 5 - Extreme.

    Measured: Day 14, 30, 60, 90, and 120

  3. Percentage of Participants With Responses of "Satisfied" or "Very Satisfied" on the Appearance of Neck and Lower Face Questionnaire (ANLFQ): Satisfaction (Follow-up) Item 5 (Effect of Treatment) at Day 14

    The ANLFQ: Satisfaction scale assesses how satisfied the participants are with the treatment they received for the appearance of their neck and lower face. Item 5 is a verbal descriptor scale ranging from 1 (Very satisfied) to 5 (Very dissatisfied).

    Measured: Day 14

  4. Percentage of Participants With Responses of 'Not at All Bothered' or 'A Little Bothered' on the Bother Assessment Scale - Platysma Prominence (BAS-PP) Scale Item 2 (Jawline) at Day 14

    The BAS-PP Scale is a 2-item measure that asks participants to rate how bothered they are by the appearance of their vertical neck bands (Item 1) and jawline (Item 2) where items are rated from 1 (Not at all bothered) to 5 (Extremely bothered).

    Measured: Day 14

  5. Percentage of Participants With Responses of 'Not at All Bothered' or 'A Little Bothered' on the BAS-PP Scale Item 1 (Vertical Neck Bands) at Day 14

    The BAS-PP Scale is a 2-item measure that asks participants to rate how bothered they are by the appearance of their vertical neck bands (Item 1) and jawline (Item 2) where items are rated from 1 (Not at all bothered) to 5 (Extremely bothered).

    Measured: Day 14

  6. Change From Baseline on the Appearance of Neck and Lower Face Questionnaire (ANLFQ): Impacts Summary Score at Day 14

    The ANLFQ: Impacts scale assesses the psychosocial impact of the appearance of the neck and lower face. All items are rated on a 5-point Verbal Descriptor Scale ranging from 1 (Never) to 5 (All of the time), with higher summary scores (range: 7-35) indicating greater negative psychosocial impact from the appearance of the neck and lower face. For change from baseline in the ANLFQ: Impacts summary score, positive values indicate worsening and negative values indicate improvement in the psychosocial impact.

    Measured: Day 14

  7. Percentage of Participants Who Achieved at Least 1-Grade Improvement From Baseline Based on Investigator's Assessment Using C-APPS at Maximum Contraction at Days 14, 30, 60, 90, and 120

    The C-APPS evaluates platysma prominence severity and is a static measurement encompassing visual examination of the platysma muscle at maximum contraction, ranging from 1 - Minimal to 5- Extreme.

    Measured: Day 14, 30, 60, 90, and 120

  8. Percentage of Participants Who Achieved at Least 1-Grade Improvement From Baseline Based on Participant's Assessment Using P-APPS at Maximum Contraction at Days 14, 30, 60, 90, and 120

    The P-APPS evaluates platysma prominence severity and is a single-item measure that is accompanied by a 5-grade photonumeric scale for participants to self-assess the severity of their platysma prominence at maximum contraction, ranging from 1 - Minimal to 5 - Extreme.

    Measured: Day 14, 30, 60, 90, and 120

  9. Percentage of Participants Who Achieved a Rating of Minimal or Mild According to Participant's Assessment Using P-APPS at Maximum Contraction at Days 14

    The P-APPS evaluates platysma prominence severity and is a single-item measure that is accompanied by a 5-grade photonumeric scale for participants to self-assess the severity of their platysma prominence at maximum contraction, ranging from 1 - Minimal to 5 - Extreme.

    Measured: Day 14

  10. Percentage of Participants With Responses of "Satisfied" or "Very Satisfied" on the ANLFQ: Satisfaction (Follow-up) Item 5 (Effect of Treatment) at Day 14

    The ANLFQ: Satisfaction scale assesses how satisfied the participants are with the treatment they received for the appearance of their neck and lower face. Item 5 is a verbal descriptor scale ranging from 1 (Very satisfied) to 5 (Very dissatisfied).

    Measured: Day 14

  11. Percentage of Participants With Responses of 'Not at All Bothered' or 'A Little Bothered' on the BAS-PP Scale Item 2 (Jawline) at Day 14

    The BAS-PP Scale is a 2-item measure that asks participants to rate how bothered they are by the appearance of their vertical neck bands (Item 1) and jawline (Item 2) where items are rated from 1 (Not at all bothered) to 5 (Extremely bothered).

    Measured: Day 14

  12. Change From Baseline on the ANLFQ: Impacts Summary Score at Days 30, 60, and 90

    The ANLFQ: Impacts scale assesses the psychosocial impact of the appearance of the neck and lower face. All items are rated on a 5-point Verbal Descriptor Scale ranging from 1 (Never) to 5 (All of the time), with higher scores indicating greater negative impact from the appearance of the neck and lower face.

    Measured: Days 30, 60, and 90

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Jul 2021
  2. Study start8 Jul 2021
  3. Primary completion20 Dec 2022
  4. Study completion20 Dec 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
408 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04949399
Sponsor's protocol ID
M21-309
Status last verified
Oct 2024
First submitted
25 Jun 2021
Last updated
20 Nov 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
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.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing OnabotulinumtoxinA in people with Platysma Prominence, run by AbbVie at 30 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 20 Nov 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Adverse Events (time frame: Enrollment to Day 120). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Nov 2024.

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