NivobotulinumtoxinA in the Treatment of Glabellar Lines With or Without Concurrent Treatment of Lateral Canthal Lines in Two Phase 3 Clinical Trials.

IF 3 2区 医学 Q1 SURGERY
William Coleman, Vince Bertucci, Shannon Humphrey, Joely Kaufman-Janette, Terrence Keaney, David Pariser, Nowell Solish, David Wirta, Robert A Weiss
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引用次数: 0

Abstract

Background: Botulinum neurotoxins in aesthetic medicine require reconstitution before administration, which may be inconvenient and present errors among injectors.

Objectives: The aim of this study was to evaluate the efficacy and safety of ready-to-use nivobotulinumtoxinA liquid formulation for the treatment of glabellar lines (GL) with or without treatment of lateral canthal lines (LCL).

Methods: Two multicenter, phase 3, double-blind, randomized trials enrolled participants with moderate-to-severe GL (Study 001) or moderate-to-severe GL + LCL (Study 005). Participants received double-blind nivobotulinumtoxinA (20 U) or placebo (Period 1) then ≤2 open-label nivobotulinumtoxinA GL treatments (Period 2) in Study 001 or double-blind nivobotulinumtoxinA 20 U (GL), nivobotulinumtoxinA 44 U (GL + LCL), or placebo (Period 1) then ≤2 double-blind injections of the same treatment (Period 2) in Study 005. The composite primary endpoint was the proportion of participants achieving a ≥2-grade improvement on a facial wrinkle scale at maximum frown on investigator and participant assessment; coprimary endpoints were investigator- and participant-assessed FWS "none or mild" ratings.

Results: At Day 30, significantly higher responder rates were observed for the composite primary endpoint with GL treatment alone (Study 001, 46.1%; Study 005, 45.1%) and GL + LCL (Study 005, 41.3%) vs placebo (0%; all P < .001). Responder rates of "none or mild" by investigator and participant assessment, respectively, were significantly higher for GL treatment alone (Study 001, 77.2% and 65.0%; Study 005, 74.3% and 68.8%) and GL + LCL (Study 005, 74.0% and 61.2%) vs placebo (all P < .001). Adverse events were similar between treatment groups and placebo.

Conclusions: Liquid nivobotulinumtoxinA was effective and well tolerated for treating moderate-to-severe GL alone or with LCL.

Level of evidence: 1 (therapeutic):

在两项三期临床试验中,NivobotulinumtoxinA 在治疗麦粒肿纹的同时治疗或不治疗眼轮匝肌外侧纹。
背景:美容医学中使用的肉毒杆菌神经毒素需要在给药前进行复溶,这可能会给注射者带来不便和错误:评估即用型nivobotulinumtoxinA液体制剂治疗川字纹(GL)的疗效和安全性,同时评估是否治疗外侧眼轮纹(LCL):两项多中心、三期、双盲、随机试验招募了中重度GL(001号研究)或中重度GL+LCL(005号研究)患者。在001号研究中,参试者先接受双盲注射尼伏妥珠穆毒素A(20U)或安慰剂(第1阶段),然后接受≤2次开放标签尼伏妥珠穆毒素A GL治疗(第2阶段);在005号研究中,参试者先接受双盲注射尼伏妥珠穆毒素A 20U(GL)、尼伏妥珠穆毒素A 44U(GL+LCL)或安慰剂(第1阶段),然后接受≤2次相同治疗的双盲注射(第2阶段)。综合主要终点是研究者和参与者评估的面部皱纹量表(FWS)最大皱纹改善≥2级的参与者比例;共同主要终点是研究者和参与者评估的FWS "无或轻度 "评级:在第 30 天,单独使用 GL 治疗(研究 001,46.1%;研究 005,45.1%)和 GL+LCL 治疗(研究 005,41.3%)与安慰剂(0%;所有 P <0.001)相比,综合主要终点的应答率明显更高。根据研究者和参与者的评估,"无或轻度 "反应者的比例在单独使用 GL 治疗(001 号研究,77.2% 和 65.0%;005 号研究,74.3% 和 68.8%)和 GL+LCL (005 号研究,74.0% 和 61.2%)时明显高于安慰剂(所有 P 均 <0.001)。治疗组与安慰剂组的不良反应相似:结论:液体尼泊金妥昔单抗治疗中重度GL或与LCL联合治疗效果显著,耐受性良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.20
自引率
20.70%
发文量
309
审稿时长
6-12 weeks
期刊介绍: Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.
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