The Efficacy and Safety Study of Protoxin Versus Botox® in Subjects With Moderate to Severe Glabellar Lines

Glabellar Frown Lines Clinical Trial

Official title:

A Multicenter, Double-blind, Randomized, Parallel, Active-controlled, Phase III Clinical Trial to Compare the Efficacy and Safety of Protoxin Versus Botox® in Subjects With Moderate to Severe Glabellar Lines

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05364580
• Other study ID #: PT_BTA_P3_21
• Status: Completed
• Phase: Phase 3
• Start date: March 6, 2023
• Est. completion date: October 6, 2023

Study information

• Verified date: March 2023
• Source: Protox Inc.
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will be conducted in Phase Ⅲ clinical trials. In Phase Ⅲ, subjects with moderate to severe glabellar lines are enrolled and those who are judged to be eligible for this study will be injected with the "PROTOXIN" at a total of 20U(4U/0.1mL each) in five sites of the glabellar lines. The investigational product is administered once, maintaining double-blind for a total of 16 weeks of observation. Thereafter, efficacy and safety are assessed by comparing with BOTOX® after regular visits conducted at 4,8,12 and 16 weeks.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 269
• Est. completion date: October 6, 2023
• Est. primary completion date: June 20, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 19 Years to 65 Years

Eligibility

Inclusion Criteria:

• Men and women aged between 19 to 65 years old
• Subjects attaining =grade 2 (moderate) in the investigator's rating of the severity of glabella lines at maximum frown
• Those who understand and comply with clinical trial procedures and visit schedules
• Subjects who voluntarily decides to participate and signs the consent form after hearing the explanation of this clinical trial. Exclusion Criteria
• Those with or accompanied by the following diseases at the time of screening

1. Subjects with Neuromuscular Junction Disorder that may affect neuromuscular action

2. Subjects with previous history of weakness or paralysis in the forehead area

3. Subjects with infection, skin disorders, or scars at the glabellar region

• Subjects with wrinkles that physically prevent wrinkles from spreading, such as when wrinkles are not spread out by hand
• Subjects who is administering a drug with muscle relaxation within four weeks of screening.
• Subjects who have taken Aspirin and NSAIDs within 7 days prior to administration of the investigational drug
• Subjects with surgical history who may affect wrinkles around the forehead or glabellar region
• Subjects who have planned facial cosmetic procedure during the clinical trial
• Subjects who have been administered similar drugs within 12 weeks (Botulinum toxin type A) or within 16 weeks (Botulinum toxin type B) before screening
• Subjects who are expected to administer botulinum toxin preparations other than Investigational product during the clinical trial period
• Subjects with allergy or hypersensitivity to the botulinum toxin or their components
• A history of drug or alcohol abuse
• Anxiety disorders or other significant mental disorders based on the judgment of an investigator
• Fertile women and men who have plans to conceive during pregnancy, breastfeeding and clinical trials or who do not agree to appropriate contraception
• Pregnant or lactating women
• Subjects with severe comorbidities or acute diseases that does not suitable for participation in clinical trials
• Those who participated in other clinical trials/clinical medical device trials within 30 days prior to screening and who received Investigational product/medical devices/procedures, or those who had less than 5 times the half-life of the Investigational product
• Subjects who are not eligible for this study based on the judgment of an investigator

Related Conditions & MeSH terms

• Glabellar Frown Lines

Intervention

Biological:
• PROTOXIN
Botulinum toxin Type A
• Botox®
Botulinum toxin Type A

Locations

Country	Name	City	State
Korea, Republic of	Pusan National University Hospital	Pusan	Seo-gu
Korea, Republic of	Chung-Ang University Hospital	Seoul	Gwangjin-gu
Korea, Republic of	Konkuk University Hospital	Seoul	Gwangjin-gu
Korea, Republic of	Kyung Hee University Hospital	Seoul	Dongdaemun-gu
Korea, Republic of	Nowon Eulji Medical Center	Seoul	Nowon-gu

Sponsors (1)

Lead Sponsor	Collaborator
Protox Inc.

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Proportion of subjects achieving at least a 2-grade improvement from baseline on the facial wrinkle scale of GL at maximum frown at Week 4	The investigator and participant evaluate the participant's GL severity using a 4-grade scale (0 to 3) where 0=none and 3 = severe	4 weeks post injection compared to baseline
Secondary	Investigator-rated improvement rate of glabellar lines at maximum frown	The investigator and participant evaluate the participant's GL severity using a 4-grade scale (0 to 3) where 0=none and 3 = severe	Week 8, 12, 16
Secondary	Participant-rated improvement rate of glabellar lines at maximum frown	The investigator and participant evaluate the participant's GL severity using a 4-grade scale (0 to 3) where 0=none and 3 = severe	Week 4, 8, 12, 16
Secondary	Investigator-rated improvement rate of glabellar lines at rest	The investigator and participant evaluate the participant's GL severity using a 4-grade scale (0 to 3) where 0=none and 3 = severe	Week 4, 8, 12, 16
Secondary	Participant-rated improvement rate of glabellar lines at rest	The investigator and participant evaluate the participant's GL severity using a 4-grade scale (0 to 3) where 0=none and 3 = severe	Week 4, 8, 12, 16
Secondary	Independent photo evaluator-rated improvement rate of glabellar lines at frown	The investigator and participant evaluate the participant's GL severity using a 4-grade scale (0 to 3) where 0=none and 3 = severe	Week 4, 8, 12, 16
Secondary	Independent photo evaluator-rated improvement rate of glabellar lines at rest	The investigator and participant evaluate the participant's GL severity using a 4-grade scale (0 to 3) where 0=none and 3 = severe	Week 4, 8, 12, 16
Secondary	Participant-rated satisfaction after treatment	Participant evaluate the level of satisfaction by Patient Satisfaction(PS) 7-grade score(1 to 7) where 1 = very dissatisfied and 7 = very satisfied	Week 4, 8, 12, 16