Facial lines (such as glabellar lines \[GL\], lateral canthal lines \[LCL\], and forehead lines \[FHL\]) are perhaps the most visible signs of aging. Hyperfunctional facial lines that develop from repeated facial expression may be treated by selectively weakening specific muscles with small quantities of botulinum toxin. The purpose of this study is to assess adverse events and effectiveness of BOTOX in Chinese adults with moderate to severe FHL. Participants are placed in 1 of 2 groups, called treatment arms. Around 140 adult participants with moderate to severe FHL will be enrolled in the study. Participants in the treatment group will receive intramuscular injections on Day 1 and followed for up to 180 Days. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at the study site. The effect of the treatment will be checked by medical assessments, checking for side effects and completing questionnaires.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
140
Intramuscular Injections
Intramuscular Injections
Beijing Hospital /ID# 250059
Beijing, Beijing Municipality, China
Peking University First Hospital /ID# 249912
Xicheng District, Beijing Municipality, China
Guangdong Second Provincial General Hospital /ID# 250742
Guangzhou, Guangdong, China
The Third Affiliated Hospital, Sun Yat-Sen University /ID# 250148
Guangzhou, Guangdong, China
Peking university shenzhen hospital /ID# 249913
Shenzhen, Guangdong, China
Union Hospital Tongji Medical College Huazhong University of Science and Technol /ID# 250022
Wuhan, Hubei, China
Nanjing Drum Tower Hospital /ID# 250020
Nanjing, Jiangsu, China
Zhongda Hospital Southeast University /ID# 249970
Nanjing, Jiangsu, China
Huashan Hospital, Fudan University /ID# 249854
Shanghai, Shanghai Municipality, China
Tangdu Hospital of The Fourth Military Medical University, PLA /ID# 249856
Xi’an, Shanxi, China
...and 2 more locations
Percentage of Participants who Achieved 'None' or 'Mild' on Facial Wrinkle Scale with Asian Photonumeric Guide (FWS-A) According to the Investigator Assessment of Forehead Lines (FHL) Severity
The investigator assesses FHL severity using the FWS-A 4-point scale ranging from 0=None to 3=Severe.
Time frame: Day 30
Percentage of Participants who Achieved 'None' or 'Mild' on FWS-A According to the Participant Assessment of FHL Severity
The participant assesses FHL severity using the FWS-A 4-point scale ranging from 0=None to 3=Severe.
Time frame: Day 30
Number of Participants with Adverse Events (AEs)
An adverse event (AE) is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with the treatment. The investigator assesses the relationship of each event to the use of study drug.
Time frame: Day 180
Percentage of Participants who Achieved at least 1-Grade Improvement from Baseline on FWS-A According to the Investigator Assessment of FHL Severity
The investigator assesses FHL severity using the FWS-A 4-point scale ranging from 0=None to 3=Severe.
Time frame: Baseline to Day 30
Percentage of Participants with Responder Status of 'Very Satisfied' or 'Mostly Satisfied' on Satisfaction with Treatment on the Facial Line Satisfaction Questionnaire (FLSQ) follow up Item 5
The FLSQ consists of 13 questions that assess treatment satisfaction and psychosocial impact. Participants assessed their satisfaction with FHL using the FLSQ 5-point scale ranging from -2=Very dissatisfied to 2=Very satisfied.
Time frame: Day 60
Percentage of Participants with Responder Status of 'Very Satisfied' or 'Mostly Satisfied' on Satisfaction with Natural Look on the FLSQ follow up Item 4
The FLSQ consists of 13 questions that assess treatment satisfaction and psychosocial impact. Participants assessed their satisfaction with FHL using the FLSQ 5-point scale ranging from -2=Very dissatisfied to 2=Very satisfied.
Time frame: Day 30
Percentage of Participants who Achieved at Least a 20-Point Psychosocial Impact Improvement from Baseline on the FLSQ Impact Domain
The FLSQ consists of 13 questions that assess treatment satisfaction and psychosocial impact. Participants assessed their satisfaction with FHL using the FLSQ 5-point scale ranging from -2=Very dissatisfied to 2=Very satisfied.
Time frame: Baseline to Day 30
Percentage of Participants who Achieved at least 2-Grade Improvement from Baseline on FWS-A According to the Investigator Assessment of FHL Severity
The investigator assesses FHL severity using the FWS-A 4-point scale ranging from 0=None to 3=Severe.
Time frame: Baseline to Day 30
Percentage of Participants who Achieved at least 2-Grade Improvement from Baseline on FWS-A According to the Participant Assessment of FHL Severity
The participant assesses FHL severity using the FWS-A 4-point scale ranging from 0=None to 3=Severe.
Time frame: Baseline to Day 30
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