PMID- 17241416 OWN - NLM STAT- MEDLINE DCOM- 20070223 LR - 20220311 IS - 1076-0512 (Print) IS - 1076-0512 (Linking) VI - 33 IP - 1 Spec No. DP - 2007 Jan TI - Dose-finding, safety, and tolerability study of botulinum toxin type B for the treatment of hyperfunctional glabellar lines. PG - S60-8 AB - BACKGROUND: Previous open-label studies have demonstrated that botulinum toxin type B (BTX-B, Myobloc, Solstice Neurosciences) in doses of up to 3,000 U is safe and effective in the treatment of glabellar wrinkles. OBJECTIVE: This double-blind, randomized, placebo-controlled, sequential-dose-escalation study evaluated the safety and tolerability of seven BTX-B doses ranging from 250 to 3,000 U in the treatment of subjects with hyperfunctional glabellar lines. METHODS: Participants received a single intramuscular treatment of either BTX-B or placebo at five facial sites with a 12-week follow-up period. Primary efficacy outcome measure was the Investigator Global Scale score of subject's glabellar lines at rest and at full frown. Safety was evaluated primarily on the occurrence of adverse events (AEs). RESULTS: The investigator scores demonstrated a statistically significant increasing dose-response trend in the percentage of subjects with no lines or mild lines at rest from Weeks 1 to 12 (p=.0420) and at full frown from Weeks 1 to 8 (p<.0001). Fifty-one subjects (36.7%) experienced AEs; the most common AE was headache not otherwise specified, experienced by 19 subjects (13.7%). CONCLUSIONS: BTX-B at doses up to 3,000 U was safe and well tolerated in the treatment of hyperfunctional glabellar lines. Treatment with BTX-B reduced hyperfunctional glabellar lines in subjects, and the duration of action appeared to be related to the dose administered. Further studies using higher doses of BTX-B for treatment of glabellar wrinkles are planned. FAU - Carruthers, Alastair AU - Carruthers A AD - University of British Columbia, Vancouver, British Columbia, Canada. alastair@carruthers.net FAU - Carruthers, Jean AU - Carruthers J FAU - Flynn, Timothy Corcoran AU - Flynn TC FAU - Leong, Michael S AU - Leong MS LA - eng PT - Clinical Conference PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Dermatol Surg JT - Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] JID - 9504371 RN - 0Y70779M1F (rimabotulinumtoxinB) RN - EC 3.4.24.69 (Botulinum Toxins) RN - EC 3.4.24.69 (Botulinum Toxins, Type A) SB - IM MH - Adult MH - Botulinum Toxins/*administration & dosage/adverse effects MH - Botulinum Toxins, Type A MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Drug Tolerance MH - Female MH - Humans MH - Injections, Intramuscular MH - Male MH - Middle Aged MH - Patient Satisfaction MH - Skin Aging/*drug effects MH - Treatment Outcome EDAT- 2007/01/24 09:00 MHDA- 2007/02/24 09:00 CRDT- 2007/01/24 09:00 PHST- 2007/01/24 09:00 [pubmed] PHST- 2007/02/24 09:00 [medline] PHST- 2007/01/24 09:00 [entrez] AID - DSU32333 [pii] AID - 10.1111/j.1524-4725.2006.32333.x [doi] PST - ppublish SO - Dermatol Surg. 2007 Jan;33(1 Spec No.):S60-8. doi: 10.1111/j.1524-4725.2006.32333.x.