PMID- 25485803 OWN - NLM STAT- MEDLINE DCOM- 20150313 LR - 20220408 IS - 1524-4725 (Electronic) IS - 1076-0512 (Linking) VI - 41 IP - 1 DP - 2015 Jan TI - Efficacy and safety of onabotulinumtoxinA for treating crow's feet lines alone or in combination with glabellar lines: a multicenter, randomized, controlled trial. PG - 102-12 LID - 10.1097/DSS.0000000000000220 [doi] AB - BACKGROUND: This was the second study in a Phase 3 program treating crow's feet lines (CFL) with onabotulinumtoxinA. OBJECTIVE: To evaluate the efficacy and safety of onabotulinumtoxinA treatment of CFL alone or with glabellar lines (GL). METHODS: This multicenter, double-blind, placebo-controlled, repeat treatment, 7-month study randomized subjects with moderate-to-severe CFL and GL (maximum contraction) to onabotulinumtoxinA 44 U (CFL: 24 U, GL: 20 U; n = 305), onabotulinumtoxinA 24 U (CFL: 24 U, GL: placebo; n = 306), or placebo (n = 306). Coprimary end points were investigator-assessed and subject-assessed proportion of subjects achieving a CFL Facial Wrinkle Scale Grade of 0 or 1 (maximum smile; Day 30, Cycle 1). Additional efficacy end points and safety/adverse events (AEs) were evaluated. RESULTS: All primary and secondary end points were achieved; statistically significant differences favored onabotulinumtoxinA (p < .001, all comparisons vs placebo). Investigator and subject responder rates were: CFL, 54.9% and 45.8%; CFL + GL, 59.0% and 48.5%; and placebo, 3.3% (both), respectively. Responder rates on other end points also significantly favored onabotulinumtoxinA treatments. Most AEs were mild or moderate. Two subjects discontinued: 1 serious AE unrelated to treatment (myocardial infarction) and 1 treatment-related AE (injection site pain). CONCLUSION: OnabotulinumtoxinA was effective and well tolerated for treating moderate-to-severe CFL alone or in combination with GL. FAU - Moers-Carpi, Marion AU - Moers-Carpi M AD - *Private Clinic, Hautok, Munich, Germany; daggerDepartment of Ophthalmology and Visual Sciences, University of British Columbia, Vancouver, BC, Canada; double daggerPrivate Practice, Boca Raton, Florida; section signDepartment of Dermatology, Tulane University School of Medicine, New Orleans, Louisiana; ||Private Practice, New Orleans, Louisiana; paragraph signCentre de Chirurgie Esthetique du Cap d'Antibes, Cap d'Antibes, France; #Division of Dermatology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California; **Allergan, Inc., Irvine, California; daggerdaggerSCI Scientific Communications and Information, Parsippany, New Jersey. Dr. Beddingfield and Ms. Somogyi are now at Kythera Biopharmaceuticals, Inc., Calabasas, California. FAU - Carruthers, Jean AU - Carruthers J FAU - Fagien, Steven AU - Fagien S FAU - Lupo, Mary AU - Lupo M FAU - Delmar, Henry AU - Delmar H FAU - Jones, Derek AU - Jones D FAU - Somogyi, Christine AU - Somogyi C FAU - Lee, Elisabeth AU - Lee E FAU - Lei, Xiaofang AU - Lei X FAU - MacKinnon, Suzanne AU - MacKinnon S FAU - Davis, Paula G AU - Davis PG FAU - Yalamanchili, Ramana AU - Yalamanchili R FAU - Campo, Antoinette AU - Campo A FAU - Beddingfield, Frederick C 3rd AU - Beddingfield FC 3rd LA - eng PT - Clinical Trial, Phase III 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 - 0 (Neuromuscular Agents) RN - EC 3.4.24.69 (Botulinum Toxins, Type A) SB - IM MH - Adult MH - Botulinum Toxins, Type A/adverse effects/*therapeutic use MH - *Cosmetic Techniques/adverse effects/psychology MH - Double-Blind Method MH - Eye MH - Female MH - Forehead MH - Headache/chemically induced MH - Hematoma/chemically induced MH - Humans MH - Male MH - Middle Aged MH - Neuromuscular Agents/adverse effects/*therapeutic use MH - Pain/chemically induced MH - Patient Satisfaction MH - Self Concept MH - *Skin Aging MH - Treatment Outcome EDAT- 2014/12/09 06:00 MHDA- 2015/03/17 06:00 CRDT- 2014/12/09 06:00 PHST- 2014/12/09 06:00 [entrez] PHST- 2014/12/09 06:00 [pubmed] PHST- 2015/03/17 06:00 [medline] AID - 10.1097/DSS.0000000000000220 [doi] PST - ppublish SO - Dermatol Surg. 2015 Jan;41(1):102-12. doi: 10.1097/DSS.0000000000000220.