Efficacy and Safety of RelabotulinumtoxinA, a New Ready-to-Use Liquid Formulation Botulinum Toxin: Results From the READY-1 Double-Blind, Randomized, Placebo-Controlled Phase 3 Trial in Glabellar Lines.

IF 3 2区 医学 Q1 SURGERY Aesthetic Surgery Journal Pub Date : 2024-11-15 DOI:10.1093/asj/sjae131
Sachin M Shridharani, Amir Moradi, Lisa Donofrio, Michael H Gold, Brian Biesman, Melissa Chiang, Rosalyn George, Kristel Polder, Nowell Solish, Schwarcz, Xiaoming Lin, Eva Axén, Inna Prygova
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Abstract

Background: RelabotulinumtoxinA (RelaBoNT-A, Galderma, Uppsala, Sweden) is an innovative, ready-to-use liquid botulinum toxin A, produced with PEARL (precipitation-free extraction and activity-preserving refined liquid) manufacturing technology, which yields a potent, complex-free formulation.

Objectives: In the READY-1 study, efficacy and safety outcomes following a single RelaBoNT-A treatment for glabellar line correction were examined.

Methods: Adults with moderate to severe glabellar lines received RelaBoNT-A (50 U) or placebo in a 3:1 randomized, 6-month, phase 3, multicenter, double-blind study. Primary endpoints (examined at Month 1, maximum frown) comprised the composite ≥2-grade response, defined as ≥2-grades improvement from baseline on concurrent investigator (glabellar line investigator live assessment; GL-ILA) and participant (glabellar line subject live assessment; GL-SLA) severity scales (US endpoint), and the investigator-reported responder rate for participants scored as 0 (none) or 1 (mild) (GL-ILA scale only; EU endpoint). Participant satisfaction and treatment-emergent adverse events (TEAEs) were reported.

Results: Overall, 297 adults were randomized and treated. Month 1 composite ≥2-grade responder rate was 82.9% (RelaBoNT-A, n = 199) vs 0% (placebo, n = 67; P < .001). Month 1 investigator-reported none or mild responder rate was 96.3% (RelaBoNT-A) vs 4.5% (placebo; P < .001). GL-ILA scores remained higher with RelaBoNT-A (23.6% [none or mild]; 58.1% [≥1-grade improvement]) vs placebo (1.5%; 10.4%, respectively) through Month 6 (P < .001). In the Kaplan-Meier analysis, 75% still showed GL-ILA and GL-SLA improvements from baseline at 169 days (end of study). Participants reported onset of effect from Day 1 (39%) and satisfaction with natural-looking results (96.8%; Month 1). RelaBoNT-A-related TEAEs were low (3.6%) and typically mild.

Conclusions: A single RelaBoNT-A treatment was effective and demonstrated a favorable safety profile. RelaBoNT-A provided significant improvements in glabellar line severity, high satisfaction, rapid onset, and enduring effectiveness throughout the 6-month study period.

Level of evidence: 1:

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新型即用型液体配方肉毒杆菌毒素 RelabotulinumtoxinA 的疗效和安全性:READY-1 "双盲、随机、安慰剂对照 "3 期试验对眼睑纹的疗效。
背景:RelabotulinumtoxinA(RelaBoNT-A,Galderma公司,瑞典乌普萨拉)是一种创新型即用型液态肉毒毒素A,采用PEARLTM制造技术生产,具有强效、不含复合物的配方:READY-1研究考察了RelaBoNT-A单次治疗后矫正川字纹的疗效和安全性:在一项3:1随机、为期6个月的3期多中心双盲研究中,患有中度至重度川字纹的成人接受了RelaBoNT-A(50 U)或安慰剂治疗。主要终点(在第1个月进行检查,最大皱纹)包括综合≥2级反应(定义为研究者(GL-ILA)和受试者(GL-SLA)严重程度量表(美国终点)与基线相比≥2级的改善),以及研究者报告的0(无)或1(轻度)级受试者反应率(仅GL-ILA量表;欧盟终点)。此外,还报告了受试者的满意度和治疗突发不良事件(TEAEs):结果:共有 297 名成人接受了随机治疗。第 1 个月综合≥2 级应答率为 82.9%(RelaBoNT-A,N=199)对 0%(安慰剂,N=67;P结论:单次 RelaBoNT-A 治疗有效,且安全性良好。在为期 6 个月的研究中,RelaBoNT-A 明显改善了眼尾纹的严重程度,满意度高,起效迅速,疗效持久。
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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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Efficacy and Safety of RelabotulinumtoxinA, a New Ready-to-Use Liquid Formulation Botulinum Toxin: Results From the READY-1 Double-Blind, Randomized, Placebo-Controlled Phase 3 Trial in Glabellar Lines. IL-9 Is a Biomarker of BIA-ALCL Detected Rapidly by Lateral Flow Assay. Long-term Implications of Cosmetic Breast Surgeries on Subsequent Breast Reconstruction. The Impact of Vaginoplasty on Female and Male Sexual Function and Satisfaction. An In-Depth Analysis of 1370 Consecutive Abdominoplasties: Fascial Plication Increases Risk of Venous Thromboembolism, and Scoring for Plication Improves the Caprini Risk Assessment Model.
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