Division of Evidence-Based Medicine, Klinik für Dermatologie, Charité Universitätsmedizin Berlin, Berlin, Germany.
Dermatol Surg. 2013 Jan;39(1 Pt 1):95-103. doi: 10.1111/dsu.12008. Epub 2012 Nov 27.
IncobotulinumtoxinA has been approved for treatment of glabellar frown lines (GFL) in the United States, all major European markets, South Korea, and Argentina and in Russia and Mexico for the treatment of mimic wrinkles and hyperkinetic facial lines, respectively.
Prospective, 2-year, open-label, multicenter, repeat-dose, Phase III trial investigating the safety and efficacy of incobotulinumtoxinA for the treatment of GFL.
Subjects with moderate or severe GFL on the Facial Wrinkle Scale (FWS), enrolled from previous trials, were treated with 20 U of incobotulinumtoxinA per cycle (up to eight treatment cycles, treatment interval at least 85 days). Efficacy was measured according to the investigator-assessed percentage of responders on the FWS (subjects with a score of 0 or 1) at rest and maximum frown on Day 30 of each cycle, subject assessments, and onset and duration of treatment effect.
In 796 subjects, 77% to 88% were responders at rest, and 79% to 90% were responders at maximum frown. Onset was rapid; subjects reported effects in the first few days after treatment. No new tolerability or safety concerns were reported.
IncobotulinumtoxinA injections were well tolerated and resulted in efficacy in the treatment of GFL for up to 2 years.
依库珠单抗毒素 A 已获美国、所有主要欧洲市场、韩国和阿根廷批准用于治疗眉间竖纹(GFL),以及在俄罗斯和墨西哥分别批准用于治疗假性皱纹和运动性面部皱纹。
本前瞻性、2 年、开放标签、多中心、重复剂量、III 期试验旨在评估依库珠单抗毒素 A 治疗 GFL 的安全性和疗效。
先前试验入组的中度或重度 GFL 患者(面部皱纹量表 [FWS]),每周期接受 20U 依库珠单抗毒素 A 治疗(最多 8 个治疗周期,治疗间隔至少 85 天)。根据 FWS 评估的应答者比例(休息时评分 0 或 1 的受试者)、受试者评估以及治疗效果的起始和持续时间,评估疗效。
796 例受试者中,休息时的应答率为 77%至 88%,最大皱眉时的应答率为 79%至 90%。起效迅速;治疗后几天内患者即报告起效。未报告新的耐受性或安全性问题。
依库珠单抗毒素 A 注射耐受性良好,可有效治疗 GFL,持续时间长达 2 年。