AbobotulinumtoxinA for the Treatment of Moderate-to-Severe Glabellar Lines: A Randomized, Dose-Escalating, Double-Blind Study

September 2021 | Volume 20 | Issue 9 | Original Article | 980 | Copyright © September 2021


Published online August 16, 2021

John Joseph MD,a Amir Moradi MD MBA,b Z. Paul Lorenc MD FACS,c Kyle Coleman MD,d Glynis Ablon MD FAAD,e Joely Kaufman-Janette MD,f Sue Ellen Cox MD,g Andrew Campbell MD,h Steven Dayan MD,i Anna-Karin Berg PhD,j Girish Munavalli MD MHS FACMSk

aClinical Testing of Beverly Hills, Encino, CA
bMoradi M.D., Vista, CA
cLorenc Aesthetic Plastic Surgery Center, New York, NY
dEtre Cosmetic Dermatology and Laser Center, New Orleans, LA
eAblon Skin Institute and Research Center, Manhattan Beach, CA
fSkin Research Institute, LLC, Coral Gables, FL
gAesthetic Solutions, PA, Chapel Hill, NC
hQuintessa Aesthetic Center – Ethiq2 Research, LLC, Mequon, WI
iDeNova Research, Chicago, IL
jGalderma, Uppsala, Sweden
kDermatology, Laser & Vein Specialists of the Carolinas, PLLC, Charlotte, NC



ABO-treated subjects reported feeling better/much better about themselves at week 4 (>75%), week 24 (>61%), and week 36 (>39%). Irrespective of ABO dose, most subjects (>91%) wanted to receive the same treatment again at week 36 and indicated that they would recommend the treatment to family/friends.

Safety Endpoints
Overall, 87 TEAEs were reported by 61 ABO-treated subjects. Ten individuals receiving placebo reported 14 TEAEs during the study. Fifteen TEAEs, reported by 13 (4%) ABO-treated subjects and one (1.3%) placebo group participant were related to treatment (Table 2). Most treatment-related TEAEs (80%) were mild, with the remainder being of moderate severity. With the exception of one event (mild dry eye), all treatmentrelated TEAEs resolved during the study. The most common ABO-related TEAEs were mild headache (1.2%) and eyelid ptosis (1.2%). One subject had mild ptosis in each of the 75 U and 125 U groups, and two subjects had moderate ptosis in the 100 U group (Table 2). All ptosis cases occurred during the first 16 days posttreatment, and all events resolved (median duration: 75 days). No treatment-related TEAEs were reported to be serious and none resulted in premature study discontinuation. There were no incidents of seroconversion to ABO neutralizing antibodies during the study.