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Platysma ProminencePhase 2NCT03915067

BOTOX® for the Treatment of Platysma Prominence

A Phase 2 study testing BOTOX® purified neurotoxin complex in people with Platysma Prominence, run by Allergan at 12 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To assess the efficacy and safety of BOTOX® in adults with moderate to severe platysma prominence. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Platysma Prominence
What is being tested?
BOTOX® purified neurotoxin complex
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
171 participants
Where
12 sitesin 2 countries
Study dates
23 Apr 2019to 16 Apr 2020
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Female participants willing to minimize the risk of inducing pregnancy for the duration of the clinical study and follow-up period
  • A female participant is eligible to participate if she is not pregnant (has a negative urine pregnancy result prior to randomization), not breastfeeding, and at least one of the following conditions applies:
  • Not a woman of childbearing potential (WOCBP) OR
  • A WOCBP who agrees to follow the studies contraceptive guidance during the treatment and follow-up period through study exit.
  • Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this study's protocol

Who cannot join

  • Any medical condition that may put the participant at increased medical risk with exposure to BOTOX®, including diagnosed myasthenia gravis, Eaton-Lambert syndrome, amyotrophic lateral sclerosis, or any other condition that might interfere with neuromuscular function
  • Participant has an anticipated need for treatment with botulinum toxin of any serotype for any indication during the study (other than study intervention)
  • Anticipated need for surgery or overnight hospitalization during the study
  • Current enrollment in an investigational drug or device study or participation in such a study within 30 days of entry into this study
  • Females who are pregnant, nursing, or planning a pregnancy during the study
  • Known immunization or hypersensitivity to any botulinum toxin serotype
  • History of alcohol or drug abuse within 12 months of the study
  • Participant has tattoos, jewelry, or clothing that cannot be removed, and that obscure the neck

Trial locations and contacts

12 sites in 2 countries.

12 sites in 2 countries

United States7 sites
  • DeNova Research /ID# 238165

    Chicago, Illinois, 60611

  • Skin Research Institute LLC /ID# 238126

    Coral Gables, Florida, 33146-1837

  • Dallas Plastic Surgery Institute /ID# 236528

    Dallas, Texas, 75231

  • MD Laser Skin & Vein /ID# 234532

    Hunt Valley, Maryland, 21030

  • Skin Care and Laser Physicians of Beverly Hills /ID# 236518

    Los Angeles, California, 90069

  • The Center for Dermatology Cosmetics & Laser Surgery /ID# 235624

    Mount Kisco, New York, 10549-3028

  • The Practice of Brian S. Biesman MD PLLC /ID# 234461

    Nashville, Tennessee, 37203

Other trials in United States

Canada5 sites
  • Dermetics Cosmetic Dermatology /ID# 236899

    Burlington, Ontario, L7N 3N2

  • Sweat Clinics of Canada /ID# 236590

    Toronto, Ontario, M5R 3N8

  • Humphrey Cosmetic Dermatology /ID# 236591

    Vancouver, British Columbia, V5Z 4E1

  • Pacific Derm /ID# 238236

    Vancouver, British Columbia, V6H 4E1

  • Bertucci MedSpa Inc. /ID# 236523

    Woodbridge, Ontario, L4L 8E2

Other trials in Canada

About this study

Official title: A Phase 2 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Evaluate the Safety and Efficacy of BOTOX® (Botulinum Toxin Type A) Purified Neurotoxin Complex for the Treatment of Platysma Prominence

To assess the efficacy and safety of BOTOX® in adults with moderate to severe platysma prominence.

Being tested
BOTOX® purified neurotoxin complex, Placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BOTOX® purified neurotoxin complexDrug

    Also called Botulinum toxin type A purified neurotoxin complex

    BOTOX® superficial intramuscular injections.

  • PlaceboDrug

    Placebo injections.

Study groups in NCT03915067
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants received matching placebo as superficial intramuscular injections administered to the platysma muscle on Day 1.
Receives: Drug: Placebo
BOTOX® Low DoseExperimentalParticipants received BOTOX® Low Dose as superficial intramuscular injections administered to the platysma muscle on Day 1.
Receives: Drug: BOTOX® purified neurotoxin complex
BOTOX® High DoseActive comparatorParticipants received BOTOX® High Dose as superficial intramuscular injections administered to the platysma muscle on Day 1.
Receives: Drug: BOTOX® purified neurotoxin complex

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With at Least 1-Grade Improvement at Day 14 as Rated by Investigator Using the Clinician Allergan Platysma Prominence Scale (C-APPS)

    The investigator evaluated the participant's platysma prominence severity using a 5-grade scale C-APPS at maximum contraction where 1= minimal, and 5= extreme. Higher values indicate worsening condition. Data is reported for participants who achieved at least a 1-grade improvement rated on the C-APPS. Percentages are rounded off to whole number at the nearest decimal. Cochran-Mantel-Haenszel (CMH) chi-squared test was used for analysis.

    Measured: Day 14

  2. Number of Participants Who Experienced One or More Treatment-Emergent Adverse Event (TEAE)

    An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study drug. Treatment-emergent adverse events are defined as any event that began or worsened in severity on or after the first dose of study drug or any AE that was present before the first dose of study intervention, but increased in severity or became serious after the first dose of study intervention.

    Measured: From the first dose of study drug up to end of study (up to Day 120)

  3. Pulse Rate at Baseline

    Participants were seated for at least 5 minutes, and pulse was counted over 60 seconds and recorded.

    Measured: Baseline (Day 1)

  4. Change From Baseline in Pulse Rate at Day 7

    Participants were seated for at least 5 minutes, and pulse was counted over 60 seconds and recorded.

    Measured: Baseline; Day 7

  5. Change From Baseline in Pulse Rate at Day 14

    Participants were seated for at least 5 minutes, and pulse was counted over 60 seconds and recorded.

    Measured: Baseline; Day 14

  6. Change From Baseline in Pulse Rate at Day 30

    Participants were seated for at least 5 minutes, and pulse was counted over 60 seconds and recorded.

    Measured: Baseline; Day 30

  7. Change From Baseline in Pulse Rate at Day 60

    Participants were seated for at least 5 minutes, and pulse was counted over 60 seconds and recorded.

    Measured: Baseline; Day 60

  8. Change From Baseline in Pulse Rate at Day 90

    Participants were seated for at least 5 minutes, and pulse was counted over 60 seconds and recorded.

    Measured: Baseline; Day 90

  9. Change From Baseline in Pulse Rate at Day 120

    Participants were seated for at least 5 minutes, and pulse was counted over 60 seconds and recorded.

    Measured: Baseline; Day 120

  10. Systolic and Diastolic Blood Pressure (BP) at Baseline

    Participants were seated for at least 5 minutes, and systolic and diastolic BP was measured.

    Measured: Baseline (Day 1)

  11. Change From Baseline in Systolic and Diastolic BP at Day 7

    Participants were seated for at least 5 minutes, and systolic and diastolic BP was measured.

    Measured: Baseline; Day 7

  12. Change From Baseline in Systolic and Diastolic BP at Day 14

    Participants were seated for at least 5 minutes, and systolic and diastolic BP was measured.

    Measured: Baseline; Day 14

  13. Change From Baseline in Systolic and Diastolic BP at Day 30

    Participants were seated for at least 5 minutes, and systolic and diastolic BP was measured.

    Measured: Baseline; Day 30

  14. Change From Baseline in Systolic and Diastolic BP at Day 60

    Participants were seated for at least 5 minutes, and systolic and diastolic BP was measured.

    Measured: Baseline; Day 60

  15. Change From Baseline in Systolic and Diastolic BP at Day 90

    Participants were seated for at least 5 minutes, and systolic and diastolic BP was measured.

    Measured: Baseline; Day 90

  16. Change From Baseline in Systolic and Diastolic BP at Day 120

    Participants were seated for at least 5 minutes, and systolic and diastolic BP was measured.

    Measured: Baseline; Day 120

  17. Respiratory Rate at Baseline

    Participants were seated for at least 5 minutes, and breaths were counted for 30 seconds and multiplied by 2.

    Measured: Baseline (Day 1)

  18. Change From Baseline in Respiratory Rate at Day 7

    Participants were seated for at least 5 minutes, and breaths were counted for 30 seconds and multiplied by 2.

    Measured: Baseline; Day 7

  19. Change From Baseline in Respiratory Rate at Day 14

    Participants were seated for at least 5 minutes, and breaths were counted for 30 seconds and multiplied by 2.

    Measured: Baseline; Day 14

  20. Change From Baseline in Respiratory Rate at Day 30

    Participants were seated for at least 5 minutes, and breaths were counted for 30 seconds and multiplied by 2.

    Measured: Baseline; Day 30

  21. Change From Baseline in Respiratory Rate at Day 60

    Participants were seated for at least 5 minutes, and breaths were counted for 30 seconds and multiplied by 2.

    Measured: Baseline; Day 60

  22. Change From Baseline in Respiratory Rate at Day 90

    Participants were seated for at least 5 minutes, and breaths were counted for 30 seconds and multiplied by 2.

    Measured: Baseline; Day 90

  23. Change From Baseline in Respiratory Rate at Day 120

    Participants were seated for at least 5 minutes, and breaths were counted for 30 seconds and multiplied by 2.

    Measured: Baseline; Day 120

Secondary outcomes (1)
  1. Percentage of Participants With at Least a 1-Grade Improvement at Day 14 as Rated by Participant Using the Participant Allergan Platysma Prominence Scale (P-APPS)

    The participants evaluated their own Platysma Prominence severity using a 5-grade scale where 1= minimal, and 5= extreme. Higher values indicate worsening conditions. Data is reported for participants who achieved at least a 1-grade improvement rated on the P-APPS. Percentages are rounded off to whole number at the nearest decimal. CMH chi-squared test was used for analysis.

    Measured: Day 14

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Apr 2019
  2. Study start23 Apr 2019
  3. Primary completion16 Apr 2020
  4. Study completion16 Apr 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
171 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03915067
Sponsor's protocol ID
1936-201-008
Status last verified
Apr 2023
First submitted
29 Mar 2019
Last updated
3 May 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols, analyses plans, clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.

Publications

  • Humphrey S, Shimoga S, Kaufman J, Bank D, Biesman B, Harutunian C, West GS, Tong W, Patel V. Patient-Reported Outcomes After Treatment With OnabotulinumtoxinA for Platysma Prominence: Results From a Phase 2 Dose-Ranging Study. J Cosmet Dermatol. 2026 Apr;25(4):e70821. doi: 10.1111/jocd.70821.

    PubMed 41933889
  • Garcia JK, Hopfinger RM, Foley C, Whyte J, Gauthier M, Foster B, Patel V. Development and validation of patient-reported outcome measures for platysma prominence. Curr Med Res Opin. 2025 Jul;41(7):1277-1290. doi: 10.1080/03007995.2025.2537898. Epub 2025 Jul 31.

    PubMed 40704633
  • Rohrich RJ, Bertucci V, Dayan S, Jones D, Solish N, Rivers JK, Weiss RA, Muhn CY, Harutunian C, Park GS, Shimoga S, Lee E, Tong W. Efficacy and Safety of OnabotulinumtoxinA for the Treatment of Platysma Prominence: A Randomized Phase 2 Dose-Ranging Study. Plast Reconstr Surg. 2025 Jan 1;155(1):79-88. doi: 10.1097/PRS.0000000000011472. Epub 2024 Apr 16.

    PubMed 38640068

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BOTOX® purified neurotoxin complex in people with Platysma Prominence, run by Allergan at 12 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 May 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With at Least 1-Grade Improvement at Day 14 as Rated by Investigator Using the Clinician Allergan Platysma Prominence Scale (C-APPS) (time frame: Day 14). The study lists 23 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03915067, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 May 2023.

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