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    Summary
    EudraCT Number:2011-005887-20
    Sponsor's Protocol Code Number:MRZ60201_3076_1
    National Competent Authority:UK - MHRA
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2012-05-16
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedUK - MHRA
    A.2EudraCT number2011-005887-20
    A.3Full title of the trial
    A prospective, randomized, double-blind, placebo-controlled,
    multicenter study with an open-label extension period to
    investigate the efficacy and safety of NT 201 in the combined
    treatment of upper facial lines (horizontal forehead lines,
    glabellar frown lines, and lateral periorbital lines)
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Study with two injections (one injection with placebo or drug, one injection
    with drug) to investigate the efficacy and safety of NT 201 (active
    ingredient: Botulinum (neuro)toxin type A, free from complexing proteins)
    in the combined treatment of wrinkles in the upper face.
    A.3.2Name or abbreviated title of the trial where available
    Investigation of efficacy and safety of NT201 in Upper Facial lines
    A.4.1Sponsor's protocol code numberMRZ60201_3076_1
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorMerz Pharmaceuticals GmbH
    B.1.3.4CountryGermany
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportMerz Pharmaceuticals GmbH, Germany
    B.4.2CountryGermany
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationMerz Pharmaceuticals GmbH
    B.5.2Functional name of contact point
    B.5.6E-mailclinicaltrials@merz.de
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Xeomin
    D.2.1.1.2Name of the Marketing Authorisation holderMerz Pharmaceuticals GmbH
    D.2.1.2Country which granted the Marketing AuthorisationUnited Kingdom
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameNT 201
    D.3.2Product code NT 201
    D.3.4Pharmaceutical form Powder for solution for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntramuscular use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.1CAS number 93384-43-1
    D.3.9.2Current sponsor codeNT 101
    D.3.9.3Other descriptive nameBotulinum neurotoxin type A
    D.3.9.4EV Substance CodeAS1
    D.3.10 Strength
    D.3.10.1Concentration unit U unit(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number100
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product Yes
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboPowder for solution for injection
    D.8.4Route of administration of the placeboIntramuscular use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Upper facial lines (horizontal forehead lines, glabellar frown lines, and lateral periorbital lines)
    E.1.1.1Medical condition in easily understood language
    Moderate to severe wrinkles in the upper face
    E.1.1.2Therapeutic area Diseases [C] - Skin and Connective Tissue Diseases [C17]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 15.0
    E.1.2Level PT
    E.1.2Classification code 10040954
    E.1.2Term Skin wrinkling
    E.1.2System Organ Class 10040785 - Skin and subcutaneous tissue disorders
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To investigate the efficacy and safety of 54 to 64 Units of NT 201
    intramuscularly administered in subjects with moderate to severe upper
    facial lines.
    E.2.2Secondary objectives of the trial
    To evaluate the safety of the combined treatment
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    • Outpatients (male or female) 18 years of age or older.
    • Calculated cut-off score below 0 in evaluation based on the Freiburg
    Life Quality Assessment - 'Lebensqualität, Haut und Kosmetik'
    Questionnaire [FLQA-k]).
    • HFL, GFL, and symmetrical LPL of moderate to severe intensity at
    maximum contraction as assessed by the investigator according to the
    Merz Aesthetics Scales.
    • Stable medical condition.
    E.4Principal exclusion criteria
    Main Period:
    • Previous treatment with Botulinum toxin of any serotype in the
    forehead, glabellar, and/or periorbital area within the last 6 months
    before injection.
    • Previous treatment with any facial cosmetic procedure (e.g. dermal
    filling,chemical peeling, photo rejuvenation) in the forehead, glabellar,
    and/or periorbitalarea within the last 8 months before injection.
    • Any previous insertion of permanent material in the forehead,
    glabellar, and/or periorbital area (regardless of the time between previous treatment and this study).
    • Planned treatment with Botulinum toxin of any serotype in the face
    during the study period.
    • Any other planned facial cosmetic procedure in the face during the
    study period.
    • Very severe lines (HFL, GFL, and/or LPL) at maximum contraction as
    assessed by the investigator according to the Merz Aesthetics Scales.
    • Inability to substantially lessen UFL (HFL, GFL, LPL) by physically
    spreading them apart.
    • Any surgery or scars in the forehead, glabellar, or periorbital area.
    • Marked facial asymmetry.
    • Eyelid ptosis.
    • Marked brow ptosis.
    • History of facial nerve palsy.
    • Any infection and/or inflammation at the planned injection points.
    E.5 End points
    E.5.1Primary end point(s)
    Main period only:
    • Response at maximum contraction for the three treated areas, as
    assessed by the investigator according to the Merz Aesthetics Scales, i.e.
    a score of none (0) or mild (1).
    • Response at maximum contraction simultaneously for all three
    treatment areas, as assessed by the investigator according to the Merz
    Aesthetics Scales, i.e. a sum score of 3 or lower.
    E.5.1.1Timepoint(s) of evaluation of this end point
    Day 30
    E.5.2Secondary end point(s)
    Main period:
    • Response at maximum contraction and at rest at days 8, 60, 90, and
    120 for the three treated areas, as assessed by the investigator's rating
    and by the subject according to the Merz Aesthetics Scales, i.e. a score of
    none (0) or mild (1).
    • Response at maximum contraction and at rest at days 8, 30, 60, 90,
    and 120 for the three treated areas, as assessed independently from
    each other by the investigator's and the subject's rating according to the
    Merz Aesthetics Scales, i.e. an improvement of at least 1 point.
    • Response at day 30 for the overall appearance of the upper face, as
    assessed independently from each other by the investigator and the
    subject according to the Global Impression of Change Scale, i.e. a score
    of much improved (+2) or very much improved (+3).
    • Onset of effect after each treatment for all three treated areas.
    Open-Label Extension (OLEX) period:
    • Response at maximum contraction and at rest at days 8, 30, 75, and
    120 for the three treated areas, as assessed by the investigator's rating
    and by the subject according to the Merz Aesthetics Scales, i.e. a score of
    none (0) or mild (1).
    • Response at maximum contraction and at rest at days 8, 30, 75, and
    120 for the three treated areas, as assessed independently from each
    other by the investigator's and subject's rating according to the Merz
    Aesthetics Scales, i.e. an improvement of at least 1 point.
    • Response at day 30 for the overall appearance of the upper face, as
    assessed independently from each other by the investigator and the
    subject according to the Global Impression of Change Scale, i.e. a score
    of much improved (+2) or very much improved (+3).
    • Onset of effect after each treatment for each of the three treated areas.
    E.5.2.1Timepoint(s) of evaluation of this end point
    see E5-2.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other Yes
    E.8.1.7.1Other trial design description
    Main period as above and as indicated in E8-2. OLEX period: Open label uncontrolled extension
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned2
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA10
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    LVLS
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months2
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months2
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1Number of subjects for this age range: 0
    F.1.1.1In Utero No
    F.1.1.1.1Number of subjects for this age range: 0
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.2.1Number of subjects for this age range: 0
    F.1.1.3Newborns (0-27 days) No
    F.1.1.3.1Number of subjects for this age range: 0
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.4.1Number of subjects for this age range: 0
    F.1.1.5Children (2-11years) No
    F.1.1.5.1Number of subjects for this age range: 0
    F.1.1.6Adolescents (12-17 years) No
    F.1.1.6.1Number of subjects for this age range: 0
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 144
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 6
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state30
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 150
    F.4.2.2In the whole clinical trial 150
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    The drug will not be provided to subjects after the study has finished.
    G. Investigator Networks to be involved in the Trial
    G.4 Investigator Network to be involved in the Trial: 1
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2012-06-14
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2012-06-11
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2013-10-05
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