Ogilvie 2019.
Study characteristics | ||
Methods |
Study design‐ multicentre, randomised, double‐blind, placebo‐controlled, parallel ‐design,phase III in glabellar lines (Period 1) and an open‐label extension (period 2) Study date‐ Start October 2014. Finished April 2016 Study setting‐ outpatients from 16 centres (9‐USA, 5‐Canada, 2‐Europe) |
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Participants |
Randomised 391 participants. Age 44.5 ±11.2 Onabotulinum group and 42.4 ±10.6 placebo group. Gender 85.9% female in OnabotulinumtoxinA group and 86.1% in placebo group. Inclusion criteria
Exclusion criteria
Ethnicity: Caucasian 89.7% in OnabotulinumtoxinA group and 86.1% in placebo group. Asian 3.1 in OnabotulinumtoxinA group and 5% in placebo. Others 7.2% in OnabotulinumtoxinA group and 8.9% in placebo group. Severity of the disease:(maximum frown):Moderate 47.6% in OnabotulinumtoxinA group and 47.5% in Placebo group. Severe 52.4 % in OnabotulinumtoxinA group and 52.4% in Placebo group. |
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Interventions |
Duration:Period 1‐ 6 months. Period 2‐6 months Intervention OnabotulinumtoxinA 40 U (20 U in FHL and 20 U in GL) administered at 10 injection sites Comparator Placebo same volume in FHL and in GL) administered at 10 injection sites Ratio: 3:1 (OnabotulinumtoxinA: placebo) |
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Outcomes |
Primary outcome
Secondary outcomes
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Notes | This study was funded by Allergan plc, Dublin, Ireland. Editorial support for this article was provided by Peloton Advantage, Parsippany, New Jersey, and was funded by Allergan plc. P. Ogilvie has received research support or speaking/consultant fees from Allergan plc, Evolus, Inc., Galderma, Merz Aesthetics, and Revance. A.Z. Rivkin serves as a consultant and investigator for Allergan plc and Merz Aesthetics. S. Dayan has received research support or speaking/consultant fees from Allergan plc, Galderma, Merz Aesthetics, and Valeant. S.G. Yoelin serves as a consultant and investigator for Allergan plc. B.M. Weichman was employed by Peloton Advantage, which received funding from Allergan plc for medical editing and editorial support. J.K. Garcia is an employee of Allergan plc and owns stock/options in the company. The opinions expressed in this article are those of the authors. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote:"The randomization assignment was obtained from an interactive voice/web response system,
which was based on a randomization scheme prepared by Allergan Biostatistics"...Page3 Comment: we consider a low risk of bias |
Allocation concealment (selection bias) | Low risk | Quote:"The randomization assignment was obtained from an interactive voice/web response system,
which was based on a randomization scheme prepared by Allergan Biostatistics"...Page3 Comment: we consider a low risk of bias |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Quote:The study comprised a 6‐month, double‐blind,placebo‐controlled"...Page 3 Comment: we consider unclear bias because the authors did not mention how they blinded the participants and staff |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Quote:The study comprised a 6‐month, double‐blind,placebo‐controlled"...Page 3 Comment: we consider unclear bias because the authors did not mention how they blinded the participants and staff |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Quote:"early discontinuations were mostly attributable to personal reasons or being lost to follow‐up (Figure 2...Page4 Comment: we consider unclear risk of bias because the authors did not mention the reasons of the drop‐out |
Selective reporting (reporting bias) | Low risk | All prespecified outcomes were reported Comments: we consider low risk of bias |
Other bias | Unclear risk | One of the authors was an employee of the sponsor |