Clinical trial Recruiting at 3 sites Phase 4 Interventional Ages 18 and up Women only

Head-to-Head Comparison of BoNT-A Treatments for Glabellar Lines

Official title: Head-to-Head Comparison of the Efficacy and Safety of All Five Commercially Available Botulinum Neurotoxin Type A Products for the Treatment of Glabellar Rhytides: A Multicenter, Double-Blind, Randomized Controlled Trial

Run by Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) · NCT06448676 · Data updated 2026-11-12

A multicenter, triple-blind study will test all FDA-approved Botulinum Neurotoxin Type A products to see which best reduces glabellar frown lines and lasts the longest.

More Wrinkle trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment325 (estimated)
SponsorAcademisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Academic / other
Locations3 sites (Amsterdam and 2 other locations)
StatusRecruiting
StartedFebruary 2, 2026
Main results expectedJanuary 15, 2027
Study endsFebruary 1, 2027
Registry record updatedAugust 14, 2026
Trial IDNCT06448676 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Women aged 18 and older with moderate to severe glabellar lines who consent and meet ASA 1 or 2.

Probably not a fit

Individuals with ASA 3 or higher, neuromuscular disorders, pregnancy or breastfeeding, or prior lifetime Botulinum toxin treatment may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized, multicenter trial compares all five FDA-approved BoNT-A products for treating moderate to severe glabellar lines in adult women. Participants will receive one BoNT-A formulation, with follow-up through 16 weeks and weekly selfie photos to document changes. Blinding is maintained to avoid bias, and safety is monitored throughout. Data will be analyzed for duration of effect and adverse events, using standard clinical scales and Kaplan-Meier methods.

Why it matters

Potential benefit: If successful, the study could identify the BoNT-A product that provides the longest-lasting wrinkle reduction.

How similar studies have gone: Previous research has explored individual BoNT-A products, but comprehensive head-to-head comparisons across all approved products are limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Women aged 18 years or over, with moderate to severe glabellar lines
* Willing to provide written informed consent
* American Society of Anesthesiologists (ASA) Physical Status Classification 1 or 2
* Negative pregnancy test

Exclusion Criteria:

* ASA Classification 3 or over
* History of hypersensitivity or adverse reactions to botulinum toxin or any of its components
* Infection at the injection site
* Previous treatment with botulinum toxin (lifetime)
* Pregnant or breastfeeding women
* Neuromuscular disorders or conditions that could interfere with the study assessments

Where it's running

  • Faceland
    Amsterdam, Netherlands
    Recruiting
  • Faceland
    Eindhoven, Netherlands
    Recruiting
  • Faceland
    Utrecht, Netherlands
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.