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Patient Satisfaction Study of Combined Facial Treatment With BOTOX® Cosmetic, JUVÉDERM® and LATISSE® (HARMONY Study)

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02176356
Enrollment
116
Registered
2014-06-27
Start date
2014-06-30
Completion date
2015-05-03
Last updated
2019-01-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Facial Rhytides, Crow's Feet Lines, Glabellar Lines, Nasolabial Fold

Brief summary

A study to evaluate patient satisfaction, aesthetic and psychological impact of combined treatment with BOTOX® Cosmetic (onabotulinumtoxinA), JUVÉDERM® ULTRA XC, JUVÉDERM® ULTRA PLUS XC, JUVÉDERM® VOLUMA® XC, and LATISSE® (bimatoprost ophthalmic solution).

Interventions

BIOLOGICALonabotulinumtoxinA

onabotulinumtoxinA (BOTOX® Cosmetic) 20U total dose per treatment to glabellar areas and/or 24U total dose per treatment to crow's feet line areas.

bimatoprost ophthalmic solution 0.03% (LATISSE®) 1 drop applied to the upper eyelid at the base of eyelashes once daily in the evening for 17 weeks.

DEVICEJUVÉDERM® ULTRA XC

JUVÉDERM® ULTRA XC, a hyaluronic acid gel implant (dermal filler), volume injected determined by the investigator.

DEVICEJUVÉDERM® ULTRA PLUS XC

JUVÉDERM® ULTRA PLUS XC, a hyaluronic acid gel implant (dermal filler), volume injected determined by the investigator.

JUVÉDERM® VOLUMA® XC, a hyaluronic acid gel implant (dermal filler), volume injected determined by the investigator.

Sponsors

Allergan
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
35 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Qualified to receive treatment with BOTOX® Cosmetic, a facial filler (JUVÉDERM® ULTRA XC and/or JUVÉDERM® ULTRA Plus XC and/or JUVÉDERM® VOLUMA® XC) and LATISSE® treatment * Naïve to botulinum toxin therapy of any serotype for any indication * Naïve to prescription eyelash growth products of any type * Naïve to dermal filler treatment in the face and neck

Exclusion criteria

* Undergone facial plastic surgery, tissue grafting, tissue augmentation or facial dermal filler injections * Had laser, photomodulation, intense pulsed light, radio frequency, dermabrasion or chemical peel in the face or neck * Have received skin resurfacing (laser, photomodulation, intense pulsed light, radio frequency, dermabrasion, chemical peel, or non-ablative procedures) in the face or neck within 3 months * Systemic retinoid therapy within 1 year prior to study enrollment * Presence of inflammation at the proposed injection site(s) * Profound atrophy/excessive weakness of muscles in target areas of injection * Known immunization or hypersensitivity to any botulinum toxin serotype * Undergone oral surgery or dental procedures within 30 days * No visible eyelashes * Use of permanent eyeliner, eyelash implants, semi-permanent eyelash tint, dye or extension * Use of prescription eyelash growth products * Unwilling or unable to remove contact lenses prior to study medication application in the evening and keep lenses out for 30 minutes * Diagnosis of myasthenia gravis, Eaton-Lambert Syndrome, amyotrophic lateral sclerosis, or any other disease that might interfere with neuromuscular function.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Satisfaction With Facial Appearance Overall Using a 10-item QuestionnaireBaseline, Month 4Participants assessed their satisfaction with the way they look right now with their entire face in mind using a 10-item questionnaire. Possible responses to each question were: 1=Very dissatisfied, 2=Somewhat dissatisfied, 3-=Somewhat satisfied and 4=Very satisfied. The responses were added across items and transformed to a Rasch scale ranging from 0 (worst) to 100 (best). A positive change from Baseline indicates improvement.

Secondary

MeasureTime frameDescription
Change From Baseline in Age Appraisal Using a Visual Analogue Scale (VAS)Baseline, Month 4Participants assessed how old they think they look compared to their actual age using a VAS by placing a mark on a number on a horizontal line where the far left of the line= -15 (look 15 years younger), 0=look current age, to the far right of the line=15 (look 15 years older). A positive change from Baseline indicates improvement.
Change From Baseline in Social Confidence Using an 8-item QuestionnaireBaseline, Month 4Participants assessed their social confidence with their facial appearance in mind in the past week using an 8-item questionnaire. Possible responses for each question are 1=Definitely disagree, 2=Somewhat disagree, 3=Somewhat agree or 4= Definitely agree. The responses were added across items and transformed to a Rasch score ranging from 0 (worst) to 100 (best). A positive change from Baseline indicates improvement.
Change From Baseline in Psychological Well-Being Using a 10-item QuestionnaireBaseline, Month 4Participants assessed their psychological well-being with their facial appearance in mind using a 10-item questionnaire. Possible responses for each question are 1=Definitely disagree, 2=Somewhat disagree, 3=Somewhat agree or 4= Definitely agree. The responses were added across items and transformed to a Rasch score ranging from 0 (worst) to 100 (best). A positive change from Baseline indicates improvement.
Participant's Self- Perception of Age (SPA)Baseline, Month 4Participants assessed SPA by answering the question: How do you think your facial appearance looks compared to your age today? Participants recorded how many years younger or older they thought their facial appearance made them look. A negative result indicates improvement (a younger appearance).
Change From Baseline in Investigator's Assessment of Severity of Glabellar Lines (GLs) at Maximum Frown Using the Facial Wrinkle Scale (FWS)Baseline, Month 4The investigator assessed the severity of the participant's GLs using the 4-point FWS where: 0=None, 1=Mild, 2=Moderate or 3=Severe. A negative change from Baseline indicates improvement.
Change From Baseline in Investigator's Assessment of the Severity of Crow's Feet Lines (CFLs) at Maximum Smile Using the FWSBaseline, Month 4The investigator assessed the severity of the participant's CFLs using the 4-point FWS where: 0=None, 1=Mild, 2=Moderate or 3=Severe. A negative change from Baseline indicates improvement.
Change From Baseline in Aging Appearance Using a 7-item QuestionnaireBaseline, Month 4Participants rated how they look now using a 7-item questionnaire. Possible responses for each question are 1=Definitely disagree, 2=Somewhat disagree, 3=Somewhat agree or 4=Definitely agree. The responses were added across items and transformed to a Rasch score ranging from 0 (worst) to 100 (best). A positive change from Baseline indicates improvement.
Change From Baseline in the Investigator's Assessment of the Participant's Overall Mid-Face Volume Deficit Using the 6-Point MFVDSBaseline, Month 4The investigator assessed overall mid-face volume deficit using the Mid-face Volume Deficit Scale (MFVDS) where: 0=None (moon face; fullness) \[best\], 1=Minimal (flattening), 2=Mild (mild concavity), 3=Moderate (moderate concavity, 4=Significant (significant concavity) and 5=Severe (wasting) \[worst\]. A negative change from Baseline indicates improvement.
Change From Baseline in the Investigator's Assessment of the Participant's Nasolabial Folds SeverityBaseline, Month 4The investigator assessed the participants nasolabial folds severity using the 5-Point Nasolabial Fold Severity (NLFS) Scale where: 0=None (no wrinkles) \[best\], 1=Mild (shallow, just perceptible wrinkle), 2=Moderate (moderately deep wrinkle), 3=Severe (deep wrinkle) or 4= Extreme (very deep wrinkle). A negative change from Baseline indicates improvement.
Change From Baseline in the Investigator's Assessment of the Participant's Oral Commissures SeverityBaseline, Month 4The investigator assessed the participant's oral commissure using the 4-Point Oral Commissure Severity Scale (OCSS) where: 0=None, 1=Mild, 2=Moderate or 3=Severe. A negative change from Baseline indicates improvement.
Change From Baseline in the Investigator's Assessment of the Participant's Perioral Lines SeverityBaseline, Month 4The investigator assessed the participant's perioral lines severity using the 4-Point Perioral Lines at Rest Severity Scale (POLSS) where: 0=None (no lines) \[best\], 1=Mild (few, shallow lines), 2=Moderate (some moderate lines) or 3=Severe (many deep lines or crevices)\[worst\]. A negative change from Baseline indicates improvement.
Change From Baseline in the Participant Satisfaction With Appearance of Periorbital AreaBaseline, Month 4Participants assessed how their overall eye appearance has affected them over the past 7 days using the 9-item Periorbital Aesthetic Appearance Questionnaire (PAAQ). Possible responses to each question were: 0=Never (best), 1=Rarely, 2=Some of the time, 3=Most of the time and 4=All of the time with a total possible score of 0 to 36. A negative change from Baseline indicates improvement.
Change From Baseline in Investigator's Global Eyelash Assessment Score (GEAS)Baseline, Month 4The investigator assessed the participant's eyelash prominence using the 4-point GEAS where: 1=Minimal (worst), 2=Moderate, 3=Marked and 4=Very Marked (best). A positive change from Baseline indicates improvement.

Countries

United States

Participant flow

Participants by arm

ArmCount
All Participants
JUVÉDERM® ULTRA XC and/or JUVÉDERM® ULTRA PLUS XC and/or JUVÉDERM® VOLUMA® XC injection into facial areas, volume as determined by the investigator on Day 1 with additional treatment at Day 14 if applicable. LATISSE® 1 drop applied to upper eyelid at the base of the eyelashes once daily in the evening for 17 weeks beginning on Day 1. BOTOX® Cosmetic 20U total dose per treatment to glabellar areas and/or 24U total dose per treatment to crow's feet line areas at Month 3.
100
Total100

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyLost to Follow-up4
Overall StudyOther Miscellaneous Reasons2
Overall StudyPersonal Reasons3
Overall StudyScreen Failure14

Baseline characteristics

CharacteristicAll Participants
Age, Continuous52.5 years
STANDARD_DEVIATION 7.4
Sex: Female, Male
Female
96 Participants
Sex: Female, Male
Male
4 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
18 / 100
serious
Total, serious adverse events
0 / 100

Outcome results

Primary

Change From Baseline in Satisfaction With Facial Appearance Overall Using a 10-item Questionnaire

Participants assessed their satisfaction with the way they look right now with their entire face in mind using a 10-item questionnaire. Possible responses to each question were: 1=Very dissatisfied, 2=Somewhat dissatisfied, 3-=Somewhat satisfied and 4=Very satisfied. The responses were added across items and transformed to a Rasch scale ranging from 0 (worst) to 100 (best). A positive change from Baseline indicates improvement.

Time frame: Baseline, Month 4

Population: Modified Intent-to-Treat (mITT) population included all participants who received all 3 treatments and had a Baseline and at least 1 post-treatment efficacy assessment.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsChange From Baseline in Satisfaction With Facial Appearance Overall Using a 10-item QuestionnaireBaseline41.22 score on a scaleStandard Deviation 11.97
All ParticipantsChange From Baseline in Satisfaction With Facial Appearance Overall Using a 10-item QuestionnaireChange from Baseline at Month 431.70 score on a scaleStandard Deviation 20
Secondary

Change From Baseline in Age Appraisal Using a Visual Analogue Scale (VAS)

Participants assessed how old they think they look compared to their actual age using a VAS by placing a mark on a number on a horizontal line where the far left of the line= -15 (look 15 years younger), 0=look current age, to the far right of the line=15 (look 15 years older). A positive change from Baseline indicates improvement.

Time frame: Baseline, Month 4

Population: Participants from the mITT population, all participants who received all 3 treatments and had a Baseline and at least 1 post-treatment efficacy assessment, with data available for analysis.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsChange From Baseline in Age Appraisal Using a Visual Analogue Scale (VAS)Baseline0.1 yearsStandard Deviation 4.28
All ParticipantsChange From Baseline in Age Appraisal Using a Visual Analogue Scale (VAS)Change from Baseline at Month 4 (n=92)-4.6 yearsStandard Deviation 4.36
Secondary

Change From Baseline in Aging Appearance Using a 7-item Questionnaire

Participants rated how they look now using a 7-item questionnaire. Possible responses for each question are 1=Definitely disagree, 2=Somewhat disagree, 3=Somewhat agree or 4=Definitely agree. The responses were added across items and transformed to a Rasch score ranging from 0 (worst) to 100 (best). A positive change from Baseline indicates improvement.

Time frame: Baseline, Month 4

Population: mITT population included all participants who received all 3 treatments and had a Baseline and at least 1 post-treatment efficacy assessment.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsChange From Baseline in Aging Appearance Using a 7-item QuestionnaireBaseline45.07 score on a scaleStandard Deviation 18.85
All ParticipantsChange From Baseline in Aging Appearance Using a 7-item QuestionnaireChange from Baseline at Month 428.47 score on a scaleStandard Deviation 21.47
Secondary

Change From Baseline in Investigator's Assessment of Severity of Glabellar Lines (GLs) at Maximum Frown Using the Facial Wrinkle Scale (FWS)

The investigator assessed the severity of the participant's GLs using the 4-point FWS where: 0=None, 1=Mild, 2=Moderate or 3=Severe. A negative change from Baseline indicates improvement.

Time frame: Baseline, Month 4

Population: Participants from the mITT population, all participants who received all 3 treatments and had a Baseline and at least 1 post-treatment efficacy assessment, with data available for analysis.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsChange From Baseline in Investigator's Assessment of Severity of Glabellar Lines (GLs) at Maximum Frown Using the Facial Wrinkle Scale (FWS)Baseline2.6 score on a scaleStandard Deviation 0.5
All ParticipantsChange From Baseline in Investigator's Assessment of Severity of Glabellar Lines (GLs) at Maximum Frown Using the Facial Wrinkle Scale (FWS)Change from Baseline at Month 4-1.6 score on a scaleStandard Deviation 0.78
Secondary

Change From Baseline in Investigator's Assessment of the Severity of Crow's Feet Lines (CFLs) at Maximum Smile Using the FWS

The investigator assessed the severity of the participant's CFLs using the 4-point FWS where: 0=None, 1=Mild, 2=Moderate or 3=Severe. A negative change from Baseline indicates improvement.

Time frame: Baseline, Month 4

Population: Participants from the mITT population, all participants who received all 3 treatments and had a Baseline and at least 1 post-treatment efficacy assessment, with data available for analysis.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsChange From Baseline in Investigator's Assessment of the Severity of Crow's Feet Lines (CFLs) at Maximum Smile Using the FWSRight_Baseline2.5 score on a scaleStandard Deviation 0.5
All ParticipantsChange From Baseline in Investigator's Assessment of the Severity of Crow's Feet Lines (CFLs) at Maximum Smile Using the FWSRight_Change from Baseline at Month 4-1.0 score on a scaleStandard Deviation 0.85
All ParticipantsChange From Baseline in Investigator's Assessment of the Severity of Crow's Feet Lines (CFLs) at Maximum Smile Using the FWSLeft_Baseline2.5 score on a scaleStandard Deviation 0.5
All ParticipantsChange From Baseline in Investigator's Assessment of the Severity of Crow's Feet Lines (CFLs) at Maximum Smile Using the FWSLeft_Change from Baseline at Month 4-1.0 score on a scaleStandard Deviation 0.85
Secondary

Change From Baseline in Investigator's Global Eyelash Assessment Score (GEAS)

The investigator assessed the participant's eyelash prominence using the 4-point GEAS where: 1=Minimal (worst), 2=Moderate, 3=Marked and 4=Very Marked (best). A positive change from Baseline indicates improvement.

Time frame: Baseline, Month 4

Population: Participants from the mITT population, all participants who received all 3 treatments and had a Baseline and at least 1 post-treatment efficacy assessment, with data available for analysis.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsChange From Baseline in Investigator's Global Eyelash Assessment Score (GEAS)Baseline1.8 score on a scaleStandard Deviation 0.42
All ParticipantsChange From Baseline in Investigator's Global Eyelash Assessment Score (GEAS)Change from Baseline at Month 41.5 score on a scaleStandard Deviation 0.65
Secondary

Change From Baseline in Psychological Well-Being Using a 10-item Questionnaire

Participants assessed their psychological well-being with their facial appearance in mind using a 10-item questionnaire. Possible responses for each question are 1=Definitely disagree, 2=Somewhat disagree, 3=Somewhat agree or 4= Definitely agree. The responses were added across items and transformed to a Rasch score ranging from 0 (worst) to 100 (best). A positive change from Baseline indicates improvement.

Time frame: Baseline, Month 4

Population: mITT population included all participants who received all 3 treatments and had a Baseline and at least 1 post-treatment efficacy assessment.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsChange From Baseline in Psychological Well-Being Using a 10-item QuestionnaireBaseline62.78 score on a scaleStandard Deviation 22.45
All ParticipantsChange From Baseline in Psychological Well-Being Using a 10-item QuestionnaireChange from Baseline at Month 419.89 score on a scaleStandard Deviation 20.63
Secondary

Change From Baseline in Social Confidence Using an 8-item Questionnaire

Participants assessed their social confidence with their facial appearance in mind in the past week using an 8-item questionnaire. Possible responses for each question are 1=Definitely disagree, 2=Somewhat disagree, 3=Somewhat agree or 4= Definitely agree. The responses were added across items and transformed to a Rasch score ranging from 0 (worst) to 100 (best). A positive change from Baseline indicates improvement.

Time frame: Baseline, Month 4

Population: mITT population included all participants who received all 3 treatments and had a Baseline and at least 1 post-treatment efficacy assessment.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsChange From Baseline in Social Confidence Using an 8-item QuestionnaireBaseline62.70 score on a scaleStandard Deviation 21.74
All ParticipantsChange From Baseline in Social Confidence Using an 8-item QuestionnaireChange from Baseline at Month 418.24 score on a scaleStandard Deviation 23.04
Secondary

Change From Baseline in the Investigator's Assessment of the Participant's Nasolabial Folds Severity

The investigator assessed the participants nasolabial folds severity using the 5-Point Nasolabial Fold Severity (NLFS) Scale where: 0=None (no wrinkles) \[best\], 1=Mild (shallow, just perceptible wrinkle), 2=Moderate (moderately deep wrinkle), 3=Severe (deep wrinkle) or 4= Extreme (very deep wrinkle). A negative change from Baseline indicates improvement.

Time frame: Baseline, Month 4

Population: Participants from the mITT population, all participants who received all 3 treatments and had a Baseline and at least 1 post-treatment efficacy assessment, with data available for analysis.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsChange From Baseline in the Investigator's Assessment of the Participant's Nasolabial Folds SeverityBaseline2.6 score on a scaleStandard Deviation 0.51
All ParticipantsChange From Baseline in the Investigator's Assessment of the Participant's Nasolabial Folds SeverityChange from Baseline at Month 4-1.0 score on a scaleStandard Deviation 0.85
Secondary

Change From Baseline in the Investigator's Assessment of the Participant's Oral Commissures Severity

The investigator assessed the participant's oral commissure using the 4-Point Oral Commissure Severity Scale (OCSS) where: 0=None, 1=Mild, 2=Moderate or 3=Severe. A negative change from Baseline indicates improvement.

Time frame: Baseline, Month 4

Population: Participants from the mITT population, all participants who received all 3 treatments and had a Baseline and at least 1 post-treatment efficacy assessment, with data available for analysis.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsChange From Baseline in the Investigator's Assessment of the Participant's Oral Commissures SeverityBaseline2.1 score on a scaleStandard Deviation 0.49
All ParticipantsChange From Baseline in the Investigator's Assessment of the Participant's Oral Commissures SeverityChange from Baseline at Month 4-0.9 score on a scaleStandard Deviation 0.67
Secondary

Change From Baseline in the Investigator's Assessment of the Participant's Overall Mid-Face Volume Deficit Using the 6-Point MFVDS

The investigator assessed overall mid-face volume deficit using the Mid-face Volume Deficit Scale (MFVDS) where: 0=None (moon face; fullness) \[best\], 1=Minimal (flattening), 2=Mild (mild concavity), 3=Moderate (moderate concavity, 4=Significant (significant concavity) and 5=Severe (wasting) \[worst\]. A negative change from Baseline indicates improvement.

Time frame: Baseline, Month 4

Population: Participants from the mITT population, all participants who received all 3 treatments and had a Baseline and at least 1 post-treatment efficacy assessment, with data available for analysis.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsChange From Baseline in the Investigator's Assessment of the Participant's Overall Mid-Face Volume Deficit Using the 6-Point MFVDSBaseline3.1 score on a scaleStandard Deviation 0.36
All ParticipantsChange From Baseline in the Investigator's Assessment of the Participant's Overall Mid-Face Volume Deficit Using the 6-Point MFVDSChange from Baseline at Month 4-1.7 score on a scaleStandard Deviation 0.8
Secondary

Change From Baseline in the Investigator's Assessment of the Participant's Perioral Lines Severity

The investigator assessed the participant's perioral lines severity using the 4-Point Perioral Lines at Rest Severity Scale (POLSS) where: 0=None (no lines) \[best\], 1=Mild (few, shallow lines), 2=Moderate (some moderate lines) or 3=Severe (many deep lines or crevices)\[worst\]. A negative change from Baseline indicates improvement.

Time frame: Baseline, Month 4

Population: Participants from the mITT population, all participants who received all 3 treatments and had a Baseline and at least 1 post-treatment efficacy assessment, with data available for analysis.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsChange From Baseline in the Investigator's Assessment of the Participant's Perioral Lines SeverityBaseline2.0 score on a scaleStandard Deviation 0.57
All ParticipantsChange From Baseline in the Investigator's Assessment of the Participant's Perioral Lines SeverityChange from Baseline at Month 4-1.1 score on a scaleStandard Deviation 0.68
Secondary

Change From Baseline in the Participant Satisfaction With Appearance of Periorbital Area

Participants assessed how their overall eye appearance has affected them over the past 7 days using the 9-item Periorbital Aesthetic Appearance Questionnaire (PAAQ). Possible responses to each question were: 0=Never (best), 1=Rarely, 2=Some of the time, 3=Most of the time and 4=All of the time with a total possible score of 0 to 36. A negative change from Baseline indicates improvement.

Time frame: Baseline, Month 4

Population: Participants from the mITT population, all participants who received all 3 treatments and had a Baseline and at least 1 post-treatment efficacy assessment, with data available for analysis.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsChange From Baseline in the Participant Satisfaction With Appearance of Periorbital AreaBaseline21.1 score on a scaleStandard Deviation 6.71
All ParticipantsChange From Baseline in the Participant Satisfaction With Appearance of Periorbital AreaChange from Baseline at Month 4-12.6 score on a scaleStandard Deviation 7.61
Secondary

Participant's Self- Perception of Age (SPA)

Participants assessed SPA by answering the question: How do you think your facial appearance looks compared to your age today? Participants recorded how many years younger or older they thought their facial appearance made them look. A negative result indicates improvement (a younger appearance).

Time frame: Baseline, Month 4

Population: mITT population included all participants who received all 3 treatments and had a Baseline and at least 1 post-treatment efficacy assessment.

ArmMeasureGroupValue (MEAN)Dispersion
All ParticipantsParticipant's Self- Perception of Age (SPA)Baseline0.2 yearsStandard Deviation 4.08
All ParticipantsParticipant's Self- Perception of Age (SPA)Month 4-4.6 yearsStandard Deviation 4.19

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026