Evidence map›Paper›PMID 34787840›Full record

ReviewDrugs2021

Overview of DaxibotulinumtoxinA for Injection: A Novel Formulation of Botulinum Toxin Type A.

Nowell Solish, Jean Carruthers, Joely Kaufman, Roman G Rubio, Todd M Gross, Conor J Gallagher

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Drugs, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06195241 (The Safety and Efficacy of DaxibotulinumtoxinA-Lanm for Benign Essential Blepharospasm and Hemifacial Spasm), which is not on this map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
6.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06195241 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

The Safety and Efficacy of DaxibotulinumtoxinA-Lanm for Benign Essential Blepharospasm and Hemifacial Spasm

TypeinterventionalSponsorMontefiore Medical CenterRan2025 to 2027Enrolled40ConditionsBenign Essential Blepharospasm, Hemifacial SpasmArmsDaxibotulinumtoxinA
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
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  6. Review
  7. Therapeutic botulinum toxin preparations: an update.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Nowell SolishUniversity of Toronto, Toronto, Canada.
Jean CarruthersUniversity of British Columbia and Jean Carruthers Cosmetic, Vancouver, BC, Canada.
Joely KaufmanSkin Associates of South Florida, Coral Gables, FL, USA.
Roman G RubioRevance Therapeutics, Inc., 7555 Gateway Boulevard, Newark, CA, 94560, USA.
Todd M GrossRevance Therapeutics, Inc., 7555 Gateway Boulevard, Newark, CA, 94560, USA.
Conor J GallagherRevance Therapeutics, Inc., 7555 Gateway Boulevard, Newark, CA, 94560, USA. cgallagher@revance.com.
University of British Columbia · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Botulinum toxin type A (BoNTA) products are widely used for therapeutic and aesthetic indications, but there is a need for longer-lasting treatments that maintain symptom relief between injections and reduce the frequency of re-treatment. DaxibotulinumtoxinA for Injection (DAXI) is a novel BoNTA product containing highly purified 150-kDa core neurotoxin and is the first to be formulated with a proprietary stabilizing excipient peptide (RTP004) instead of human serum albumin. The positively charged RTP004 has been shown to enhance binding of the neurotoxin to neuronal surfaces, which may enhance the likelihood of neurotoxin internalization. DAXI produces robust, extended efficacy across both aesthetic and therapeutic indications. In an extensive glabellar lines clinical program, DAXI showed a high degree of efficacy, a consistent median time to loss of none or mild glabellar line severity of 24 weeks, and median time until return to baseline of up to 28 weeks. In adults with cervical dystonia, DAXI at 125 U and 250 U significantly improved Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) total scores, with a median duration of efficacy of 24 and 20 weeks, respectively, which compares favorably with the 12-14 weeks' duration reported for approved BoNTA products. Overall, DAXI was well tolerated, and the consistent extended duration of effect suggests that DAXI has the potential to improve the management of both aesthetic and therapeutic conditions.

Indexed as

Botulinum Toxins, Type AClinical Trials as TopicDelayed-Action PreparationsDose-Response Relationship, DrugHumansHydrogen-Ion ConcentrationNeuromuscular AgentsPeptidesSkin AgingTorticollisBotulinum Toxins, Type ADelayed-Action PreparationsNeuromuscular AgentsPeptides

Identifiers

PMID34787840
PMCPMC8648634
OpenAlexW3212182787

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.