Evidence map›Paper›PMID 40586136›Full record

Trial reportJournal of cosmetic dermatology2025

Efficacy and Safety of CKDB-501A in Treating Moderate-To-Severe Glabellar Lines: A Randomized, Double-Blind, Active-Controlled, Multi-Center Phase III Trial.

Sun Young Choi, Beom Joon Kim, Yang Won Lee, Won-Serk Kim, Yi Na Yoon, Jin Seop Kim

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05804656 (A Randomized, Double-blind, Active-controlled, Multi-center Phase 3 Trial to Investigate the Efficacy and Safety of CKDB-501A in Subjects With Moderate-to-severe Glabellar Lines), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT05804656 phase3completednot on this map

A Randomized, Double-blind, Active-controlled, Multi-center Phase 3 Trial to Investigate the Efficacy and Safety of CKDB-501A in Subjects With Moderate-to-severe Glabellar Lines

TypeinterventionalSponsorCKD Bio CorporationRan2023 to 2023Enrolled300ConditionsGlabellar LinesArmsCKDB-501A, Botox®
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Review
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.

Sun Young ChoiDepartment of Dermatology, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University College of Medicine, Gwangmyeong-si, Korea.ORCID https://orcid.org/0000-0003-0248-7708
Beom Joon KimDepartment of Dermatology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
Yang Won LeeDepartment of Dermatology, Konkuk University School of Medicine, Seoul, Korea.
Won-Serk KimDepartment of Dermatology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Yi Na YoonDepartment of Dermatology, Konkuk University School of Medicine, Seoul, Korea.
Jin Seop KimDepartment of Dermatology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

Funding

Chong Kun Dang BiO Corporation (Seoul, Korea)
6 · The paper itself

Abstract

backgroundBotulinum toxin is a key treatment for dynamic wrinkles.

objectiveThis study evaluates CKDB-501A, a botulinum toxin completely free from animal-derived components including human-serum albumin, comparing its efficacy and safety to onabotulinumtoxinA (ONA) for the treatment of moderate-to-severe glabellar lines.

methodsIn this phase 3 trial, 300 subjects with moderate-to-severe glabellar lines were randomized to receive CKDB-501A or ONA. The primary efficacy endpoint was the investigator-assessed improvement rate for frowning at week 4, defined as a ≥ 2-point improvement from baseline on the 4-point Facial Wrinkle Scale (FWS). Secondary efficacy endpoints included photo-assessed improvement rates and subjects' overall assessment and satisfaction. Safety was evaluated by the monitoring of adverse events (AEs) and neutralizing antibodies formation.

resultsAt week 4, 80.69% of the CKDB-501A group achieved a ≥ 2-point improvement in FWS score versus 70.83% for ONA, confirming non-inferiority (95% CI: 0.09-19.55, p = 0.0491). Secondary endpoints showed no significant differences between groups, with sustained efficacy up to 16 weeks. Approximately 70% maintained at least a 1-point improvement. Photo-assessed and subjects' overall improvement and satisfaction rates were consistent with primary findings. Both treatments had comparable safety profiles, with no AEs related to the local and distant spread of toxin, hypersensitivity reactions, or neutralizing antibodies formation.

conclusionCKDB-501A is a safe and effective alternative to existing botulinum toxin products for treating moderate-to-severe glabellar lines, offering benefits of improved biocompatibility and reduced risk of allergic reactions. CLINICALTRIALS: gov: NCT05804656.

Indexed as

Botulinum Toxins, Type ACosmetic TechniquesNeuromuscular AgentsSkin AgingAdultAgedDouble-Blind MethodFemaleForeheadHumansMaleMiddle AgedPatient SatisfactionSeverity of Illness IndexTreatment OutcomeBotulinum Toxins, Type ANeuromuscular Agentsanimal‐origin freeAsianbotulinum toxinglabellar lineshuman serum albumin free

Identifiers

PMID40586136
PMCPMC12207567

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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.