A Phase 2, Randomized, Double-Blind, Placebo-Controlled Trial Assessing the Safety and Efficacy of OBI-858 in Patients with Moderate-to-Severe Glabellar Lines - Report - MDSpire

A Phase 2, Randomized, Double-Blind, Placebo-Controlled Trial Assessing the Safety and Efficacy of OBI-858 in Patients with Moderate-to-Severe Glabellar Lines

  • By

  • Yu-Hsiu Yen

  • Tzu-Wen Tsau

  • Chih-Hung Lee

  • Hsin-Han Chen

  • Chih-Hung Lin

  • Tim-Mo Chen

  • Chi-Ming Pu

  • November 1, 2025

  • 0 min

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Clinical Report: Efficacy and Safety of OBI-858 in Glabellar Lines

Overview

The phase II trial demonstrated that OBI-858 at 20U significantly reduced glabellar lines compared to 10U and placebo, with effects lasting up to 24 weeks. The treatment exhibited rapid onset and a favorable safety profile, indicating its potential as a next-generation botulinum toxin.

Background

Moderate-to-severe glabellar lines are a prevalent aesthetic concern with limited treatment options that often require frequent reinjections. OBI-858, a novel 760 kDa botulinum toxin type A complex, aims to address these unmet needs by providing longer-lasting effects and improved patient satisfaction. This study evaluates the safety and efficacy of OBI-858, contributing to the understanding of its clinical profile compared to existing formulations.

Data Highlights

DosageWrinkle ReductionDuration of Effect
10ULess effectiveShorter
20USignificantly betterUp to 24 weeks
PlaceboNo significant effectN/A

Key Findings

  • OBI-858 at 20U provided significantly better wrinkle reduction than 10U or placebo.
  • Effects of OBI-858 lasted up to 24 weeks.
  • Rapid onset of action was observed, with initial response by day 3.
  • The treatment demonstrated sustained subject satisfaction throughout the study.
  • OBI-858 exhibited a favorable safety profile with minimal adverse events.

Clinical Implications

Clinicians may consider OBI-858 as a viable option for patients seeking longer-lasting treatment for glabellar lines. The rapid onset and sustained efficacy could enhance patient satisfaction and adherence to treatment regimens.

Conclusion

The findings from this phase II trial support the potential of OBI-858 as an effective and safe treatment for moderate-to-severe glabellar lines, warranting further investigation in larger studies.

References

  1. A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of OBI-858 for the Treatment of Moderate-to-Severe Glabellar Lines
  2. Retinal Physician — Clinical Trial Update November/December 2023
  3. Retinal Physician — Clinical Trial Update October 2023
  4. Retinal Physician — CLINICAL TRIAL UPDATE
  5. Glaucoma Physician — Glaucoma Clinical Trials
  6. Clinical Trial Update November/December 2023
  7. Clinical Trial Update October 2023
  8. CLINICAL TRIAL UPDATE
  9. Label
  10. Comparison of Botulinum Toxin A Formulations for Glabellar Strain Treatment in Women: A Double-Blind Randomized Clinical Trial
  11. A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of OBI-858 for the Treatment of Moderate-to-Severe Glabellar Lines

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