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CTRI Number  CTRI/2022/09/045312 [Registered on: 07/09/2022] Trial Registered Prospectively
Last Modified On: 24/02/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   To study the safety and efficacy of Botulinum toxin A in patients with (crow’s feet) Wrinkles around the outer corner of eyes. 
Scientific Title of Study   Comparison of safety and efficacy of 2 brands of Botulinum Toxin A for the treatment of crow’s feet: A Split face study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
CACS-GBL-002, Version:01, 26 July 2022  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Chaithra Shenoy 
Designation  Lead Aesthetic Dermatologist & Consultant Dermatologist 
Affiliation  CUTIS Academy of Cutaneous Sciences 
Address  Dept. of Aesthetic Dermatology Room No:7 5/1,4th Main, MRCR Layout, Vijayanagar

Bangalore
KARNATAKA
560040
India 
Phone    
Fax    
Email  chaithrashenoy@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ritu Agrawal 
Designation  Consultant Dermatologist 
Affiliation  CUTIS Academy of Cutaneous Sciences 
Address  5/1,4th Main, MRCR Layout, Vijayanagar

Bangalore
KARNATAKA
560040
India 
Phone    
Fax    
Email  rituagrawal25@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ritu Agrawal 
Designation  Consultant Dermatologist 
Affiliation  CUTIS Academy of Cutaneous Sciences 
Address  5/1,4th Main, MRCR Layout, Vijayanagar

Bangalore
KARNATAKA
560040
India 
Phone    
Fax    
Email  rituagrawal25@gmail.com  
 
Source of Monetary or Material Support  
CUTIS Academy of Cutaneous Sciens 5/1,4th Main, MRCR layout, Vijayanagar, bangalore 560040 
 
Primary Sponsor  
Name  Gufic Biosciences Ltd 
Address  1st to 4th Floor, S.M. HOUSE, 11, SAHAKAR ROAD, VILE PARLE EAST, Mumbai, Maharashtra, 400057 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ritu Agrawal  CUTIS Academy of Cutaneous Sciences  Deparment of Dermatology 1st floor, Room No:9 5/1,4th Main, MRCR Layout, Vijayanagar
Bangalore
KARNATAKA 
9460438940

rituagrawal25@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
CUTIS Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  crow’s feet 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Botulinum toxin A Indian Brand (STUNNOX)  Reconstituted toxin injected 3 sites on one site (3-4 units at each site) 
Comparator Agent  Botulinum toxin A International Brand  Reconstituted toxin injected 3 sites on other site (3-4 units at each site) 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  18 years and above
Both Male and Female
Moderate to severe lateral canthal lines associated with orbicularis oculi activity 
 
ExclusionCriteria 
Details  a) Known Hypersensitivity to Botulinum Toxin
b) Subjects with neuromuscular disorders (myasthenia gravis, Lambert-Eaton myasthenic syndrome, amyotrophic lateral sclerosis, or motor neuropathy)
c) Subjects who used medications that interfere with the neuromuscular function, such as aminoglycoside antibiotics and curare-like agents, within 4 weeks before screening.
d) Subjects with a previous injection of botulinum toxin Type A within 3 months or cosmetic procedures associated with crow’s feet
e) Pregnancy and lactation  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To study the safety and efficacy of Botulinum toxin A on the crow’s feet  After 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
The severity of crow’s feet on both sides will be assessed, using a facial wrinkle scale (FWS) with grades of 0 (none), 1 (mild), 2 (moderate), and 3 (severe) at maximum smile and at rest. Day 0, Week 4, Week 8 And Week 12  After 3 months 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "50"
Final Enrollment numbers achieved (India)="50" 
Phase of Trial   N/A 
Date of First Enrollment (India)   13/09/2022 
Date of Study Completion (India) 20/09/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 22/03/2023 
Estimated Duration of Trial   Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Not yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Facial wrinkles are classified as dynamic wrinkles that occur with facial expression and static wrinkles that appear at rest. Static wrinkles are caused by cutaneous sagging or a decrease in the subcutaneous fat layer and atrophy of the dermis1. Dynamic wrinkles, caused by repeated muscular contraction, can be improved with botulinum toxin injection. Crow’s feet, are horizontal lines in the lateral canthal area that appear when smiling. Crow’s feet are predominantly associated with the action of the lateral orbicularis oculi muscle and partially with that of the zygomaticus muscle.2 Botulinum toxin injection is the most commonly performed nonsurgical procedure worldwide.3

 
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