2022 / Randomized, double-blind, placebo-controlled phase III

Why the definition of “responder” matters.

What changes when both patient and investigator must agree?

Source access: publication abstract

The study#

Design
Randomized, double-blind, placebo-controlled phase III
Population
355 participants with glabellar lines
Follow-up / endpoint
Week 4 primary response
Source
Aesthetic Surgery Journal, 2022 · PMID 35092418

What the authors found#

Composite response was 64.7% with letibotulinumtoxinA and 0% with placebo. Investigator-only and participant-only rates were higher.[1]

composite responders at week 4
LetibotulinumtoxinA64.7%
Placebo0%
Each bar uses the same 0–100% scale. Values are study-specific; confidence intervals are not supplied here.

Editorial interpretation

Why it is interesting#

Requiring both ratings and at least two-grade improvement creates a stricter endpoint.

Compare endpoint definitions before comparing percentages.

What it cannot tell us#

  • Not an active-comparator trial.
  • Different scales and responder definitions prevent simple comparison with another toxin trial.

Selection for this library reflects educational interest. It is not a systematic search, formal certainty grade, or complete account of the literature.

Funding & commercial context#

Consult the publication's full text for funding and conflict-of-interest statements; the abstract does not provide a complete disclosure.

Continue with the product

Source & citation#

Mueller et al. — letibotulinumtoxinA phase III trial ↗

Checked 2026-09-06 · Aesthetic Surgery Journal, 2022 · PMID 35092418. Cite the original publication when discussing its results; this page is an interpretation.

Aesthetic Pass. Why the definition of “responder” matters. Product Atlas research interpretation 2026.09.06.1. https://aestheticpass.com/products/studies/letybo-composite-response/