rimabotulinumtoxinB
Trade name: Myobloc
Approved
Dec 8, 2000
Botulinum toxin, or botulinum neurotoxin, is a neurotoxic protein produced by the bacterium Clostridium botulinum and related species. It prevents the release of the neurotransmitter acetylcholine from axon endings at the neuromuscular junction, thus causing flaccid paralysis. The toxin causes the disease botulism. The toxin is also used commercially for medical and cosmetic purposes. Botulinum toxin is an acetylcholine release inhibitor and a neuromuscular blocking agent. — Wikipedia
Clinical trial activity
552 trials · 313 clinical orgs · 3 marketing orgs
Earliest trial started Jan 1, 1997 (NCT00004416)
Timeline
1990s
- Jan 16, 1992
Orphan Drug Designation
- Jan 1, 1997
Earliest Phase 2 Sponsor(trial)
2000s
- Jan 1, 2000
Earliest Phase 3 Sponsor(trial)
- Dec 8, 2000
Solstice Neurosciences — Earliest FDA Approval
- Dec 8, 2000
Elan Pharmaceuticals — Marketing Organization
- Dec 8, 2000
Solstice Neurosciences — NDA Secondary Org
- Dec 8, 2000
Solstice Neurosciences — NDA Organization
- Jan 1, 2002
Earliest Phase 1 Sponsor(trial)
- Apr 29, 2009
Ipsen — Marketing Organization
Indications
Approved for
Studied for
- Acne Vulgaris · Phase 2
- Aging · Phase 4
- Alopecia · Phase 2/Phase 3
- Amyotrophic Lateral Sclerosis · Phase 2/Phase 3
- Anxiety · Phase 4
- Arm · Phase 3
- Arrhythmias, Cardiac · Phase 2
- Arthritis · Phase 4
- Atrial Fibrillation · Phase 2/Phase 3
- Atrial Flutter · Phase 2
- Atrophy · Phase 4
- Autonomic Dysreflexia · Phase 4
- Back Pain · Phase 4
- Blepharitis · Phase 4
- Blepharospasm · Phase 4
- Botulinum Toxins · Phase 4
- Botulinum Toxins, Type A · Phase 2
- Brachial Plexus Neuritis · Phase 4
- Brain Injuries · Phase 4
- Brain Injuries, Traumatic · Phase 3
- BRCA1 Protein · Phase 3
- Breast Diseases · Phase 4
- Breast Neoplasms · Phase 4
- Bruxism · Phase 4
- Burning Mouth Syndrome · Phase 2
- Carcinoma, Renal Cell · Phase 2
- Carpal Tunnel Syndrome · Phase 2
- Cerebral Palsy · Phase 4
- Cervix Uteri · Phase 2
- Child · Phase 3
- Chronic Disease · Phase 2
- Chronic Pain · Phase 4
- Cicatrix · Phase 4
- Cleft Lip · Phase 1/Phase 2
- Cleft Palate · Phase 1/Phase 2
- Clostridium Infections · Phase 4
- Cluster Headache · Phase 1/Phase 2
- Colostomy · Phase 2
- Constipation · Phase 4
- Contracture · Phase 2
- Coronary Artery Bypass · Phase 2
- Cystitis, Interstitial · Phase 4
- Darier Disease · Phase 1
- Defecation · Phase 2
- Dementia · Phase 2
- Depression · Phase 4
- Dermatitis, Seborrheic · Phase 1
- Dermatology · Phase 4
- Diabetic Neuropathies · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 2
- Dry Eye Syndromes · Phase 1
- Dystonia · Phase 3
- Dystonic Disorders · Phase 4
- Elbow · Phase 1/Phase 2
- Endocardial Fibroelastosis · Phase 4
- Endometriosis · Phase 1/Phase 2
- Epidermolysis Bullosa Simplex · Phase 2
- Erectile Dysfunction · Phase 2/Phase 3
- Esophageal Diseases · Phase 2
- Esophageal Neoplasms · Phase 2
- Esotropia · Phase 4
- Essential Tremor · Phase 4
- Esthetics · Phase 4
- Exotropia · Phase 4
- Eyebrows · Phase 4
- Eye Diseases · Phase 2/Phase 3
- Eyelid Diseases · Phase 4
- Face · Phase 4
- Facial Asymmetry · Phase 4
- Facial Nerve Injuries · Phase 4
- Facial Pain · Phase 4
- Fasciitis, Plantar · Phase 2/Phase 3
- Fecal Incontinence · Phase 3
- Fibromyalgia · Phase 4
- Finger Injuries · Phase 4
- Fissure in Ano · Phase 4
- Foot · Phase 2
- Foot Deformities · Phase 4
- Friedreich Ataxia · Phase 1/Phase 2
- General Surgery · Phase 2
- Granuloma · Phase 2
- Granuloma, Laryngeal · Phase 2
- Graves Ophthalmopathy · Phase 4
- Hallux Valgus · Phase 4
- Headache · Phase 3
- Headache Disorders · Phase 1/Phase 2
- Healthy Volunteers · Phase 4
- Hemifacial Spasm · Phase 3
- Hemiplegia · Phase 3
- Hyperalgesia · Phase 3
- Hyperhidrosis · Phase 4
- Hypertrophy, Left Ventricular · Phase 1
- Lacrimal Apparatus Diseases · Phase 2
- Leg Length Inequality · Phase 4
- Low Back Pain · Phase 4
- Lower Extremity Deformities, Congenital · Phase 3
- Lower Urinary Tract Symptoms · Phase 2
- Major Depressive Disorder · Phase 2
- Masseter Muscle · Phase 2
- Meningomyelocele · Phase 4
- Migraine Disorders · Phase 4
- Motor Neuron Disease · Phase 2
- Multiple Sclerosis · Phase 4
- Multiple System Atrophy · Phase 4
- Muscle Spasticity · Phase 4
- Mutation · Phase 3
- Myocardial Ischemia · Phase 2
- Myofascial Pain Syndromes · Phase 4
- Myoma · Phase 2
- Nasal Polyps · Phase 2
- Nasolabial Fold · Phase 4
- Neck Pain · Phase 1
- Neoplasms · Phase 4
- Neoplasms by Site · Phase 4
- Nervous System Diseases · Phase 3
- Neuralgia · Phase 4
- Neuralgia, Postherpetic · Phase 4
- Neuroma · Phase 2
- Nose · Phase 1/Phase 2
- Obesity · Phase 2
- Obesity, Morbid · Phase 2
- Opioid-Related Disorders · Phase 2
- Osteoarthritis · Phase 2/Phase 3
- Osteoarthritis, Knee · Phase 4
- Pain · Phase 4
- Paresis · Phase 2
- Parkinson Disease · Phase 4
- Parkinsonian Disorders · Phase 1
- Patellofemoral Pain Syndrome · Phase 3
- Pediatrics · Phase 3
- Pemphigus, Benign Familial · Phase 1
- Penile Induration · Phase 2
- Phobia, Social · Phase 4
- Placebos · Phase 3
- Polyneuropathies · Phase 4
- Postoperative Pain · Phase 3
- Post-Traumatic Headache · Phase 2
- Premature Ejaculation · Phase 2
- Prostatic Hyperplasia · Phase 3
- Prostatic Neoplasms · Phase 2/Phase 3
- Prostatitis · Phase 3
- Prostheses and Implants · Phase 2
- Pruritus · Phase 1/Phase 2
- Psoriasis · Phase 1
- Quality of Life · Phase 4
- Raynaud Disease · Phase 3
- Rectal Neoplasms · Phase 2
- Rectum · Phase 2/Phase 3
- Restless Legs Syndrome · Phase 2
- Rhinitis · Phase 2
- Rhinitis, Atrophic · Phase 1/Phase 2
- Rhytidoplasty · Phase 4
- Rotator Cuff Tear Arthropathy · Phase 2
- Scleroderma, Systemic · Phase 3
- Sclerosis · Phase 2
- Seminal Vesicles · Phase 3
- Sexual Dysfunction, Physiological · Phase 2/Phase 3
- Shoulder Pain · Phase 3
- Sialorrhea · Phase 3
- Skin Aging · Phase 4
- Skin Diseases · Phase 4
- Sleep Apnea Syndromes · Phase 2
- Sleep Bruxism · Phase 4
- Snoring · Phase 2
- Spasm · Phase 1/Phase 2
- Spinal Cord Injuries · Phase 4
- Squamous Cell Carcinoma of Head and Neck · Phase 1/Phase 2
- Stomach Neoplasms · Phase 2
- Stroke · Phase 4
- Stroke Rehabilitation · Phase 4
- Synkinesis · Phase 4
- Tachycardia, Ventricular · Phase 1
- Tardive Dyskinesia · Phase 1/Phase 2
- Temporomandibular Joint Disorders · Phase 1
- Temporomandibular Joint Dysfunction Syndrome · Phase 1
- Tendinopathy · Phase 2
- Tennis Elbow · Phase 3
- Thoracic Outlet Syndrome · Phase 2
- Torticollis · Phase 4
- Traumatology · Phase 4
- Tremor · Phase 4
- Trigeminal Neuralgia · Phase 3
- Ulcer · Phase 2
- Urethral Diseases · Phase 2/Phase 3
- Urinary Bladder · Phase 4
- Urinary Bladder Diseases · Phase 2
- Urinary Bladder, Neurogenic · Phase 4
- Urinary Bladder, Overactive · Phase 4
- Urinary Incontinence · Phase 4
- Urinary Incontinence, Stress · Phase 4
- Urinary Incontinence, Urge · Phase 4
- Urinary Retention · Phase 2/Phase 3
- Urination Disorders · Phase 3
- Vaginismus · Phase 3
- Vision, Ocular · Phase 4
- Vitiligo · Phase 4
- Vulvar Diseases · Phase 4
- Vulvar Vestibulitis · Phase 4
- Vulvodynia · Phase 3
- Walking · Phase 2
- Wounds and Injuries · Phase 1
Mechanism of action
VAMP2 inhibitor
Cleaves snare complex
Approval history
- approvedDec 8, 2000
Chemistry & pharmacology
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaBotulinum toxin ↗
- NCATS0Y70779M1F ↗
- ChEMBLCHEMBL1201574 ↗
- ChEMBLCHEMBL1201569 ↗
Also known as
- azzalure
- azzalure
- bont/a
- bontoxilysin a
- botulinum b toxin
- botulinum b toxin
- botulinum neurotoxin b
- botulinum neurotoxin type a precursor
- botulinum neurotoxin type b precursor
- botulinum toxin
- botulinum toxin
- botulinum toxin b
- botulinum toxin type b
- botulinum toxin type b
- botulinum toxin type b
- botulinum toxin type b
- botulinum toxin type b
- bta-20-ab
- btx-b
- btx-b
- btx-b
- btxb cpd
- clostridium botulinum b toxin
- elan brand of botulinum toxin type b
- incobotulinumtoxina
- myobloc
- myobloc
- myobloc
- myobloc
- neurobloc
- neurobloc
- rimabotulinumtoxinb
- rimabotulinumtoxinb
- rimabotulinumtoxinb
- rimabotulinumtoxinb
- rimabotulinum toxin b
- rimabotulinumtoxin b
- vistabel
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT05097079 | Phase 3 | Nov 30, 2021 | Solstice Neurosciences, Supernus Pharmaceuticals |
| NCT04815967 | Phase 2/Phase 3 (Phase 3) | Jul 30, 2021 | Supernus Pharmaceuticals |
| NCT04099667 | Phase 2/Phase 3 (Phase 3) | Oct 31, 2019 | US WorldMeds |
| NCT03284047 | N/A | Sep 27, 2018 | Northwestern University |
| NCT03459092 | Phase 3 | Jun 30, 2018 | University of Bern |
| NCT03367429 | Phase 4 | Jun 15, 2018 | Allergan, Cornell University |
| NCT03569098 | Phase 2 | Jun 13, 2018 | Ipsen |
| NCT03543254 | Phase 2 | Jun 1, 2018 | Mayo Clinic, Norwegian University of Science and Technology |
| NCT03462290 | Phase 2 | May 1, 2018 | Norwegian University of Science and Technology |
| NCT03472261 | Phase 3 | Mar 26, 2018 | Kocaeli University |
| NCT03456154 | Phase 4 | Mar 15, 2018 | Federal University of Pelotas |
| NCT03193359 | Phase 3 | Jan 15, 2018 | Allergan |
| NCT03369990 | Phase 2 | Dec 31, 2017 | Daewoong Pharmaceutical Co. LTD. |
| NCT03371342 | Phase 1 | Dec 31, 2017 | Medy-Tox |
| NCT03331913 | Phase 3 | Nov 7, 2017 | Capital Medical University, Zhengzhou University |
| NCT03373162 | Phase 4 | Sep 30, 2017 | Allergan, University of California, Irvine |
| NCT03186001 | Phase 4 | Jul 1, 2017 | St Joseph University of Beirut |
| NCT03187626 | Phase 2/Phase 3 (Phase 3) | Jul 1, 2017 | University of Paris |
| NCT03103074 | N/A | May 24, 2017 | Government of Norway, Hidrosis Clinic, Stockholm, Sweden, University Hospital of North Norway |
| NCT03136341 | Phase 4 | May 1, 2017 | Icahn School of Medicine at Mount Sinai, Ipsen |
Organizations
Research & Development (313)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Allergan | For profit | 129 | 68 | 5 | 2002 |
| Ipsen | For profit | 45 | 37 | 4 | 2003 |
| Revance Therapeutics, Inc. | For profit | 18 | 18 | 2 | 2008 |
| Merz | For profit | 15 | 10 | 4 | 2006 |
| Norwegian University of Science and Technology | Academic/Hospital | 13 | 13 | 2 | 2005 |
| National Institutes of Health (NIH) | Government | 10 | 2 | 4 | 1997 |
| University of British Columbia | Academic/Hospital | 10 | 10 | 4 | 2003 |
| Mayo Clinic | Academic/Hospital | 9 | 8 | 3 | 2005 |
| Medy-Tox | For profit | 9 | 7 | 4 | 2009 |
| Moscow State University | Academic/Hospital | 9 | 9 | 3 | 2012 |
| Department of Veteran Affairs | Government | 8 | 6 | 4 | 2003 |
| Chang Gung University | Academic/Hospital | 7 | 7 | 2 | 2000 |
| Tzu Chi University | Academic/Hospital | 7 | 7 | 1 | 2012 |
| Icahn School of Medicine at Mount Sinai | Academic/Hospital | 6 | 5 | 3 | 1999 |
| Northwestern University | Academic/Hospital | 6 | 6 | 2 | 2003 |
| Pontifical Catholic University of Rio Grande do Sul | Academic/Hospital | 6 | 6 | 1 | 2005 |
| University of Toronto | Academic/Hospital | 6 | 5 | 4 | 2006 |
| Daewoong Pharmaceutical Co. LTD. | For profit | 5 | 5 | 2 | 2012 |
| Emory University | Academic/Hospital | 5 | 5 | 4 | 2007 |
| Q-Med AB | For profit | 5 | 5 | 3 | 2014 |
Marketing (4)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Elan Pharmaceuticals | For profit | MKTG | Dec 8, 2000 |
| Ipsen | For profit | MKTG | Apr 29, 2009 |
| Solstice Neurosciences | For profit | NDA2 | Dec 8, 2000 |
| Solstice Neurosciences | For profit | NDA | Dec 8, 2000 |