Impact of OnabotulinumtoxinA (BOTOX®) on Stress

Description

The purpose of this prospective single-center, blinded\*, randomized, proof-of-concept study is to determine whether OnabotulinumtoxinA (BOTOX®) injections will change the level of stress perceived by generally healthy adult female participants. It is hypothesized that BOTOX® injections will be associated with decreases in perceived stress levels, measured by scores on the Perceived Stress Scale (PSS) questionnaire. The primary outcome measure is a chronological decrease in PSS scores between any two points of the study period. Comparison of the placebo- and BOTOX®-treated participant scores will either support or disprove the study hypothesis. Qualified participants who meet the study requirements, including a one-time completion of basic laboratory testing before treatment. The treatment visit starts on day-1 of a 12-week period, which consists a total of four clinic visits and one online visit, which involve: * vital signs and Body Mass Index (BMI) measurements * basic/interval history and physical * 2 Perceived Stress Scale (PSS) questionnaires * injection of 64 units of either BOTOX® or sterile salt solution * stay for 60-minutes after treatment for monitoring and to complete study tasks

Conditions

Stress (Psychology), Stress, Healthy Adult Female Participants, Stress, Psychologic, Stress, Psychological Cumulative, Stress, Physiological, Stress Response, Stress Levels, Stress Perception

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Study Overview

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Study Details

Study overview

The purpose of this prospective single-center, blinded\*, randomized, proof-of-concept study is to determine whether OnabotulinumtoxinA (BOTOX®) injections will change the level of stress perceived by generally healthy adult female participants. It is hypothesized that BOTOX® injections will be associated with decreases in perceived stress levels, measured by scores on the Perceived Stress Scale (PSS) questionnaire. The primary outcome measure is a chronological decrease in PSS scores between any two points of the study period. Comparison of the placebo- and BOTOX®-treated participant scores will either support or disprove the study hypothesis. Qualified participants who meet the study requirements, including a one-time completion of basic laboratory testing before treatment. The treatment visit starts on day-1 of a 12-week period, which consists a total of four clinic visits and one online visit, which involve: * vital signs and Body Mass Index (BMI) measurements * basic/interval history and physical * 2 Perceived Stress Scale (PSS) questionnaires * injection of 64 units of either BOTOX® or sterile salt solution * stay for 60-minutes after treatment for monitoring and to complete study tasks

Pilot Study to Identify the Impact of OnabotulinumtoxinA (BOTOX®) on Patient Perceived Stress.

Impact of OnabotulinumtoxinA (BOTOX®) on Stress

Condition
Stress (Psychology)
Intervention / Treatment

-

Contacts and Locations

Beverly Hills

Center for Advanced Facial Plastic Surgery, Beverly Hills, California, United States, 90212-2913

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. Subjects capable of giving informed consent in the English language
  • 2. Females 18-65 years of age
  • 3. Perceived Stress Scale (PSS) ≥ 14 at screening.
  • 4. Participants who have been toxin-naive for ≥1 year (i.e. onabotulinumtoxinA (BOTOX®), alternatives, or its derivatives)
  • 5. Female subjects willing to minimize the risk of inducing pregnancy for the duration of clinical study
  • 6. Subjects in good physical and mental health and not on any prescription psychiatric medications
  • 7. Subjects willing to not undergo any other aesthetic or skin treatments for the duration of the study
  • 1. Participants with history of facial (including periorbital) surgery within the last 12 months
  • 2. Use of neuromodulators in the past ≤ 12 months
  • 3. History or known alcohol and/or illicit drug abuse
  • 4. Participants with psychiatric diagnosis
  • 5. Body Mass Index (BMI) at Screening ≥ 30 kg/m2.
  • 6. Participants with metabolic disorders (e.g., hypothyroidism and hyperparathyroidism)
  • 7. Undiagnosed, unstable, or preexisting conditions that in the opinion of the investigators, would interfere with the course and conduct of the study. These include but are not limited to inflammatory disorders, diseases that affect muscles and/or nerves such as myasthenia gravis and Lambert-Eaton syndrome, high blood pressure, heart disease, and/or stroke that could result in a life-threatening response when treated with BOTOX® or placebo.
  • 8. Participant has any laboratory abnormality (found on screening) that, in the opinion of the investigators, is clinically significant, has not resolved at baseline and could jeopardize or would compromise the participant's ability to participate in this study.
  • 9. Prior use of isotretinoin
  • 10. Active skin disease or infection at or near injection sites
  • 11. Active use of tobacco or nicotine products in any form via any route (e.g. inhalation, ingestion, absorption)
  • 12. Chronic marijuana or tetrahydrocannabinol exposure
  • 13. If the investigators feel that the subject is not a good candidate for the study
  • 14. Females of childbearing potential not using a reliable means of contraception
  • 15. Female subjects must not be breastfeeding
  • 16. Any known previous hypersensitivity reactions to BOTOX®
  • 17. Current or recent (within therapeutic window) use of neuromuscular medications that may pose additional risk with treatment with BOTOX®, such as but not limited to amino-glycosides and anticholinergic drugs

Ages Eligible for Study

18 Years to 65 Years

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

Center for Advanced Facial Plastic Surgery,

Babak Azizzadeh, MD, FACS, PRINCIPAL_INVESTIGATOR, Center for Advanced Facial Plastic Surgery

Marielle He, MD, MS, PRINCIPAL_INVESTIGATOR, Center for Advanced Facial Plastic Surgery

Study Record Dates

2025-09