Botulinum neurotoxins for use in therapy
Disclosed herein are compositions and methods for use in therapeutic procedures. Use of a “fast-acting” botulinum toxin for cosmetic treatment and/or to prevent or reduce scarring. “Fast-acting” refers to a botulinum toxin that produces effects in the patient more rapidly than those produced by, for example, a botulinum neurotoxin type A. The “fast-acting” botulinum toxin, for example, type E.
1. A method for performing a cosmetic treatment on a human patient having glabellar lines, comprising administering by injection a total dose of between about 0.2 ng and about 20 ng of a botulinum neurotoxin serotype E to the patient,
wherein the total dose is divided into five approximately equal doses of the botulinum neurotoxin serotype E and the approximately equal doses are administered by intramuscular injection into the following muscles: procerus, left medial corrugator, right medial corrugator, left lateral corrugator, and right lateral corrugator, and
wherein the onset of clinical effect of the cosmetic treatment is obtained within 24 hours of administration of the botulinum neurotoxin serotype E.
2. The method of claim 1 , wherein the botulinum neurotoxin serotype E is a pure about 150 kDa botulinum neurotoxin serotype E.
3. The method of claim 1 , wherein the total dose comprises an amount of between about 2 ng and about 10 ng.
4. The method of claim 2 , wherein the total dose is between about 0.2 ng and about 20 ng of the pure about 150 kDa botulinum serotype E.
5. The method of claim 1 , wherein the clinical effect comprises an investigator-assessed Facial Wrinkle Scale (FWS) grade change at maximum frown from moderate to severe prior to the administration of the botulinum neurotoxin serotype E to none or mild following the administration of the botulinum neurotoxin serotype E.
6. The method of claim 5 , wherein the total dose is between about 0.2 ng and about 20 ng of the pure about 150 kDa botulinum neurotoxin serotype E.
7. The method of claim 1 , wherein about 150 U of the pure about 150 kDa botulinum neurotoxin serotype E is injected into at least one muscle.
8. A method for performing a cosmetic treatment on a human patient having moderate to severe glabellar lines, comprising administering a therapeutically effective amount of a pure about 150 kDa botulinum neurotoxin serotype E to the patient,
wherein the therapeutically effective amount is between about 0.2 ng and about 20 ng of the pure about 150 kDa botulinum neurotoxin serotype E,
wherein the therapeutically effective amount is administered in five intramuscular injections, each injection comprising an approximately equal amount of the pure about 150 kDa botulinum neurotoxin serotype E, wherein one injection is made into each of the following muscles: procerus, left medial corrugator, right medial corrugator, left lateral corrugator, and right lateral corrugator,
wherein the onset of clinical effect of the cosmetic treatment is obtained within 48 hours following the administration of the pure about 150 kDa botulinum neurotoxin serotype E; and
wherein the clinical effect comprises an investigator-assessed Facial Wrinkle Scale (FWS) grade change at maximum frown from moderate or severe prior to the administration of the pure about 150 kDa botulinum neurotoxin serotype E to none or mild following the administration of the pure about 150 kDa botulinum neurotoxin serotype E.
9. A method for performing a cosmetic treatment on a human patient having glabellar lines, comprising administering by injection a total dose of between about 0.2 ng and about 20 ng of a botulinum neurotoxin serotype E to the patient in the area where treatment is desired,
wherein the total dose is divided into five approximately equal doses of the botulinum neurotoxin serotype E and the approximately equal doses are administered by intramuscular injection into the following muscles: procerus, left medial corrugator, right medial corrugator, left lateral corrugator, and right lateral corrugator,
wherein the duration of clinical effect of the cosmetic treatment ranges from about 14 days to about 30 days following the administration of the botulinum neurotoxin serotype E, and wherein the clinical effect comprises an investigator-assessed Facial Wrinkle Scale (FWS) grade change at maximum frown from moderate or severe prior to the administration of the botulinum neurotoxin serotype E to none or mild following the administration of the botulinum neurotoxin serotype E.
10. The method of claim 9 , wherein the botulinum neurotoxin serotype E is a pure about 150 kDa botulinum neurotoxin serotype E.
11. The method of claim 9 , wherein the total dose comprises an amount of between about 2 ng and about 10 ng of the botulinum neurotoxin serotype E.
12. The method of claim 10 , wherein the total dose is between about 0.2 ng and about 20 ng of the pure about 150 kDa botulinum neurotoxin serotype E.
13. The method of claim 9 , wherein the method is statistically significantly better than a comparable method wherein a placebo is administered at achieving a 2-grade or better improvement (reduction) on the Facial Wrinkle Scale (FWS) assessment (IR-2) at maximum frown one (1), two (2), seven (7), 14, or 30 days after said administration.
14. The method of claim 13 , wherein the total dose is between about 0.2 ng and about 20 ng of the pure about 150 kDa botulinum neurotoxin serotype E.
15. The method of claim 9 , wherein about 150 U of the pure about 150 kDa botulinum neurotoxin serotype E is injected into at least one muscle.
16. A method for performing a cosmetic treatment on a human patient having moderate to severe glabellar lines, comprising administering a therapeutically effective amount of a pure about 150 kDa botulinum neurotoxin serotype E to the patient,
wherein the therapeutically effective amount comprises a total dose in an amount of between about 2 ng and about 10 ng of the pure about 150 kDa botulinum neurotoxin serotype E, and
wherein the therapeutically effective amount is administered in five intramuscular injections, each injection comprising an approximately equal amount of the pure about 150 kDa botulinum neurotoxin serotype E, wherein one injection is made into each of the following muscles: procerus, left medial corrugator, right medial corrugator, left lateral corrugator, and right lateral corrugator.
17. The method of claim 16 , wherein the method is statistically significantly better than a comparable method wherein a placebo is administered at achieving a 2-grade or better improvement (reduction) on the Facial Wrinkle Scale (FWS) assessment (IR-2) at maximum frown one (1), two (2), seven (7), 14, or 30 days after said administration.
18. The method of claim 16 , wherein about 150 U of the pure about 150 kDa botulinum neurotoxin serotype E is injected into at least one muscle.