Korean J Ophthalmol.  2009 Sep;23(3):137-141. 10.3341/kjo.2009.23.3.137.

Double-Blind, Randomized, Comparative Study of Meditoxin(R) Versus Botox(R) in the Treatment of Essential Blepharospasm

• Yoon JS
• Kim JC
• Lee SY

• KMID: 1115742
• DOI: http://doi.org/10.3341/kjo.2009.23.3.137

Abstract

PURPOSE
To compare the efficacies and safeties of Meditoxin(R) (Medy-Tox, Korea) and Botox(R) in the treatment of essential blepharospasm. METHODS: We performed a double-blind, randomized, comparative trial comparing Meditoxin(R) and Botox(R) for treatment of blepharospasm in 60 patients from the intention-to-treat (ITT) population and 52 patients from the per-protocol (PP) population. We analyzed the improvements in severity of spasm (SS) at four weeks post-injection as a primary efficacy outcome. Changes in eyelid closing force (CF) and functional visual status (FVS) after injection were analyzed for secondary efficacy outcomes, and adverse effects were demonstrated for the safety evaluation. RESULTS: Improvement in SS was noted in 90.3% of the Meditoxin(R) group and 86.2% of the Botox(R) group. There were no significant differences between treatment groups in the changes of CF and FVS post-injection (p>0.05). Since the lower limit of the 95% confidence interval (-1.76% for ITT, -1.64% for PP) was over the -15% threshold, we determined that Meditoxin(R) was not inferior to Botox(R) in either the ITT or PP populations. Adverse effects developed in 16.1% of the Meditoxin(R) group and 27.6% of the Botox(R) group, but no serious adverse events were found in either group. CONCLUSIONS: Meditoxin(R) and Botox(R) were comparable in efficacy and safety in the treatment of essential blepharospasm.

Keyword

Botox(R); Essential blepharospasm; Meditoxin(R)

MeSH Terms

Aged
Blepharospasm/*drug therapy/physiopathology
Botulinum Toxin Type A/*administration & dosage/adverse effects
Double-Blind Method
Female
Humans
Injections
Male
Middle Aged
Neuromuscular Agents/*administration & dosage/adverse effects
Treatment Outcome

Figure

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  Fig. 1 Flow of patients throughout the trial. N, number of patients with data.

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  Fig. 2 Distribution of severity of spasm scores (grade 0-4) before injection and at four weeks after injection in both Meditoxin® and Botox® treatment groups. M pre, Meditoxin® group before injection; M post, Meditoxin® group at four weeks post-injection; B pre, Botox® group before injection; B post, Botox® group at four weeks post-injection.

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