Onabotulinumtoxina
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Also known as BontoxilysinBotox/botox cosmeticBotulinBotulinum neurotoxinBotulinum toxinRTI-150RTI150
Summary
Onabotulinumtoxina (CHEMBL1201574) is an approved unknown (ATC M03AX01); indicated across 112 conditions including cerebral palsy and benign essential blepharospasm.
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Unknown
- ATC class: M03AX01
- Indications: 112 conditions
- Clinical trials: 155
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL1201574 |
| Name | Onabotulinumtoxina |
| Type | Unknown |
| Max phase | 4 |
| ATC | M03AX01 |
Also known as: Bontoxilysin, Botox/botox cosmetic, Botulin, Botulinum neurotoxin, Botulinum toxin, Onabotulinumtoxina, RTI-150, RTI150, ONABOTULINUMTOXINA
Targets
Targets
No target linkage available.
Bioactivity
No ChEMBL bioactivity rows at pChembl ≥ 5 (expected for biologics / antibodies).
Target pathways
No target-pathway data for this drug (no mapped target genes).
Indications & clinical
Indications
112 indications (0 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| cerebral palsy | 3 | MONDO:0006497 | EFO:1000632 |
| benign essential blepharospasm | 3 | MONDO:0011728 | Orphanet:93955 |
| stroke disorder | 3 | MONDO:0005098 | EFO:0000712 |
| prostatitis | 3 | MONDO:0005280 | EFO:0003830 |
| neuralgia | 3 | MONDO:0021667 | EFO:0005762 |
| overactive bladder | 3 | MONDO:0006624 | EFO:1000781 |
| Raynaud disease | 3 | MONDO:0008364 | EFO:1001145 |
| nervous system disorder | 3 | MONDO:0005071 | EFO:0000618 |
| gastroparesis | 3 | MONDO:0006769 | EFO:1000948 |
| patellofemoral pain syndrome | 3 | MONDO:0006894 | EFO:1001092 |
| trigeminal neuralgia | 3 | MONDO:0008599 | EFO:1001219 |
| epicondylitis | 3 | MONDO:0001875 | EFO:1001896 |
| hemiplegia | 3 | MONDO:0001170 | EFO:0009453 |
| myofascial pain syndrome | 3 | MONDO:0006862 | EFO:1001054 |
| strabismus | 3 | MONDO:0003432 | HP:0000486 |
| severe cutaneous adverse reaction | 3 | MONDO:0005594 | EFO:0006346 |
| scleroderma | 3 | MONDO:0019340 | EFO:1001993 |
| esotropia | 3 | MONDO:0004896 | HP:0000565 |
| hyperreflexia | 3 | MONDO:0007774 | HP:0001347 |
| migraine disorder | 3 | MONDO:0005277 | MONDO:0005277 |
| multiple sclerosis | 3 | MONDO:0005301 | MONDO:0005301 |
| bruxism | 3 | MONDO:0002443 | MONDO:0002443 |
| obesity disorder | 2 | MONDO:0011122 | EFO:0001073 |
| benign prostatic hyperplasia | 2 | MONDO:0010811 | EFO:0000284 |
| acne | 2 | MONDO:0011438 | EFO:0003894 |
| morbid obesity | 2 | MONDO:0005139 | EFO:0001074 |
| gastric neoplasm | 2 | MONDO:0021085 | EFO:0003897 |
| carpal tunnel syndrome | 2 | MONDO:0007275 | EFO:0004143 |
| muscle tissue disorder | 2 | MONDO:0003939 | EFO:0002970 |
| atrial fibrillation | 2 | MONDO:0004981 | EFO:0000275 |
| carcinoma of esophagus | 2 | MONDO:0019086 | EFO:0002916 |
| essential tremor | 2 | MONDO:0003233 | EFO:0003108 |
| sleep apnea syndrome | 2 | MONDO:0005296 | EFO:0003877 |
| atrial flutter | 2 | MONDO:0005310 | EFO:0003911 |
| androgenetic alopecia | 2 | MONDO:0005339 | EFO:0004191 |
| erectile dysfunction | 2 | MONDO:0005362 | EFO:0004234 |
| thoracic outlet syndrome | 2 | MONDO:0005979 | EFO:0007507 |
| rectal cancer | 2 | MONDO:0006519 | EFO:1000657 |
| burning mouth syndrome | 2 | MONDO:0006687 | EFO:1000850 |
| rotator cuff syndrome | 2 | MONDO:0007028 | EFO:1001250 |
| disease of the tendon | 2 | MONDO:0100010 | EFO:1001434 |
| spinal cord injury | 2 | MONDO:0043797 | EFO:1001919 |
| dementia | 2 | MONDO:0001627 | HP:0000726 |
| interstitial cystitis | 2 | MONDO:0018301 | EFO:0008507 |
| headache disorder | 2 | MONDO:0021146 | EFO:0009550 |
| neuroma | 2 | MONDO:0002173 | EFO:0009619 |
| arthropathy | 2 | MONDO:0006816 | EFO:1000999 |
| plantar fasciitis | 2 | MONDO:0004833 | EFO:1001909 |
| rhinitis | 2 | MONDO:0003014 | EFO:0008521 |
| nasal cavity polyp | 2 | MONDO:0006314 | EFO:1000391 |
| lacrimal apparatus disorder | 2 | MONDO:0001854 | HP:0009926 |
| major depressive disorder | 2 | MONDO:0002009 | MONDO:0002009 |
| compartment syndrome | 2 | MONDO:0004001 | MONDO:0004001 |
| brain injury | 2 | MONDO:0043510 | MONDO:0043510 |
| ulcer disease | 2 | MONDO:0043839 | MONDO:0043839 |
| depressive disorder | 2 | MONDO:0002050 | MONDO:0002050 |
| exocrine pancreatic carcinoma | 2 | MONDO:0005192 | EFO:0002618 |
| scoliosis | 2 | MONDO:0005392 | EFO:0004273 |
| osteoarthritis | 2 | MONDO:0005178 | MONDO:0005178 |
| Parkinson disease | 2 | MONDO:0005180 | MONDO:0005180 |
| temporomandibular joint disorder | 2 | MONDO:0005473 | EFO:0005279 |
| premature ejaculation | 2 | MONDO:0001780 | EFO:0803321 |
| chronic obstructive pulmonary disease | 2 | MONDO:0005002 | EFO:0000341 |
| leiomyoma | 2 | MONDO:0001572 | MONDO:0001572 |
| epidermolysis bullosa simplex | 2 | MONDO:0017610 | MONDO:0017610 |
| injury | 1 | MONDO:0021178 | EFO:0000546 |
| restless legs syndrome | 1 | MONDO:0005391 | EFO:0004270 |
| ventricular tachycardia | 1 | MONDO:0005477 | EFO:0005306 |
| atrophic rhinitis | 1 | MONDO:0005659 | EFO:0007159 |
| dry eye syndrome | 1 | MONDO:0006733 | EFO:1000906 |
| psoriasis | 1 | MONDO:0005083 | EFO:1001494 |
| osteoarthritis, knee | 1 | MONDO:0005416 | EFO:0004616 |
| gingival overgrowth | 1 | MONDO:0002507 | MONDO:0002507 |
| keloid | 1 | MONDO:0005348 | EFO:0004212 |
| spasmodic dystonia | 1 | MONDO:0000485 | MONDO:0000485 |
| skin disorder | 1 | MONDO:0005093 | EFO:0000701 |
| bursitis | 0 | MONDO:0002471 | MONDO:0002471 |
35 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 155.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE4 | 41 |
| PHASE3 | 33 |
| Not specified | 30 |
| PHASE2 | 28 |
| PHASE1 | 11 |
| PHASE2/PHASE3 | 7 |
| EARLY_PHASE1 | 3 |
| PHASE1/PHASE2 | 2 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04240535 | PHASE4 | NOT_YET_RECRUITING | Evaluation of the Safety and Efficacy of OnabotulinumtoxinA to the Depressor Anguli Oris |
| NCT04305743 | PHASE4 | RECRUITING | Post-procedural Pain Associated With 5 Versus 20 Intravesical Injections of Onabotulinumtoxin A |
| NCT04829565 | PHASE4 | ACTIVE_NOT_RECRUITING | Assessment of Pain After Intra-articular Botulinum Toxin Injections in Carpometacarpal Osteoarthritis of the Thumb |
| NCT05125029 | PHASE4 | RECRUITING | Botulinum Toxin in Raynaud’s Phenomenon |
| NCT05806164 | PHASE4 | RECRUITING | Beta-Agonist Versus OnabotulinumtoxinA Trial for Urgency Urinary Incontinence |
| NCT06216886 | PHASE4 | RECRUITING | OnabotulinumtoxinA for Trigeminal Neuralgia |
| NCT07082972 | PHASE4 | RECRUITING | EMG-Based Evaluation of Occlusal Splint and Masseter Botox Effects on Head and Neck Muscles |
| NCT07220382 | PHASE4 | RECRUITING | Preoperative BOTOX® Injection for Large Ventral Hernia Repair |
| NCT07303582 | PHASE4 | RECRUITING | Individualised Cryoneurolysis to Treat Pain in the Context of Spasticity in the Upper and Lower Extremities |
| NCT00119886 | PHASE4 | UNKNOWN | Botox on Vulvar Vestibulitis |
| NCT00208091 | PHASE4 | COMPLETED | Quantifying Musical Performance After Treatment With Myobloc in Musician’s Dystonia |
| NCT01032954 | PHASE4 | COMPLETED | Safety and Efficacy of the Full Face Applications of Variable Doses of a Commercial Botulinum Toxin Type a (Dysport®) |
| NCT01071096 | PHASE4 | COMPLETED | Calcitonin Gene-related Peptide Levels in Chronic Migraine |
| NCT01269801 | PHASE4 | COMPLETED | Study of BOTOX and JUVEDERM for Treatment of Moderate to Severe Facial Wrinkles and Folds |
| NCT01516892 | PHASE4 | COMPLETED | A Long-term Efficacy, Safety, and Tolerability Study of BOTOX® in Patients With Chronic Migraine |
| NCT01700387 | PHASE4 | COMPLETED | A Study to Evaluate the Tolerability of Botox and Topiramate or Botox and Placebo and Effect on Cognitive Efficiency |
| NCT01732809 | PHASE4 | COMPLETED | Fields Of Effects Of Two Commercial Preparations Of Botulinum Toxin Type A At Equal Labeled Unit Doses |
| NCT01777620 | PHASE4 | COMPLETED | A Study of Subject Satisfaction With BOTOX® Cosmetic Treatment in Facial Rhytides |
| NCT01833130 | PHASE4 | COMPLETED | Use of a Treatment Benefit Questionnaire in Patients With Chronic Migraine Treated With OnabotulinumtoxinA (BOTOX®) |
| NCT01945489 | PHASE4 | COMPLETED | OnabotulinumtoxinA (BOTOX®) Treatment for Urinary Incontinence in Patients With Overactive Bladder |
| NCT02037425 | PHASE4 | COMPLETED | Duration of Benefit for OnabotulinumtoxinA in Treatment of Chronic Migraine |
| NCT02096081 | PHASE4 | COMPLETED | The Treatment of Glabellar Frown Lines |
| NCT02111369 | PHASE4 | COMPLETED | Propranolol and Botulinum Toxin for Essential Vocal Tremor |
| NCT02176356 | PHASE4 | COMPLETED | Patient Satisfaction Study of Combined Facial Treatment With BOTOX® Cosmetic, JUVÉDERM® and LATISSE® (HARMONY Study) |
| NCT02191579 | PHASE4 | COMPLETED | Efficacy and Safety Study of BOTOX® Compared to Topiramate for the Prevention of Chronic Migraine in Adults |
| NCT02361749 | PHASE4 | UNKNOWN | Botulinum Toxin Injection Versus Anal Myectomy in Management of Idiopathic Constipation |
| NCT02472210 | PHASE4 | UNKNOWN | The Use of Botox in Advanced Parkinson’s Patients Experiencing Pain |
| NCT02786550 | PHASE4 | UNKNOWN | Botulinum Toxin to Improve Lower Blepharoplasty Scar |
| NCT03044080 | PHASE4 | COMPLETED | Effects of Botulinum Neurotoxin Type A (BoNT/A) Free of Complexing Proteins in the Spastic Equinovarus Foot |
| NCT03052764 | PHASE4 | COMPLETED | Evaluation of an Alternative Injection Paradigm for OnabotulinumtoxinA (BOTOX®) in the Treatment of Overactive Bladder in Patients With Urinary Incontinence |
| NCT03373162 | PHASE4 | COMPLETED | Functional Effects of Botox on the Brain Using MRS and fMRI |
| NCT03523091 | PHASE4 | TERMINATED | OnabotulinumtoxinA Bladder Injection Study |
| NCT04124939 | PHASE4 | COMPLETED | Is 10 Injections of Bladder Botox Less Painful Than 20 Injections? |
| NCT04807920 | PHASE4 | UNKNOWN | BOTOX® at the Time of Prolapse Surgery for OAB |
| NCT05157295 | PHASE4 | UNKNOWN | Comparing Number of Injection Sites of In-office Intravesical Onabotulinumtoxin A Treatments for Overactive Bladder: A Randomized Controlled Trial |
| NCT05308979 | PHASE4 | COMPLETED | Intradetrusor Botulinum Toxin A for OAB Via 1 Versus 10 Injections: A Randomized Clinical Trial |
| NCT05605756 | PHASE4 | TERMINATED | BOTOX Effects on Seizure Severity and Susceptibility |
| NCT05615987 | PHASE4 | UNKNOWN | Comparison of Botulinum Toxin Injection Techniques in Spasticity |
| NCT06080438 | PHASE4 | TERMINATED | Effect of Topical Botulinum Toxin Eyedrop on Palpebral Fissure |
| NCT06583343 | PHASE4 | COMPLETED | Effect of Botulinum Toxin on Selective Motor Control and Pain in Diplegic Cerebral Palsy |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
Related molecules
Related molecules
No competitor molecules sharing a primary target (ChEMBL phase ≥2 or PubChem drug-class).
Related Atlas pages
- Diseases: cerebral palsy, benign essential blepharospasm, stroke disorder, prostatitis, neuralgia, overactive bladder, Raynaud disease, nervous system disorder, gastroparesis, patellofemoral pain syndrome, trigeminal neuralgia, epicondylitis, hemiplegia, myofascial pain syndrome, strabismus, severe cutaneous adverse reaction, scleroderma, esotropia, hyperreflexia, migraine disorder, multiple sclerosis, bruxism