Horizontal forehead lines should not be confused with glabellar lines (the two vertical lines between the eyebrows that are caused by entirely different muscles from horizontal forehead lines); the latter is the lead cosmetic indication for RVNC’s RT002, where phase-3 data is expected during the current quarter.
For Botox in horizontal forehead lines, the change from off-label to on-label status has little if any practical consequence insofar as this is a self-pay indication.
When RT002 is approved for glabellar lines, it too will be used off-label to treat horizontal forehead lines and other cosmetic indications.
• US therapeutic: $368.9M (+15% YoY) • US cosmetic: $189.7M (+8% YoY) • Ex-US therapeutic: $84.4M (+5% YoY in local currency) • Ex-US cosmetic: $131.5M (+15% YoY in local currency)
All told, 72% of Botox sales were in the US, where the therapeutic/cosmetic split was 66/34; 28% of Botox sales were ex-US, where the therapeutic/cosmetic split was 39/61.
*The 3Q17 sales decline vs 2Q17 was expected; for cosmetic indications, the second and fourth quarters are seasonally stronger than the first and third quarters.