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Data updated: May 26, 2026

DAXXIFY (daxibotulinumtoxina-lanm)

Acetylcholine Release Inhibitors
CNS Approved 2022-09-07

DAXXIFY (daxibotulinumtoxinA-lanm) is an acetylcholine release inhibitor and neuromuscular-blocking agent indicated for use in adult patients. It is used for the temporary improvement in the appearance of moderate to severe glabellar lines associated with corrugator and procerus muscle activity. The medication is also approved for the treatment of cervical dystonia. It serves a therapeutic role by temporarily reducing muscle activity through the inhibition of neurotransmitter release.

Source: FDA Label • REVANCE THERAPEUTICS, INC. • Acetylcholine Release Inhibitor

How DAXXIFY Works

DAXXIFY blocks neuromuscular transmission at the neuromuscular junction by inhibiting the release of acetylcholine. The neurotoxin achieves this by cleaving SNAP-25, a protein essential for the docking and release of acetylcholine vesicles within nerve endings. Without the release of this neurotransmitter, muscle contraction is inhibited. Recovery of neurotransmission occurs gradually as the neuromuscular junction recovers from protein cleavage and new nerve endings are formed.

2
Indications
--
Phase 3 Trials
3
Years on Market

Details

Status
Prescription
First Approved
2022-09-07
Routes
INTRAMUSCULAR, SUBCUTANEOUS
Dosage Forms
INJECTABLE

Companies

Active Ingredient: DAXIBOTULINUMTOXINA-LANM

DAXXIFY Approval History

2023
2024
2025
2026
Original
New Indication
New Form
Label Update
2 FDA actions from 2022 to 2023 · 1 indication expansions
Aug 2023 SUPPL
Efficacy
Sep 2022 ORIGINAL
New Drug · Type 1 - New Molecular Entity

What DAXXIFY Treats

2 indications

DAXXIFY is approved for 2 conditions since its original approval in 2022. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Glabellar Lines
  • Cervical Dystonia
Source: FDA Label

DAXXIFY Boxed Warning

DISTANT SPREAD OF TOXIN EFFECT The effects of all botulinum toxin products, including DAXXIFY, may spread from the area of injection to produce symptoms consistent with botulinum toxin effects. These symptoms have been reported hours to weeks after injection. Swallowing and breathing difficulties can be life-threatening, and there have been reports of death. The risk of symptoms is probably greatest in children treated for spasticity, an unapproved use for DAXXIFY, but symptoms can also occur in...

DAXXIFY Competitive Set

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Indication competitors

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to DAXXIFY

3 of 6

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

Xeomin
incobotulinumtoxinA
2 shared
MERZ PHARMS
Shared indications:
Cervical DystoniaGlabellar Lines
BOTOX
OnabotulinumtoxinA
1 shared
AbbVie
Shared indications:
Cervical Dystonia
BOTOX COSMETIC
OnabotulinumtoxinA
1 shared
AbbVie
Shared indications:
Glabellar Lines
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Clinical Trial Registry

1 trials
Trial Sponsor ID Phase Status Title
NCT06411002 2320201 Ph 2 completed Phase 2a Study of DaxibotulinumtoxinA-lanm for Injection in Dynamic Forehead Lines and Glabellar Lines
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Active Pipeline

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Key Completed Trials

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

DAXXIFY FDA Label Details

Indications & Usage

FDA Label (PDF)

DAXXIFY is indicated for the treatment of Glabellar Lines; Cervical Dystonia.

⚠️ BOXED WARNING

WARNING: DISTANT SPREAD OF TOXIN EFFECT The effects of all botulinum toxin products, including DAXXIFY, may spread from the area of injection to produce symptoms consistent with botulinum toxin effects. These symptoms have been reported hours to weeks after injection. Swallowing and breathing diffic...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.