IncobotulinumtoxinA (Xeomin) for Upper Limb Spasticity

NCT ID: NCT00465738

Last Updated: 2010-12-31

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

216 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-02-28

Study Completion Date

2008-05-31

Brief Summary

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This study will investigate the efficacy and safety of incobotulinumtoxinA (Xeomin) in the treatment of arm tightness (upper limb spasticity) using two different dilutions of incobotulinumtoxinA (Xeomin).

Detailed Description

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IncobotulinumtoxinA (Xeomin) is a botulinum toxin type A preparation free of complexing proteins. Injected into a muscle, incobotulinumtoxinA causes a reversible local weakening of the muscle for several months, and may improve an impaired muscle function by lessening the muscle tightness within few days. IncobotulinumtoxinA is widely used for various severe neurological conditions. There is some evidence that the treatment effect may be influenced by the amount of the solvent in which incobotulinumtoxinA is diluted before injection.

Conditions

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Upper Limb Spasticity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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incobotulinumtoxinA (Xeomin) High-volume Dilution 20 Units/mL

incobotulinumtoxinA (Xeomin, also known as "NT 201" or "Botulinum toxin type A (150 kD), free from complexing proteins")(active ingredient: Clostridium Botulinum neurotoxin Type A free from complexing proteins) powder for solution for injection; Mode of administration: intramuscular injection; The content of the vial was dissolved in 5.0 mL of sterile sodium chloride \[NaCl\] 0.9% solution without preservatives. Dilution with 5.0 mL resulted in a dose of 20 units per 1.0 mL.

Group Type EXPERIMENTAL

incobotulinumtoxinA (Xeomin, also known as "NT 201" or "Botulinum toxin type A (150 kD), free from complexing proteins")

Intervention Type DRUG

active ingredient: Clostridium Botulinum neurotoxin Type A free from complexing proteins; powder for solution for injection; Mode of administration: intramuscular injection; The content of the vial was dissolved in 2.0 or 5.0 mL of sterile sodium chloride \[NaCl\] 0.9% solution without preservatives. Dilution with 2.0 or 5.0 mL resulted in a dose of 50 or 20 units per 1.0 mL.

incobotulinumtoxinA (Xeomin) Low-volume Dilution 50 Units/mL

incobotulinumtoxinA (Xeomin, also known as "NT 201" or "Botulinum toxin type A (150 kD), free from complexing proteins")(active ingredient: Clostridium Botulinum neurotoxin Type A free from complexing proteins) powder for solution for injection; Mode of administration: intramuscular injection; The content of the vial was dissolved in 2.0 mL sterile of NaCl 0.9% solution without preservatives. Dilution with 2.0 mL resulted in a dose of 50 units per 1.0 mL.

Group Type ACTIVE_COMPARATOR

incobotulinumtoxinA (Xeomin, also known as "NT 201" or "Botulinum toxin type A (150 kD), free from complexing proteins")

Intervention Type DRUG

active ingredient: Clostridium Botulinum neurotoxin Type A free from complexing proteins; powder for solution for injection; Mode of administration: intramuscular injection; The content of the vial was dissolved in 2.0 or 5.0 mL of sterile sodium chloride \[NaCl\] 0.9% solution without preservatives. Dilution with 2.0 or 5.0 mL resulted in a dose of 50 or 20 units per 1.0 mL.

Interventions

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incobotulinumtoxinA (Xeomin, also known as "NT 201" or "Botulinum toxin type A (150 kD), free from complexing proteins")

active ingredient: Clostridium Botulinum neurotoxin Type A free from complexing proteins; powder for solution for injection; Mode of administration: intramuscular injection; The content of the vial was dissolved in 2.0 or 5.0 mL of sterile sodium chloride \[NaCl\] 0.9% solution without preservatives. Dilution with 2.0 or 5.0 mL resulted in a dose of 50 or 20 units per 1.0 mL.

Intervention Type DRUG

Other Intervention Names

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incobotulinumtoxinA Xeomin NT 201 Botulinum toxin type A (150 kD), free from complexing proteins

Eligibility Criteria

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Inclusion Criteria

* Female or male patients ≥ 18 years
* Stable upper limb spasticity of diverse etiology
* Focal spasticity with equal or more than 2 points on the Ashworth scale in the wrist flexors
* Disability Assessment Scale (DAS) ≥ 2 points for primary therapeutic target at both screening and baseline visits

Exclusion Criteria

* Fixed contracture
* Bilateral upper limb paresis/paralysis
* Previous treatment with BoNT of any serotype and for any body region within the 4 months prior to screening
* Previous or planned treatment with phenol- or alcohol-injection in the target limb
* Other muscle hypertonia (e.g. rigidity)
* Diagnosis of myasthenia gravis, Lambert-Eaton-Syndrome, amyotrophic lateral sclerosis, or any other significant neuromuscular disease which might interfere with the study
* Severe atrophy of the target limb muscles
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merz Pharmaceuticals GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Merz Pharmaceuticals GmbH

Principal Investigators

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Michael P Barnes, MD, FRCP

Role: PRINCIPAL_INVESTIGATOR

Hunters Moor Hospital, Newcastle-upon-Tyne, UK

Locations

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Hermagor, , Austria

Site Status

Innsbruck, , Austria

Site Status

Vienna, , Austria

Site Status

Besançon, , France

Site Status

Garches, , France

Site Status

Lille, , France

Site Status

Paris, , France

Site Status

Beelitz-Heilstätten, , Germany

Site Status

Düsseldorf, , Germany

Site Status

Gladbeck, , Germany

Site Status

Bari, , Italy

Site Status

Costa Masnaga, , Italy

Site Status

Messina, , Italy

Site Status

Mestre, , Italy

Site Status

Milan, , Italy

Site Status

Rome, , Italy

Site Status

Lisbon, , Portugal

Site Status

Tocha, , Portugal

Site Status

Barcelona, , Spain

Site Status

Madrid, , Spain

Site Status

Terrassa, , Spain

Site Status

Bern, , Switzerland

Site Status

Nottwil, , Switzerland

Site Status

Kent, , United Kingdom

Site Status

Liverpool, , United Kingdom

Site Status

Plymouth, , United Kingdom

Site Status

Wakefield, , United Kingdom

Site Status

Countries

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Austria France Germany Italy Portugal Spain Switzerland United Kingdom

Other Identifiers

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MRZ 60201 - 0607 / 1

Identifier Type: -

Identifier Source: org_study_id