A Study to Compare Dysport® and Botox® in the Treatment of Cervical Dystonia

NCT ID: NCT00950664

Last Updated: 2017-07-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

103 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2011-07-31

Brief Summary

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1. to examine the non-inferiority of Dysport in the clinical efficacy and safety in comparison with Botox®, assuming a bioequivalence ratio of 2.5:1 units, in the treatment of Cervical dystonia.
2. double blind, randomised, multi center, crossover study

Detailed Description

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1. Prospective, randomized, head-to-head, double-blind, cross-over study.
2. Total patients: A group 51, B group 51
3. Study duration: 16 + 4 + 16 weeks. Eligible patients will be randomised at baseline to receive either Dysport® or Botox® and monitored at weeks 2, 4, 8, 12, 16 weeks. After 4 weeks of wash out period, then the patients get the other treatment (i.e, Patients who have got Dysport will be then administered with Botox)
4. Compare the TSUI change score from baseline to 4 weeks after injection.

Conditions

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Cervical Dystonia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Dysport® to Botox®

Dysport® injection in first intervention period and Botox® in second intervention period (after washout period) cross over injection of Dysport® (abobotulinumtoxinA) and Botox® (onabotulinumtoxinA)

Group Type EXPERIMENTAL

Dysport® (abobotulinumtoxinA)

Intervention Type DRUG

Cross over injection of Dysport® (\<500IU), Botox® (200IU)assuming a bioequivalence ratio of 2.5:1 units

Botox® (onabotulinumtoxinA)

Intervention Type DRUG

Cross over injection of Dysport® (\<500IU), Botox® (200IU)assuming a bioequivalence ratio of 2.5:1 units

Botox® to Dysport®

Botox® injection in first intervention period and Dysport® in second intervention period (after washout period) cross over injection of Dysport® (abobotulinumtoxinA) and Botox® (onabotulinumtoxinA)

Group Type EXPERIMENTAL

Dysport® (abobotulinumtoxinA)

Intervention Type DRUG

Cross over injection of Dysport® (\<500IU), Botox® (200IU)assuming a bioequivalence ratio of 2.5:1 units

Botox® (onabotulinumtoxinA)

Intervention Type DRUG

Cross over injection of Dysport® (\<500IU), Botox® (200IU)assuming a bioequivalence ratio of 2.5:1 units

Interventions

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Dysport® (abobotulinumtoxinA)

Cross over injection of Dysport® (\<500IU), Botox® (200IU)assuming a bioequivalence ratio of 2.5:1 units

Intervention Type DRUG

Botox® (onabotulinumtoxinA)

Cross over injection of Dysport® (\<500IU), Botox® (200IU)assuming a bioequivalence ratio of 2.5:1 units

Intervention Type DRUG

Other Intervention Names

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Dysport® (abobotulinumtoxinA)injection Botox® (onabotulinumtoxinA)injection

Eligibility Criteria

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Inclusion Criteria

* Patients ≥ 18 years of age of both genders,
* Cervical dystonia
* symptoms with a minimum duration of 18 months,
* Negative pregnancy test in sexually active women,
* Able to participate in the study (understand goals of botulinum toxin A treatment and sign Informed Consent Form).

Exclusion Criteria

* Patient with cervical contractures
* Known significant underlying dysphasia
* Patients who have received botulinum toxin treatment within the past 4 months.
* Contraindication to botulinum toxin treatment
* Any disease that might affect neuromuscular function (Myasthenia Gravis, Eaton-Lambert syndrome, ALS …)
* Patients who have received oral anti-spasticity medication, phenol therapy, myotomy or denervation surgery, deep brain stimulation for cervical dystonia,
* Patients who required more than 500 units of Dysport or 200 units of Botox.
* Any concomitant treatment that could interfere with the action of botulinum toxin,
* Subjects having participated within the last 3 months or currently participating in an investigational drug study,
* Pregnancy,
* Lactation.
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ipsen

INDUSTRY

Sponsor Role collaborator

Medical Research Collaborating Center, Seoul, Korea

OTHER

Sponsor Role collaborator

Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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BS Jeon

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Beom S Jeon, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Locations

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Bundang Seoul Natiuonal University Hospital

Seongnam-si, Gyeonggi-do, South Korea

Site Status

Dong-A University Hospital

Busan, , South Korea

Site Status

Hanyang University Hospital

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Boramae City Hospital

Seoul, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Yun JY, Kim JW, Kim HT, Chung SJ, Kim JM, Cho JW, Lee JY, Lee HN, You S, Oh E, Jeong H, Kim YE, Kim HJ, Lee WY, Jeon BS. Dysport and Botox at a ratio of 2.5:1 units in cervical dystonia: a double-blind, randomized study. Mov Disord. 2015 Feb;30(2):206-13. doi: 10.1002/mds.26085. Epub 2014 Dec 5.

Reference Type DERIVED
PMID: 25476727 (View on PubMed)

Other Identifiers

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H-0902-049-272

Identifier Type: -

Identifier Source: org_study_id

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