Trial Outcomes & Findings for Investigation of Efficacy of Botulinum Toxin A (Dysport) in Chronic Low Back Pain (NCT NCT02221648)

NCT ID: NCT02221648

Last Updated: 2016-07-20

Results Overview

The primary outcome measure in this protocol is the proportion of subjects that have VAS \<4 (patients with no or mild pain) at week 6. The pain VAS is a continuous scale comprised of a line 10 centimeters in length, anchored by 2 verbal descriptors, one for each symptom extreme. For pain intensity, the scale is anchored by "no pain" (score of 0) and "worst imaginable pain" (score of 10).

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

43 participants

Primary outcome timeframe

6 weeks

Results posted on

2016-07-20

Participant Flow

Due to relocation of PI, study was terminated with 43 enrollments(total).

Participant milestones

Participant milestones
Measure
Placebo
Subjects will be randomized to receive injections with either the study drug (abobotulinumtoxinA) or the placebo group. The subjects will be blinded to which intervention they will receive for the first injections.
ArbobotulinumtoxinA Treatment
Subjects will receive intervention injections with the study drug abobotulinumtoxinA. AbobotulinumtoxinA Treatment: All subjects will receive intervention injections with the study drug arbobotulinumtoxinA. A series of rating scale and an examination will take place prior to treatment and at 4 and 8 weeks post treatment.
Overall Study
STARTED
22
21
Overall Study
COMPLETED
19
18
Overall Study
NOT COMPLETED
3
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Subjects will be randomized to receive injections with either the study drug (abobotulinumtoxinA) or the placebo group. The subjects will be blinded to which intervention they will receive for the first injections.
ArbobotulinumtoxinA Treatment
Subjects will receive intervention injections with the study drug abobotulinumtoxinA. AbobotulinumtoxinA Treatment: All subjects will receive intervention injections with the study drug arbobotulinumtoxinA. A series of rating scale and an examination will take place prior to treatment and at 4 and 8 weeks post treatment.
Overall Study
Withdrawal by Subject
3
3

Baseline Characteristics

Investigation of Efficacy of Botulinum Toxin A (Dysport) in Chronic Low Back Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=19 Participants
Subjects will be randomization to receive injections with either the study drug (incobotulinumtoxinA) or the placebo group. The subjects will be blinded to which intervention they will receive for the first injections.
AbobotulinumtoxinA Treatment
n=18 Participants
All subjects will receive intervention injections with the study drug abobotulinumtoxinA.
Total
n=37 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
17 Participants
n=5 Participants
15 Participants
n=7 Participants
32 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
14 Participants
n=7 Participants
24 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
4 Participants
n=7 Participants
13 Participants
n=5 Participants
Region of Enrollment
United States
19 participants
n=5 Participants
18 participants
n=7 Participants
37 participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 weeks

The primary outcome measure in this protocol is the proportion of subjects that have VAS \<4 (patients with no or mild pain) at week 6. The pain VAS is a continuous scale comprised of a line 10 centimeters in length, anchored by 2 verbal descriptors, one for each symptom extreme. For pain intensity, the scale is anchored by "no pain" (score of 0) and "worst imaginable pain" (score of 10).

Outcome measures

Outcome measures
Measure
Placebo
n=19 Participants
Subjects will be randomized to receive injections with saline.
AbobotulinumtoxinA Treatment
n=18 Participants
All subjects will receive intervention injections with the study drug arbobotulinumtoxinA.
Proportion of Participants With Mild or no Pain on Visual Analog Scale (VAS)
3 participants
5 participants

SECONDARY outcome

Timeframe: 6 weeks

The PGIC is a 7 point scale that requires the clinician to assess how much the patient's pain has improved or worsened relative to a baseline state at the beginning of the intervention. and rated as: No change (or condition has gotten worse) (1) Almost the same, hardly any change at all (2) A little better, but no noticeable change (3) Somewhat better, but the change has not made any real difference (4) Moderately better, and a slight but noticeable change (5) Better and a definite improvement that has made a real and worthwhile difference (6) A great deal better and a considerable improvement that has made all the difference (7) This outcome is number of patients who chose a 6 or above on the PGIC 6 weeks after treatment

Outcome measures

Outcome measures
Measure
Placebo
n=19 Participants
Subjects will be randomized to receive injections with saline.
AbobotulinumtoxinA Treatment
n=18 Participants
All subjects will receive intervention injections with the study drug arbobotulinumtoxinA.
Number of Patients With Improved Pain Using the Patient Global Impression of Change (PGIC)
2 participants
8 participants

SECONDARY outcome

Timeframe: 6 weeks

The Quality of Life Scale: A Measure of Function for People With Pain was developed by the American Chronic Pain Association (ACPA). The patient is asked to rank their quality of life on a scale of zero (non-functioning) to 10 (normal quality of life). Improvement was defined as 2 or more grades of improvement on the scale.

Outcome measures

Outcome measures
Measure
Placebo
n=19 Participants
Subjects will be randomized to receive injections with saline.
AbobotulinumtoxinA Treatment
n=18 Participants
All subjects will receive intervention injections with the study drug arbobotulinumtoxinA.
Number of Subjects Showing Improvement on Quality of Life Scale for Pain
4 participants
10 participants

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

ArbobotulinumtoxinA Treatment

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Bahman Jabbari M.D, , Professor of Neurology

Yale University School of Medicine

Phone: 203-737-2464

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place