Study of BOTOX Injections to Assess Change in Disease Symptoms in Adult Participants With Upper Limb Essential Tremor

NCT ID: NCT05216250

Last Updated: 2026-01-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

174 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-12

Study Completion Date

2025-02-03

Brief Summary

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Upper limb essential tremor (UL ET) is a movement disorder characterized by postural and/or kinetic tremor. It can cause difficulty with everyday tasks such as writing, pouring, and eating, and patients also experience associated social embarrassment. This study will assess how safe and effective BOTOX is in treating UL ET. Adverse events and change in disease activity will be evaluated.

BOTOX is an investigational drug being developed for the treatment of UL ET. Participants are randomly assigned to 1 of the 4 groups, called treatment arms. Each group receives different treatment. There is 1 in 2 chance that participants will be assigned to placebo. Around 174 participants, aged 18 to 80 years with UL ET will be enrolled in approximately 40 sites in North America.

Participants will receive BOTOX or placebo injections in Cycle 1 and Cycle 2. In Cycle 3, participants will receive unilateral or bilateral BOTOX injections. Each cycle is 12 weeks.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Detailed Description

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Conditions

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Upper Limb Essential Tremor (UL ET)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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BOTOX/BOTOX Unilateral

Participants will receive BOTOX in Cycle 1 and Cycle 2 and unilateral BOTOX in Cycle 3

Group Type EXPERIMENTAL

BOTOX

Intervention Type BIOLOGICAL

Intramuscular injection

BOTOX/BOTOX Bilateral

Participants will receive BOTOX in Cycle 1 and Cycle 2 and bilateral BOTOX in Cycle 3

Group Type EXPERIMENTAL

BOTOX

Intervention Type BIOLOGICAL

Intramuscular injection

Placebo/BOTOX Unilateral

Participants will receive placebo in Cycle 1 and Cycle 2 followed by unilateral BOTOX in Cycle 3.

Group Type EXPERIMENTAL

BOTOX

Intervention Type BIOLOGICAL

Intramuscular injection

Placebo for BOTOX

Intervention Type DRUG

Intramuscular injection

Placebo/BOTOX Bilateral

Participants will receive placebo in Cycle 1 and Cycle 2 followed by bilateral BOTOX in Cycle 3.

Group Type EXPERIMENTAL

BOTOX

Intervention Type BIOLOGICAL

Intramuscular injection

Placebo for BOTOX

Intervention Type DRUG

Intramuscular injection

Interventions

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BOTOX

Intramuscular injection

Intervention Type BIOLOGICAL

Placebo for BOTOX

Intramuscular injection

Intervention Type DRUG

Other Intervention Names

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Botulinum Toxin Type A

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of essential tremor in accordance with modified Tremor Investigation Group (TRIG) criteria as described in the protocol.
* TREDS-Revised Scale (1-4 scale, whole numbers) unilateral score of \>= 3 for the Tremor Disability Scale (TREDS) on any of the 7 unilateral items; no more than a single item score of 1 among the 7 unilateral items in the dominant limb.
* TETRAS activities of daily living (ADL) (recorded on a 0-4 scale, whole numbers) minimum score of \>= 3 on any of the 5 unilateral items; no more than a single item score of \<=1 among the 5 unilateral items in the dominant limb.
* At least one of the following criteria must also be met:

* TETRAS UL score (0-4 scale, with 0.5 increments) of \> 2 in the dominant limb on at least one of the 3 maneuvers OR
* TETRAS Archimedes spiral task score (0-4 scale, with 0.5 increments) of \> 2 in the dominant limb

Exclusion Criteria

* Any uncontrolled clinically significant medical condition other than the one under study.
* Any medical condition that may put the participant at increased risk with exposure to BOTOX Purified Neurotoxin Complex.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ABBVIE INC.

Role: STUDY_DIRECTOR

AbbVie

Locations

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Accel Research Sites - Neurology and Neurodiagnostics of Alabama, LLC /ID# 240472

Hoover, Alabama, United States

Site Status

Barrow Neurological Institute - Dignity Health St. Joseph's Hosp and Medical Ctr /ID# 231731

Phoenix, Arizona, United States

Site Status

University of Arizona /ID# 239781

Tucson, Arizona, United States

Site Status

Loma Linda University /ID# 230905

Loma Linda, California, United States

Site Status

University of Colorado - Anschutz Medical Campus /ID# 239869

Aurora, Colorado, United States

Site Status

New England Institute for Clinical Research /ID# 238404

Stamford, Connecticut, United States

Site Status

Parkinson's Disease and Movement Disorders Center of Boca Raton /ID# 231677

Boca Raton, Florida, United States

Site Status

Coastal Clinical Research Specialists /ID# 240897

Fernandina Beach, Florida, United States

Site Status

Coastal Clinical Research Specialists /ID# 240471

Jacksonville, Florida, United States

Site Status

Charter Research - Winter Park /ID# 241568

Orlando, Florida, United States

Site Status

CDC Research Institute LLC /ID# 242744

Port Saint Lucie, Florida, United States

Site Status

Emory University / Emory Brain Health Center /ID# 231911

Atlanta, Georgia, United States

Site Status

Accel Research Site-NeuroStudies /ID# 239881

Decatur, Georgia, United States

Site Status

Univ Kansas Med Ctr /ID# 231166

Kansas City, Kansas, United States

Site Status

Kansas Institute of Research /ID# 231623

Overland Park, Kansas, United States

Site Status

Tufts Medical Center /ID# 239929

Boston, Massachusetts, United States

Site Status

Lahey Hospital & Medical Center /ID# 233232

Burlington, Massachusetts, United States

Site Status

Henry Ford Health Medical Center - Jackson /ID# 231400

Jackson, Michigan, United States

Site Status

Dent Neurologic Institute - Amherst /ID# 255665

Amherst, New York, United States

Site Status

UNC Hospitals Neurology Clinic - Chapel Hill /ID# 238857

Chapel Hill, North Carolina, United States

Site Status

Neurology - Triad /ID# 239806

Winston-Salem, North Carolina, United States

Site Status

Atrium Health Wake Forest Baptist Medical Center /ID# 233550

Winston-Salem, North Carolina, United States

Site Status

Dayton Center for Neurological Disorders /ID# 233737

Centerville, Ohio, United States

Site Status

The Orthopedic Foundation /ID# 232234

New Albany, Ohio, United States

Site Status

Oregon Health and Science University /ID# 231581

Portland, Oregon, United States

Site Status

Thomas Jefferson University Hospital /ID# 232614

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh MC /ID# 233735

Pittsburgh, Pennsylvania, United States

Site Status

Medical University of South Carolina /ID# 233538

Charleston, South Carolina, United States

Site Status

Texas Neurology /ID# 250428

Dallas, Texas, United States

Site Status

University of Texas Southwestern Medical Center /ID# 239770

Dallas, Texas, United States

Site Status

Texas Movement Disorder Specialists, PLLC /ID# 242524

Georgetown, Texas, United States

Site Status

Baylor College of Medicine /ID# 231624

Houston, Texas, United States

Site Status

Univ Texas HSC San Antonio /ID# 232615

San Antonio, Texas, United States

Site Status

Integrated Neurology Services - Falls Church /ID# 233545

Falls Church, Virginia, United States

Site Status

Gamma Therapeutic Center /ID# 232547

Greenfield, Wisconsin, United States

Site Status

Marshfield Clinic - Marshfield /ID# 233191

Marshfield, Wisconsin, United States

Site Status

Vancouver Coastal Health Authority - University of British Columbia /ID# 240356

Vancouver, British Columbia, Canada

Site Status

Centricity Research /ID# 240587

Halifax, Nova Scotia, Canada

Site Status

Toronto Western Hospital /ID# 231587

Toronto, Ontario, Canada

Site Status

Genge Partners /ID# 251546

Montreal, Quebec, Canada

Site Status

Countries

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United States Canada

Related Links

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Other Identifiers

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2021-002191-39

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

M21-471

Identifier Type: -

Identifier Source: org_study_id

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