Leg SpasticityPhase 3NCT01249404
Dysport® Adult Lower Limb Spasticity Study
A Phase 3 study testing Botulinum toxin type A in people with Leg Spasticity, run by Ipsen at 62 sites in 11 countries.
Trial summary
The purpose of this research study is to assess the efficacy of Dysport® compared to placebo in improving muscle tone in hemiparetic subjects with lower limb spasticity due to stroke or traumatic brain injury. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Leg Spasticity
- What is being tested?
- Botulinum toxin type A
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 388 participants
- Where
- 62 sitesin 11 countries
- Study dates
- Mar 2011to May 2014
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects aged 18 to 80 years of age
- Post stroke or brain injury
- Intensity of muscle tone greater than or equal to 2, as measured on the Modified Ashworth Scale
- Ambulatory patients
Who cannot join
- Fixed contractures
- Physiotherapy initiated less than 4 weeks before entry
- Previous surgery or previous treatment with phenol and/or alcohol in lower limb
- Neurological/neuromuscular disorders which may interfere with protocol evaluations
Trial locations and contacts
62 sites in 11 countries.
62 sites in 11 countries
United States17 sites
Parkinson's Disease & Movement Disorders Center of Boca Raton
Boca Raton, Florida, 33486
University of North Carolina - Chapel Hill
Chapel Hill, North Carolina, 27599-7200
The University of Texas Southwestern Medical Center at Dallas
Dallas, Texas, 75390-9016
Rancho Los Amigos
Downey, California, 90242
MossRehab & Albert Einstein
Elkins Park, Pennsylvania, 19027
Associated Neurologists of Southern CT, PC
Fairfield, Connecticut, 06824
University of North Texas HSC at Ben Hogan Center
Fort Worth, Texas, 76104
Neurorehabilitation Specialist
Houston, Texas, 66211
University of Texas - Houston
Houston, Texas, 77030
Design Neuroscience
Miami Gardens, Florida, 33169
Vanderbilt University
Nashville, Tennessee, 37232
Mount Sinai School of Medicine
New York, New York, 10029
Weill Cornell Medical College
New York, New York, 10065
Pacific Neuroscience Medical Group
Oxnard, California, 93030
University of Utah School of Medicine
Salt Lake City, Utah, 84132
Mayo Clinic Arizona
Scottsdale, Arizona, 85259
Wake Forest University Baptist Medical Center
Winston-Salem, North Carolina, 27157
France10 sites
CHU Jean MINJOZ
Besançon
Service de Réeducation Fonctionnelle, CHU de Brest, Hôpital Morvan
Brest, 29609
Centre de Réadaptation de Coubert
Coubert
Centre Hospitalier Albert Chenevier
Créteil
Hopital Raymond Poincarré
Garches
Hôpital de L'Archet
Nice
Hôpital Sébastopol, Médecine Physique et Réadaptation, CHU Reims
Reims, 51092
Hôpital Sébastopol
Reims
Nouvel Civil Hospital
Strasbourg
Hopital Rangueil
Toulouse
Australia8 sites
Caulfield Hospital
Caulfield, 3162
Saint Vincent's Hospital
Darlinghurst
Saint Vincent's Hospital
Fitzroy
St George Hospital
Kogarah
Royal Melbourne Hospital
Parkville
Epworth HealthCare
Richmond, Victoria, 3121
Epworth Healthcare
Richmond
Westmead Hospital
Westmead
Poland6 sites
Specjalistyczna Praktyka Lekarska
Katowice
Centrum Medyczne Plejady
Krakow
Krakowska Akademia Neurologii
Krakow
Malopolskie Centrum Medyczne
Krakow
Nzoz Neuro - Card
Poznan
Samodzielny Publiczny Centralny Szpital
Warsaw
Hungary5 sites
National Institute for Medical Rehabilitation
Budapest
Szent János Hospital
Budapest
Uno Medical Trials
Budapest
Petz Aladar Country Hospital
Győr
Batthyány Kázmér Hospital
Kisbér
Italy4 sites
Azienda Ospedaliero
Catania
SSD Neurofisiologia Riabilitativa
Fossano
Servizio di Neurofisiologia Clinica-Ospedale San Raffaele
Milan
Polo IRCCS Eugenio Medea La Nostra Famiglia
Treviso
Portugal3 sites
Servicio de Rehabilitation de Adultos
Alcabideche
Centro Hospitalar Lisboa Norte
Lisbon
Centro Hospitalar São João
Porto
Russia3 sites
Treatments and Rehabilitation Center
Moscow
State Institution "Scientific Centre of Neurology of Russian Academy of Medical Sciences"
Saint Petersburg, 125367
St-Petersberg State Medical University
Saint Petersburg
Belgium2 sites
Université catholique de Louvain av Hippocrate 10
Brussels
Clinique Universitaire
Yvoir
Czechia2 sites
Neurologicka Klinika
Olomouc, 775 20
Neurologicka Klinika, VFN
Prague, 12000
Slovakia2 sites
Neurologicka klinika, Univerzitna nemocnica Bratislava
Bratislava, 82606
Univerzitna Nemocnica Bratislava
Bratislava
About this study
Official title: A Phase III, Multicentre, Double-blind, Prospective, Randomized, Placebo-controlled Study, Assessing the Efficacy and Safety of Dysport® Used for the Treatment of Lower-limb Spasticity in Adult Subjects With Hemiparesis Due to Stroke or Traumatic Brain Injury
The purpose of this research study is to assess the efficacy of Dysport® compared to placebo in improving muscle tone in hemiparetic subjects with lower limb spasticity due to stroke or traumatic brain injury.
- Conditions
- Leg Spasticity
- Being tested
- Botulinum toxin type A, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Botulinum toxin type ABiological
Also called AbobotulinumtoxinA (Dysport®)
I.M. injection on day 1 (single treatment cycle)
PlaceboDrug
I.M. injection on day 1 (single treatment cycle)
| Study group | Role | What they receive |
|---|---|---|
| Dysport® 1000 U, IM | Experimental | 1000 U, I.M. (in the muscle), on day 1 (single treatment cycle) Receives: Biological: Botulinum toxin type A |
| Dysport® 1500 U, IM | Experimental | 1500 U, I.M., on day 1 (single treatment cycle) Receives: Biological: Botulinum toxin type A |
| Placebo | Placebo comparator | I.M., on day 1 (single treatment cycle) Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Least Squares Mean Change From Baseline to Week 4 in the MAS Score in the Gastrocnemius-soleus Complex (GSC) (Knee Extended)
Muscle tone in the treated limb was assessed by MAS in the GSC (with the knee extended) at baseline, at Weeks 1, 4 and 12, at discretionary visits at Weeks 16, 20 and 24, and at end of study. The MAS consists of 6 grades: 0 (no increase in muscle tone), 1 (slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion (ROM)), 1+ (slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM), 2 (more marked increase in muscle tone), 3 (considerable increase in muscle tone) or 4 (affected part(s) rigid in flexion or extension), and can be applied to muscles of both the upper and lower limbs. The least squares mean change from baseline at Week 4 is reported.
Measured: Baseline and Week 4
Secondary outcomes (2)
Physician's Global Assesment (PGA) of Treatment Response at Week 4
An assessment of overall treatment response was conducted at Weeks 4 and 12, and discretionary visits at Weeks 16, 20 and 24 and at end of study by an investigator who had not assessed the MAS. The investigator rated the response to treatment in the subject's lower limb after injection of Dysport® relative to the status at the baseline. Answers were made on a 9 point rating scale: -4=markedly worse, -3=much worse, -2=worse, -1=slightly worse, 0=no change, +1=slightly improved, +2=improved, +3=much improved, +4=markedly improved. The mean PGA score at Week 4 is reported.
Measured: At Week 4
Least Squares Mean Change From Baseline to Week 4 in Comfortable Barefoot Walking Speed
Comfortable walking speed was assessed as a measure of functional ability and gait over 10 metres. Evaluations were made barefoot, without walking aids, at baseline and Weeks 1, 4 and 12 and discretionary visits at Weeks 16, 20 and 24 and at end of study. The least squares mean change from baseline at Week 4 is reported.
Measured: Baseline and Week 4
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Nov 2010 (estimated)
- Study startMar 2011
- Primary completionDec 2013
- Study completionMay 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Leg SpasticityStudies of the same condition, open and under way.
- More trials run by IpsenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 388 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ipsen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Ipsen Study Director, Study director, Ipsen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01249404
- Sponsor's protocol ID
- Y-55-52120-140
- Other IDs
- 2009-015868-34, 2009
- Status last verified
- Sep 2022
- First submitted
- 25 Nov 2010
- Last updated
- 28 Sep 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized, and study documents will be redacted to protect the privacy of study participants. Any requests should be submitted to www.vivli.org for assessment by an independent scientific review board.
Publications
Esquenazi A, Brashear A, Deltombe T, Rudzinska-Bar M, Krawczyk M, Skoromets A, O'Dell MW, Grandoulier AS, Vilain C, Picaut P, Gracies JM. The Effect of Repeated abobotulinumtoxinA (Dysport(R)) Injections on Walking Velocity in Persons with Spastic Hemiparesis Caused by Stroke or Traumatic Brain Injury. PM R. 2021 May;13(5):488-495. doi: 10.1002/pmrj.12459. Epub 2020 Sep 11.
PubMed 32741133Esquenazi A, Stoquart G, Hedera P, Jacinto LJ, Dimanico U, Constant-Boyer F, Brashear A, Grandoulier AS, Vilain C, Picaut P, Gracies JM. Efficacy and Safety of AbobotulinumtoxinA for the Treatment of Hemiparesis in Adults with Lower Limb Spasticity Previously Treated With Other Botulinum Toxins: A Secondary Analysis of a Randomized Controlled Trial. PM R. 2020 Sep;12(9):853-860. doi: 10.1002/pmrj.12348. Epub 2020 Mar 27.
PubMed 32108436Gracies JM, Esquenazi A, Brashear A, Banach M, Kocer S, Jech R, Khatkova S, Benetin J, Vecchio M, McAllister P, Ilkowski J, Ochudlo S, Catus F, Grandoulier AS, Vilain C, Picaut P; International AbobotulinumtoxinA Adult Lower Limb Spasticity Study Group. Efficacy and safety of abobotulinumtoxinA in spastic lower limb: Randomized trial and extension. Neurology. 2017 Nov 28;89(22):2245-2253. doi: 10.1212/WNL.0000000000004687. Epub 2017 Nov 1.
PubMed 29093068
Study at a glance
From the registry record, last updated by the sponsor on 28 Sep 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Multicentre, Double-blind, Prospective, Randomized, Placebo-controlled Study, Assessing the Efficacy and Safety of Dysport® Used for the Treatment of Lower-limb Spasticity in Adult Subjects With Hemiparesis Due to Stroke or Traumatic Brain Injury
- ClinicalTrials.gov ID
- NCT01249404
- Acronym / sponsor ID
- Y-55-52120-140
- Conditions
- Leg Spasticity
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 388 participants (actual)
- Lead sponsor
- IpsenIndustry (pharma, biotech, devices)
- Study start
- Mar 2011
- Primary completion
- Dec 2013 (actual)
- Study completion
- May 2014 (actual)
- First posted
- 29 Nov 2010 (estimated)
- Results
- Posted 17 Oct 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this research study is to assess the efficacy of Dysport® compared to placebo in improving muscle tone in hemiparetic subjects with lower limb spasticity due to stroke or traumatic brain injury.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Dysport® 1000 U, IM | Experimental | Biological: Botulinum toxin type A1000 U, I.M. (in the muscle), on day 1 (single treatment cycle) |
| Dysport® 1500 U, IM | Experimental | Biological: Botulinum toxin type A1500 U, I.M., on day 1 (single treatment cycle) |
| Placebo | Placebo comparator | Drug: PlaceboI.M., on day 1 (single treatment cycle) |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Subjects aged 18 to 80 years of age
- Post stroke or brain injury
- Intensity of muscle tone greater than or equal to 2, as measured on the Modified Ashworth Scale
- Ambulatory patients
Key exclusion criteria (4 listed)
- Fixed contractures
- Physiotherapy initiated less than 4 weeks before entry
- Previous surgery or previous treatment with phenol and/or alcohol in lower limb
- Neurological/neuromuscular disorders which may interfere with protocol evaluations
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Botulinum toxin type AAlso: AbobotulinumtoxinA (Dysport®)I.M. injection on day 1 (single treatment cycle) | Biological | Dysport® 1000 U, IM, Dysport® 1500 U, IM |
| PlaceboI.M. injection on day 1 (single treatment cycle) | Drug | Placebo |
Primary outcome
Least Squares Mean Change From Baseline to Week 4 in the MAS Score in the Gastrocnemius-soleus Complex (GSC) (Knee Extended)
Time frame: Baseline and Week 4
Muscle tone in the treated limb was assessed by MAS in the GSC (with the knee extended) at baseline, at Weeks 1, 4 and 12, at discretionary visits at Weeks 16, 20 and 24, and at end of study. The MAS consists of 6 grades: 0 (no increase in muscle tone), 1 (slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion (ROM)), 1+ (slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM), 2 (more marked increase in muscle tone), 3 (considerable increase in muscle tone) or 4 (affected part(s) rigid in flexion or extension), and can be applied to muscles of both the upper and lower limbs. The least squares mean change from baseline at Week 4 is reported.
2 secondary outcomes
Physician's Global Assesment (PGA) of Treatment Response at Week 4
Time frame: At Week 4
Least Squares Mean Change From Baseline to Week 4 in Comfortable Barefoot Walking Speed
Time frame: Baseline and Week 4
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Sep 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 32741133Esquenazi A, Brashear A, Deltombe T, Rudzinska-Bar M, Krawczyk M, Skoromets A, O'Dell MW, Grandoulier AS, Vilain C, Picaut P, Gracies JM. The Effect of Repeated abobotulinumtoxinA (Dysport(R)) Injections on Walking Velocity in Persons with Spastic Hemiparesis Caused by Stroke or Traumatic Brain Injury. PM R. 2021 May;13(5):488-495. doi: 10.1002/pmrj.12459. Epub 2020 Sep 11.
- Derived from this study: PubMed 32108436Esquenazi A, Stoquart G, Hedera P, Jacinto LJ, Dimanico U, Constant-Boyer F, Brashear A, Grandoulier AS, Vilain C, Picaut P, Gracies JM. Efficacy and Safety of AbobotulinumtoxinA for the Treatment of Hemiparesis in Adults with Lower Limb Spasticity Previously Treated With Other Botulinum Toxins: A Secondary Analysis of a Randomized Controlled Trial. PM R. 2020 Sep;12(9):853-860. doi: 10.1002/pmrj.12348. Epub 2020 Mar 27.
- Derived from this study: PubMed 29093068Gracies JM, Esquenazi A, Brashear A, Banach M, Kocer S, Jech R, Khatkova S, Benetin J, Vecchio M, McAllister P, Ilkowski J, Ochudlo S, Catus F, Grandoulier AS, Vilain C, Picaut P; International AbobotulinumtoxinA Adult Lower Limb Spasticity Study Group. Efficacy and safety of abobotulinumtoxinA in spastic lower limb: Randomized trial and extension. Neurology. 2017 Nov 28;89(22):2245-2253. doi: 10.1212/WNL.0000000000004687. Epub 2017 Nov 1.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized, and study documents will be redacted to protect the privacy of study participants. Any requests should be submitted to www.vivli.org for assessment by an independent scientific review board.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ipsen Study Director study director
Ipsen
62 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Botulinum toxin type A in people with Leg Spasticity, run by Ipsen at 62 sites in 11 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 62 sites in United States, France, Australia, Poland, Hungary and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 17 Oct 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Least Squares Mean Change From Baseline to Week 4 in the MAS Score in the Gastrocnemius-soleus Complex (GSC) (Knee Extended) (time frame: Baseline and Week 4). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01249404, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Sep 2022.